title: Observational: prospective study of indirect pulp treatment in primary molars using resin-modified glass ionomer and 2% chlorhexidine gluconate: a 12-month Follow-up.
abstract: OBJECTIVE
  This study's purpose was to determine the efficacy of indirect pulp treatment (IPT) in primary molars when using 2% chlorhexidine gluconate disinfecting solution and resin-modified glass ionomer (RMGI) liner after 12 months.
  
  
  METHODS
  Three- to 10-year-old subjects with deep carious lesions who met selection criteria participated. Infected dentin was removed using a caries detector, and residual affected dentin was left on the pulpal floor to prevent pulp exposure. A 2% chlorhexidine gluconate solution and a RMGI liner were placed. Teeth were restored with composite or full-coverage (stainless steel crown [SSC]) restorations. Follow-up evaluations at 3, 6, and 12 months included clinical, radiographic, and photographic assessments.
  
  
  RESULTS
  A total of 60 teeth were treated. Treatment was successful in 50/50 (100%), 41/42 (∼98%), and 31/32 (∼97%) teeth at the 3-, 6-, and 12-month follow-up visits, respectively. Failures included one at 6 months in a primary second molar with a composite restoration and another at 12 months in a primary first molar with a SSC.
  
  
  CONCLUSIONS
  Indirect pulp treatment is effective in primary teeth, although appropriate case selection and an adequate marginal seal are essential for a successful outcome. Further prospective studies are needed to expand the body of evidence that clinicians use to justify decisions on clinical care.
authors: Department of Pediatric Dentistry, New York University College of Dentistry, New York, NY, USA. linda.rosenberg@nyu.edu
authors: Linda
authors: L
authors: Rosenberg
authors: Michael
authors: M
authors: Atar
authors: Marcia
authors: M
authors: Daronch
authors: Amy
authors: A
authors: Honig
authors: Marshall
authors: M
authors: Chey
authors: Margaret D
authors: MD
authors: Funny
authors: Luis
authors: L
authors: Cruz
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D002710:Chlorhexidine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D003731:Dental Caries / Q000628:therapy*; D003736:Dental Cavity Lining / Q000379:methods; D003737:Dental Cavity Preparation / Q000379:methods; D003764:Dental Materials / Q000737:chemistry; D003785:Dental Pulp Capping / Q000379:methods*; D003793:Dental Restoration, Permanent / Q000379:methods; D003804:Dentin / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008963:Molar / Q000473:pathology*; D011446:Prospective Studies; D057872:Pulp Capping and Pulpectomy Agents / Q000627:therapeutic use*; D019279:Resin Cements / Q000627:therapeutic use*; D012117:Resins, Synthetic / Q000627:therapeutic use; D013193:Stainless Steel / Q000737:chemistry; D014094:Tooth, Deciduous / Q000473:pathology*; D016896:Treatment Outcome
chemical_list: D000891:Anti-Infective Agents, Local; D003188:Composite Resins; D003764:Dental Materials; C079765:Fuji II LC cement; D005899:Glass Ionomer Cements; D057872:Pulp Capping and Pulpectomy Agents; D019279:Resin Cements; D012117:Resins, Synthetic; D013193:Stainless Steel; C010882:chlorhexidine gluconate; D002710:Chlorhexidine