VITAL PULP THERAPHY WITH MINERAL TRIOXIDE AGGREGATE

Year 2025, Volume: 5 Issue: 3, 204 - 208, 31.12.2025

İbrahim Bilgeç , Aliye Kamalak , Esra Balkanlıoğlu

https://doi.org/10.61139/ijdor.1592113

https://izlik.org/JA23ES49KM

Abstract

This article presents the clinical stages and radiographs of direct pulp capping applications using MTA, a popular material in recent years, in four distinct cases. With the exception of the eight-year-old female patient who presented with trauma complaints in the first case, the other three cases were patients who sought clinical attention due to temperature sensitivity. Following initial radiographic examination, intraoral assessments were conducted. Subsequently, deep caries in the examined teeth were removed, and Mineral Trioxide Aggregate (MTA) was applied to the near-pulpal region. This case report demonstrates that successful pulp capping treatments can allow teeth to remain vital and functional without necessitating root canal therapy.

Keywords

mineral trioxide aggregate , pulp theraphy , pulp capping

MİNERAL TRİOKSİT AGREGAT İLE YAPILAN VİTAL PULPA TEDAVİLERİ

https://izlik.org/JA23ES49KM

Abstract

References

• 1. Yu C, Abbott PV. An Overview of the Dental Pulp: İts Functions and Responses to İnjury. Aust Dent J 2007; 52:4-16.
• 2. Duncan HF, Galler KM, Tomson PL, Simon S, El-Karim I, Kundzina R, et al. European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J 2019; 7:923-34.
• 3. Sabeti M, Huang Y, Chung YJ, Azarpazhooh A. Prognosis of Vital Pulp Therapy on Permanent Dentition: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Endod 2021; 11:1683- 95.
• 4. Duncan HF, Cooper PR, Smith AJ. Dissecting dentine-pulp injury and wound healing responses: consequences for regenerative endodontics. Int Endod J 2019; 3:261-6.
• 5. Smith AJ, Duncan HF, Diogenes A, Simon S, Cooper PR. Exploiting the Bioactive Properties of the Dentin-Pulp Complex in Regenerative Endodontics. J Endod 2016; 1:47-56.
• 6. Chang HH, Chang YJ, Yeh CL, Lin TA, Lin CP. Development of calcium phosphate/calcium sulfate biphasic biomedical material with hyaluronic acid containing collagenase and simvastatin for vital pulp therapy. Dent Mater 2020; 6:755-64.
• 7. Rocha CT, Rossi MA, Leonardo MR, Rocha LB, Nelson-Filho P, Silva LA. Biofilm on the apical region of roots in primary teeth with vital and necrotic pulps with or without radiographically evident apical pathosis. Int Endod J 2008; 8:664-9.
• 8. Guan X, Zhou Y, Yang Q, Zhu T, Chen X, Deng S, Zhang D. Vital Pulp Therapy in Permanent Teeth with Irreversible Pulpitis Caused by Caries: A Prospective Cohort Study. J Pers Med. 2021 Nov 1;11(11):11-25.
• 9. Wolters WJ, Duncan HF, Tomson PL, Karim IE, McKenna G, Dorri M et al. Minimally invasive endodontics: a new diagnostic system for assessing pulpitis and subsequent treatment needs. Int Endod J. 2017; 50:825-9.
• 10. Mobarak A, Genena S, Zaazou A, Mokhless NA, Moussa SM. Regenerative pulpotomy as a novel technique for treatment of permanent mature molars diagnosed with irreversible pulpitis using platelet-rich fibrin: a case series study. Alex Dent J. 2021; 46:129-35.
• 11. Ricucci D, Siqueira Jr JF, Li Y, Tay FR. Vital pulp therapy: histopathology and histobacteriologybased guidelines to treat teeth with deep caries and pulp exposure. J Dent. 2019; 86:41-52.
• 12. Ather A, Patel B, Gelfond JA, and Ruparel NB. Outcome of pulpotomy in permanent teeth with irreversible pulpitis: a systematic review and meta-analysis. Sci Rep. 2022; 12:19664.
• 13. Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations. J Endod 2010; Feb;36(2):190–202. doi: 10.1016/j.joen.2009.09.010.
• 14. Tawil PZ, Trope M, Curran AE, Caplan DJ, Kirakozova A, Duggan DJ, Teixeira FB. Periapical microsurgery: an in vivo evaluation of endodontic root-end filling materials. J Endod 2009; Mar;35(3):357–62. doi: 10.1016/j.joen.2008.12.001.
• 15. Faraco IM, Jr, Holland R. Response of the pulp of dogs to capping with mineral trioxide aggregate or a calcium hydroxide cement. Dent Traumatol. 2001; Aug;17(4):163–6. doi: 10.1034/j.1600-9657.2001.170405.x.
• 16. Bogen G, Kim JS, Bakland LK. Direct pulp capping with mineral trioxide aggregate: an observational study. J Am Dent Assoc 2008; 139(3):305–15. doi: 10.14219/jada.archive.2008.0160.
• 17. Farsi N, et al. Clinical assessment of mineral trioxide aggregate (MTA) as direct pulp capping in young permanent teeth. J Clin Pediatr Dent 2006; 31(2):72–76. doi: 10.17796/jcpd.31.2.n462281458372u64.
• 18. Marques MS, Wesselink PR, Shemesh H. Outcome of direct pulp capping with mineral trioxide aggregate: a prospective study. J Endod 2015; 41(7):1026–1031. doi: 10.1016/j.joen.2015.02.024.
• 19. Luczaj-Cepowicz E, et al. Direct pulp capping in primary molars using mineral trioxide aggregate: an in vivo study. J Clin Pediatr Dent 2017; 41(6):446–449. doi: 10.17796/1053-4628-41.6.5.
• 20. Suhag K, et al. Success of direct pulp capping using mineral trioxide aggregate and calcium hydroxide in mature permanent molars with pulps exposed during carious tissue removal: 1-year follow-up. J Endod 2019; 45(7):840–847. doi: 10.1016/j.joen.2019.02.025.