Comparative evaluation of calcium silicate-based dentin substitute (Biodentine®) and calcium hydroxide (pulpdent) in the formation of reactive dentin bridge in regenerative pulpotomy of vital primary teeth: Triple blind, randomized clinical trial
Autor: | Rubica Salhan, Nirapjeet Kaur, Hemal Bipin Patel, Navneet Grewal |
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Rok vydání: | 2016 |
Předmět: |
Molar
Pulpotomy dentin bridge Dentistry Orthodontics law.invention 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Randomized controlled trial law 0502 economics and business Dentin medicine calcium hydroxide Dentin bridge regenerative pulpotomy Calcium hydroxide business.industry 05 social sciences 030206 dentistry lcsh:RK1-715 Clinical trial Ca3 Sio5 - based dentin substitute medicine.anatomical_structure chemistry lcsh:Dentistry Calcium silicate Periodontics 050211 marketing Oral Surgery business primary molars |
Zdroj: | Contemporary Clinical Dentistry, Vol 7, Iss 4, Pp 457-463 (2016) |
ISSN: | 0976-237X |
DOI: | 10.4103/0976-237x.194116 |
Popis: | Background: Considering the biological concerns of calcium hydroxide (CH) as a pulpotomy agent, an alternative silicate based dentin substitute i.e. Biodentine (Ca3SiO5) was evaluated clinically and radiographically. Aims: To evaluate the effectiveness of dentin substitute (Biodentine) in regenerative pulpotomy of vital primary teeth that would giv a biological base to its use in forming reactive dentin bridge and overcoming the drawbacks of calcium hydroxide. Material and Methods: Randomised clinical trial on 40 bilateral carious primary molars in 20 participant children (aged 5-10 years) was carried out by same operator using Ca3SiO5(group-1) and CH (group-2) as vital pulpotomy agents. Blinded clinical and radiographic outcomes were observed at 3, 6 and 12 months interval. Results: Clinical outcomes of both protocols were analysed using Pearson's chi-square test applied at P < 0.05. Descriptive statistics were expressed as mean increase in dentin bridge formation in mms from two reference points in standardized radiographs using paired 't'- test at baseline and 12 months and found to be statistically significant (P < 0.05) in group-1 when compared with group-2. Conclusion: Group-1 revealed statistically favourable regenerative potential along with clinical success compared to group 2 thereby sharing both indications and mode of action with CH, but without its drawbacks of physical and clinical properties. |
Databáze: | OpenAIRE |
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