With age, secondary dentin and reparative dentin
continue to deposit, so many scholars select secondary dentin deposition as an age-related research indicator, but this study can only be carried out on the corpse (Bommannavar & Kulkarni, 2015; Chopra et al.
The dental pulp is isolated from the lesion by the defensive response of a mature odontoblast, which produces secondary and reparative dentin
in response to external physiological and pathological stimuli.
Calcium hydroxide has long been the gold standard among direct pulp capping materials for its antibacterial properties and ability to stimulate formation of a reparative dentin
barrier (1, 2).
Only 2 patients in 35-50 years age group presented with pain because with advancing age, a reduction in pulp chamber volume and relative constriction of occluso-gingival reduction occurs due to an increased secondary and reparative dentin
formation in rat molars after direct pulp capping with growth factors.
Moreover, the typical reparative dentin
bridge seen in human teeth was not as readily apparent in the minute rodent teeth, owing to the technical challenges with the procedure.
These findings indicated the potential use of ginsenoside Rgl in endodontic biotherapy, reparative dentin
formation and tooth tissue engineering.
18) Formation of reparative dentin
also is promoted by placing silver fluoride beneath a glass ionomer cement restoration in deciduous teeth.
An essential step especially in case of occlusal interference, is to reduce the bulk of the cusp gradually and periodontally and application of topical fluoride gel to reduce sensitivity, and stimulate reparative dentin
formation for pulp protection or outright total reduction of the cusp and calcium hydroxide pulpotomy.
2] treatment may include pulp necrosis, apical lesions, and excessive reparative dentin
formation, (22,23,28) whereas others have reported severe inflammation and poor quality, irregular dentin repair.
Tertiary dentin, also known as reparative dentin
, forms after exposed dentin has been traumatized by a stimulus.
To date, researchers have been unable to identify a reliable non-resorbable bioactive pulp capping material that consistently stimulates cellular repair mechanisms, seals the dentin and promotes formation of a biologically stable reparative dentin