What material should be used for a temporary dressing with anti-inflammatory properties for a patient with reversible pulpitis?

For a temporary dressing in a case of reversible pulpitis, the use of calcium hydroxide is particularly beneficial due to its ability to provide anti-inflammatory properties and support pulp healing. Calcium hydroxide is known for its high alkalinity, which can neutralize acidic environments in the tooth, promote the formation of secondary dentin, and create a conducive environment for pulp recovery.

In the context of reversible pulpitis, the goal is to alleviate any inflammation and supporting the tooth’s health while waiting for any necessary definitive treatment or restoration. Calcium hydroxide achieves this through its biological compatibility and its antimicrobial properties, which help minimize bacterial colonization and reduce inflammation within the pulp chamber.

While other materials such as zinc oxide eugenol also have soothing properties and can be used in temporary dressings, they do not promote pulpal healing to the same extent as calcium hydroxide. Glass ionomer cement is more suited to definitive restorations because of its bonding capabilities and release of fluoride, but it lacks the specific properties necessary to enhance pulp recovery. Composite resin is primarily used for restorations rather than temporary dressings and does not have the same therapeutic qualities needed for managing pulp inflammation.

Therefore, calcium hydroxide stands out as the best choice for a temporary dressing with anti