Radiology · single question

Calcium hydroxide is used as a direct pulp-capping material primarily because it:

  1. Has a high pH that is antibacterial and stimulates reparative (tertiary) dentin bridge formation
  2. Chemically bonds to enamel
  3. Provides a superior long-term marginal seal
  4. Is radiolucent for easy removal
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Correct answer: A. Has a high pH that is antibacterial and stimulates reparative (tertiary) dentin bridge formation

Calcium hydroxide's strongly alkaline pH (about 12) is antibacterial and induces the pulp to form a reparative dentin bridge, protecting pulp vitality after exposure. MTA is a newer alternative with a better seal.Other options: It does not bond to enamel, its seal/solubility is a weakness (it can dissolve over time), and it is radiopaque enough to be seen; the therapeutic reason is its pH and dentin-bridge stimulation.Key exam takeaway: Ca(OH)2 caps pulps because its high pH is antibacterial and stimulates a reparative dentin bridge; MTA is a strong alternative.

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