Clinical Comparison of Eggshell Derived Calcium Hydroxyapatite with Dycal^® as Indirect Pulp Capping Agents in Primary Molars

Abstract

Objective:  To evaluate and compare the efficacy of eggshell derived calcium hydroxyapatite with Dycal^® as indirect pulp capping material in primary molars.

Material and Methods:  A total of 32 carious primary molars from 22 children (6-10-years) were screened, of which 26 primary molars meeting inclusion criteria were selected and equally divided into two groups. At the first appointment, the infected dentin was excavated using a spoon excavator after treating the carious part with Carie-Care™ chemomechanical caries removal agent. After this, eggshell derived calcium hydroxyapatite in Group 1 and Dycal^® in Group 2 were used as liners followed by restoration of the cavity with type IX glass ionomer cement. Clinical assessment for pain and radiographic assessment for measurement of the amount of reparative dentin thickness formation was performed at baseline, 8 weeks and 3 months. The data were subjected to statistical analysis by one-way ANOVA and Kruskal-Wallis tests.

Results:  Higher mean reparative dentin formation was found in eggshell derived calcium hydroxyapatite group than Dycal^® group at the end of 8 weeks and 3 months and the difference was significant statistically (p<0.001).

Conclusion:  Eggshell derived calcium hydroxyapatite seems to be a suitable alternative to Dycal^® (calcium hydroxide) that can be used as a liner for indirect pulp capping in primary molars.

Keywords:
Tooth, Deciduous; Dental Pulp Capping; Dentin, Secondary; Durapatite