Direct pulp capping using Mineral Trioxide Aggregate (MTA) - 6 months observation: A case report

Puspa D. Pratiwi, Eva Fauziah

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Introduction: Pulp capping in carious teeth has been considered unpredictable and therefore contraindicated. Mineral trioxide aggregate (MTA) known as new material can resist bacterial leakage and may provide protection for the pulp, allowing repair and continued pulp vitality in teeth when used in combination with a sealed restoration. Case report: A 15-year-old boy patient reported to the Pedodontic Clinic at the Dental hospital Faculty of Dentistry Universitas Indonesia with an extensive destruction of coronal tooth on maxillary left second premolar. Methods: Teeth were treated with MTA Angelus®. MTA material that has been manipulated according to the manufacturer's instructions was placed in the exposed area until closed. Upon completion, GIC material to cover the top surface of MTA was applied. Results: MTA produced a white layer similar to hydroxyapatite in the upper layer and provide chemical bonds between the cavity wall and MTA layer. It was attached to the MTA surface and continues to grow. They also produce mineralized matrix on the MTA. Conclusion: Case selection is necessary in determining the type of treatment that fits the caries conditions and the rest of the dental tissue. Exposure to the pulp due to caries involvement can be done with MTA material closure.

Original languageEnglish
Title of host publicationClinical Reports in Dentistry
PublisherNova Science Publishers, Inc.
Number of pages6
ISBN (Electronic)9781536173291
ISBN (Print)9781536173284
Publication statusPublished - 3 Apr 2020


  • Caries
  • Mineral trioxide aggregate
  • Pulp capping


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