Pulpal effects of glass ionomer cements

Abstract

Summary. The incidence of pulpal damage beneath cavities filled with ASPA, Chemfil and Chembond was studied in class I cavities in human premolar teeth after 1–10 days, 11–30 days, and 31 or more days. Cavities filled with Kalzinol or zinc oxide/eugenol acted as controls. All glass ionomer cements were accompanied by more pulpal damage than controls, but Chemfil was associated with the least changes. Bacteria were demonstrated at the material/cavity wall interface in a number of cavities with all materials, although no significant correlation was demonstrated between them and pulpal inflammation. The use of a base is recommended in cavities where large numbers of previously unaffected dentinal tubules are present.