The advantages and disadvantages of biodentine: Satisfactory mechanical properties and radiopacity not meeting ISO standard

Milutinović-Smiljanić, Sanja; Ilic, Dragan; Danilović, Vesna; Antonijevic, Djordje

doi:10.2298/vsp191212014m

Cited by 5 publications

(4 citation statements)

References 36 publications

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“…This is different from the manufacturer's claims that the material possesses a radiopacity of 3.5 mm AI, complying with the ISO standard. Our results were in agreement with a number of other studies [46][47][48][49][50], which reported similar radiopacity values for Biodentine. According to Camilleri and Sorrentino [51], 5.1 wt% of zirconium oxide has been detected as a radiopacifier in Biodentine powder to facilitate detection on radiographs.…”

Section: Discussionsupporting

confidence: 93%

The Effect of Chitosan Incorporation on Physico-Mechanical and Biological Characteristics of a Calcium Silicate Filling Material

Abusrewil,

Scott,

Alqahtani

et al. 2024

Dentistry Journal

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Objectives: A tricalcium silicate-based cement, Biodentine™, has displayed antibiofilm activity when mixed with chitosan powder. This study aimed to assess the effect of chitosan incorporation on the physico-mechanical and biological properties of Biodentine™. Methods: In this study, medium molecular weight chitosan powder was incorporated into Biodentine™ in varying proportions (2.5 wt%, 5 wt%, 10 wt%, and 20 wt%). The setting time was determined using a Vicat apparatus, solubility was assessed by calculating weight variation after water immersion, radiopacity was evaluated and expressed in millimeters of aluminum, the compressive strength was evaluated using an Instron testing machine, and the microhardness was measured with a Vickers microhardness tester. In addition, surface topography of specimens was analyzed using scanning electron microscopy, and the effect of chitosan on the viability of human embryonic kidney (HEK 293) cells was measured by a colorimetric MTT assay. Results: Incorporation of 2.5 wt% and 5 wt% chitosan powder delivered an advantage by speeding up the setting time of Biodentine material. However, the incorporation of chitosan compromised all other material properties and the crystalline structure in a dose-dependent manner. The chitosan-modified material also showed significant decreases in the proliferation of the HEK 293 cells, signifying decreased biocompatibility. Significance: Chitosan incorporation into calcium silicate materials adversely affects the physical and biological properties of the material. Despite the increased antimicrobial activity of the modified material, the diminution in these properties is likely to reduce its clinical value.

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Section: Discussionsupporting

confidence: 93%

The Effect of Chitosan Incorporation on Physico-Mechanical and Biological Characteristics of a Calcium Silicate Filling Material

Abusrewil,

Scott,

Alqahtani

et al. 2024

Dentistry Journal

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“…With regards to the capping material, MTA is considered the gold standard material in vital pulp therapy (17) . While, Biodentine has a short setting time and is easy to mix, apply, and has excellent mechanical properties in addition to its bioactive properties (18) . No significant difference was found between MTA and Biodentine.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of The Success of Mature Molar Pulpotomies Using MTA Versus Biodentine. A Clinical Study

Yousef

Refai

Islam

2022

Al-Azhar Journal of Dental Science

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Objectives: This study was aimed to evaluate the success of adult pulpotomies for permanent molars with irreversible pulpitis using MTA versus Biodentine. Subjects and Methods: Forty-four patients with carious permanent molars with signs and symptoms of irreversible pulpitis were included in the study. Cases were randomly grouped into 2 groups: MTA and Biodentine.After caries removal and access cavity preparation, excavation of all coronal pulp to the floor of the pulp chamber was achieved.Control of bleeding was done using pressure with a saline-soaked cotton pellet. The capping material was prepared according to the manufacturer's instructions. In the MTA group, after MTA application to the floor of the pulp chamber, a wet cotton pellet was placed over the MTA, then the tooth was temporized. Forty-eight hours later, the cotton pellet was removed, and the final filling was applied. In the Biodentine group, the final filling was placed 12 min. after Biodentine application. The patients were followed after 12, and 18 months. Results: After 12-months follow-up, the success rate was 86.4% for the MTA versus 81.8% for the Biodentine. After 18-months, the success rate was 85.7% for the MTA versus 75% for the Biodentine. There was no statistically significant difference between the success rate of MTA and Biodentine. Conclusions: Higher success rate could be attained in adult pulpotomies using bioactive materials. Irreversible pulpitis is not a contraindication for adult pulpotomies.

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“…In addition, modern strategies for bio-activation of the surfaces of titanium implants include their coating with Sr incorporated layers. Secondly, Sr is intentionally used in the form of carbonates since the addition of calcium carbonate (CaCO 3 ) into CS cements decreases setting time, as it was achieved in Biodentine (Septodont, France) [27].…”

Section: Discussionmentioning

confidence: 99%

“…Takođe, savremene strategije za povećanje bioaktivnosti površina titanijumskih implantata uključuju njihovo presvlačenje filmovima na bazi stroncijuma. Drugo, stroncijum je sa razlogom odabran u formi karbonata jer dodavanje kalcijum-karbonata u KS cemente skraćuje vreme očvršćavanja, što je postignuto kod biodentina (Septodont, Francuska) [27].…”

Section: Acknowledgesunclassified

Investigation of the radiopacity and cytotoxicity of albodent - novel strontium carbonate incorporated calcium silicate based dental cement

et al. 2021

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Introduction. Calcium silicate (CS) dental cements have numerous clinical indications in dentistry including pulp capping, root end surgery, perforation repair and apexification/apexogenesis treatment. Materials and methods. Novel CS based dental cement with incorporation of SrCO3 radiopacifier named ALBO-DENT was used as an experimental cement material while Portland cement (Aalborg, Denmark) and ProRoot MTA (Tulsa Dental, USA) were used as controls. The radiopacity evaluation was performed using digital Trophy Radiographic system with an intention to precisely determine the minimum of radiopaque agent needed to confer to ISO radiopacity requirement. Thereafter, biocompatibility of material was tested in in vitro conditions in mouse fibrosarcoma L929 cell culture treated with materials? extracts. Cell morphology was observed using phase-contrast microscopy, while cell viability was measured using crystal violet (CV) and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) assays. Results. Radiopacity evaluation revealed that 30%wt addition of SrCO3 was necessary to achieve satisfactory radiopacity (3.45 mm Al). Cytotoxicity analysis using CV and MTT assays revealed that pure extracts of ALBO-DENT presented superior biocompatibility when compared to PC and MTA controls while serial dilutions of experimental cements? extracts as well as that of PC and MTA did not influence L929 cell viability. Conclusions. Novel formulation of CS cement - ALBO-DENT presented satisfactory radiopacity and adequate biocompatibility.

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The advantages and disadvantages of biodentine: Satisfactory mechanical properties and radiopacity not meeting ISO standard

Cited by 5 publications

References 36 publications

The Effect of Chitosan Incorporation on Physico-Mechanical and Biological Characteristics of a Calcium Silicate Filling Material

The Effect of Chitosan Incorporation on Physico-Mechanical and Biological Characteristics of a Calcium Silicate Filling Material

Evaluation of The Success of Mature Molar Pulpotomies Using MTA Versus Biodentine. A Clinical Study

Investigation of the radiopacity and cytotoxicity of albodent - novel strontium carbonate incorporated calcium silicate based dental cement

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