Can MTA be used for indirect pulp capping?

Indirect pulp capping accompanying complete caries removal exhibited a satisfactory success rate in the treatment of deep carious lesions. Both Ca(OH)₂ and MTA were found to be clinically effective at 24 months posttreatment.

Can we use MTA as a pulp capping?

MTA is a new and biocompatible biomaterial used for dental practice. It has been proved to be an excellent material for repairing of root perforations, apexification, root-end filling, repairing of root resorption and pulp capping.

What material is used for indirect pulp capping?

Indirect pulp capping materials

resin-modified glass ionomer. dentin-bonding agent. calcium hydroxide. mineral trioxide aggregate.

What does MTA do to pulp?

The researchers have reported that MTA induces proliferation of pulp cells,41, 42 it stimulates osteoblasts to release interleukins⁴ with formation of hard tissue,⁴³ and an interface with the dentin that is very similar in composition to the hydroxyapatite.

What is MTA in pulp capping?

Mineral trioxide aggregate (MTA) is a treatment option that may provide successful outcomes for the capping of carious pulp exposures in adult patients. However, the success measured as pulp survival over a period of one and two years of pulp caps performed by undergraduate dental students may be low.

Direct pulp capping with Bright MTA Capping (Prof.Duck-Su Kim)

Can we do obturation with MTA?

It is clear that MTA resists bacterial leakage to a higher degree than gutta-percha and sealer when used as an obturation material. These findings also demonstrate that the placement of MTA is technique-sensitive, and protocols for proper obturation and condensation must be observed.

Which is better MTA or calcium hydroxide?

MTA is more effective and superior comparing the Calcium Hydroxide as a direct pulp capping material, showed higher success rate with favorable outcomes in maintaining long term tooth vitality and easier to use in pulp capping. MTA is less toxic, less pulpal inflammation capping compared to Calcium Hydroxide.

What is indirect pulp capping?

Indirect pulp capping occurs when the pulp tissue is close to the surface but not completely exposed. It usually includes two treatments spaced six to eight months apart. The indirect pulp capping procedure involves: Removing decay.

Is Biodentine same as MTA?

Biodentine is comparatively a new biomaterial claimed to have properties comparable to mineral trioxide aggregate (MTA). Biodentine and MTA are effectively used for direct pulp capping (DPC), and they are capable of regenerating relatively damaged pulp and formation of hard dentine bridge.

Is MTA a calcium silicate?

Mineral trioxide aggregate (MTA) is a calcium silicate-based cement (CSC) commonly used in endodontic procedures involving pulpal regeneration and hard tissue repair, such as pulp capping, pulpotomy, apexogenesis, apexification, perforation repair, and root-end filling.

What is MTA in dentistry?

The mineral trioxide aggregate (MTA) is a dental material with biocompatibility properties to oral and dental tissues. MTA was developed for dental root repair in endodontic treatment and it is formulated from commercial Portland cement, combined with bismuth oxide powder for radiopacity.

Can Dycal be used for direct pulp capping?

Dycal® Calcium Hydroxide Liner is a two-component, rigid-setting, self-curing material designed for use in direct and indirect pulp capping and as a protective liner under dental adhesives, varnishes, filling materials, cements, and other base materials.

Can you use Dycal under composite?

Further studies are necessary to suggest that Dycal can be used without any inhibitions under composite resin restorations, may be in vivo studies with long-term follow-up of the outcome are required.

What is MTA pulpotomy?

MTA may be used as an alternative pulpotomy agent in immature teeth with pulp exposure to stimulate pulp healing with dentin bridge formation and complete root formation. But, discoloration following MTA pulpotomy appears as a major clinical complication.

Do you cure MTA?

Light-curable and dual-cure MTA products contain resins which dilute and inhibit the MTA's bioactivity. Resins never cure 100%. Uncured resin leaves cytotoxic monomers in the MTA-resin matrix and in contact with the pulp. Resins shrink during curing; they are not dimensionally stable.

Do you light cure MTA?

To protect the MTA during its setting, a light cured glass ionomer (Fuji 2 LC GC America, Alsip, IL) is injected precisely over the MTA site with a Skini Syringe and Endo-Eze canula (Ultradent/Clinical Research Dental) (Figs.

Is Biodentine better than MTA?

Biodentine is found to be associated with high pH (12) and releases calcium and silicon ions which stimulates mineralization and create “mineral infiltration zone” along dentin-cement interface imparting a better seal. Caron G et al., have found that Biodentine exhibits superior sealing properties than MTA [24].

Is MTA a bioceramic?

The first-generation bioceramic or hydraulic cement introduced in endodontics is mineral trioxide aggregate (MTA) in the 1990s by Dr. M. Torabinejad. Hydraulic cements refer to a material that needs hydration to set and once set are impervious to dissolution in water.

What is the pH of MTA?

pH. Hydrated MTA has an initial pH of 10.2, which rises to 12.5 (similar to calcium hydroxide) 3 hours after mixing and following setting. The high pH is theorized to be responsible for the antimicrobial action and biological activity of the material.

What is the difference between indirect and direct pulp capping?

Pulp capping can be divided in to two categories: indirect pulp capping or direct pulp capping. For an indirect pulp cap, a carious lesion approaches the pulp tissue, but a pulp exposure does not occur. With a direct pulp cap, the pulpal tissue is exposed and a medicament is placed over the exposure.

Which form of calcium hydroxide is used for pulp capping?

Maintaining dental pulp vitality

Calcium hydroxide has been established as the gold standard pulp capping/ partial pulpotomy material over the last 50 years.

How do you put a MTA on a root canal?

The MTA powder is mixed with sterile water, and the mixture is placed in contact with the exposure using a Dovgan carrier (Figure 2). Compress the mixture against the exposure site with a moist cotton pellet. Place a moist cotton pellet over the MTA and fill the rest of the cavity with a temporary filling material.

Why CAOH is used in pulp capping?

Calcium hydroxide continues to be the most accepted material for pulp capping. When calcium hydroxide is placed in contact with the pulp tissue, it preserves vitality, with no inflammatory response, stimulating the formation of a mineralized tissue barrier⁷.

Is MTA toxic?

At the 24-hour period, white MTA produced the lowest toxicity, statistically comparable to the control group (p > 0.05), whereas the white and gray CER cements presented the highest cytotoxic effects on the fibroblast-like MDPL-20 cells.