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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Studies with regards to management of mature permanent teeth with carious exposure and treatment with vital pulp therapies such as adult permanent tooth pulpotomy are scarce.
Biodentine pulpotomy several days after pulp exposure: Four case reports
Follow-ups Periodic follow-ups were carried out at 24 hours; 1 week; 30 days; 3, 6, 12, and 18 months. On clinical examination, there was presence of a large deep carious lesion involving the right mandibular first permanent molar. They concluded that both MTA as well as Biodentine are both suitable for pulp-capping. Pharmaceutical Sciences Journals Ann Jose ankara escort.
Thirty-eight recent studies described the clinical applications of biodentine in pediatric dentistry. Cohen S, Bums RC, editors. 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 bioeentine aspects of the periradicular surgery [ 51 ].
Biodentine induces immortalised murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralisation. Biodentine has an excellent sealing ability with mineral tags in the dentin tubules with outstanding microleakage resistance, enhanced by the absence of shrinkage due to the resin-free formula [ 5 ].
After its introduction as fast setting calcium silicate cement, biodentine with its ease of manipulation and handling can be considered as an interesting and promising resorption repair material [ 5 ]. Highly biocompatible and bioactive: On the remaining radicular pulp, a suitable biocompatible material is packed to protect the pulp from further insult and initiate healing and repair [ 3 ].
However, biodentine pul;otomy appeared firmly attached to the underlying dentin surface during scanning electron microscopy analysis. Latest bioactive materials such as Mineral Trioxide Aggregate MTA and Biodentine, Calcium-Enriched Mixture CEM have excellent biocompatibility and sealing abilities with the added advantage of inducing proliferation of the pulpal cells. The patient was treated with complete coronal pulpotomy with pjlpotomy of Biodentine in the pulp chamber and full coronal coverage with stainless steel crown was performed.
Even with the advanced techniques and materials, root canal procedures still continue to be a challenge the clinician due to the pilpotomy in the root canal system and the associated treatment procedures [ 2 ]. Biodentine attracted attention in the field of dentistry due to its fast setting time, high biocompatibility, high compressive strength, excellent sealing ability, and ease of handling as well as its versatile usage in both endodontic repair and restorative procedures without causing any staining of the treated teeth [ 4 – 610 ].
Further randomized clinical trials of good quality, greater sample size, and longer follow-up time are necessary in order to confirm the results presented. The teeth were disinfected with chlorhexidine. Mineral trioxide aggregate as a pulpotomy agent in immature teeth: Case 4 An year-old male patient reported to our department with complaint of fractured upper anterior teeth. On the other hand, Rajasekharan et al.
Pathways of the Pulp. History revealed trauma to the teeth 8 days back.
The Dental Elf
bkodentine A comprehensive literature review — part II: A Review of Biodentinne. In comparison to formocresol in primary teeth pulpotomy, biodentine is a regenerative material that maintains pulp vitality whereas formocresol is a devitalizing agent [ 645 ]. The use of vital pulp therapy is, however, not necessarily confined to developing teeth. The pulp chamber was irrigated with sterile normal saline solution to remove any pulpal tags and bleeding from the root canals was arrested with the help of gentle application of cotton soaked in sterile normal saline solution for 5 minutes.
A comprehensive literature review — Part III: In another multicentric, randomized, 3-year prospective study by Koubi et al, class I and II posterior biodentkne and 24 direct pulp capping cases showed no clinical complications after 6 months [ 27 ].
The following case reports describe the technique of Biodentine pulpotomy in mature permanent teeth following several days of traumatic pulpal exposure. Various materials have been formulated, tested and standardized to obtain maximum benefit for good clinical performance.
Orstavik D, Pittford Biodwntine, editors; pp. Case Report A year old male patient reported with chief complaint of pain in right back tooth region since days. Biodentine induces TGF-b1 release from human pulp cells and early dental pulp mineralization.
The tag-like structures formed were composed of Ca and P-rich and Si-poor materials. J Mater Sci Mater Med ; Patient gave history of pain on stimulation of the exposed tooth only when it came in contact with food and was otherwise painless. In contact with phosphate ions, it creates precipitates that resemble hydroxyapatite [ 6 ]. Later on, the hardening process results from the formation of crystals that pulptomy deposited in a supersaturated solution [ 5 ].
Biodentine or MTA for primary teeth pulpotomy? – National Elf Service
The exposed pulp appeared light pink in color. The exposed pulp was red in color. Spheroid model study comparing the biocompatibility of Biodentine and MTA.
The surface of the remaining pulp was irrigated with isotonic saline along with gentle application of small sterile cotton pellets for 5 minutes until the bleeding was arrested. Villat C et al. The sealing ability of this biomaterial was also assessed to be equivalent to glass ionomers, without requiring any specific conditioning of the dentin surface [ 541 ].