The aim of this study is to compare two pulpotomy medicaments in primary molars Pulpotomy Dental Caries, Drug: Biodentine Drug: ProRoot. Extensive Decay in Primary Molars, Drug: Biodentine pulpotomy Drug: White MTA Pulpotomy using Tempophore as pulpotomy medicine in a control group. Biodentine pulpotomy was performed followed as pulpotomy medicament in primary molar teeth, on follow-up it was found to be successful.
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Agri and Aquaculture Journals Dr.
J Am Dent Assoc. The liquid contains water, calcium chloride as setting accelerator and a modified polycarboxylate as superplasticising or water reducing agent [ 5 – 8 ]. Direct pulp capping with mineral trioxide aggregate: Borkar and Ida Ataide. Torabinejad M, Parirokh M.
Their successful use has been well reported in animal studies but has not been as promising in humans. Case 3 A year-old male patient reported to our department with the chief complaint of fractured upper front tooth.
Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Conventionally, few-days-old pulp exposures have been treated with root canal treatment. The patient had a history of mild to moderate pain on intake of hot and cold fluids since days with no history of any previous pain. However, the setting time for CEM is nearly 50 minutes as compared to Biodentine, which has a setting time of 12 minutes.
History revealed that the patient experienced pain on consuming hot and cold food stuff only when it was in contact with the exposed tooth.
This treatment method is the most frequently accepted clinical procedure in pediatric dentistry when the coronal pulp tissue is inflamed and a direct pulp capping is not a suitable option [ 45 ].
The Dental Elf
Management of recently traumatized maxillary central incisors by partial pulpotomy using MTA: We report four cases of traumatized, fully matured, maxillary permanent central incisors, which have been treated by Biodentine pulpotomy several days after traumatic pulp exposure. On the other hand, all the available clinical studies and case reports revealed excellent results for its use in human primary teeth [ 924 – 36 ]. In pulpotomg to all of the uplpotomy problems that come with extensive interproximal decay is mesial migration of pulpotoy into the areas where proximal enamel has been lost.
Blackwell Science Ltd; Research Article Open Access. Additionally, biodentine has a mechanical behavior similar to glass ionomers and is comparable to that of natural dentin [ 5610 ].
Biodentine Pulpotomy in Mature Permanent Molar: A Case Report
Various materials have been formulated, tested and standardized to obtain bioodentine benefit for good clinical performance. With their proven biocompatibility and ability to induce calcium-phosphate precipitation at the interface to the periodontal tissue, calcium silicate cements play a major role in bone tissue repair [ 5758 ].
They suggested the use of tricalcium silicate cement should be considered as a conservative intervention in the treatment of symptomatic immature teeth. Case Reports in Dentistry. Increasing age of a patient may negatively affect clinical success.
Author information Article notes Copyright and License information Disclaimer. Through the combination of light and anaerobic conditions in vitroValles et al. Biodentine induces immortalised murine pulp cell differentiation into odontoblast-like biodentnie and stimulates biomineralisation. They found that the evidence suggested that MTA may be the most efficacious medicament and that further research should be undertaken on Biodentine enamel matrix derivative, laser treatment or Ankaferd Blood Stopper to confirm if they were acceptable second choice.
Biodentine or MTA for primary teeth pulpotomy? – National Elf Service
Orstavik D, Pittford T, editors; pp. Therefore, it has been developed and produced with the aim of bringing together the high biocompatibility and bioactivity of calcium silicates, with enhanced properties, which make it more unique than any other calcium silicate-based materials [ 2 – 5 ].
In the area of the dental crown, it is indicated for pulp capping, pulpotomy, treatment of deep carious lesions using the sandwich technique, and also as temporary enamel restoration or permanent dentine replacement [ 925 – 273738 ]. Many in vivo and in vitro studies support its bioactivity as well as its successful performance in many clinical applications [ 110 – 23 ].
Therefore, biodentine saves teeth by preserving the pulp and promoting pulp healing as well as eliminating the need for root canal therapy in most cases [ 10 ]. In comparison to the other calcium silicate based materials, biodentine possess better biological and physico-chemical properties such as material handling, faster setting time, biocompatibility, stability, increased compressive strength, increased density, decreased porosity, tight sealing properties, and early form of reparative dentin synthesis [ 112132741 ].
As part of its chemical setting reaction, calcium hydroxide is also formed [ 59 ]. The main outcomes were clinical and radiographic success. At the apical end of the root canal system, establishing an impermeable hermetic seal by adequate root end filling material is one of the most important aspects of the periradicular surgery [ 51 ].
Success depends on a good understanding of pulp biology, the use of appropriate materials, and sound technical procedures. We used a total etch adhesive system for bonding resin composite to Biodentine, but single or two step self-etch adhesive can also be used.
Management of recently traumatized maxillary central incisors by partial pulpotomy using MTA: Calcium-enriched mixture pulpotomy of a human permanent molar with irreversible pulpitis and condensing apical periodontitis. Preserving the exposed pulp.
The superficial layer of the exposed pulp and the surrounding tissue were excised to a depth of 2 mm using a high-speed diamond bur, with a light touch, using a water coolant. A comprehensive literature review — part II: They have gradually become the materials of choice for the repair of all types of dentinal defects creating communication pathways between the root-canal system and the periodontal ligament [ 654 ].
Calcium enriched mixture has similar properties to Biodentine. The important applications of biodentine in pediatric dentistry include dentin substitute, pulp capping, pulpotomy, apexification, and repair material of perforation and resorption as well as root end filling material.