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Comparative Efficacy of Four Different Types of Medicaments for Pulpotomy of Primary Molars: A Clinical and Radiographic Study

Year: 2026
Type: article
Abstract: for its faster setting time and dentin-like compressive strength, making it a practical choice for one visit pulpotomy procedures.5 TheraCal LC is a calcium silicate material modified with resin that unites the convenience of light curing with the bioactivity found in calcium silicates, providing an effective option for pulp capping and pulpotomy.Using clinical and radiographic metrics, this study attempts to evaluate the relative efficacy of MTA gel, MTA putty, Biodentine, and TheraCal LC in performing pulpotomies on primary molars.Having a thorough grasp of the characteristics, mechanisms, and IntroductIonPulpotomy is a frequently conducted dental treatment focused on saving the health of the radicular pulp in primary molars affected by extensive carious lesions, which helps keep the tooth functional until it naturally falls out. 1 The procedure involves keeping the healthy radicular pulp intact while removing the coronal portion of the pulp, which is usually inflammatory or diseased due to decay. 2 Once the infected pulp tissue has been eliminated, a medicament is utilized to encourage healing and facilitate the development of a protective dentin bridge, which is crucial for ensuring enduring success by averting bacterial invasion and preserving pulp vitality.3 Over the years, a variety of materials have been employed for pulpotomy, each offering different levels of clinical performance, biological compatibility, and therapeutic benefits.4 Some of the most traditional materials, like formocresol, have gradually been replaced due to concerns about toxicity and long-term safety.In contemporary dentistry, the focus has moved toward materials that are biocompatible and bioactive, which not only safeguard the pulp but also promote healing.Some of the most researched and commonly utilized materials at present are mineral trioxide aggregate (MTA) gel, MTA putty, Biodentine, and TheraCal LC, all of which possess unique features that render them appropriate for pulpotomy in primary teeth.5 Mineral trioxide aggregate gel and MTA putty are variations of traditional MTA, both designed to improve handling while retaining the bioactive properties of the original formulation.Biodentine, another calcium silicate-based material, is noted
Language: English
Subfield: Oral Surgery
Field: Dentistry
Open Access status: diamond
OpenAlex ID: W7155354539
FWCI:
Cites: 18
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