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- Title
Clinical evaluation of mineral trioxide aggregate and biodentine as direct pulp capping agents in carious teeth.
- Authors
Hegde, Swaroop; B., Sowmya; Mathew, Sylvia; Bhandi, Shilpa H.; Nagaraja, Shruthi; Dinesh, K.
- Abstract
Background: Root canal treatment has been a routine treatment option for carious exposure of the dental pulp. In the context of minimally invasive dentistry, direct pulp capping (DPC) procedure with a reliable biomaterial may be considered as an alternative provided the pulp status is favorable. Mineral trioxide aggregate (MTA), a bioactive cement with excellent sealing ability and biocompatibility is capable of regenerating relatively damaged pulp and formation of dentin bridge when used as DPC agent. Biodentine is comparatively a new biomaterial claimed to possess properties similar to MTA and is currently explored for vital pulp therapy procedures. Aim: The aim of the present study was to evaluate the clinical response of pulp-dentin complex after DPC with MTA and biodentine in carious teeth. Subjects and Methods: Twenty-four permanent molars with carious exposure having no signs and symptoms of irreversible pulpitis were selected and assigned to one of the two groups, Group I - MTA and Group II - biodentine. Patients were recalled at 3 weeks, 3 months, and 6 months for clinical and radiographic evaluation. Fisher's exact test was used along with Chi-square test for statistical analysis. Results: Over a period of 6 months, MTA and biodentine showed 91.7% and 83.3% success rate, respectively, based on the subjective symptoms, pulp sensibility tests, and radiographic appearance. Conclusion: MTA and biodentine may be used as DPC agents when the pulpal diagnosis is not more than reversible pulpitis.
- Subjects
SILICATE cements (Dentistry); DENTIN; DENTAL pulp capping; DENTAL pulp cavities; PULPITIS; THERAPEUTICS
- Publication
Journal of Conservative Dentistry, 2017, Vol 20, Issue 2, p91
- ISSN
0972-0707
- Publication type
Article
- DOI
10.4103/0972-0707.212243