Materials for primary tooth pulp treatment: the present and the future

Chen, Jung‐Wei; Jorden, Monserrat

doi:10.1111/j.1601-1546.2012.00289.x

Cited by 22 publications

(10 citation statements)

References 36 publications

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“…For primary teeth, the American Academy of Pediatric Dentistry recommends direct pulp capping with mineral trioxide aggregate (MTA) or calcium hydroxide, only in traumatic pinpoint exposures of the pulp. Other suggested treatment alternatives include pulpotomy with MTA or calcium hydroxide paste utilizing solutions of Buckley's formocresol, ferric sulfate , and sodium hypochlorite ; pulpectomy ; and extraction .…”

Section: Crown Fracturesmentioning

confidence: 99%

“…Procedural steps of direct pulp capping and pulpotomy, both of which aim to preserve pulp vitality in young permanent teeth, have been extensively reviewed in the literature (86,(110)(111)(112)(113)(114). For primary teeth, the American Academy of Pediatric Dentistry (115) (115), and sodium hypochlorite (118,119); pulpectomy (120); and extraction (117,120). In permanent teeth, success rates of vital pulp therapies are 81-88% for direct pulp capping (121, 122); 94-96% for partial pulpotomy (123)(124)(125); and 72-79% for cervical pulpotomy (126,127).…”

Section: Enamel Fracturementioning

confidence: 99%

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Management of crown‐related fractures in children: an update review

Güngör

2013

Dental Traumatology

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-Traumatic dental injuries (TDIs) are a serious public health problem. Epidemiology of dental trauma indicates that these injuries are more prevalent in child population of the world. Children are the sufferers in two-thirds of all TDIs observed. Although being a major fraction, crown-related fractures are a less severe form of TDIs with respect to their complications and sequelae. However, as with other types of traumatic injuries, the delay in seeking for immediate care following a traumatic injury and the lack of appropriate treatment may compromise long-term outcomes. This article reviews the occurrence, management, and prognosis of crown-related fractures in primary and permanent teeth in light of the recent literature.

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Section: Crown Fracturesmentioning

confidence: 99%

Section: Enamel Fracturementioning

confidence: 99%

Management of crown‐related fractures in children: an update review

Güngör

2013

Dental Traumatology

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“…A clinical trial reported in 2015 by Hashem et al reported promising results on the healing dynamics of periapical tissues when Biodentine was placed as an indirect pulp cap in deep carious lesions in teeth with clinical signs of reversible pulpitis (Hashem et al 2015). However, review articles published to date have unanimously concluded that a lack of clinical outcome data precludes a definitive conclusion about this novel material (Chen and Jorden 2010; Meshack et al 2012; Bogen and Chandler 2012; Malkondu et al 2014; Rajasekharan et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Biodentine in the Restoration of Root Caries

Hayes

Mata

Tada

et al. 2016

JDR Clinical & Translational Research

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There is no "gold-standard" material for the operative management of root caries. The aim of this study was to determine if the clinical performance of Biodentine would be acceptable for the restoration of root caries in older adults. A randomized controlled clinical trial was conducted comparing a calcium silicate cement (Biodentine), a high-viscosity glass ionomer cement (Fuji IX GP Extra), and a resin-modified glass ionomer cement (Fuji II LC). Of the 334 volunteers assessed for eligibility, 249 were excluded. A total of 303 lesions in 85 participants were randomized, with 151 lesions allocated to receive Biodentine, 77 to Fuji IX GP Extra, and 77 to Fuji II LC. Patients were reviewed by a calibrated dentist who was not involved in restoration placement and who was blinded to material allocation. Restorations were assessed according to a modified US Public Health Service criteria. The cumulative survival percentages after 6 mo and 1 y were 58.6% and 47.2% in the Biodentine group, 89.6% and 83.8% in the Fuji IX GP Extra group, and 89.5% and 84.9% in the Fuji II LC group, respectively. There were statistically significant differences (c 2 test, P < 0.001) in restoration failure rates between restoration groups. There was no difference between Fuji IX GP Extra and Fuji II LC, but differences (P < 0.001) were shown between the Fuji II GP Extra group and the Biodentine group and also between the Fuji II LC group and the Biodentine group at both time points. Based on the results of this study, Biodentine cannot be recommended for the operative management of root caries. Fuji IX GP Extra and Fuji II LC displayed similar success rates, and highviscosity glass ionomer cement and resin-modified glass ionomer cement continue to be the best available option for the restoration of root caries (ClinicalTrials.gov NCT01866059). Knowledge Transfer Statement: The results of this study can assist dental practitioners when selecting a restorative material for the operative management of root caries. This randomized controlled trial compared the 1-y clinical performance of a calcium silicate-based material to that of a high-viscosity glass ionomer cement and a resin-modified glass ionomer cement in the operative management of root caries. The study concluded that high-viscosity glass ionomer cement and resin-modified glass ionomer cement continue to be the best available option to dental practitioners when restoring the root surface.

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“…It is known as the future material of choice in primary tooth pulp therapy. 28 Studies revealed that primary teeth pulpotomized with BD require less procedural time than formocresol and even BD reduces the risk of recurrent bleeding during pulpotomy. 29 Hence, in the current study, BD was used as the pulpotomy agent for primary molars.…”

Section: Discussionmentioning

confidence: 99%

In Vitro Evaluation of the Fracture Resistance of Biodentine Pulpotomized Primary Molars Restored with Different Dental Materials

Ghahramani¹,

Ghaffaripour²,

Mohammadi³

2019

World Journal of Dentistry

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Aim: Biodentine is a biocompatible, bioactive material with dentin regeneration potential that is known as the future material of choice in primary tooth pulp therapy. Biodentine (BD) is also designed as a dentine substitute in direct posterior restorations. So, the aim of this study is to evaluate the fracture resistance of BD pulpotomized primary molars, restored with different restorative techniques. Materials and methods: A total of 36 extracted primary second molar teeth were selected. Standardized class I access cavity preparation was done and then the teeth were randomly divided into three experimental groups of 12 in each. Group I (n = 12): BD and glass ionomer as liners with composite resin as restoration, group II (n = 12): BD as both liner and restoration; and group III (n = 12): BD and glass ionomer as liners with amalgam as restoration. After water storage and thermocycling, static fracture resistance was tested. Data (in Newtons) were analyzed using one-way ANOVA (α = 0.05). Results: Statistically significant difference was observed among groups of the study (p value = 0.000). Composite group showed the maximum fracture resistance and amalgam group exhibited the least (2371.67 N vs 1912.17 N). Application of composite and BD respectively led to higher numbers of restorable fractures (75%). Conclusion:In pulpotomized primary molars using biodentine, composite restoration shows the best fracture resistance followed by BD and amalgam restorations. Clinical significance: In order to improve the outcome of endodontic treatment in primary molars, biodentine can be used successfully as both pulpotomy and restorative material to achieve less time-consuming treatment in children.

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Materials for primary tooth pulp treatment: the present and the future

Cited by 22 publications

References 36 publications

Management of crown‐related fractures in children: an update review

Management of crown‐related fractures in children: an update review

Evaluation of Biodentine in the Restoration of Root Caries

In Vitro Evaluation of the Fracture Resistance of Biodentine Pulpotomized Primary Molars Restored with Different Dental Materials

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