Optimizing Pulp Protection : A Systematic Review of Pulp capping agents and their Properties
Bibliographic record
Abstract
Pulp capping materials posses a vital role in in maintain structural integrity of tooth. Ca++/OHrelease which often play a pivotal role are often ignored. To ensure all the properties are given equal importance, this systematic review was conducted to select the pulp capping agent which fulfils all the properties required for a successful clinical outcome.This review insights common clinician for selecting a material during deep carious management.The aim of this review is to select the best pulp capping material that satisfies all the requirements of physical, chemical and biological properties that are beneficial for pulp therapy.Protocol was formulated in accordance with PRISMA checklist 2020 and registered on PROSPERO (CRD42020160461). Electronic search from databases such as Medline/PubMed, Google Scholar, and Cochrane were performed from the year 2008– 2023. In Vitro studies that evaluated chemical, physical, mechanical and biological properties of pulp capping agents were included. A total of 15 studies were included in the systematic review. After assessing the risk of bias using Newcastle-Ottawa Scale, data was compiled of the included studies. A total of 3038 articles were retrieved from selected databases and out of which 15 studies were included in this review. Based on the risk of bias assessment 2 studies were of very good quality, 5 studies of good quality and 8 studies were of satisfactory quality. Among the pulp capping agents, Tech Biosealer capping, MTA Plus gel and Biodentine exhibited high values of Calcium ion release both at short (3 days) and long-time interval (28 days) whereas Lime-Lite released least amount of Calcium ions. Biodentine had the highest compressive strength and is most cytocompatible. This review leads to the conclusion that calcium silicate-based materials demonstrate superior chemical, physico-mechanical and biological properties, closely aligning with the desirable attributes for pulp therapy. Out of the Calcium silicate-based materials Biodentine exhibits properties that are best for pulpal healing.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.007 | 0.024 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.010 | 0.008 |
| Bibliometrics | 0.011 | 0.010 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".