Endodontics · single question

Which material is classically considered best for stimulating formation of a reparative dentin bridge (e.g., in pulp capping or apexification procedures)?

  1. Calcium hydroxide (the classic agent for stimulating a dentin bridge response, due to its high alkaline pH)
  2. Zinc oxide-eugenol
  3. Composite resin
  4. Amalgam
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Correct answer: A. Calcium hydroxide (the classic agent for stimulating a dentin bridge response, due to its high alkaline pH)

Calcium hydroxide has long been the classic material associated with stimulating a hard-tissue (reparative/tertiary dentin) bridge response, due to its high alkaline pH promoting odontoblast-like cell activity, in addition to its bactericidal effect. MTA and bioceramic materials are increasingly favored in current practice for superior sealing and more predictable long-term outcomes, but calcium hydroxide remains the traditionally taught answer specifically for dentin bridge formation.

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