Alice Murariu, Raluca Elena Baciu, Costin Lupu, Dana Budala, Ştefana Maria Cozma, Roxana Ionela Vasluianu
Traditionally, direct pulp capping was mostly recommended for young permanent teeth that had experienced trauma or mechanical (iatrogenic) pulp exposures. In recent times, there has been a suggestion to use the mineral aggregate trioxide (MTA) and Biodentine (manufactured by Septodont, located in Saint-Maur-des-Fossès, France) as potential alternative materials for direct capping procedures. The material’s chemical makeup is derived from Portland cement, which mostly consists of tricalcium silicate, tricalcium aluminate, dicalcium silicate, and tetracalcium aluminferate. Additionally, it contains bismuth oxide and calcium sulphate. Several investigations have been conducted to assess the efficacy of Biodentine, MTA, and calcium hydroxide (CH) in the treatment of pulp exposure in laboratory animals, and these studies have consistently indicated positive outcomes. The aforementioned research was conducted under varying situations, with the authors using several assessment techniques, including histological, clinical, and radiographic approaches. Furthermore, the prognosis and treatment efficacy are contingent upon several factors like the patient’s age, kind of pulp exposure, location, and size.