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2.4.8 Tooth Restoration After VPT

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One of the main disadvantages of the use of MTA is its extended setting time, as this makes tooth restoration in one visit difficult. In order to circumvent this problem, the tooth can be definitively restored at a subsequent visit, or else GIC can be placed over the material to prevent washout during definitive restoration placement. A moist barrier should be used between the unset MTA and the temporary restorative material.

The shorter setting time of Biodentine compared to other HCSCs means that it is an excellent candidate for use in VPT. It also has the advantage of having a much higher compressive strength compared to other HCSCs, making it resilient enough to be exposed in the oral cavity, at least as a temporary material, or even as an intermediate restoration [145]. It can later be cut back in order to create space for a definitive restorative with a composite resin and treated like a traditional base.

Endodontic Materials in Clinical Practice

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