Can MTA be used for 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 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.

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 material is used for pulp capping?

Two types of pulp-capping materials, calcium hydroxide and mineral trioxide aggregate, have been most commonly used in clinics, and an adhesive resin has been considered a promising capping material.

What is the best material for direct pulp capping?

Calcium hydroxide remains the “gold standard” for direct pulp capping. It has the longest track record of clinical success, is the most cost-effective and is the likely effective component in MTA. Provide a well-sealed restoration immediately after pulp capping.

direct pulp capping with MTA

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.

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.

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.

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.

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 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.

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.

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.

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.

Is MTA a liner or a base?

MTA provides a higher incidence and faster rate of reparative dentin formation without the pulpal inflammation. MTA Plus material is also indicated for base and liner in vital pulp therapy. In root-end filling after apicoectomy, the anti-washout agent (chitosan or gelatin) is useful to prevent from MTA washout.

Does MTA bond to tooth?

Nowadays, the material that offers the best sealing characteristic in the field of endodontic treatment is the mineral trioxide aggregate (MTA), nevertheless, this material necessities an adhesive bonding agent to perfectly join to the dental surface.

Does MTA dissolve?

Because MTA is alkaline in nature, it might interact with acids or chemicals and could disintegrate.

How do I use MTA Endo?

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.

What is MTA sealer?

MTA Bioseal is an endodontic root canal sealer based on Mineral Trioxide Aggregate. It is a double paste component that allows complete filling of all root canals including accessory and lateral ones.

Is MTA calcium hydroxide?

Interestingly, the primary reaction product of MTA with water is Calcium Hydroxide, and so it is actually the formation of calcium hydroxide that provides MTA's biocompatibility [10,24- 27] As a result, many of the advantages and potential mechanisms of action for MTA are similar to Calcium Hydroxide, including its ...

Why is Biodentine better than Dycal?

The results of the present study showed that pulps that were treated with Biodentine were essentially free of inflammation and led to the formation of a good quality bridge which was more predictable, uniform, thick, continuous, and completely sealed the pulp tissue in comparison to Dycal.

Can we use Dycal under GIC?

CaOH under GIC is redundant and counterproductive. One is placing a hard compressive strength materiral (GIC) on a softer one (Dycal). The rate of reparative dentin is constant and is not determined by the use of Dycal.

Can I 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.