Clinical and Radiographic Evaluation of Biomaterials Used in Different Endodontic Procedures-Case Series (original) (raw)
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The Journal of the American Dental Association, 2019
Background. Several root canal restoration materials can be used after pulpotomy in primary teeth; however, it is unclear which is the most successful. The authors' aim in this systematic review and meta-analysis was to compare the radiographic and clinical failure rates of a calcium silicatebased bioactive material (Biodentine, Septodont) with those of other root restoration materials such as mineral trioxide aggregate (MTA), formocresol, and ferric sulfate. Types of Studies Reviewed. On the basis of the determined study strategy, the authors performed a comprehensive search of the MEDLINE, Web of Science, Embase, and Cochrane Central Register of Controlled Trials online databases. The authors considered only randomized controlled trials. In the included studies, the authors compared the clinical and radiographic failure rates at different follow-up times of the pulpotomy of primary teeth with extensive caries treated by using Biodentine and other root restoration materials. Results. All of the included studies had an unknown or high risk of bias. On the basis of the Grading of Recommendations Assessment, Development and Evaluation scale, the quality of evidence for the comparison of MTA and Biodentine was moderate. Biodentine had a statically significantly higher radiographic failure rate than did MTA at 6 and at 9 through 12 months after pulpotomy. The authors found no substantial differences between the clinical failure rates of Biodentine and MTA and the radiographic or clinical failure rates of Biodentine and formocresol or of Biodentine and ferric sulfate. Conclusions and Practical Implications. MTA has a significantly lower radiographic failure rate than does Biodentine but no difference in clinical failure rates. On the basis of this result, the dentist can weigh the advantages and disadvantages of using Biodentine, MTA, ferric sulfate, and formocresol and can make a more informed decision about using the proper root restoration material.
IP Innovative Publication Pvt. Ltd., 2017
The significance of pulp vitality preservation can never be exaggerated. Cvek's partial pulpotomy helps to recover the exposed pulps preventing the necessity for additional endodontic therapy. It is usually embraced in teeth with open apices or thin dentinal wall to advance root development. MTA is new bioactive cement with dentin-like mechanical properties which can be utilized as a dentin substitute. It's a positive result on vital pulp cells and stimulates tertiary dentin formation. In direct contact with vital pulp tissue, it likewise promotes the formation of reparative dentin and in properly elite cases may add to the long-term maintenance of tooth vitality. MTA pulpotomy comprised of pulp tissue removal to a depth of 2 mm, then capping the pulpal wound with MTA, followed by immediate restoration. The teeth were evaluated clinically through pulpal sensitivity tests and radiographically for periapical healing. At every recall (24 hours, 1 week, 30 days, 3, 6, 12, and eighteen months), no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 18 months. MTA pulpotomy is usually recommended as a treatment selection for cases of vital pulp exposure in young permanent teeth due to carious exposure.
Cumhuriyet Dental Journal, 2020
Aim: Pulpotomy is one of the pulp therapy for cariously exposed pulps in primary molar teeth. There are several materials that allows regeneration of the residual pulp. The purpose of this study was to evaluate the efficacy of two different calcium silicate based materials (ProRoot MTA, BIOfactor MTA) in primary molar teeth vital pulpotomies. Materials and Methods: A total of 12 children (24 human mandibulary primary second molar teeth) aged between 6 and 9 years were selected in this randomized clinical study. The patients were randomly assigned to receive the pulpotomy medicaments. All pulpotomized teeth were restored with stainless steel crowns and evaluated clinically and radiologically at 1, 3, 6 and 12 months. Statistical analysis using chi-square test was performed to determine the significant differences between two materials. Results: Neither clinical nor radiographical differences were seen in 1st, 3rd and 6th months but in 12th month ProRoot MTA showed statistically bette...
Use of a new retrograde filling material (Biodentine) for endodontic surgery: two case reports
International Journal of Oral Science, 2014
Mineral trioxide aggregate (MTA) is considered at the present time as the gold standard for root-end filling in endodontic surgery. However, this biocompatible material presents several drawbacks such as a long setting time and handling difficulties. The aim of this article is to present a new commercialized calcium silicate-based material named Biodentine with physical improved properties compared to MTA in a clinical application. Two endodontic microsurgeries were performed by using specific armamentarium (microsurgical instrumentation, ultrasonic tips) under high-power magnification with an operatory microscope. Biodentine was used as a root-end filling in order to seal the root canal system. The two cases were considered completely healed at 1 year and were followed for one more year. The 2-year follow-up consolidated the previous observation with absence of clinical symptoms and radiographic evidence of regeneration of the periapical tissues.
