Biodentine Pulpotomies on Permanent Traumatized Teeth with Complicated Crown Fractures

Haikal, Léa; Santos, Beatriz Ferraz dos; Vu, Duy-Dat; Braniste, Marina; Dabbagh, Basma

doi:10.1016/j.joen.2020.06.003

Cited by 23 publications

(38 citation statements)

References 28 publications

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“…Another limitation of this review is that only in vitro studies were included. To the authors' knowledge, a few in vivo studies are available regarding this topic (Parinyaprom et al [31], Abuelniel et al [33], Linu et al [34], Aly et al [35], Haikal et al [36], Uesrichai et al [37]). However, they were not included in this review, as they did not meet inclusion criteria, mostly due to the fact that a reliable color determination method was not used.…”

Section: Discussionmentioning

confidence: 99%

“…In the study of Linu et al [34], visually no discoloration was observed in the Biodentine group, but it should be mentioned that diffuse calcification of the pulp chamber was observed in 23.1% of the cases treated with Biodentine. On the other hand, Aly et al [35], Haikal et al [36], and Uesrichai et al [37] reported contradictory results. After a revascularization procedure using a double antibiotic mixture (metronidazole and ciprofloxacin) for root canal disinfection, after a one-year observation period, visual discoloration was identified in 1 out of 13 teeth (7.69%) in the Biodentine group [35].…”

Section: Introductionmentioning

confidence: 97%

“…After a revascularization procedure using a double antibiotic mixture (metronidazole and ciprofloxacin) for root canal disinfection, after a one-year observation period, visual discoloration was identified in 1 out of 13 teeth (7.69%) in the Biodentine group [35]. After pulpotomy using Biodentine, slight visual discoloration was observed in 17% of teeth [36] and in another study perceptible grey discoloration was observed in 27% (32) of teeth treated with Biodentine during the mean follow up period of 32.3 months [37].…”

Section: Introductionmentioning

confidence: 99%

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Discoloration Potential of Biodentine: A Systematic Review

et al. 2021

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The aim of this systematic review is to investigate the teeth discoloration potential of Biodentine. An electronic search in six databases (PubMed, Cochrane Library, LILACS, SCIELO, Web of Science, and Scopus) was conducted by three independent reviewers to identify eligible articles. The following search terms were used: ((discolo*, staining potential, color, colour, or spectrophotomet*), (teeth or tooth), and (Biodentine)). Methodology following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines was adopted for this investigation. At the end of the selection process, 30 articles were identified as eligible, of which 14 in vitro studies were included in this systematic review. Nine of the included studies evaluated the discoloration potential of Biodentine in the presence of blood. Within the limitations of this review, teeth discoloration using Biodentine is highly expected when material is placed in direct contact with blood during dental procedures. In the absence of blood, Biodentine causes less teeth color changes than MTA-based materials, but it is still unclear what clinically relevant results could be expected regarding the discoloration frequency and intensity induced by Biodentine.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Discoloration Potential of Biodentine: A Systematic Review

et al. 2021

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“…In contrast to VPT of cariously exposed pulps where hydraulic calcium silicate‐based cements (HCSCs) clearly outperform calcium hydroxide in terms of clinical success (European Society of Endodontology, 2019), in the treatment of traumatically exposed pulps, the capping material (calcium hydroxide vs. HCSC) does not seem to be a decisive factor (Dammaschke et al, 2019). Thus, non‐setting calcium hydroxide can still be used but specific non‐staining HCSCs are considered first choice (Haikal et al, 2020).…”

Section: Endodontic Management Following Crown Fractures and Crown‐root Fracturesmentioning

confidence: 99%

European Society of Endodontology position statement: endodontic management of traumatized permanent teeth

et al. 2021

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This position statement represents a consensus of an expert committee convened by the European Society of Endodontology (ESE) on the endodontic management of traumatized permanent teeth. A recent comprehensive review with detailed background information provides the basis for this position statement (Krastl et al. 2021, International Endodontic Journal, https://doi.org/10.1111/iej.13508). The statement is based on current scientiﬁc evidence as well as the expertise of the committee. Complementing the recently revised guidelines of the International Association of Dental Traumatology, this position statement aims to provide clinical guidance for the choice of the appropriate endodontic approach for traumatized permanent teeth. Given the dynamic nature of research in this area, this position statement will be updated at appropriate intervals.

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“…The vital pulp therapy (VPT) is a conservative treatment that aims to promote the healing of pulp tissue and the formation of hard tissue to preserve pulp vitality (Cvek, 1978;Haikal et al, 2020;Çaliskan & Güneri. 2017) and whenever possible this therapy is the treatment of choice for immature complicated crown fractures (Nosrat et al, 2013;Chueh et al, 2009;Garcia-Godoy & Murray, 2012;Eppa et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Vital pulp therapy: an alternative to root maturation of a tooth with superficial micro abscess

Ubaldini

Queiroz

Nunes

et al. 2020

RSD

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Maintenance of pulp functional integrity should be aimed by the treatment of trauma affected immature permanent teeth. The prognosis of vital pulp therapies (VPT), when well indicated and correctly performed, not only preserves pulp vitality but also provides the immature root development. This case reports the treatment of a patient with a crown fractured immature maxillary right central incisor. Clinical examination, radiographic inspection and sensitivity tests confirmed tooth vitality. In spite of the superficial micro abscess presence, pulpotomy was the treatment of choice according to the pulp vitality characteristics found during the undergoing surgery. Root development and apical closure were verified at the 1st year radiographic control. After 3 years of follow-up, even with the occurrence of 3 new traumatisms, the treated tooth showed radiographic sound characteristics. Nevertheless, on the fourth-year return, the conventional endodontic treatment had to be carried out due to radiographic signal of initial root obliteration. It was concluded that pulp vitality diagnosis step and clinical-radiographic follow-up are extremely important for the pulpotomy outcome. This conservative approach resulted in success since it induced root development and apical closure, permitting the posterior execution of the endodontic therapy.

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Biodentine Pulpotomies on Permanent Traumatized Teeth with Complicated Crown Fractures

Cited by 23 publications

References 28 publications

Discoloration Potential of Biodentine: A Systematic Review

Discoloration Potential of Biodentine: A Systematic Review

European Society of Endodontology position statement: endodontic management of traumatized permanent teeth

Vital pulp therapy: an alternative to root maturation of a tooth with superficial micro abscess

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