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MTA for Direct Pulp Capping — NDEB AFK MCQ

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ModerateEndodonticsMTA for Direct Pulp CappingNDEB AFK

Which dental material is most biocompatible for direct pulp capping of a vital tooth?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EMTA (mineral trioxide aggregate)

MTA (mineral trioxide aggregate) is currently considered the most biocompatible direct pulp capping material. It has superior outcomes compared to calcium hydroxide in terms of bridge formation quality, reduced inflammation, and long-term pulp vitality. MTA has an alkaline pH (~12.5), releases calcium ions promoting hard tissue formation, has excellent sealing ability, and is biocompatible. Calcium hydroxide has been the traditional standard but has limitations including tunnel defects in the dentin bridge and dissolution over time.

Reference: Torabinejad – Endodontics: Principles and Practice, 6th ed., 2021