NuSmile NeoMTA2 is a stainproof bioactive bioceramic cement that is used universally for vital pulp therapy in primary and permanent teeth. The active ingredient, a blend of tricalcium silicate and dicalcium silicate, triggers the healing process by forming hydroxyapatite on its surface. MTAs are the only vital pulp therapy medicaments that have been proven to be more effective than calcium hydroxide, and as effective as formocresol, for primary tooth vital pulp therapy. The AAPD GUIDELINES ON PULP THERAPY FOR PRIMARY/IMMATURE PERMANENT TEETH recommend MTA for a variety of pediatric vital pulp therapy indications including pulp capping, pulpotomy, apexification.