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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Clinical Applications of Biodentine in Pediatric Dentistry: A Review of Literature

Diagnostic tests revealed lingering pain to hot and cold tests. History revealed trauma to the teeth 8 days back.

A clinical study of direct pulp capping applied in carious-exposed pulps. Spheroid model study comparing the biocompatibility of Biodentine and MTA.

The Dental Elf

Many in vivo and bildentine vitro studies support its bioactivity as well as its successful performance in many clinical pulpoto,y [ 110 – 23 ]. Thereby, suggesting pulpotomy as an alternative therapy for mature teeth with irreversible pulpitis. They also found no statistically significant differences between the Biodentine and MTA experimental groups. Restor Dent Endod ; Biodentine has the potential of making major contributions in the field of dentistry by maintaining the teeth in a healthy state through numerous exciting clinical applications [ 1 ].

The main goal in this type of treatment is to prevent the extrusion of the obturation material [ 47 ].

Biodentine pulpotomy several days after pulp exposure: Four case reports

Case reports with two-year follow-up. Immediate post-operative radiograph after Biodentine pulpotomy. Pulpotomy has been the carried out in the past successfully by several authors. Irreversible pulpitis is the most common reason pulpogomy endodontic treatment in primary and permanent teeth. While formocresol acts only as dressing material, which needs a pulpottomy material to seal the pulp chamber, biodentine acts simultaneously as both dressing and filling material [ 645 ].

In an interesting clinical and histological study, Nowicka et al. Mineral trioxide aggregate pulpotomies: Various materials have been formulated, tested and standardized to obtain maximum benefit for good clinical performance.


Calcium-enriched mixture pulpotomy of a human permanent molar with irreversible pulpitis and condensing apical periodontitis. Investigation of Biodentine as dentine replacement material. Response of human dental pulp capped with biodentine and mineral trioxide aggregate.

Biodentine induces immortalised murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralisation. Additionally, Dammaschke showed a successful result after 6 months of using biodentine as direct pulp capping of iatrogenic pulp exposure [ 26 ].

History revealed trauma to the tooth 5 days back. Biodentine is an excellent material with innumerable qualities required of an ideal material. A year old male patient with irreversible pulpitis in right mandibular first permanent molar was treated with complete coronal pulpotomy with placement of Biodentine in the pulp chamber and a full coronal coverage using stainless steel crown.

Discussion The treatment of teeth with irreversible pulpitis is generally done with root canal therapy that pulpotojy be considered as a prophylactic procedure, since the radicular pulp is often free of infection and the philosophy is to avoid further infection of the biofentine canal system [ 1 ]. Online since 10 th June, Thus, the smear layer was a critical issue that determines the bond strength between dentin and biodentine.

Although many dental materials have been tried including amalgam, cavit, composite resin, glass ionomer cement, calcium hydroxide, IRM, and MTA [ 59 – 61 ].

Biodentine Pulpotomy in Mature Permanent Molar: A Case Report

CEM cement and Biodentine display combined properties of biocompatibility of MTA with more efficient characteristics, such as a significantly shorter setting time, good handling characteristics, and no tooth staining. A comprehensive literature review — part II: Pulpal pain diagnosis-a review. Permanent molar pulpotomy with a new endodontic cement: Mineral trioxide aggregate pulpotomies: Because of its faster setting time, easier handling, and more enhanced mechanical properties, biodentine can be used safely and effectively as pulp capping material especially with its ability to initiate early mineralization by releasing Transforming Growth Factor- beta from pulpal cells to encourage pulp healing [ 6 ].


MTA and biodentine for primary teeth pulpotomy: Even with the advanced techniques and materials, root canal procedures still continue to be a challenge the clinician due to the intricacies in the root canal system and the associated treatment procedures [ 2 ]. The teeth in which pulpotomy was carried out were asymptomatic and did not develop any tenderness to percussion. Due to its high push out bond strength, biodentine is preferred for perforation repair either in the root canal or pulp chamber even after being exposed to various endodontic irrigants [ 623 ].

Hydrophilic nature and requires moisture to cure, making it a suitable material for procedures like pulpotomy. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fractures.

Biodntine successful use has been well reported in animal studies but has not been as promising in humans. Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth – a prospective study. Therefore, biodentine can be used safely and successfully as dentin substitute especially with its dentin like mechanical properties [ 5 ].

Therefore, biodentine promises to be one of the most versatile materials of this century in bidoentine field of dentistry. The aim of this review was to compare the clinical and radiographic success of Biodentine compared to MTA. Blackwell Science Ltd; Biorentine induces TGF-b1 release from human pulp cells and early dental pulp mineralization.

Case Reports in Dentistry. Hence, etching of Biodentine is not recommended and it is directly bonded to the resin composite. In another study by Laurent et al. InTran et al demonstrated in vivo that biodentine induced an effective dentinal repair pulp healing when applied directly to mechanically exposed rat pulps [ 19 ].