
The Dr. Phil Klein Dental Podcast · 2026-05-18 · 25 min
You're removing decay carefully, knowing you're getting close to the pulp. You finish your prep and see either dentin right over the pulp or a small mechanical exposure. The patient's symptoms are minimal - brief sensitivity to hot and cold that resolves quickly. Radiographically, everything looks clean with no periapical pathology. What's your next move? Join us as Dr. Ryan M. Walsh, board-certified endodontist and faculty member at Texas A&M College of Dentistry, guides us through the clinical decision-making and technique for using MTA (mineral trioxide aggregate) in vital pulp therapy. With over a decade of experience in endodontic education and research, Dr. Walsh specializes in bioceramic materials, irrigation techniques, and minimally invasive endodontics. As a Diplomate of the American Board of Endodontics and past president of the DFW Metroplex Endodontic Society, Dr. Walsh brings both academic rigor and practical wisdom to this essential clinical topic. This episode breaks down how MTA doesn't just protect pulp tissue - it actively stimulates healing through bioactive mechanisms that promote reparative dentin formation.
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