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Clinical long-term evaluation of MTA as a direct pulp capping material in primary teeth
Article first published online: 27 NOV 2007
DOI: 10.1111/j.1365-2591.2007.01339.x
© 2007 International Endodontic Journal
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How to Cite
Tuna, D. and Ölmez, A. (2008), Clinical long-term evaluation of MTA as a direct pulp capping material in primary teeth. International Endodontic Journal, 41: 273–278. doi: 10.1111/j.1365-2591.2007.01339.x
Publication History
- Issue published online: 27 NOV 2007
- Article first published online: 27 NOV 2007
- Received 31 January 2007; accepted 6 August 2007
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Keywords:
- direct pulp capping;
- mineral trioxide aggregate;
- primary teeth
Abstract
Aim To evaluate the effectiveness of mineral trioxide aggregate (MTA) when used as a pulp capping material in primary teeth.
Methodology Clinical follow-up was performed on 25 symmetrical pairs of primary molars with deep occlusal caries, in 25 patients between the ages of 5 and 8 years. Pulps exposed during cavity preparation were treated by direct pulp capping with MTA or calcium hydroxide, based with resin-bonded zinc oxide eugenol cement and restored with amalgam. Clinical and radiographic examinations were carried out at 1, 3, 6, 9, 12, 18 and 24 months.
Results Twenty-four-month clinical and radiographic follow-ups were carried out on 22 patients. One patient failed to return for evaluation after 1 month, one after 9 months and another after 12 months. During follow-up, none of the MTA and calcium hydroxide groups exhibited clinical or radiographic failure.
Conclusions 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.