Review Article
Volume 19 Issue 2 - 2020
A Review of Direct Pulp Capping: New Treatment Approaches and Modalities
Nilotpol Kashyap*
Professor and HOD, Department of Pedodontics and Preventive Dentistry, Chitwan Medical College, School of Dentistry, Bharatpur, Nepal
*Corresponding Author: Nilotpol Kashyap, Professor and HOD, Department of Pedodontics and Preventive Dentistry, Chitwan Medical College, School of Dentistry, Bharatpur, Nepal..
Received: December 05, 2019; Published: January 29, 2020


Direct Pulp Capping has been defined by Kopel as the placement of a medicament or non-medicated material on a pulp that has been exposed in course of excavating the last portions of deep dentinal caries or as a result of trauma. While DPC can be performed in both primary or permanent teeth, generally the procedure is considered controversial in case of the use of calcium hydroxide which can cause internal resorption of primary teeth. Due to the availability of newer materials in modern times other than calcium hydroxide the concept of DPC in primary teeth is changing. This article takes a look at the concept, procedure and controversies surrounding DPC and the newer materials available for performing the procedure.

Keywords: Direct Pulp Capping (DPC); Calcium Hydroxide; Primary Teeth


  1. Kopel HM. “Considerations for the direct pulp capping procedure in primary teeth: a review of the literature”. ASDC Journal of Dentistry for Children 59.2 (1992): 141-149.
  2. American Academy of Pediatric Dentistry. “Guideline on pulp therapy for primary and immature permanent teeth”. Pediatric Dentistry 37.6 (2015): 244-252.
  3. Rodd HD., et al. “UK National Clinical guidelines in pediatric dentistry”. International Journal of Paediatric Dentistry 16 (2006): 15-23.
  4. Monty S, Duggal, Hani Nazzal.
  5. Milcheva N., et al. “Direct pulp capping in treatment of reversible pulpitis in primary teeth- Clinical protocol”. Journal of IMAB 22.4 (2016): 1348-1351.
  6. Seltzer Bender IB. “Pulp capping and pulpotomy”. In: Seltzer S, Bender IB, editors. The dental pulp. 3rd Ed. Philadelphia: JB. Lippincott Company (1984): 281-302.
  7. Sujlana A and Pannu PK. “Direct pulp capping: A treatment option in primary teeth?” Pediatric Dental Journal 27 (2016): 1-7.
  8. Estrella C., et al. “In-vitro determinations of direct antimicrobial effect of calcium hydroxide”. Journal of Endodontics 24.1 (1998): 15-17.
  9. Torabninezad M., et al. “Cytotoxicity of four root end filling materials”. Journal of Endodontics 21.10 (1995): 489-492.
  10. Caidedo R., et al. “Clinical, radiographic and histological analysis of the effects of Mineral Trioxide Aggregate in direct pulp capping and pulpotomies in primary teeth”. Australian Dental Journal 51.4 (2006): 297-305.
  11. Shayegan A., et al. “Biodentin used as a pulp-capping material in primary pig teeth”. Pediatric Dentistry 34.7 (2013): e202-e208.
  12. Ghajari MF., et al. “Direct pulp-capping with calcium enriched mixture in primary molar teeth: a randomized clinical trial”. Iranian Endodontic Journal 5.1 (2010): 27-30.
  13. Haghgoo R., et al. “Nano-hydroxyapatite and a calcium enriched cement for pulp capping of sound primary teeth: a randomized clinical trial”. Iranian Endodontic Journal 102 (2015): 107-111.
  14. Davies JR., et al. “Dental pulp capping: effect of Emdogain gel on experimental exposed human pulps”. International Endodontic Journal 38.3 (2005): 189-194.
  15. Aminabadi NS., et al. “Simvastatin versus calcium hydroxide direct pulp capping of human primary molars: a randomized clinical trial”. Journal of Dental Research, Dental Clinics, Dental Prospects 7.1 (2013): 8-14.


Citation: Nilotpol Kashyap. “A Review of Direct Pulp Capping: New Treatment Approaches and Modalities”. EC Dental Science 19.2 (2020): 01-11.

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