Can MTA be used in 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.
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What material should usually be used for indirect pulp capping?

Indirect pulp capping materials

resin-modified glass ionomer. dentin-bonding agent. calcium hydroxide. mineral trioxide aggregate.
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How do you do indirect pulp capping?

The indirect pulp capping procedure involves:
  1. Removing decay. The dental professional will remove most decayed tooth material but leaves a small portion to cover the pulp tissue.
  2. Adding sedative material. ...
  3. Filling the cavity. ...
  4. Evaluating the progress. ...
  5. Providing permanent restoration.
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Which cement is used for direct or indirect pulp capping?

Therefore, MTA is the material of choice in direct pulp capping [70,72]. Other key factors for successful pulp capping procedures are the ability of the bioactive material to seal to the tooth structure, the bond strength between the pulp capping material and restorative properties (Table 2).
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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.
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Direct pulp capping with Bright MTA Capping (Prof.Duck-Su Kim)



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.
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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.
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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.
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Do you etch before Dycal?

10 The loss of material from Dycal as a result of acid contact is generally regarded as disadvantageous. Therefore, etching procedure should be done before Dycal application.
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When do you use indirect pulp cap?

Indirect pulp capping is generally used in deep cavity preparations, with or without caries remaining, that are in close proximity to the pulp but with no visible exposure.
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What is the difference between direct pulp capping and indirect pulp capping?

Two different types of pulp cap are distinguished. In direct pulp capping, the protective dressing is placed directly over an exposed pulp; and in indirect pulp capping, a thin layer of softened dentin, that if removed would expose the pulp, is left in place and the protective dressing is placed on top.
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What is indirect pulp treatment?

The conventional technique for indirect pulp treatment in- volves the application of a bacteriostatic/bactericidal liner, such as calcium hydroxide, over the carious dentin to induce remineralization and protect the pulp.
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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.
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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.
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What is Dycal composition?

Dycal® is a paste-paste calcium hydroxide dental cement uses as pulp capping and liner in dentistry. First paste (base paste) contains titanium dioxide and barium sulphate in glycol disalicylate and second paste (catalyst paste) contains calcium hydroxide, zinc oxide and zinc stearate in ethyl toluene sulphonamide.
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What is pulp cap indirect excluding final restoration?

D3120 pulp cap — indirect (excluding final restoration): "Procedure in which the nearly exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin." It is most inappropriate to deceptively seek additional ...
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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.
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What is Metapex?

A temporary root canal filling material with excellent radiopacity, Metapex is an antibacterial, premixed paste composed of calcium hydroxide with iodoform. Priced at less than half the cost of leading brands, Metapex is ideal for many applications: Exposed pulp in capping and pulpotomy.
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Is Dycal the same as calcium hydroxide?

Dycal is a self-set rigid dental cement based on calcium hydroxide. It is indicated for both direct and indirect pulp coating.
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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.
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Why do we use calcium hydroxide in direct pulp capping?

Calcium Hydroxide Cavity Liners

Calcium hydroxide cements are used for lining specific areas of deep cavities or for direct pulp capping. The antibacterial action of calcium hydroxide makes these cements useful in indirect pulp-capping procedures involving carious dentin.
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What can be used 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.
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What is MTA obturation?

MTA canal obturation offers an innovative method to approach challenging endodontically involved teeth that may not respond using traditional filling materials and sealers when extensive pathosis is present.
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How do I place the MTA?

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.
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How do dentists use the MTA?

MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, treating internal root resorption, and pulp capping. The objective of this article is to investigate MTA features from a clinical point of view, even compared with other biomaterials.
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