Evaluation of Bioceramic Putty in Pulpotomy of Immature Permanent Molars With Symptoms of Irreversible Pulpitis

Alnassar, Ibrahim; Altinawi, Mohamed; Rekab, Mohamad Salem; Alzoubi, Hasan; Katbeh, Imad

doi:10.7759/cureus.31806

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…In this study, ECZr and WPT did not form a detectable amount of hydroxyapatite in vivo, while PR did. The differences in apatite-forming ability may explain the less favorable outcomes of ECZr and WPT compared with the outcomes using PR in vital pulp therapy [33,34]. Additionally, we showed that MTAHP, EMTA, WST, BioCR, and MTAF also did not form a detectable amount of hydroxyapatite in rat subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 78%

In Vivo Assessment of the Apatite-Forming Ability of Second-Generation Hydraulic Calcium Silicate Cements Using a Rat Subcutaneous Implantation Model

Edanami

Takenaka

Belal

et al. 2023

Preprint

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Hydroxyapatite formation on endodontic hydraulic calcium silicate cements (HCSCs) plays a significant role in sealing the root canal system and elevating the hard-tissue inductivity of the materials. This study aimed to evaluate the in vivo apatite-forming ability of 13 second-generation HCSCs using a representative first-generation HCSC (white ProRoot MTA: PR) as a positive control. Thirteen second-generation HCSCs and PR were loaded into polytetrafluoroethylene tubes and implanted in subcutaneous tissue of 4-week-old male Wistar rats. At 28 days after implantation, hydroxyapatite formation on the HCSC implants was assessed with micro-Raman spectroscopy, surface ultrastructural and elemental characterization, and elemental mapping of the material–tissue interface. A Raman band for hydroxyapatite (v1 PO43- band at 960 cm−t) and hydroxyapatite-like calcium-phosphorus-rich spherical precipitates were detected on six second-generation HCSCs and PR. In the elemental mapping, calcium-phosphorus-rich hydroxyapatite-layer-like regions were not observed on the seven HCSCs that showed neither the hydroxyapatite Raman band nor hydroxyapatite-like spherical precipitates. These results indicated that only 6 of the 13 second-generation HCSCs produced a detectable amount of hydroxyapatite in rat subcutaneous tissue within 28 days, similar to PR. The seven second-generation HCSCs that did not exhibit hydroxyapatite formation may not be suitable alternatives to PR due to their weak in vivo apatite-forming ability.

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Section: Discussionmentioning

confidence: 78%

In Vivo Assessment of the Apatite-Forming Ability of Second-Generation Hydraulic Calcium Silicate Cements Using a Rat Subcutaneous Implantation Model

Edanami

Takenaka

Belal

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In this study, ECZr and WPT did not form a detectable amount of hydroxyapatite in vivo, while PR did. The differences in apatite-forming ability may explain the less favorable outcomes of ECZr and WPT compared with the outcomes using PR in vital pulp therapy [55,56]. Additionally, we showed that MTAHP, EMTA, WST, and BioCR also did not form a detectable amount of hydroxyapatite in rat subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 78%

In Vivo Assessment of the Apatite-Forming Ability of New-Generation Hydraulic Calcium Silicate Cements Using a Rat Subcutaneous Implantation Model

Edanami

Takenaka

Belal

et al. 2023

JFB

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Hydroxyapatite formation on endodontic hydraulic calcium silicate cements (HCSCs) plays a significant role in sealing the root canal system and elevating the hard-tissue inductivity of the materials. This study evaluated the in vivo apatite-forming ability of 13 new-generation HCSCs using an original HCSC (white ProRoot MTA: PR) as a positive control. The HCSCs were loaded into polytetrafluoroethylene tubes and implanted in the subcutaneous tissue of 4-week-old male Wistar rats. At 28 days after implantation, hydroxyapatite formation on the HCSC implants was assessed with micro-Raman spectroscopy, surface ultrastructural and elemental characterization, and elemental mapping of the material–tissue interface. Seven new-generation HCSCs and PR had a Raman band for hydroxyapatite (v1 PO43− band at 960 cm−1) and hydroxyapatite-like calcium-phosphorus-rich spherical precipitates on the surfaces. The other six HCSCs with neither the hydroxyapatite Raman band nor hydroxyapatite-like spherical precipitates did not show calcium-phosphorus-rich hydroxyapatite-layer-like regions in the elemental mapping. These results indicated that 6 of the 13 new-generation HCSCs possessed little or no ability to produce hydroxyapatite in vivo, unlike PR. The weak in vivo apatite-forming ability of the six HCSCs may have a negative impact on their clinical performance.

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“…Following a one-year follow-up, bioceramic putty demonstrated a clinical and radiographic success rate of 93.4%, with only one case of failure. Meanwhile, MTA exhibited a 100% success rate both clinically and radiographically after a one-year evaluation period [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

The Management of Hyperplastic Pulpitis in Immature Permanent Molar Using Vital Pulp Therapy: A Case Report with 12 Months Follow‐Up

Mando,

Laflouf,

Tolibah

2024

Case Reports in Dentistry

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Hyperplastic pulpitis is an irreversible type of pulpitis that primarily affects young patients. It occurs when an inflamed pulp becomes exposed due to factors such as dental caries, dental trauma, or other causes. Root canal treatment is commonly employed to manage hyperplastic pulpitis. However, vital pulp therapy can be considered as a less invasive option. The main objective of this treatment is to preserve the vitality and functionality of the remaining pulp tissue. This case report discusses the potential management of hyperplastic pulpitis in an immature molar using vital pulp therapy instead of a full root canal treatment. The report includes clinical and radiographic follow‐up at six and twelve months.

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Evaluation of Bioceramic Putty in Pulpotomy of Immature Permanent Molars With Symptoms of Irreversible Pulpitis

Cited by 3 publications

References 24 publications

In Vivo Assessment of the Apatite-Forming Ability of Second-Generation Hydraulic Calcium Silicate Cements Using a Rat Subcutaneous Implantation Model

In Vivo Assessment of the Apatite-Forming Ability of Second-Generation Hydraulic Calcium Silicate Cements Using a Rat Subcutaneous Implantation Model

In Vivo Assessment of the Apatite-Forming Ability of New-Generation Hydraulic Calcium Silicate Cements Using a Rat Subcutaneous Implantation Model

The Management of Hyperplastic Pulpitis in Immature Permanent Molar Using Vital Pulp Therapy: A Case Report with 12 Months Follow‐Up

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