Journal of Conservative Dentistry, 2017
Background: Root canal treatment has been a routine treatment option for carious exposure of the dental pulp. In the context of minimally invasive dentistry, direct pulp capping (DPC) procedure with a reliable biomaterial may be considered as an alternative provided the pulp status is favorable. Mineral trioxide aggregate (MTA), a bioactive cement with excellent sealing ability and biocompatibility is capable of regenerating relatively damaged pulp and formation of dentin bridge when used as DPC agent. Biodentine is comparatively a new biomaterial claimed to possess properties similar to MTA and is currently explored for vital pulp therapy procedures. Aim: The aim of the present study was to evaluate the clinical response of pulp-dentin complex after DPC with MTA and biodentine in carious teeth. Subjects and Methods: Twenty-four permanent molars with carious exposure having no signs and symptoms of irreversible pulpitis were selected and assigned to one of the two groups, Group I-MTA and Group II-biodentine. Patients were recalled at 3 weeks, 3 months, and 6 months for clinical and radiographic evaluation. Fisher's exact test was used along with Chi-square test for statistical analysis. Results: Over a period of 6 months, MTA and biodentine showed 91.7% and 83.3% success rate, respectively, based on the subjective symptoms, pulp sensibility tests, and radiographic appearance. Conclusion: MTA and biodentine may be used as DPC agents when the pulpal diagnosis is not more than reversible pulpitis.
Restorative Dentistry & Endodontics, 2013
A preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide Objectives: The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement. Materials and Methods: A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were followed clinically for six months; the teeth were then extracted and prepared for histological assessments. The samples were blindly assessed by an independent observer for pulp vitality, pulp inflammation, and calcified bridge formation. Results: All patients were free of clinical signs/symptoms of pulpal/periradicular diseases during the follow up period. In CH group, one tooth had necrotic radicular pulp; other two teeth in this group had vital uninflamed pulps with complete dentinal bridge formation. In CEM cement and MTA groups all teeth had vital uninflamed radicular pulps. A complete dentinal bridge was formed beneath CEM cement and MTA in all roots. Odontoblast-like cells were present beneath CEM cement and MTA in all samples. Conclusions: This study revealed that CEM cement and MTA were reliable endodontic biomaterials in full pulpotomy treatment. In contrast, the human dental pulp response to CH might be unpredictable.
Proceedings of the International Dental Conference of Sumatera Utara 2017 (IDCSU 2017), 2018
External resorption and open apex are pathological conditions which can occur due to chronic inflammation after a dental trauma. In order to stop the pathological conditions, surgical correction and apexification is performed. New calcium silicate-based materials are used as new variety of Mineral Trioxide Aggregate (MTA) to increase the setting time and easier manipulation. This report presents external root resorption arrest and formation of an apical barrier by surgical perforation repair due to external resorption and apexification of post-traumatic necrosis tooth. A 22-yearold male patient was presented to Conservative Dentistry Department based on referral of Prosthodontics for upper left lateral incisor examination. The patient had a history of trauma 10 years ago and no symptoms had been noted since then. Percussion test was positive. Palpation, thermal and electrical test were negative. Periapical radiograph and Cone Beam Computed Tomography (CBCT) examination revealed radiolucency lesions in central and lateral middle third of root with blunt apex and periapical lesion. Surgical correction of external resorption and apexification was done using new calcium silicate-based materials. Tooth was restored using resin composite with prefabricated fiber post as intracanal reinforcement. Radiographs of treatment after 1 month and 6 months showed well-covered resorption area, less periapical lesions and good result for apical barrier formation. The new calcium silicate-based materials can be used in perforation repair due to external resorption and apexification treatments.
PubMed, 2019
Purpose: Tricalcium silicate (Biodentine), a new synthetic inorganic restorative cement, has shown a high rate of success in pulpotomy treatments, with few side effects. The purpose of the present randomized clinical control trial was to evaluate the long-term success of pulpotomies in human primary molars using tricalcium silicate versus formocresol. Methods: Healthy two- to 10-year-olds were treated with pulpotomies on primary molars as part of their scheduled regular dental treatment. Pulp dressing alternated randomly between tricalcium silicate and formocresol. Data were analyzed at follow-up periods up to 48 months. Results: Thirty-seven (51.4 percent) teeth with tricalcium silicate and 35 (48.6 percent) teeth with formocresol in 58 healthy children (31 boys and 27 girls) were studied. The overall success rate of the pulpotomies in this study was 94.4 percent. Tricalcium silicate was successful in 97.3 percent (36 out of 37) of the cases, and formocresol in 91.4 percent (32 out of 35). No association was found between success and type of tooth or time range from treatment to last follow-up. Conclusion: Tricalcium silicate shows a higher (though not statistically significant) success rate than formocresol in human primary molars pulpotomies followed for two to four years.