Clinical long‐term evaluation of MTA as a direct pulp capping material in primary teeth

Tuna, Dilek; Ölmez, Ayşegül

doi:10.1111/j.1365-2591.2007.01339.x

Cited by 92 publications

(76 citation statements)

References 25 publications

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“…However, calcium hydroxide also has some disadvantages, such as the presence of a necrotic layer at the pulp exposure site, tunnel defects in dentin bridge formation 4) , lack of adhesive properties, and insufficient mechanical strength. On these grounds, the search and hunt is on for alternative direct pulp capping materials [5][6][7][8][9][10][11][12][13][14][15][16][17] . In the pursuit for a direct pulp capping material that circumvents the existing weaknesses, focus was trained on the effects of adhesive resins on the healing and dentin bridge formation of exposed pulp [12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Dentin bond strength of a new adhesive system containing calcium phosphate experimentally developed for direct pulp capping

et al. 2009

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The purpose of this study was to evaluate the microtensile bond strength (µTBS) to human dentin of an experimental bonding agent containing calcium phosphates experimentally developed for direct pulp capping. Different concentrations of four types of calcium phosphates were added to an experimental bonding monomer, and six experimental bonding agents were thus prepared. Clearfil SE Bond/Bond was used as the control. Flat dentin surfaces of human molars were assigned to the experimental adhesive systems and the control. After Clearfil SE Bond/Primer was applied to the dentin surface, each experimental bonding agent was applied and photopolymerized, and then a resin composite paste was placed and photopolymerized. The specimens were subjected to µTBS testing. Results revealed that there were no significant differences among the µTBS values of the experimental bonding agents and the control. In other words, the calcium phosphate-containing experimental adhesives did not adversely affect the µTBS to dentin.

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Section: Introductionmentioning

confidence: 99%

Dentin bond strength of a new adhesive system containing calcium phosphate experimentally developed for direct pulp capping

et al. 2009

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“…When MTA is used in permanent teeth, there is a 97.6% success rate for direct pulp caps (DPCs) and a 79% success rate for pulpotomy (2,3). In primary teeth, the corresponding success rates are 100% for DPCs (4) and 97% for pulpotomy (5). Despite these high success rates, MTA is not widely used.…”

Section: Introductionmentioning

confidence: 99%

Dental Material Choices for Pulp Therapy in Paediatric Dentistry

Ha¹,

Kahler²,

Walsh³

2017

Eur Endod J

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Objective: The purpose of this study was to assess the restorative choices for pulpal therapy by members of the Australian and New Zealand Society of Paediatric Dentistry (ANZSPD). Methods: Members of the ANZSPD were sent an online survey asking about the procedures that they performed and their choice of dental materials. Results: The respondents were 31 general dentists (GD) and 55 specialist paediatric dentists (PD). Materials used for indirect pulp capping included calcium hydroxide [Ca(OH) 2 ] cement (CHC), glass ionomer cement or resin-modified glass ionomer cement (GIC/RMGIC), Ca(OH) 2 paste (CHP) and mineral trioxide aggregate (MTA). Materials for direct pulp capping included MTA, CHP and CHC. Materials and techniques used for pulpotomy included MTA, ferric sulphate, formocresol and diathermy, CHP and CHC. GD and PD were similar in their choice of materials. However, there was no preferred product for pulp therapy. Most GD learnt how to use MTA from CPD lectures, while some PD learnt how to use MTA from their postgraduate training as well as CPD lectures. Many GD and PD did not have hands-on training from their education on how to use MTA (GD: 80%, PD: 43%). Most would like to attend hands-on MTA courses (GD: 86%, PD: 65%). Conclusion: There was no clear preferred product for the various types of pulp therapy in paediatric dentistry. Education appears to be the major barrier to the use of MTA rather than the cost of MTA.

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“…28 Both properties suggest that an application of MTA as a pulp capping material may be clinically successful under the conditions of minimal bacterial exposure. Indeed, several studies document that MTA is an effective material for direct pulp capping [29][30][31] and pulpotomies [32][33][34][35][36] in primary teeth. Excellent tissue healing has been observed over the useful life of the primary teeth and no adverse effects were noted on exfoliation or the eruption of succedaneous teeth.…”

Section: Introductionmentioning

confidence: 99%

Pulp Capping with Mineral Trioxide Aggregate (MTA): A Retrospective Analysis of Carious Pulp Exposures Treated by Undergraduate Dental Students

Miles¹,

Gluskin²,

Chambers³

et al. 2010

Operative Dentistry

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©Operative Dentistry, 2010, 35-1, 20-28 JP Miles • AH Gluskin D Chambers • OA Peters Clinical RelevanceCarious pulp exposures present a therapeutic challenge for clinicians. 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. This study provides data regarding the impact of exposure sizes and other pre-operative variables on outcomes of MTA pulp caps in adults. SUMMARYThe current study estimated pulpal vitality after MTA pulp caps were performed by undergraduate student clinicians. At recall after 12 to 27 months, 51 pulp caps were clinically and radiographically assessed. Kaplan-Meier analyses were used to estimate overall success at 12 and 24 months, determined as the presence of a vital pulp, as well as impact of preoperative variables on pulp vitality at recall. Overall, one-year pulp survival was 67.7%, while the two-year survival rate was 56.2%. Tarone-Ware statistics indicated that neither age of the patient nor size of the exposure ("minimal" or "moderate") and the amount of bleeding ("none," "minimal" or "moderate") had a significant effect on survival rates.Within the limitations of the current study on procedures performed by student clinicians, it may be concluded that, for MTA pulp caps applied to carious exposures in adults, certain preoperative conditions-patient age, exposure size and amount of bleeding-are not predictive of clinical outcome. Considering the comparatively low success rate for the current cohort, more research is needed to define predictive criteria for successful pulp capping with MTA.

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Clinical long‐term evaluation of MTA as a direct pulp capping material in primary teeth

Abstract: Mineral trioxide aggregate was found to be as successful as calcium hydroxide when used for direct pulp capping in primary teeth. Further histological investigations are needed to support these findings.

Cited by 92 publications

References 25 publications

Dentin bond strength of a new adhesive system containing calcium phosphate experimentally developed for direct pulp capping

Dentin bond strength of a new adhesive system containing calcium phosphate experimentally developed for direct pulp capping

Dental Material Choices for Pulp Therapy in Paediatric Dentistry

Pulp Capping with Mineral Trioxide Aggregate (MTA): A Retrospective Analysis of Carious Pulp Exposures Treated by Undergraduate Dental Students

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