Effect of Different Bioactive Restorative Materials and Techniques on Pulpal Condition

Restorative materials play a crucial role in dental treatments, particularly in managing tooth decay and restoring damaged teeth. Their interaction with dental pulp is significant, especially in cases where pulp inflammation is present. When a tooth is compromised, the choice of restorative material can influence the health of the pulp. Certain materials can promote healing and reduce inflammation, while others may exacerbate the condition. For instance, biocompatible materials like glass ionomer or resin-modified glass ionomer have been shown to provide a favorable environment for pulp cells, potentially aiding in the regeneration of dental pulp tissue. Conversely, materials that are not well-tolerated may lead to further irritation and inflammation, highlighting the importance of selecting appropriate restorative materials to protect pulp vitality and support overall dental health.

Inclusion Criteria: * Simple occlusal deep carious lesions. * ICDAS 5 and 6. * No restorations with the related teeth. * Periodontally healthy patient (no bleeding on probing and no radiographic evidence of periodontal bone loss) * Normal occlusion. * Participants willing to commit for the entire period of the trial and agreed to sign the written consent after full explanation of the study. Exclusion Criteria: * Vulnerable groups such as pregnant females, breast feeding, prisoners, mentally ill, etc.… * Cigarette smoking or any form of tobacco consumption. * Medically compromised patients as diabetes. * A previously endo treated teeth. * Ongoing dental or periodontal treatment 12 months before the beginning of the study. * Presence of periodontal pockets \>3 mm in the affected tooth. * Antibiotics or any medication that might lead to decreased salivary flow.