Required fields are marked *. Aim: To assess the effectiveness of mineral trioxide aggregate (MTA) used as an indirect pulp-capping material in human molar and premolar teeth. Tricalcium silicate hydraulic cement materials such as the well-known mineral trioxide aggregate (MTA) are biocompatible materials with high-sealing ability and have been used for various reparative purposes in dentistry, including root-end filling, sealing perforations, treating open apices, and direct pulp-capping. In the years since, it has proven to be an exceptional material with a wide range of clinical uses, all scientifically and clinically proven.2-4. Methodology: We conducted a clinical evaluation of 60 teeth, which underwent an indirect pulp-capping procedure with either MTA or calcium hydroxide cement (Dycal(®) ). 1 In the case of indirect pulp capping, where the cavity preparation is in close proximity to the pulp but with no visible exposure, various one- and two-stage protocols have been advocated. Database Syst Rev 2007: CD004484. MTA is a biocompatible biomaterial developed for dental root repair and pulp capping. Inclusion was not limited to patients whose situation strictly conformed to the guidelines outlined above; this was assessed from reports filed by the treating student clinicians (Table 1), which identi-fied the pre-operative conditions of the affected tooth. Further clinical research is required to confirm the long-term results of the current study. A Retrospective Clinical Study, New approaches in vital pulp therapy in permanent teeth, Treatment of pulps in teeth affected by deep caries – A systematic review of the literature. Tuna D, Olmez A. 27), air thinned and the ethanol solvent evaporated. Indirect Pulp Caps When repairing a tooth with deep carious lesions, it is not unusual that the dentist gets so close to the pulp tissue that they cannot risk removing all of the decay without exposing the pulp. They were followed for up to 2 yrs at regular recall appointments, or as dictated by tooth symptoms. e Bakland, L.K.(2008). 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. Initially recommended as a material for filling root end surgical preparations and for perforation repair, this material is also advocated for immediate apical sealing in teeth with open apices,5 pulpotomies, apexification or apexogenesis in vital teeth with open apices,6-9 and other endodontic and reparative procedures. Magnification ×40. The survival of the pulp in the teeth after 10 years reached 92.5%, six … Academia.edu no longer supports Internet Explorer. Indirect Pulp Cap. Radiograph of tooth #36 at 24-month recall showing evidence of almost complete apical closure and lateral root development. 2015;8(10):17055-17060. Of the commercially available MTA products, MTA Angelus is well suited for pulp capping procedures due to its setting time of 10 minutes, compared with the four hour setting time of the other commercially available MTA. indirect pulp-capping procedure with either MTA or calcium hydroxide cement (Dycal(®)). 28). Teeth were divided into three groups according to the materials used for pulp capping. Clinical assessment revealed an apparent 98% success for the pulp-capped teeth. 13) may complicate access for distal molars, but the distancing of the head of the hand-piece from the occlusal cavo-surface margins allows better visualization of the caries removal process. 10. Indirect pulp capping is a procedure in which a material is placed on a thin layer of remaining soft dentin that, if removed, might expose the pulp. Therefore, indirect pulp treatment is preferable to a pulpotomy when the pulp is normal or has a diagnosis of reversible pulpitis. Root-End Filling. including a direct pulp cap with MTA, were at least 18 years of age. Pulpotomy/ Apexogenesis. A direct pulp cap is where there is an actual exposure of the pulp and a medicament like Calcium hydroxide or Mineral Trioxide Aggregate (MTA) is placed to stimulate the secondary dentin formation. Int Endod J. ‘Mask Mouth’ is a Seriously Stinky Side Effect of Wearing Masks, Jaw Joint and Muscle Strain/Sprain Treatment Technique. Performing a pulpectomy is typically sug-Miles& Others: Clinical Outcomes of MTA Pulp Capping in an Adult Population 21 J Clin Pediatr Dent. Epub 2007 Nov 27.15. Masoud Parirokh, DMD, MS,* and Mahmoud Torabinejad, DMD, MSD, PhD. 16. Oral Health welcomes this original article. A direct pulp cap is usually done with small mechanical or traumatic exposures with no evident decay in the area. The Mineral Trioxide Aggregate (MTA), introduced by Torabinejad about 20 years ago, 1, 2, 3, 4, 5, 6, 7 retains resistance to bacterial infiltration and can effectively protect the pulp, hastening its repair and maintaining tooth vitality if used correctly and … This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. 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