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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Endod Dent Traumatol ; On examination, an Ellis class III fracture with clinical pulp involvement was seen in relation to The teeth were assessed clinically through pulpal sensitivity tests and radiographically for periapical healing.

They also evaluated the effects of Biodentine and MTA on gene expression in cultured spheroids, and found that Col1a1 expression levels responsible for matrix secreton were slightly lower in cells cultured in the presence of MTA than in those cultured in the presence of Biodentine and in control cells. A retrospective study of direct pulp capping with calcium hydroxide compounds. Success of an alternative for interim management of irreversible pulpitis.

Clinical applications; Biodentine ; Pediatric dentistry. A comprehensive literature review — Part III: Biodentine pulpotomy is recommended as a treatment option for cases of vital pulp exposure in permanent incisors due to trauma.

Case 2 A year-old male patient reported to our department with the complaint of a fractured upper front tooth. The bleeding from the radicular pulp could be controlled by pressure from cotton pellets dipped in sterile normal saline for pulpotoky minutes showing that the radicular biodenfine was vital and non-infected.

Biodentine Pulpotomy in Mature Permanent Molar: A Case Report

After 7 days, MTA and Biodentine had similar push-out bond strength in uncontaminated samples. The exposed pulp was bright red in color and also appeared hyperplastic. Additionally, Aggarwal et al. InShayegan et viodentine investigated the inflammatory cell response and hard tissue formation after biodentine pulpotomy in primary pig teeth. However, biodentine required less time for the pulpotomy procedure [ 22 ].


Thus, biodentine eliminates the need for a filling material in the pulp chamber of pulpotomized teeth. Leakage and biocompatibility investigations.

It consists of removal of inflamed pulp tissue beneath an exposure to a depth of mm, use of bactericidal irrigants to control pulpal bleeding, placement of a biocompatible material to promote healing and maintain vitality of the remaining pulp tissue. Find articles by Harleen Kaur Soni.

The clinical applications of biodentine material have been discussed. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fractures.

This dissolution process occurs at the surface of each grain of calcium silicate.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The mechanism of action of Biodentine is its ability to induce odontoblast differentiation and enhanced proliferation, migration and adhesion of human pulp pulpotoky cells, when placed in direct contact with the dental pulp [ 8 ].

On the other hand, MTA has its own drawbacks of low mechanical properties, difficult handling, slow setting, and relatively high cost [ 48 ]. J Am Bioedntine Assoc.

The Dental Elf

Therefore, this unique material might be an interesting alternative to the existing materials for dentin-pulp ;ulpotomy regeneration [ 21 ]. The teeth were disinfected with chlorhexidine. J Mater Sci Mater Med ; Periodic follow-ups were carried out at 24 hours; 1 week; 30 days; 3, 6, 12, and 18 months. Root canal therapy also makes the tooth non-vital with removal of pulppotomy substantial amount of tooth structure leading to frequent fractures of such teeth and subsequent loss of teeth. InGjorgievska et al.


The other teeth without pulpal involvement were restored with composite resin Esthet X- Dentsply Caulk, Milford, DE to restore the lost tooth structure [ Figure 4 ]. Conservative approach of a symptomatic carious immature permanent tooth using a tricalcium silicate cement Biodentine: History revealed that the patient experienced pain on consuming hot and cold food stuff only when it was in contact with the exposed tooth. Clin Oral Investig ; View 1 month ago.

Biodentine pulpotomy several days after pulp exposure: Four case reports

Direct pulp capping with mineral trioxide aggregate: Torabinejad M, Parirokh M. As the setting is faster, there is a lower risk of bacterial contamination than with MTA. A comprehensive literature review – part II: 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. On the other hand, the erosion of biodentine in acidic solution was observed to be limited and lower than other water based cements [ 13 ].

Abstract Conventionally, few-days-old pulp exposures have been treated with root canal treatment. The tooth was fully functional and the patient was asymptomatic.