In conclusion , MTA has a higher clinical success rate for direct pulp capping comparing to calcium hydroxide , and might be a suitable replacement for calcium hydroxide
Direct pulp capping is one of the most common dental practice s in endodontic therapy .
This systematic review and meta- analysis aim to determine whether the effect of mineral trioxide aggregate ( MTA ) and calcium hydroxide for direct pulp capping is different , as measured by the clinical and radiographic analysis .
Comparison of CaOH with MTA for Direct Pulp Capping
This practice -based , r and omized clinical trial evaluated and compared the success of direct pulp capping in permanent teeth with MTA ( mineral trioxide aggregate ) or CaOH ( calcium hydroxide ) .  Thirty-five practice s in Northwest PRECEDENT were r and omized to perform direct pulp caps with either CaOH ( 16 practice s ) or MTA ( 19 practice s ) . Three hundred seventy-six individuals received a direct pulp cap with CaOH ( n = 181 ) or MTA ( n = 195 ) . They were followed for up to 2 yrs at regular recall appointments , or as dictated by tooth symptoms . The primary outcomes were the need for extraction or root canal therapy . Teeth were also evaluated for pulp vitality , and radiographs were taken at the dentist ’s discretion . The probability of failure at 24 mos was 31.5 % for CaOH vs. 19.7 % for MTA ( permutation log-rank test , p = .046 ) . This large r and omized clinical trial provided confirmatory evidence for a superior performance with MTA as a direct pulp-capping agent as compared with CaOH when evaluated in a practice -based research network for up to 2 yrs ( Clinical Trials.gov NCT00812887 )
In conclusion , MTA has a higher clinical success rate for direct pulp capping comparing to calcium hydroxide , and might be a suitable replacement for calcium hydroxide
Direct pulp capping is one of the most common dental practice s in endodontic therapy .
This systematic review and meta- analysis aim to determine whether the effect of mineral trioxide aggregate ( MTA ) and calcium hydroxide for direct pulp capping is different , as measured by the clinical and radiographic analysis .