In vivo outcomes of indirect pulp treatment using a self-etching primer versus calcium hydroxide over the demineralized dentin in primary molars

J Clin Pediatr Dent. Winter 2008;33(2):131-5. doi: 10.17796/jcpd.33.2.82r1tp71x75m5345.


Objective: To evaluate the clinical and radiographic outcomes (24 months) of indirect pulp treatment (IPT) in primary teeth when a self-etching primer or a calcium hydroxide layer was used over the remaining carious dentin.

Study design: Primary molar teeth with deep carious lesions without signs and symptoms of irreversible pulpitis were divided into two groups, according to the capping material: Experimental group (1): self-etching adhesive system (Clearfill SE Bond); and Control group (2): calcium hydroxide liner (Dycal). Both groups were followed up after application of a resin restoration (3M - Z250).

Results: After 2 years of clinical and radiographic follow-up, no statistical difference was found between groups (p = 1). The overall success rate reached 87%.

Conclusion: These results demonstrate that IPT has a high clinical and radiographic performance in primary teeth and is not dependent on the capping material used over the demineralized dentin.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Calcium Hydroxide / therapeutic use*
  • Child
  • Child, Preschool
  • Dental Caries / complications
  • Dental Caries / diagnostic imaging
  • Dental Caries / therapy*
  • Dental Cements / therapeutic use*
  • Dental Pulp Capping / methods*
  • Dental Restoration, Permanent / methods
  • Dentin / diagnostic imaging
  • Dentin / drug effects
  • Dentin / physiology
  • Follow-Up Studies
  • Humans
  • Molar
  • Radiography
  • Resin Cements / therapeutic use*
  • Tooth Demineralization / etiology
  • Tooth Demineralization / prevention & control
  • Tooth, Deciduous
  • Treatment Outcome


  • Clearfil SE Bond
  • Dental Cements
  • Resin Cements
  • Calcium Hydroxide