Comparative Performance of Mineral Trioxide Aggregate Versus Calcium Hydroxide as a Direct Pulp Capping Agent

2016 ◽  
Vol 28 (2) ◽  
pp. 131-135 ◽  
Author(s):  
Steven R. Jefferies
2014 ◽  
Vol 38 (3) ◽  
pp. 201-206 ◽  
Author(s):  
SJ Swarup ◽  
A Rao ◽  
K Boaz ◽  
N Srikant ◽  
R Shenoy

Nano hydroxyapatite (Nano-HA) and Mineral Trioxide Aggregate (MTA) because of its better qualities can be used as an alternative to calcium hydroxide in direct pulp capping procedures. The aim of the study was to compare the response of exposed human pulp to Nano-HA, Mineral Trioxide Aggregate and calcium hydroxide. Study design: The study was done on 30 premolars, ranging from patients between 11-15 years. Intentional pulp capping was done using one of the experimental materials. The extracted teeth were then subjected to staining procedure and evaluated for dentin bridge and pulpal response after 15 and 30 days. Intragroup comparisons of the observed values were analyzed using Chi-square test. Results: Nano-HA and MTA produced continuous dentin bridges. Dentin bridge that was formed in MTA group had regular pattern of dentinal tubules but no tubules were seen in the nano-HA group. Dentin bridge was not observed in Dycal group for the 15 days period in majority of the sample and by 30 days dentin bridge was observed that were both continuous and interrupted in equal number of samples. The initial inflammatory response and necrosis was more with Nano-HA and calcium hydroxide which reduced with time. Conclusion: MTA showed no inflammatory changes in majority of the samples in both the study periods. Necrosis was least observed in MTA group followed by Nano-HA. Vascularity increased in Nano-HA group in the initial periods which reduced with increasing time. Based on the ability of nano-HA to produce complete dentinal bridges, favorable cellular and vascular response, the material could be considered as an substitute and could be tried used as a direct pulp capping agent.


2019 ◽  
Vol 73 (4) ◽  
pp. 239-248
Author(s):  
Violeta Petrovic ◽  
Jovana Stasic ◽  
Vojislav Komlenic ◽  
Tatjana Savic-Stankovic ◽  
Marina Latkovic ◽  
...  

The objective of this study was to measure temperature changes in the pulp chamber induced by polymerization of resin-based dental restoratives following a simulated procedure of direct pulp capping. Class I cavities with a microperforation at the pulp horn were prepared in extracted human molar teeth. The complete procedure of direct pulp capping and cavity restoration was performed with the root part of extracted teeth fixed in a water bath at 37 ?C. Mineral trioxide aggregate, bioactive dentin substitute or calcium-hydroxide paste were used as pulp capping materials. Cavities were restored with a light-cured or chemically-cured resin-modified glass ionomer, universal adhesive and a bulk-fill composite, cured with a high-intensity LED unit. Pulp capping materials caused a slight temperature decrease. Lower temperature increase was recorded during light-curing of the glass ionomer liner after direct capping with mineral trioxide aggregate and calcium-hydroxide than that recorded for the bioactive dentin substitute. Adhesive light-curing increased temperature in all groups with higher mean temperatures in groups with chemically-cured as compared to those for the light-cured glass ionomer liner. Direct pulp capping with mineral trioxide aggregate or calcium-hydroxide followed by the light-cured resin-modified glass ionomer liner and a bonded bulk-fill composite restoration induced temperature changes below the potentially adverse threshold of 42.5?C.


2010 ◽  
Vol 36 (5) ◽  
pp. 814-819 ◽  
Author(s):  
Till Dammaschke ◽  
Udo Stratmann ◽  
Philipp Wolff ◽  
Darius Sagheri ◽  
Edgar Schäfer

2017 ◽  
Vol 43 (11) ◽  
pp. 1776-1780 ◽  
Author(s):  
Claudia Brizuela ◽  
Andrea Ormeño ◽  
Carolina Cabrera ◽  
Roxana Cabezas ◽  
Carolina Inostroza Silva ◽  
...  

2018 ◽  
Vol 10 (6) ◽  
pp. 310
Author(s):  
Rizwan Jouhar ◽  
Tayyaba Tahira ◽  
HuwainaAbd Ghani ◽  
Naseer Ahmed ◽  
AhmadZahid Rao ◽  
...  

2014 ◽  
Vol 40 (11) ◽  
pp. 1746-1751 ◽  
Author(s):  
Johannes Mente ◽  
Sarah Hufnagel ◽  
Meltem Leo ◽  
Annemarie Michel ◽  
Holger Gehrig ◽  
...  

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