Clinical and radiographic evaluation of Biodentine and Mineral Trioxide Aggregate in revascularization of non‐vital immature permanent anterior teeth (randomized clinical study)

Abstract

Objective To asses clinically and radiographically the effect of using two types of coronal plug materials in revascularization of non‐vital immature teeth. Methods A total of 26 necrotic immature permanent anterior teeth were enrolled for pulp revascularization using a double antibiotic mix for root canal disinfection. They were randomly divided into the following based on coronal plug materials used: Biodentine (Group I) and white Mineral Trioxide Aggregate (Group II; n = 13). Clinical and radiographic assessments were performed after 3, 6, 9, and 12 months. Results When comparing the overall clinical successes and percentage of increase in root length between the two groups, there was no statistically significant difference (P > 0.05). There was a significant difference in the distribution of discoloration between the two groups. One case was reported in Group I, and seven cases were reported in Group II (P = 0.01). Conclusions Both Biodentine and Mineral Trioxide Aggregate were successful clinically regarding the resolution of signs and symptoms associated with the necrotic teeth.

Guidelines for reporting randomized controlled trials in paediatric dentistry based on the CONSORT statement

“…This patient attended 3‐, 6‐, and 9‐month follow‐ up. At 12‐month follow‐up, the patient refused to participate in, and his parent reported on the phone that he has no complaint” 28 …”

“…Secondary outcomes ‐ Pain on percussion: detected by tapping the tooth with the back of the mirror; Swelling: detected by visual examination of the labial vestibule; Sinus or fistula: detected by visual examination of the labial vestibule; Mobility: detected by applying pressure with the ends of two metal instruments; Crown discoloration: detected by visual examination of the crown; Root lengthening: calculated radiographically in mm and per cent by Digora. The same radiographic procedures and image analysis methods used preoperatively were repeated postoperatively at 3, 6, 9, and 12 months with the same exposure parameters and measurements to exclude any human errors due to geometric variations or image analysis” 28 …”

Treatment outcomes of pulp revascularization in traumatized immature teeth using calcium hydroxide and 2% chlorhexidine gel as intracanal medication

“…Achieving an adequate coronal seal is essential, since pulp revascularization is efficient only in teeth with the absence of root canal infection, that is, placement of an adequate material is crucial to avoid bacterial invasion into the pulp canal space. 29 MTA is the most material used for coronal barrier 10 due to its beneficial properties, as good sealing ability, low cytotoxicity, antimicrobial effect, biocompatibility and ability to induce proliferation of stem cells from apical papilla. 30 …”

Biomateriais usados na revascularização pulpar: revisão de literatura

“…O Mineral Trióxido Agregado (MTA) é um cimento de silicato de cálcio (Tomás-Catalá et al, 2017) baseado no cimento Portland, que foi desenvolvido há mais de 20 anos, na década de 90 (Kahler et al, 2017). É um biomaterial indicado em diversas aplicações clínicas odontológicas, principalmente a terapia endodôntica (Soboni et al, 2017;Aly et al, 2019;Quintana et al, 2019).…”

“…Com isso, seu uso é indicado em perfurações nos canais radiculares, perfurações na furca, reabsorções radiculares, na cirurgia parendodôntica como material retro-obturador, pulpotomia, apicigênese, apicificação, proteção pulpar direta, base de cavidade para selamento coronário e cimento obturador. Além disso, atualmente também vem sendo utilizado na revascularização pulpar realizada em dentes imaturos com ápice aberto (Bhola et al, 2017;Quintana et al 2019;Aly et al, 2019). Neste procedimento regenerativo há evidências de formação de barreira apical mineralizada e redução no tempo de tratamento, obtendo resultados de cura favoráveis (Kahler et al, 2017).…”