A comparison of MTA and Biodentine as medicaments for pulpotomy in traumatized anterior immature permanent teeth: A randomized clinical trial

Abstract

Background/Aim The placement of a biocompatible material after performing pulp therapy in traumatically exposed permanent incisors is one of the important factors that determine pulp healing. The aim of this study was to assess the clinical and radiographic outcomes when using mineral trioxide aggregate (MTA) and Biodentine as pulpotomy materials to maintain the vitality of traumatized immature anterior permanent teeth with pulp exposure. Materials and Methods Fifty traumatized immature anterior permanent teeth with exposed pulps were included in the study. Teeth were equally divided and randomly assigned to two groups MTA or Biodentine. After pulpotomy, pulp stumps were covered with MTA or Biodentine followed by a permanent restoration. Blinded clinical and radiographic evaluations were performed at baseline, immediate post‐operative and after 6, 12 and 18 months according to pre‐determined clinical and radiographic criteria. Results No statistically significant differences were observed between MTA and Biodentine for any of the clinical parameters, except for discoloration, which was significantly more prevalent in the MTA group (P < .001). No significant statistical difference was observed in the radiographic outcomes between MTA and Biodentine, as evidenced by continued root development and by an increased prevalence of root formation stage H in both groups. Conclusions Both MTA and Biodentine showed similar clinical and radiographic outcomes when used as pulpotomy materials in the treatment of traumatized immature anterior permanent teeth. However, discoloration was significantly more prevalent in the MTA group.

Biological parameters, discolouration and radiopacity of calcium silicate‐based materials in a simulated model of partial pulpotomy

“…VPT includes pulp capping and pulpotomy performed at different levels according to the clinical signs of pulp contamination observed after exposure. In particular, for children with immature permanent teeth, preserving pulp vitality is crucial for complete root development (Abuelniel et al, 2020; Bakhtiar et al, 2017).…”

“…Calcium hydroxide paste has been used for decades as the first choice for pulpotomies but has been replaced in recent years by mineral trioxide aggregate (MTA). Despite all the widely known advantages of MTA of biocompatibility and induction of a calcific barrier, is potential for discolouration has been considered a limiting factor for its use in traumatized anterior teeth (Abuelniel et al, 2020; Torabinejad et al, 2018). Biodentine (BD; Septodont, Saint Maur‐des‐Fosses, France), a tricalcium silicate‐based restorative cement, was introduced in the market as a dentine substitute with biological (Kunert & Lukomska‐Szymanska, 2020) and clinical properties comparable to those of MTA (Abuelniel et al, 2020; Bakhtiar et al, 2017).…”

“…Despite all the widely known advantages of MTA of biocompatibility and induction of a calcific barrier, is potential for discolouration has been considered a limiting factor for its use in traumatized anterior teeth (Abuelniel et al, 2020; Torabinejad et al, 2018). Biodentine (BD; Septodont, Saint Maur‐des‐Fosses, France), a tricalcium silicate‐based restorative cement, was introduced in the market as a dentine substitute with biological (Kunert & Lukomska‐Szymanska, 2020) and clinical properties comparable to those of MTA (Abuelniel et al, 2020; Bakhtiar et al, 2017). Amongst those who advocate the use of BD, its more rapid setting time, ease of mixing, handling and less coronal discolouration are pointed out as advantages (Kaur et al, 2017).…”

An Evaluation on Deep Caries Removal Method and Management Performed by Undergraduate Dental Students: A Malaysia Experience

“…However, the number is lesser due to the probability of high material cost and potential risks of tooth discoloration. 25 26 27 Nevertheless, 5.6% of the respondents still chose formocresol as the material of choice despite its known issue for toxicity. 28 More than two-third of the respondents gave the reason to their preferred material due to relatively ease of clinical usage with good clinical results that depicted the clinical techniques and the evidence-based outcome of this material that is well described in the undergraduate curriculum policy and content.…”

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

“…The prevalence of traumatic dental injuries is 20%-30% (Andersson, 2013;Forsberg & Tedestam,1990). Crown fracture is the most frequent kind of trauma, 65-75% (Svizero et al, Research, Society and Development, v. 9, n. 12, e40891211351, 2020(CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i12.11351 4 2003Andreasen et al, 2010), and it involves enamel, dentin and pulp tissues in 0.9 -13% of all dental injuries (Tapias et al, 2003;Abuelniel et al, 2020). When young patients are affected, it is usually associated with pulp exposure and can harm incompletely developed teeth (Nosrat et al, 2013;Shabahang, 2013).…”