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TITLE:

THE EFFECTIVENESS OF CALCIUM HYDROXIDE AND MINERAL TRIOXIDE AGGREGATE (MTA) IN DIRECT PULP CAPPING: A REVIEW STUDY

AUTHORS:

Dr Osama Zakir, Dr Saad Hussain, Dr Zahira Nawaz

ABSTRACT:

Calcium hydroxide is generally accepted as the material of choice for pulp capping. Histologically there is a complete dentinal bridging with healthy radicular pulp under calcium hydroxide dressings. When calcium hydroxide is applied directly to pulp tissue there is necrosis of adjacent pulp tissue and an inflammation of contiguous tissue. Dentinal bridge formation occurs at the junction of necrotic tissue and vital inflamed tissue. Beneath the region of necrosis, cells of underlying pulp tissue differentiate into odontoblasts and elaborate dentin matrix. The aim of the study is to get a brief review about the properties and clinical applications of calcium hydroxide and Mineral Trioxide Aggregate in conservative dentistry including its antibacterial effect activity for protection of the dental pulp. Therefore, in latest years, the use of calcium hydroxide or mineral trioxide aggregate in indirect and direct pulp capping was one of the most popular lining materials for protection of the pulp in dentistry. Both materials showed a high success rate for reparative dentin when used as pulp capping. In general, the priority the procedure of placement material for pulp protection as pulp capping, indirect or direct must be clinically no pain, no radiographic exchange in pre-apical area and vital tissue of the pulp. Keywords: Dentinal Bridge, Calcium Hydroxide, Mineral Trioxide Aggregate, Pulp Capping

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