Effect of chlorhexidine gluconate as hemostatic agent in healing and repair after mineral trioxide aggregate vital pulp therapy in young permanent teeth – A clinical study

Abstract

Objectives: The aim of the study was to evaluate the clinical success of mineral trioxide aggregate (MTA) partial pulpotomy as a definitive procedure in deeply carious permanent posterior teeth using 0.12% chlorhexidine (CHX) gluconate or normal saline as hemostatic agents. Materials and Methods: A pilot randomized control clinical trial was conducted on subjects with a deep carious lesion on 20 immature posterior teeth of subjects (10.8 ± 2.62 years). Caries and the superficial layer of exposed pulp were removed and then flushed with 0.12% CHX or saline solution. Gray MTA was placed, followed by resin-modified glass ionomer and composite. Results: 12 months follow-up showed 100% clinical and 90% radiographical success in both groups. Dentine Bridge was formed 90% in both the study and control group, which showed MTA partial pulpotomy is an effective procedure (P = 0.000). Conclusion: MTA partial pulpotomy using 0.12% CHX gluconate as a hemostatic agent for the treatment of deeply carious immature permanent posterior teeth appears to increase the radiographic rate of formation of dentin bridge as compared to the normal saline.