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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The following case reports describe the technique of Biodentine pulpotomy in mature permanent teeth following several days of traumatic pulpal exposure. Biodentine pulpotomy is recommended as a treatment option for cases of vital pulp exposure in permanent incisors due to trauma. Pathways of the Pulp. Diagnostic tests revealed lingering pain to hot and cold tests.

After drying the tooth and the crown fragment gently with air syringe, the surface to be reattached was etched, rinsed with water, and blot dried. May 23, ; Accepted Date: Response of human dental pulp capped with biodentine and mineral trioxide aggregate.

Additionally, biodentine has a mechanical behavior similar to glass ionomers and is comparable to that of natural dentin pukpotomy 5610 ]. The teeth in which pulpotomy was carried out were asymptomatic and did not develop any tenderness to percussion.

Biodentine pulpotomy several days after pulp exposure: Four case reports

Investigation of Biodentine as dentine replacement material. Since a long time, calcium hydroxide has been used widely as an apical plug in teeth with necrotic pulps and open apices [ 47 ]. pulpktomy

Many studies demonstrated in vitro the high push out bond pulpotmy of biodentine even after being exposed to various endodontic irrigation solutions [ 62365 ]. Calcium biodenhine is not a good material for sealing against bacterial penetration as bacteria can readily penetrate any remaining calcium hydroxide after its initial antibacterial action is over, and. Furthermore, the authors detected homogeneous dentin bridge formation as well as continuation of root development [ 33 ]. After seven days, a full coronal restoration was placed on the tooth.


Biodentine pulpotomy several days after pulp exposure: Four case reports

Additionally, biodentine did not require any specific preparation of the dentinal walls [ 15 ]. It stimulates the pulp cells to build a high quality and quantity of reactionary dentin. The resultant arch length loss can compromise succedaneous tooth eruption in the buccal segments.

Response of human dental pulp capped with biodentine and mineral trioxide aggregate. Revisiting traumatic pulpal exposure: After 6 months, the patient did not report any pain or complains along the observation period.

Since biodentine is indicated for use as a dentin substitute under permanent restorations, studies were performed also to assess the bond strength of the material with different bonding systems. A sluggish bleeding present even after application of pressure suggests an infected radicular pulp with need of root canal treatment.

All signs and symptoms suggested vital pulp; hence a partial pulpotomy procedure was carried out in In comparison to formocresol in primary teeth pulpotomy, biodentine is a regenerative material that maintains pulp vitality whereas formocresol is a devitalizing agent [ 645 ]. Color and consistent bleeding of the pulp were seen to be important factors observed during the treatment. On examination, an Ellis class III fracture with clinical pulp involvement was seen in relation to 12, and Ellis Class II fracture was present in 11 and Increasing age of a patient may negatively affect clinical success.

Pulpotomy can be carried out with various materials based on their biocompatibility, sealing ability and antimicrobial efficacy on coming in contact with the dental pulp.

On the other hand, all the available clinical studies and case reports revealed excellent results for its use in human primary teeth [ 924 – 36 ]. Case 4 An year-old male patient reported to our department with complaint of fractured upper anterior teeth. 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 ].


Management of recently traumatized maxillary central incisors by partial pulpotomy using MTA: Irreversible pulpitis is the most common reason for endodontic treatment in primary and permanent teeth.


Case 2 A year-old male patient reported to our department with the complaint of a fractured upper front tooth. It is possible to treat a mature tooth in a manner similar to that recommended for immature, developing teeth.

Study by Matsuo et al.

Massler demonstrated the most important cause of failure in vital pulp therapy as the presence of leakage in the healing process [ 18 ]. Author information Article notes Copyright and License information Disclaimer. In a case report, Pawar et al. However, it can be an alternative to calcium hydroxide or MTA in pulp capping, pulpotomy, and apexification because biodentine is very successful in the formation of a dentin bridge that is faster and thicker with lesser defects.

Periodic follow-ups were carried out at 24 hours; 1 week; 30 days; 3, 6, 12, and 18 months.

Pathways of the Pulp. Study selection and data extraction and risk of bias assessment was carried out independently biodentihe two reviewers. Through the combination of light and anaerobic conditions in vitroValles et al. Eur J Dent ;7: Shear bond strengths of different adhesive systems to biodentine.

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.