scholarly journals Pulp-Capping with Mineral Trioxide Aggregate

2015 ◽  
Vol 42 (2) ◽  
pp. 23-29 ◽  
Author(s):  
Kalina Peycheva

Summary There are two considerations for direct pulp capping - accidental mechanical pulp exposure and exposure caused by caries. Mineral trioxide aggregate (MTA) was used as pulp-capping material to preserve the vitality of the pulpal tissues. Follow-up examinations revealed that treatment was successful in preserving pulpal vitality and continued development of the tooth. On the basis of available information, it appears that MTA is the material of choice for some clinical applications. Material and methods: Cases 18 - 8 teeth with grey MTA, 10 teeth with white MTA; diagnose: Pulpitis chronica ulcerosa, Electro pulpal test (EOD) - 30-35 μA, pre-clinical X-ray - without changes in the structures, follow ups for 4 years. Successful treatments: without clinical symptoms and changes in the X-rays: 5 teeth with grey MTA, 8 teeth with white MTA for period of 4 years. Unsuccessful treatments: Clinical symptoms and sometimes changes in the X-ray: 3 with grey MTA, 2 with white MTA. MTA is an appropriate material for pulp-capping and follow-up examinations revealed that the treatment was successful in preserving pulpal vitality.

2009 ◽  
Vol 33 (4) ◽  
pp. 311-314 ◽  
Author(s):  
Priya Subramaniam ◽  
Sapna Konde ◽  
Somy Mathew ◽  
Sony Sugnani

The aim of the present study was to clinically and radiographically evaluate Mineral Trioxide Aggregate(MTA) as an agent for pulpotomy in primary teeth and to compare it with that of formocresol (FC) pulpotomy. Nineteen children between the ages of 6 to 8 years with 40 carious primary molars were treated with pulpotomy using either FC or MTA. All the molars were evaluated clinically and radiographically at regular intervals over a twenty four month period. The observations were tabulated and statistically analyzed. Eighty five percent success was observed with FC pulpotomy whereas MTA showed 95% success. MTA showed a higher clinical and radiographic success rate than FC. MTA may be a favorable material for pulpotomy in primary teeth whose pulps have been compromised by a carious or mechanical pulp exposure.


2021 ◽  
Vol 15 (10) ◽  
pp. 2524-2526
Author(s):  
Asif Noor ◽  
Javeria Afzal ◽  
Asad Mahmood ◽  
Muhammad Saad Ullah ◽  
Mehwish Munawar ◽  
...  

Background: Direct Pulp Capping technique has been in use as a treatment therapy to sustain a vital pulp. The substitute procedure to the endodontic therapy or extraction is precise & successful pulp capping. Calcium hydroxide (CaOH) is considered as gold standard agent for pulp capping because of antibacterial characteristics & ability to form dentinal bridge. Calcium hydroxide has also shown great results on peri-apical healing process. Aim: To evaluate success rate of direct pulp capping when CaOH is used as a direct pulp capping agent Setting: Multan Dental College Multan Methodology: Sample size 60 cases. Patients of 15-40 years age group were selected with the exposure of the vital pulp by caries or Trauma in permanent lower molars clinically. Those cases with pinpoint (precise) exposure of pulp were selected. Flow of blood from site of exposure should be ceased inside two to three minutes after the applying the soaking cotton pallet with the saline. Results: 25 were woman (41.67%) and 35 were men (58.33%). Overall percentage of success is 80% which means that 48 patients had showed effectiveness, while twelve patients had shown failure of pulp capping Conclusion: We conclude that Calcium hydroxide is a choice for the direct pulpal capping. When a site of exposure is sealed/ wrapped by means of calcium hydroxide, the odds of the failure may decrease, and prognosis might be good. Keywords: Calcium hydroxide, Direct Pulp Capping, Postoperative X-ray, follow-up


2007 ◽  
Vol 31 (2) ◽  
pp. 72-76 ◽  
Author(s):  
Najat Farsi ◽  
Najlaa Alamoudi ◽  
Khalid Balto ◽  
Abdullah Al Mushayt

Carious pulp exposure in permanent molars of children is a common incident. Mineral trioxide aggregate is a new material that possesses numerous exciting possibilities for pulp therapy. Aim: The purpose of this study was to evaluate the efficiency of MTA as a direct pulp capping agent in young permanent teeth. Methods: Thirty asymptomatic permanent molars with pulp exposures were treated by pulp capping using MTA. At each recall (6, 12, 18 and 24 months), the teeth were assessed clinically, through pulpal sensitivity tests, as well as radiographically to evaluate periapical healing. Results: None of the cases reported spontaneous pain at the six months follow up and the pulp showed signs of vitality and absence of periapical radiolucency. At 24 months, the clinical and radiographic success rate was 93% with evidence of continued root growth. Conclusion: Pulp capping with MTA is recommended for teeth with carious pulp exposures specially immature teeth with high potential for healing.


2021 ◽  
Vol 87 (2) ◽  
pp. 263-268
Author(s):  
Charles Edouard Heylen ◽  
Pierre-Louis Docquier ◽  
Dana Dumitriu

Current imaging guidelines in Belgium advise a systematic X-ray screening of the hips after an episode of transient synovitis of the hip, in order to detect Perthes disease. The aim of this study was to analyze whether systematic radiological screening is necessary for all children or whether the X-ray indication could be guided by clinical symptoms. A retrospective single center study including all children with the diagnosis of transient synovitis of the hip between 2013 and 2018 was performed. 242 patients with the diagnosis of one or more transient synovitis episodes were included, 102 of whom underwent a follow up X-ray. Persistence or recurrence of symptoms were recorded for all patients, as well as the results of follow-up hip X-rays. 12 children did not remain symptom-free after the episode of transient synovitis. Of these patients 10 had a normal follow-up X-ray and 3 were diagnosed with Perthes disease. 1 patient of those 3 had a normal X-ray but was diagnosed with Perthes disease on MRI. Of the children which remained symptom-free after the episode of transient synovitis, none were diagnosed with Perthes disease afterwards. A follow-up X-ray to exclude Perthes disease after a diagnosis of transient hip synovitis appears to be necessary only in patients with persistent or recurrent symptomatology.


Sign in / Sign up

Export Citation Format

Share Document