HOME - Clinical cases - Pediatric dentistry
 
 
03 April 2019

The evaluation of MTA and Biodentine as a pulpotomy materials for carious exposure in primary teeth

Lucia Sardi


The aim of the present study was to compare the long term clinical and radiographic success rates of Biodentine and MTA pulpotomies, performed on primary teeth with carious pulpal exposure.  

MATERIALS AND METHODS 
For the study, 44 mandibular primary vital molars requiring pulpotomy were selected. The inclusion criteria were the presence of carious dentin surrounding the site of pulpal exposure, spontaneous pain absence, no tenderness to percussion or palpation, no history of swelling or sinus tract, no radiographic sign of internal/external root resorption, no widened periodontal space, no furcal or periapical radiolucency and finally the possibility of a stainless steel crown restoration. 24 teeth were treated with MTA, and 20 teeth were treated with Biodentine. 
The children were recalled periodically for 2 years post treatment. At each follow-up visit, clinical and radiographic examinations were performed by two calibrated blinded examiners. The clinical success criteria were the absence of spontaneous pain, pathologic mobility, tenderness to percussion, swelling , fistula and gingival inflammation, whereas the absence of internal/ external root resorption and periapical/furcal radiolucency was considered as a radiographic success.

RESULTS 
Clinical and radiographic success rates, after two follow up years, were 100% for MTA group and 89,4% for Biodentine group. The difference between the groups in the success rates wasn’t statistically significant (p=0,646).  

CONCLUSIONS
As Biodentine and MTA showed no statistically significant difference in the success rates when applied on the canal orifices during pulpotomy procedures, Authors concluded that the shorter setting time and the easier handling make Biodentine to be preferred to MTA. However, clinical trials with longer follow up periods are required before any conclusive recommendation could be made.  

CLINICAL RELEVANCE
As already stated and accepted, carious tissue around the site of exposure means pulpal contamination and inflammation, resulting in an uncertain and unpredictable prognosis for the treated teeth. MTA and Biodentine are expected to transform the inflammation process into a healing process due to their tricalcium silicate contents and their biointeractive properties. 


For additional informations: 
Çelik, B.N., Mutluay, M.S., Arıkan, V. et al. Clin Oral Invest (2019) Volume 23 Issue 2, pages 661-666 Published online 10th May 2018  

Related articles

Type 1 diabetes mellitus is a chronic autoimmune disease characterized by destruction of pancreatic beta cells and consequent lack of insulin production. It affects over half a million children...


One of the most common materials for the restoration of primary teeth are glass ionomer cements (GIC), because of their time-saving feature. Nonetheless their...


Dental caries of primary dentition continues to be one of the major health problem in the world. And even if prevention and acknowledgment of the dental...


Dental pulp in deciduous teeth can be involved earlier than in permanent teeth in the progression of carious lesions. In addiction it is also known that...


Dental caries are frequent and represent real oral health problems even in preschoolers and school children. It is a disease of the hard tissues of the tooth,...


Read more

M. Esposito, L. Sbricoli, J. Buti, U. Uccioli, M. Tallarico

PURPOSE. To ascertain whether it is better to endodontically retreat a previously endodontically treated tooth with periapical pathology and/or symptoms and an uncertain prognosis, or to replace the...


In this case-control study the authors selected some genes and loci which might be associated with generalized aggressive periodontitis  (GAgP), to identify the susceptibility genes of GAgP in...


During the explanation of implant-based treatments three factors may influence the level of fear and anxiety experienced by the patient: • the quantity of information demanded by the...


Co-author: F. Florenzano

Today, the use of digital workflows for the fabrication of indirect restorations is constantly increasing thanks to the evolution of computer-aided design and computer-aided manufacturing-based...


Providing dental care during infectious disease outbreaks carries inherent risks for dental healthcare professionals (DHPs) due to the splashes and aerosols generated during dental treatments. The...


 
 
 
 

Newsletter

 
 
 
 

Most popular

 
 

Events