Biodentinetm as a furcal perforation repair material: A case series

Abstract

Introduction. So far, the most promising and most commonly used materials in endodontic treatment and retreatment were calcium silicate cements. However, due to the shortage of this material and treatment failures, a new bioactive material was introduced-Biodentine tm. It is a calcium silicate based technology, with excellent handling characteristics and biocompatibility. It can be used in various indications, including dentine substitution and endodontic therapy. Case reports. The clinical cases demonstrated excellent healing potential after the treatment with Biodentine tm. Conclusion. The bio-silicate technology is highly promising, mostly due to its chemical properties and easy clinical manipulation. The short setting time and high mechanical strength makes Biodentine tm a material easy to handle, highly biocompatible, with a wide range of indications.

Comparison of Mineral Trioxide Aggregate, Endosequence Root Repair Material, and Biodentine Used for Repairing Root Perforations: A Systematic Review

“…2,8,10,12,13,17,20,26,[28][29][30][31][32]35 The placement of Biodentine alone as a root repair material for root perforation was made in three studies. 1,7,18 On the other hand, five studies, MTA has placed alone. 9,33,34,36,37…”

“…All the studies included in this systematic review were eleven In-vitro studies 8,10,12,13,20,26,[28][29][30][31][32] , two In-vivo studies 2,17 , one Randomized controlled trial study (RCT) 33 , four Retrospective clinical studies 18,[34][35][36] , and four Case reports. 1,7,9,37 In regard to the types of root repair materials performed, fourteen studies were performed with MTA in a combination of other root repair materials such as ERRM and Biodentine. 2,8,10,12,13,17,20,26,[28][29][30][31][32]35 The placement of Biodentine alone as a root repair material for root perforation was made in three studies.…”

“…10,[39][40] The Biodentine bioceramic is comprised of calcium silicate, zirconium oxide, tricalcium silicate, and calcium carbonate, the commercial presentation is powder and liquid. 1,26,28 It exhibits biocompatibility, dimensional stability, excellent sealing capacity, easy manipulation, short prey time, so is suitable for clinical usage in roots repair. 20,29 Moreover, it keeps the bone-biomaterial interface, it displays low cytotoxic capacity and good fluidity, which makes it easier to insert in the spot to be used.…”

“…2 In this systematic review, few studies claimed that the perforations should be handled promptly with a biocompatible material which generates suitable sealing between the perforation and the adjacent tissues. 1,6,8,10,12 In addition, an in-vitro study conducted in 2016, after they assessed the sealing capacity of MTA and Biodentine declared that there are no considerable differences between the materials, advising for the use of Biodentine like an alternative to MTA in the perforations repair. 29 In another study done in 2017, they noticed that the MTA displayed better sealing in comparison to Biodentine.…”

“…Root perforation is an unintentional or pathological communication between the pulp cavity and the periodontal tissue arising from iatrogenic, reabsorption or caries. 1,2 It is taken as a big challenge to the most renowned endodontic specialists and clinicians, symbolizing one of the most unpleasant accidents during the endodontic treatment. 3 Pain during the instruments usage and intense and immediate bleeding are mentioned as clinical manifestations; Furthermore, a secondary inflammation and loss of bone insertion represent one of the biggest complications arising from perforation.…”