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Direct pulp capping with mineral trioxide aggregate in a primary molar: a case report
O Bodem1, S Blumenshine, D Zeh
1Department of Conservative Dentistry, Dental School, University of Heidelberg, Heidelberg, Germany. oliver_bodem@med.uni-heidelberg.de
International Journal of Paediatric Dentistry
|August 28, 2004
Summary
Mineral trioxide aggregate (MTA) successfully maintained the vitality of a 7-year-old's primary molar after pulp capping. Long-term clinical studies are recommended for MTA's use in pediatric direct pulp capping.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Dental Materials Science
Background:
- Pulp capping aims to preserve the vitality of traumatized or decayed teeth.
- Mineral trioxide aggregate (MTA) is a biocompatible material used in endodontics.
- Primary teeth present unique challenges for pulp capping procedures due to their anatomy and physiological shedding.
Observation:
- A case study involved a 7-year-old male patient requiring pulp capping on a mandibular primary molar.
- An alkaline cement powder, specifically mineral trioxide aggregate (MTA), was utilized for the direct pulp capping procedure.
- Clinical and radiographic assessments were conducted at 12 and 18 months post-treatment.
Findings:
- The treated mandibular primary molar remained vital and asymptomatic 18 months after MTA pulp capping.
- Radiographic examination at 12 months revealed no pathological findings, indicating successful healing and tissue integration.
- The absence of pathological signs suggests MTA's efficacy in maintaining primary tooth vitality.
Implications:
- Mineral trioxide aggregate (MTA) shows promise as an effective material for direct pulp capping in primary teeth.
- The findings support the continued investigation of MTA in pediatric endodontics.
- Further clinical trials are warranted to establish standardized protocols and long-term outcomes for MTA direct pulp capping in primary dentition.