Can MTA be used in primary teeth?

MTA as a pulpotomy agent has shown favorable results in case of primary molars. There is limited literature available regarding its use in primary incisors. However, the success of vital pulp therapy with MTA depends on proper case selection and technique of management of the tooth than the material itself.

Can direct pulp capping be done in primary teeth?

Direct pulp capping is usually indicated in a primary tooth with normal pulp (accidentally) exposed 1 mm or less. A medicament is then applied as a cap before a restoration is placed. The use of direct pulp capping in primary teeth is the subject of debate because of concern over poor success rates.

What is MTA in pediatric dentistry?

Mineral trioxide aggregate (MTA), is unique endodontic cement that was initially introduced as a material for root perforation repair. Over the years its use has expanded to include versatile applications in the field of pediatric dentistry.

Is MTA used in pulpectomy?

MTA is recommended as an option pulpectomy material for nonvital primary teeth with no permanent successors, but it is important to improve the long-term clinical studies to confirm its benefit in such cases.

What is the best filling material for primary teeth?

Zinc oxide eugenol (ZOE)

It was the first root canal filling material to be recommended for primary teeth, as described by Sweet in 1930. Studies by various authors and their observations on ZOE and its combinations with other materials are shown in Tables 1 and 2 respectively [5-26].

Pulpotomy with MTA

Can children use temporary fillings?

When a tooth has extreme tooth decay that is approaching the pulp of the tooth, our dentists and team may recommend that your child get a temporary filling. This treatment is a unique method that essentially helps heal your child's damaged tooth.

Why gutta percha is not used in primary tooth?

Materials for the endodontic obturation in primary teeth are required to be absorbable corresponding to the spontaneous absorption of these roots. Therefore, gutta-percha has been contraindicated to primary teeth, except in case of no succedaneous tooth (5).

How do you do pulpotomy in primary teeth?

How is pulpectomy used in primary teeth?

Can Metapex be used in pulpectomy?

The use of Vitapex or Metapex is reportedly associated with high clinical and radiological success rates in the pulpectomy of primary teeth. However, even when the pulp tissue is debrided, pulp tissue remaining in the root canal will come into contact with the filling material.

Where is MTA used?

MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, treating internal root resorption, and pulp capping.

Which of the following is an indication for RCT of primary teeth?

Root canal treatment in primary teeth is indicated when the radicular pulp exhibits clinical signs of irreversible pulpitis or pulp necrosis, while the roots show minimal or no resorption.

Why is pulpotomy not used in permanent teeth?

The issues associated with coronal pulpotomy in permanent teeth are uncertainty on the pulpal status at the time of treatment, lack of predictability, and absence of any scientific and valid evidence on long term follow-up and success rate [13].

What matrices are used on primary teeth?

T-band is one of the most commonly used matrix systems in pediatric dentistry for class II restorations. FenderMate is a pre-curved sectional matrix with an attached wedge that provides quick, safe, and predictable proximal restorations, with a tight contact and proper cervical sealing.

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.

Which procedure is most commonly used for vital primary teeth?

Pulpotomy is one of the most widely accepted clinical procedures for treating cariously exposed pulps in symptom-free primary teeth. The rationale is based on the healing ability of the radicular pulp tissue following surgical amputation of the affected or infected coronal pulp [1].

When do you use pulpotomy vs pulpectomy?

Which type of restoration would be used for full coverage of a primary tooth?

Stainless steel crowns (SSCs) are the restoration of choice for primary molars of children with high-caries risk, after pulp therapy, for large, multisurface caries and interproximal preparation that extends beyond the line angle.

How do you Obturate primary teeth?

Different obturation techniques to fill the primary root canal include conventional manual incremental lateral condensation by amalgam pluggers, tuberculin syringe, disposable injection technique, navi tip, hand-held, rotary lentulospiral, jiffy tubes, endodontic pressure syringe, past inject, etc.

Can IRM be used for pulpotomy?

Results. Among the 608 teeth (338 patients) treated in a single session with IRM full pulpotomy and stainless steel preformed crowns, 263 (143 patients) were evaluated after a median follow-up period of 24 months. Overall, 89% of the pulpotomies were effective, 7.6% were of uncertain outcome, and 3.4% were ineffective.

Which material is used to stimulate healing during a pulpotomy on a primary tooth?

Pulpotomy is a vital pulp therapy, medicaments that can promote healing and preserve the vitality of the tooth should be placed after removal of the inflamed pulp. In primary teeth medicaments such as formocresol, mineral trioxide aggregate, zinc oxide eugenol and calcium hydroxide can be used in pulpotomy.

Can we do RCT in deciduous teeth?

Root canal treatment is indicated in the deciduous teeth with chronic inflammation or necrosis, and this treatment aims to purify the root canals from infection, and to keep the teeth in the mouth until the age they normally fall off.

What endodontic procedure is performed on primary teeth?

Endodontic treatment of primary teeth is undertaken by indirect pulp capping, direct pulp capping, formocresol pulpotomy and pulpectomy. The same treatment principles apply to both primary and permanent teeth with infected or necrotic pulps.

What can be used instead of gutta-percha?

In the past 4 years, Resilon, and its other brand names Resinate (Figure 4) and RealSeal, have been shown to be an effective alternative to gutta-percha for filling the roots of endodontically treated teeth.

Can children have fillings in baby teeth?

In short, fillings in your child's primary teeth are typically just as necessary as fillings in permanent teeth. It's essential to care for your child's primary teeth due to a diversity of reasons: Untreated cavities can cause discomfort and pain. Cavities can lead to other dental problems, including infection.