The Effectivity of Acemannan Sponge and Calcium Phosphate Cement-Calcium Sulfate Hemihydrate (CPC-CSH)-Diode Laser-Assisted Method on the Direct Pulp Capping

Dental caries, the decay of tooth, affects approximately 2.3 billion people worldwide and reaches 88.8% of the total Indonesians. Caries reaching the pulp requires direct pulp capping (DPC) therapy to preserve pulp vitality. Ca(OH)2 is the golden standard DPC material, but its adhesion and mechanical properties are poor. Therefore, an alternative therapy is needed to improve the success of DPC using acemannan sponge and calcium phosphate cement-calcium sulfate hemihydrate (CPC-CSH)-diode laser. Acemannan, polymannose extracted from aloe vera gel, plays a role in reparative dentin formation that is immunomodulatory, antimicrobial, biocompatible, and accelerates wound healing. Calcium Phosphate Cement (CPC), bioactive material used in tissue engineering. Calcium sulfate hemihydrate (CSH), inorganic component and biocompatible. The combination of CPC-CSH can shorten the setting time, maintain compressive strength, and has good handling properties. Low level diode laser (LLDL) plays a role in reparative dentin formation by altering growth factors expression to stimulate cell proliferation and fibroblast development. LLDL is applied before pulp capping material application between the pulp-dentin so that aggregated collagen fibrils are collected and stimulate the formation of odontoblasts. This paper aims to describe The Effectiveness of Acemannan Sponge and Calcium Phosphate Cement-Calcium Sulfate Hemihydrate (CPC-CSH)-Diode Laser Assisted Method in Direct Pulp Capping Therapy. Article searching uses the Preferred Reporting Items for Systematic Reviews and Meta-analyses with keywords (MeSH): "DPC and Acemannan", "DPC and CPC-CSH", and "DPC and Diode Laser" from Pubmed, ScienceDirect, and Google Scholar databases in 2019-2024. Acemannan Sponge and Calcium Phosphate Cement-Calcium Sulfate Hemihydrate (CPC-CSH)-Diode Laser Assisted Method are effective as Alternative Direct Pulp Capping Therapy.