MTA: the new biocompatible material of choice for direct pulp capping in cariously exposed teeth: A case report

Aditi Jain, Pragya Daga, Pratibha Agarwal, Samir Bardia, Sr Lecturer, Asst Professor
Indian Journal of Conservative and Endodontics   unpublished
The significance of pulp vitality preservation can never be exaggerated. Cvek's partial pulpotomy helps to recover the exposed pulps preventing the necessity for additional endodontic therapy. It is usually embraced in teeth with open apices or thin dentinal wall to advance root development. MTA is new bioactive cement with dentin-like mechanical properties which can be utilized as a dentin substitute. It's a positive result on vital pulp cells and stimulates tertiary dentin formation. In
more » ... contact with vital pulp tissue, it likewise promotes the formation of reparative dentin and in properly elite cases may add to the long-term maintenance of tooth vitality. MTA pulpotomy comprised of pulp tissue removal to a depth of 2 mm, then capping the pulpal wound with MTA, followed by immediate restoration. The teeth were evaluated clinically through pulpal sensitivity tests and radiographically for periapical healing. At every recall (24 hours, 1 week, 30 days, 3, 6, 12, and eighteen months), no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 18 months. MTA pulpotomy is usually recommended as a treatment selection for cases of vital pulp exposure in young permanent teeth due to carious exposure.