Antibacterial Effect of New Bioceramic Pulp Capping Material on the Main Cariogenic Bacteria

El-Shamy, F M M; Singh, Gurpreet; Elraih, Husham; Gupta, Ira; Idris, Faisal Ai

doi:10.5005/jp-journals-10024-1854

Cited by 14 publications

(6 citation statements)

References 23 publications

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“…Biodentine ® , EndoSequence ® Root Repair Material and Portland cement (Lenherr et al 2012; Nazzal et al 2015). In vitro and in vivo studies have used bioceramics to demonstrate antibacterial effects (Elshamy et al 2016), biocompatibility to pulp tissue and induction of dental pulp cells proliferation and reparative dentine bridge formation (Liu et al 2015), whilst producing significantly less discolouration. It is certain that the recommendations for coronal seal material will change as more information on the suitability of these materials become available.…”

Section: Resultsmentioning

confidence: 99%

Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry

Duggal

Tong

Al-Ansary

et al. 2017

Eur Arch Paediatr Dent

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AimThis systematic review was undertaken in order to develop guidelines for the European Academy of Paediatric Dentistry for the management of non-vital permanent anterior teeth with incomplete root development.Methods Three techniques were considered; apexification by single or multiple applications of calcium hydroxide, use of Mineral Trioxide Aggregate (MTA) for the creation of an apical plug followed by obturation of the root canal, and finally a Regenerative Endodontic Technique (RET). Scottish Intercollegiate Guideline Network (SIGN) Guidelines (2008) were used for the synthesis of evidence and grade of recommendation.ResultsVariable levels of evidence were found and generally evidence related to these areas was found to be weak and of low quality. It was not possible to produce evidence-based guidelines based on the strength of evidence that is currently available for the management of non-vital immature permanent incisors.ConclusionsBased on the available evidence the European Academy of Paediatric Dentistry proposes Good Clinical Practice Points as a guideline for the management of such teeth. It is proposed that the long term use of calcium hydroxide in the root canals of immature teeth should be avoided and apexification with calcium hydroxide is no longer advocated. The evidence related to the use of a Regenerative Endodontic Technique is currently extremely weak and therefore this technique should only be used in very limited situations where the prognosis with other techniques is deemed to be extremely poor. The current review supports the use of MTA followed by root canal obturation as the treatment of choice.

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Section: Resultsmentioning

confidence: 99%

Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry

Duggal

Tong

Al-Ansary

et al. 2017

Eur Arch Paediatr Dent

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“…directly restoring the lesion using bonded composite or glass ionomer cement). The limited antibacterial effects of CH have been shown before 31 , 32 , which raises doubts as to the suitability of this widely used material for treating deep and contaminated dentin. The possible advantages of Biodentine, a calcium silicate cement, over CH have also been demonstrated 33 .…”

Section: Discussionmentioning

confidence: 99%

Bacterial reduction in sealed caries lesions is strain- and material-specific

Marggraf

Ganas

Paris

et al. 2018

Sci Rep

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Sealing can arrest caries lesions. We aimed to evaluate if sealing effects and kinetics are bacterial-strain and sealing-material specific. Human dentin discs were mounted in a dual-chamber device. Caries lesions were induced chemically and contaminated with either Lactobacillus rhamnosus (LR) or Streptococcus sobrinus (SS). For (1) kinetics assessment, the initial bacterial load and the sealing period were varied, and lesions sealed using a self-etch adhesive and composite. For (2) comparing materials, six sealing protocols (#1-#6) were evaluated: 1# Self-etch adhesive plus composite placed without a liner, or #2 calcium hydroxide, or #3 mineral trioxide aggregate, or #4 Biodentine liners; #5 antibacterial adhesive plus composite; #6 glass ionomer cement. Pulpal fluid flow was simulated during sealing. The outcome was the number of surviving bacteria (CFU) per g dentin. For LR, bacterial survival increased significantly with increasing initial bacterial load and decreased with longer sealing periods. The relative reduction followed a first-order kinetics. More LR survived under calcium hydroxide or MTA than other materials (p < 0.001). For SS, nearly no bacteria survived sealing regardless of sealing period, initial bacterial load or sealing material. In conclusion, sealing effects and kinetics were strain- and material-specific.

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“…It can be handled easily and shows minimal to no tooth discolouration. 14,15 Consequently, there is significant interest among endodontists regarding iRoot BP Plus and it has been reported to be successfully used for procedures such as pulpotomy, pulp floor perforation repair, root perforation repair and root end filling. However, there are only a few reports in the literature on the use of iRoot BP Plus for the management of traumatized teeth with pulp exposure.…”

mentioning

confidence: 99%

The effect of partial pulpotomy with iRoot BP Plus in traumatized immature permanent teeth: A randomized prospective controlled trial

Ying

Xia

et al. 2020

Dental Traumatology

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Background/Aim A new bioceramic material iRoot BP Plus has been introduced and reported to have good biocompatibility, sealing ability and antibacterial activity. It has also been reported to be successfully used for procedures such as pulpotomy, pulp floor perforation repair and so on. However, there are only a few reports on the use of iRoot BP Plus in the management of traumatized teeth with an exposed pulp. The aim of this study was to investigate the clinical and radiographic outcomes of partial pulpotomy with iRoot BP Plus in immature permanent teeth with complicated crown fracture or complicated crown‐root fracture. Material and Methods The study was prospectively designed, and 110 immature permanent teeth with complicated crown fracture or complicated crown‐root fracture were randomly allocated into two groups (n = 55). All teeth were clinically and radiographically assessed at 1, 3, 6, 12, 18 and 24 months after partial pulpotomy with iRoot BP Plus (experimental group, n = 50) or calcium hydroxide (control group, n = 49) as the pulp capping agent. Eleven cases were lost during follow up, and 99 teeth were finally analysed. Results There were no intergroup differences in the survival rate, survival time, root length and dentin wall thickness. The calcific bridge was significantly thinner in the iRoot BP Plus group than in the calcium hydroxide group (0.97 ± 0.13 mm vs 1.36 ± 0.12 mm; F = 5.128, P = .029). Conclusions iRoot BP Plus may be an effective capping material for partial pulpotomy.

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Antibacterial Effect of New Bioceramic Pulp Capping Material on the Main Cariogenic Bacteria

Abstract: A pulp-capping agent having good antibacterial properties can have better success rate in maintaining the vitality of the tooth while treating deep carious lesions in patients.

Cited by 14 publications

References 23 publications

Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry

Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry

Bacterial reduction in sealed caries lesions is strain- and material-specific

The effect of partial pulpotomy with iRoot BP Plus in traumatized immature permanent teeth: A randomized prospective controlled trial

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