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.
Key words: Mineral trioxide aggregate, Pulp capping |