Application of NeoMTA in pulpotomies. Clinical case.

Abstract

Introduction: The application of bioactive materials produces a positive effect by contact with living tissues, inducing a biological response and collaborating in the protection of the pulpal dentin complex due to its ability to generate calcified tissue in the contact area between the applied material and the dental tissue.  NeoMTA (NuSmile®) was introduced as an MTA, designed for pediatric dentistry.  It is composed by an extremely fine inorganic powder of tricalcium silicate and dicalcium, which must be mixed with the water-based gel to initiate the reaction of setting, and contains added tantalum oxide as a radiopaque agent, which does not cause discoloration. Objective: To describe the characteristics of Neo MTA and its application in the patient pediatric dentistry. Case presentation: A 9-year-old female presented for consultation due to pain. Clinically,  8.4 and 8.5 presented with carious lesion (ICDAS 5). Pulpotomies were performed, using a technique that allows better pulp conservation, hemorrhage was inhibited, NeoMTA was applied, MRI was placed and remained under observation for 1 week for final restoration. The patient presented Frankl 3 behaviour and remains under radiographic control. Conclusions: While most MTAs can be difficult to manipulate, NeoMTA combines an easy way to mix with the ease of placing and handling in the work area. Cement is strong and hardens faster than others in the market, minimizing the working time of the professional. Keywords: NeoMTA, pulpotomy, pediatric dentistry