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Published: 2026-03-31
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DOI: https://doi.org/10.52163/yhc.v67i3.4630
Issue
Vol. 67 No. 3
Section
Articles
How to Cite
Thanh, L. H., Chiến, N. D., Hiền, B. T. T., Anh, T. T., & Vân, A. T. H. (2026). FACTORS AFFECTING THE OUTCOMES OF DIRECT PULP CAPPING WITH MINERAL TRIOXIDE AGGREGATE IN PERMANENT TEETH. Vietnam Journal of Community Medicine, 67(3). https://doi.org/10.52163/yhc.v67i3.4630

FACTORS AFFECTING THE OUTCOMES OF DIRECT PULP CAPPING WITH MINERAL TRIOXIDE AGGREGATE IN PERMANENT TEETH

Luu Ha Thanh1, Nguyen Duy Chien1, Bui Thi Thu Hien1, Ta Thu Anh1, An Thi Hong Van1
1 Military Central Hospital 108

Main Article Content

Abstract

Objective: To identify factors influencing the outcomes of direct pulp capping using Mineral Trioxide Aggregate (MTA) in permanent teeth.


Materials and Methods: A prospective cohort study was conducted on 100 vital permanent teeth treated with direct pulp capping using MTA at 108 Military Central Hospital from January 2023 to September 2024. The investigated variables included age, sex, tooth type, dental arch location, cause and size of pulp exposure, time from exposure to treatment, and isolation method. Clinical and radiographic outcomes were evaluated at 6 and 12 months. At the 6-month follow-up, 95 teeth were re-examined, and 90 teeth completed the 12-month follow-up. Data were analyzed using the Chi-square test or Fisher’s exact test and logistic regression analysis (p < 0.05).


Results: The overall success rate was 91% (91/100). Significant factors associated with treatment outcomes included the cause of pulp exposure (p = 0.03), size of pulp exposure (p = 0.02), and isolation method (p = 0.001).


Conclusion: Direct pulp capping with MTA showed a high success rate when appropriate case selection was applied, particularly in cases with small pulp exposure and adequate infection control using rubber dam isolation.

Article Details

Keywords

direct pulp capping, MTA, influencing factors, permanent teeth, vital pulp therapy.

References

[1] Hilton, T.J., Keys to clinical success with pulp capping: a review of the literature. Oper Dent, 2009. 34(5): p. 615-25. doi: 10.2341/09-132-0
[2] Aguilar, P. and P. Linsuwanont, Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod, 2011. 37(5): p. 581-7. doi: 10.1016/j.joen.2010.12.004
[3] Nowicka, A., et al., Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod, 2013. 39(6): p. 743-7. doi: 10.1016/j.joen.2013.01.005
[4] Pinto, K.P., et al., Success rate of direct pulp capping on permanent teeth using bioactive materials: a systematic review and meta-analysis of randomized clinical trials. Restor Dent Endod, 2024. 49(4): p. e34. doi: 10.5395/rde.2024.49.e34
[5] Baskaran, S., et al., A randomized controlled study of the use of mineral trioxide aggregate angelus (white) and biodentine as pulp capping materials. Endodontology, 2018. 30(1): p. 69-75.doi: 10.4103/endo.endo_54_17
[6] Marques, M.S., P.R. Wesselink, and H. Shemesh, Outcome of Direct Pulp Capping with Mineral Trioxide Aggregate: A Prospective Study. J Endod, 2015. 41(7): p. 1026-31.doi: 10.1016/j.joen.2015.02.024
[7] Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J, 2006. 39(12): p. 921-30.doi: 10.1111/j.1365-2591.2006.01180.x
[8] Prasertsuksom, N., et al., Treatment Outcomes and Prognostic Factors of Direct Pulp Capping in Permanent Teeth: A Systematic Review and Meta-Analysis. Eur Endod J, 2024. 9(4): p. 295-307.doi: 10.14744/eej.2024.93723