CLINICAL AND RADIOGRAPHIC EVALUATION OF BIOMATERIALS USED IN DIFFERENT ENDODONTIC PROCEDURES-CASE SERIES

Year 2022, Volume: 49 Issue: Suppl 1, 8 - 12, 31.08.2022

Aybike Baş , Periş Çelikel , Sera Şimşek Derelioğlu

https://doi.org/10.52037/eads.2022.0013

Abstract

Introduction:
Endodontic treatment may be required for the permanent teeth due to different reasons in childhood. Biological materials such as MTA and Biodentine® have started to be used nowadays in different endodontic treatment. Studies have shown that these materials stimulated the formation of new vascularized tissue in the apical of mature teeth with necrotic pulp and with periapical lesions. In addition, MTA and Biodentine® are preferred in direct and indirect pulp capping due to their properties such as biocompatibility and impermeability.
Purpose:
The aim of this study is to examine the teeth clinically and radiologically after the use of Biodentine® and MTA as a barrier on the pulp capping, Cvek pulpotomy and regenerative endodontic treatment.
Case Series:
Case 1: A 12-year-old girl presented at our clinic with complaints of intermittent pain and cold sensitivity in her tooth #16. Direct pulp capping was performed with MTA.
Case 2: An 7-year-old boy with a trauma associated complicated crown fracture in his tooth #11 was admitted to our clinic. Cvek pulpotomy was performed with Biodentine®.
Case 3: An 8-year-old girl with trauma associated crown fracture in her tooth #11 was admitted to our clinic. Regenerative endodontic treatment was applied with Biodentine®.
Case 4: Indirect pulp capping was performed with MTA to a 7-year-old boy admitted to our clinic with the complaint of cold sensitivity in his tooth # 46.

Conclusion:
Today, the success rate is high in vital pulp treatments with newly developed materials such as MTA and Biodentine®. In addition, root development continues after regenerative endodontic treatments with Mineral Trioxide Aggregate (MTA) or Biodentine® in non-vital and open-apex teeth.

Keywords

MTA, Biodentine, pulp capping, pulpotomy, regenerative endodontics.

References

• 1. Waterhouse PJ, Whitworth JM, Camp J, Fuks AB. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. Pathways of the pulp 10th ed St Louis: Mosby Elsevier. 2011:808-57.
• 2. Shabahang S. Treatment options: apexogenesis and apexification. Pediatric dentistry. 2013;35(2):125-8.
• 3. Amudha S, Ishwarya R, Ponnudurai Arangannal JJ, Vijayakumar M. Application Of Mta And Biodentine In Pediatric Endodontics: A Review. European Journal of Molecular & Clinical Medicine. 2020;7(2):6509-15.
• 4. Andreasen JO, Farik B, Munksgaard EC. Long‐term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dental Traumatology. 2002;18(3):134-7.
• 5. Hargreaves KM, Giesler T, Henry M, Wang Y. Regeneration potential of the young permanent tooth: what does the future hold? Pediatric dentistry. 2008;30(3):253-60.
• 6. Chueh L-H, Ho Y-C, Kuo T-C, Lai W-H, Chen Y-HM, Chiang C-P. Regenerative endodontic treatment for necrotic immature permanent teeth. Journal of endodontics. 2009;35(2):160-4.
• 7. Ricucci D, Loghin S, Siqueira Jr JF. Correlation between clinical and histologic pulp diagnoses. Journal of Endodontics. 2014;40(12):1932-9.
• 8. Brizuela C, Ormeño A, Cabrera C, Cabezas R, Silva CI, Ramírez V, et al. Direct pulp capping with calcium hydroxide, mineral trioxide aggregate, and biodentine in permanent young teeth with caries: a randomized clinical trial. Journal of endodontics. 2017;43(11):1776-80.
• 9. Cvek M, Cleaton-Jones PE, Austin JC, Andreasen JO. Pulp reactions to exposure after experimental crown fractures or grinding in adult monkeys. Journal of endodontics. 1982;8(9):391-7.
• 10. Aldakak MMN, Capar ID, Rekab MS, Abboud S. Single-visit pulp revascularization of a nonvital immature permanent tooth using Biodentine. Iranian endodontic journal. 2016;11(3):246.