Outcomes of Vital Pulp Therapy Using Mineral Trioxide Aggregate or Biodentine: A Prospective Randomized Clinical Trial
| Autor: | Lama Awawdeh, Hanan Hamouri, Rosalie Jean Chakra, A. A. Al-Qudah |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Mineral trioxide aggregate
Adult Male Time Factors Adolescent Pulpotomy Dentistry 02 engineering and technology Dental Pulp Capping law.invention 03 medical and health sciences chemistry.chemical_compound Young Adult 0302 clinical medicine stomatognathic system Randomized controlled trial law Medicine Humans Prospective Studies Aluminum Compounds General Dentistry Permanent teeth business.industry Silicates Oxides 030206 dentistry Calcium Compounds Middle Aged 021001 nanoscience & nanotechnology Pulp capping stomatognathic diseases Drug Combinations Treatment Outcome chemistry Pulp therapy Sodium hypochlorite Pulp (tooth) Female 0210 nano-technology business Pulp Capping and Pulpectomy Agents Follow-Up Studies |
| Zdroj: | Journal of endodontics. 44(11) |
| ISSN: | 1878-3554 |
| Popis: | Introduction Mineral trioxide aggregate (MTA) has been used in pulp capping of cariously exposed mature permanent teeth with promising results. The search for alternative materials that seal better and set faster than MTA and do not stain is ongoing. Biodentine (Septodont, St Maur-des-Fosses, France) exhibits these advantages but has not been tested yet for a prolonged duration in mature teeth. This study aimed to evaluate the clinical performance of Biodentine and white MTA (Angelus, Londrina, Brazil) in cariously exposed mature permanent teeth. Methods This was a prospective longitudinal randomized controlled study of 68 vital permanent teeth with deep caries. Patients were randomly allocated into 2 study arms: Biodentine and MTA. Teeth were assessed clinically and radiographically before the procedure. Caries were excavated under local anesthesia; hemostasis was achieved after pulp exposure using sodium hypochlorite and capped with Biodentine or MTA. Clinical and radiographic follow-ups were performed by a blinded calibrated evaluator after 6 months and 1, 2, and 3 years. Results There were no significant differences in the overall success rate between Biodentine and MTA; it was 93.3% (Biodentine = 93.1% and MTA = 93.5%) at 6 months. The overall success rate increased to 96.2% (Biodentine = 96.0% and MTA = 100%) at 1 year and to 100% at 2 years. At the 3-year follow-up, it decreased to 93.8% (Biodentine = 91.7% and MTA = 96.0%). Conclusions Biodentine and MTA have favorable and comparable success rates when used as direct pulp capping or pulpotomy material in permanent mature teeth with carious exposure. The remaining tooth structure and durability of coronal restoration might affect significantly the long-term success of vital pulp therapy. |
| Databáze: | OpenAIRE |
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