Outcomes of furcal perforation management using Mineral Trioxide Aggregate and Biodentine: a systematic review

Abstract

Furcal perforation is an iatrogenic or pathologic communication between the pulp chamber floor and the alveolar bone. The outcome of perforation sealing depends greatly on the tissue compatibility and bioactivity and sealing properties of the repair materials. Mineral trioxide aggregate (MTA) and Biodentine are currently the most used materials to treat this condition.The present systematic review aimed to report the treatment outcome of repaired furcal perforation using MTA and Biodentine and identify which material would yield a better outcome. Methodology: A comprehensive search was conducted using the PubMed database to identify experimental studies and case reports that describe treatment of furcal perforation.Studies and case reports that evaluated the outcome of repaired furcal perforations using MTA and Biodentine, published in English from 2018 to April 2022, were identified. Unavailable full texts were excluded. Results: Initial screening of 724 articles (670 studies and 54 case reports). After discarding the duplicated studies, we reviewed 50 studies, selecting 13 for abstract analysis. We retrieved and evaluated full texts of eight studies and five case reports. Both materials had an equivalent success rate in the first three months but by 12 months Biodentine performed better than MTA clinically and radiographically. Conclusions: Repair of furcal perforation with Biodentine yields a better outcome compared to MTA.

Clinical applications of calcium silicate‐based materials: a narrative review

“…34 The formation of hydroxyapatite on the surface of MTA due to its bioactivity might also have contributed to this outcome. 35 Although the literature supports the positive effects of CSCs on treatment outcome, 33,36 it should be noted that because perforation is a procedural accident, it is almost impossible to provide similar preoperative conditions for all cases. A recent clinical trial with a small sample size found that both MTA and Biodentine were suitable materials for perforation repair, but Biodentine was less capable of inducing cementum regeneration compared with MTA.…”

The Washout Resistance of Bioactive Root-End Filling Materials

“…In some reports, Biodentine produced a better seal than MTA, whereas other studies failed to confirm any superiority of Biodentine or found it to be inferior to MTA when filling the retrograde cavities. A recently published meta-analysis showed that there is a lack of scientific evidence for the superiority of Biodentine over MTA as a retrograde filling material in apical surgery [31].…”

“…Although the presence of aluminum may affect the efficiency of the reaction, it may also decrease its biocompatibility and lengthen the setting time. Among tested materials, aluminum is present in MTA-type materials, but fully synthetic Biodentine does not contain it [31,32].…”

Role of biodentine in endodontics: a bibliometric and scientometric analysis

“…), with citation analysis, serving as the main tool for assessing the importance of scientific articles. For its part, the field of scientometrics examines the numerical aspects of science and technology through communication [28][29][30] . That is, exemplifying the use of indicators for research and regulatory management, including citation, counting and delimitating scientific fields.…”