Current Perspectives of Calcium Hydroxide, Mineral Trioxide Aggregate and Biodentine Used in Direct Pulp Capping Treatments

Year 2022, Volume: 3 Issue: 1, 127 - 135, 17.06.2022

Esra Baltacıoğlu , Rukiye Demir Dikmen , Elif Ayfer Baltacı Yıldız

Abstract

Dental pulp vitality is important for maintaining tooth health and function. The aim of direct pulp capping treatments is to maintain the vitality of the tooth. The properties of pulp capping materials are important in the success of the treatment. Calcium hydroxide has been used as the popular several decades. Calcium hydroxide has excellent antibacterial properties. Provides reparative dentin formation. However, calcium hydroxide is easily soluble and provides a poor seal. Due to such disadvantages, alternative materials have been producted. Mineral Trioxide Aggregate is nonsoluble. And more effective than calcium hydroxide as a direct pulp capping material. However, the setting time is longer than calcium hydroxide and it is expensive. Therefore, the number of sessions and the cost of the treatment increase. Biodentine (Septodont) allows the treatment to be completed in an one session with it is short setting time. However, it is low radiopacity makes clinical follow-up difficult. Calcium hydroxide, Mineral Trioxide Aggregate and Biodentine reveal different properties from each other in these aspects. The aim of this review article is to research the properties of calcium hydroxide, Mineral Trioxide Aggregate and Biodentine used in direct pulp capping treatment with current data.

Keywords

Biodentine, Direct pulp capping treatment, Calcium hydroxide, Mineral trioxide aggregate

Direkt Pulpa Kaplaması Tedavilerinde Kullanılan Materyallere Güncel Bir Bakış

Abstract

Dental pulpa vitalitesi, dişin sağlığını ve fonksiyonunu korumak için önemlidir. Direkt pulpa kaplaması tedavilerinde amaç, dişin vitalitesinin devamını sağlamaktır. Yapılacak olan tedavinin başarısında pulpa kaplama materyallerinin özellikleri önem taşır. Kalsiyum hidroksit, yıllarca popüler olarak kullanılmıştır. Mükemmel antibakteriyel özellik gösterir. Reperatif dentin oluşumunu sağlar. Ancak kalsiyum hidroksit, kolaylıkla çözünebilir ve zayıf örtücülük sağlar. Bu gibi dezavantajlarından dolayı alternatif materyaller üretilmiştir. Mineral Trioksit Agregat çözünmezdir. Direkt pulpa kaplama materyali olarak kalsiyum hidroksite göre daha etkilidir. Fakat kalsiyum hidroksite göre sertleşme süresi uzundur ve pahalıdır. Bundan dolayı tedavinin seans sayısı ve maliyeti artar. Biodentine (Septodont), sertleşme süresinin kısa olmasıyla tedavinin tek seansta bitirilmesine olanak sağlar. Ancak düşük radyoopasite göstermesi klinik takibini zorlaştırır. Kalsiyum hidroksit, Mineral Trioksit Agregat ve Biodentine bu yönleriyle birbirlerinden farklı özellikler ortaya koyar. Bu derleme makalesinin amacı; direkt pulpa kaplaması tedavisinde kullanılan kalsiyum hidroksit, Mineral Trioksit Agregat ve Biodentine’in özelliklerinin güncel verilerle araştırılmasıdır

Keywords

Biodentine, Direkt pulpa kaplaması tedavileri, Kalsiyum hidroksit, Mineral trioksit agregat

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