Discoloration Potential of Biodentine: A Systematic Review

Slaboseviciute, Monika; Vasiliauskaite, Neringa; Drukteinis, Saulius; Martens, Luc; Rajasekharan, Sivaprakash

doi:10.3390/ma14226861

Cited by 9 publications

(5 citation statements)

References 58 publications

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“…Mineral trioxide aggregate is most commonly applied onto the clot, but discoloration may be an undesirable side effect, in particular if the radiopacifier is bismuth oxide (Marciano et al, 2015). Biodentine, a laboratory grade tricalcium silicate cement that uses zirconium oxide as radiopacifier, appears to evoke less discoloration; however, the contact with blood is a critical factor (Slaboseviciute et al, 2021). Discoloration of teeth, especially of anterior teeth, should be reported as one of the outcome parameters after revitalization (Kahler & Rossi‐Fedele, 2016).…”

Section: Discussionmentioning

confidence: 99%

A critical analysis of clinical research methods to study regenerative endodontics

2022

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Regenerative endodontic treatment such as revitalization provides a treatment option for immature teeth with pulp necrosis. The main difference to the alternative procedure, the apical plug, is the induction of a blood clot inside the canal as a scaffold for healing and new tissue formation. Due to the biology‐based and minimally‐invasive nature of the treatment, revitalization has raised considerable interest in recent years. Whereas the procedure is fairly new and recommendations from endodontic societies have been in place only for a few years, the treatment protocol has evolved over the past two decades. Evidence has been created, not only from laboratory and animal work, but also from clinical studies including case reports, cohort studies and eventually prospective randomized controlled clinical trials, systematic reviews and meta‐analyses. However, the research methods and clinical studies with subsequent reports oftentimes present with methodical limitations, which makes it difficult to objectively assess the value of this treatment modality. Several open questions remain, including the need for a more differentiated indication of revitalization after different traumatic injuries, the long‐term prognosis of treated teeth and the true benefits for the patient. Therefore, this review aims to identify and reflect on such limitations, scrutinizing study design, diagnostic tools, procedural details and outcome parameters. A core outcome set is also proposed in this context, which can be considered in future clinical investigations. These considerations may lead to a more detailed and stringent planning and execution of future studies in order to create high‐quality evidence for the treatment modality of revitalization and thus provide more robust data, create a larger body of knowledge for clinicians and further specify current recommendations.

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Section: Discussionmentioning

confidence: 99%

A critical analysis of clinical research methods to study regenerative endodontics

2022

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“…Além disso, o contato do óxido de bismuto com hipoclorito de sódio também leva à descoloração. Slaboseviciute, et al, (2021)…”

Section: Discussionunclassified

Escurecimento dental causado por cimentos endodônticos: uma revisão de literatura

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Gomes²,

Gomes³

et al. 2022

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Objetivo: O objetivo deste trabalho foi o de identificar quais são os principais cimentos endodônticos que promovem a alteração de cor dental, além de mostrar quais outros caminhos podem ser seguidos, a fim de evitar o prejuízo estético do dente tratado. Metodologia: Foi realizada uma busca em inglês dos artigos através da base de dados PubMed, MedLine, Cochrane e Lilacs, no período de 2005 a 2020. Resultados: Observou-se que a maioria dos cimentos testados promoveram alterações de cor, especialmente materiais à base de óxido de zinco-eugenol e agregado trióxido mineral, quando aplicados em dentes anteriores, devido à estrutura delgada desse dente. Isso ocorre devido a componentes químicos presentes nesses materiais. Os componentes biocerâmicos são os que promovem menores alterações, quando comparados aos outros materiais citados neste estudo. Considerações Finais: A adequada limpeza da câmara pulpar é fundamental para evitar a descoloração dental após o tratamento endodôntico. O clareamento dental interno e a utilização do agente adesivo dentinário podem ser alternativas para melhorar a estética devido ao escurecimento dental provocado pelos obturadores endodônticos.

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“…TheraCal LC releases calcium, which increases the development of hydroxyapatite and, consequently, dentinal bridges. Ghoddusi et al [66] evaluated the physicochemical parameters of ProRoot MTA, TheraCal, and Dycal and determined that TheraCal had a greater calcium-releasing capacity and lower solubility than ProRoot MTA and Dycal. [67] According to a study, TheraCal demonstrated superior bonding capacity to composite or glass-ionomer cements than Biodentine.…”

Section: Endosequence Root Repair Materials (Errm )mentioning

confidence: 99%

Recent developments in bioactive pulp capping materials (direct and indirect)

Khan

2022

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The field of dentistry is rapidly shifting its focus toward biologically active restorative materials. Bioactive materials are those capable of inducing and promoting the regeneration of the damaged tissue and remineralizing demineralized dentinal structure as a vital dental pulp is necessary for the long-term healthy survival of a tooth. Vital pulp therapy intends to protect and prevail the vitality of pulp tissue which gets compromised when subjected to mutilating factors like dental caries, trauma, and operative or restorative procedures. During the therapy, the said bioactive material initially forms a non-irritant protective bridge over the vital pulp and later stimulates the pulpal odontoblasts to produce a reparative dentinal barrier which later forms a barrier and protects the underlying pulp’s vitality. The vitality of a tooth needs to be intact protected because the consensus reports that endodontically treated teeth, particularly molars, reportedly have a reduced survival probability than the vital teeth. [1] These factual arguments lead to the development of biologically active restorative materials. This review article intends to provide a review of the modern products introduced in the category of bioactive restorative materials.

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Discoloration Potential of Biodentine: A Systematic Review

Cited by 9 publications

References 58 publications

A critical analysis of clinical research methods to study regenerative endodontics

A critical analysis of clinical research methods to study regenerative endodontics

Escurecimento dental causado por cimentos endodônticos: uma revisão de literatura

Recent developments in bioactive pulp capping materials (direct and indirect)

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