International Journal of Clinical Pediatric Dentistry

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VOLUME 11 , ISSUE 5 ( September-October, 2018 ) > List of Articles

RESEARCH ARTICLE

Evaluation of Biodentine Pulpotomies in Deciduous Molars with Physiological Root Resorption (Stage 3)

Hitaf Nasrallah, Balsam El Noueiri, Charles Pilipili, Fouad Ayoub

Keywords : Biodentine™, Primary molars, Pulpotomy, Pulp canal obliteration, Physiological root resorption

Citation Information : Nasrallah H, Noueiri BE, Pilipili C, Ayoub F. Evaluation of Biodentine Pulpotomies in Deciduous Molars with Physiological Root Resorption (Stage 3). Int J Clin Pediatr Dent 2018; 11 (5):393-398.

DOI: 10.5005/jp-journals-10005-1546

License: CC BY-NC 4.0

Published Online: 00-10-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Conservation of primary dentition is essential for maintenance of arch length, esthetic, mastication, speech and prevention of abnormal habits. The commonly supported treatment for retaining carious primary molars with affected pulp is pulpotomy. Aim: The study aims to evaluate clinically and radiographically the rates of success and efficacy of Biodentine™ as pulpotomy medicament exclusively on primary molars with physiological root resorption. Materials and methods: A total number of 35 primary molars in stage three of formation were selected to undergo pulpotomy treatment. All teeth were restored with pediatric stainless-steel crowns. The clinical findings were evaluated at 1, 3, 6 and 12-month intervals and the radiographic follow-ups evaluations were done at 6 and 12 months. The resulting data were tabulated and statistically analyzed using IBM SPSS© for Windows version 20.0 (SPSS, Chicago, IL, USA). Mc Nemar test was conducted to evaluate the differences in results between months 6 and 12. Results: Periodontal ligament space (PLS) widening and alveolar bone lesion were not seen in any of the 35 cases, 9 teeth (25.7%) manifested pulp canal obliteration (PCO), and none of the cases showed signs of pathologic root resorption. The clinical and radiographic success rates in pulpotomy using Biodentine™ at 6 and 12 months were 100%. Conclusion: Pulpotomies performed with Biodentine™ were entirely successful. This dressing material appears to be a serious pulpotomy agent in primary molars with root resorption.


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  1. Fuks AB, Eidelman E. Pulp therapy in primary dentition. Curr Opin Dent. 1991 Oct;1(5):556-563.
  2. Pilipili CM, Vanden Abbeele A, van den Abbeele K. La pulpotomie de la dent temporaire. Rev Belge Med Dent 1984; 59:156-562.
  3. Demars C, Fortier JP. Propos sur l'endodontie des dents temporaires. Actual Odontostomatol (Paris). 1981;35(134):213-224.
  4. Fortier JP, Demars-Fremault C. Abrégé de pédodontie. Masson, Paris:1987.
  5. Waterhouse PJ, Nunn JH, Whitworth JM. An investigation of the relative efficacy of Buckley's Formocresol and calcium hydroxide in primary molar vital pulp therapy. Br Dent J. 2000 Jan 8;188(1):32-36.
  6. Primosch RE, Glomb TA, Jerrell RG. Primary tooth pulp therapy as taught in predoctoral pediatric dental programs in the United States. Pediatr Dent. 1997 Mar-Apr;19(2):118-122.
  7. Milnes AR. Persuasive evidence that formocresol use in pediatric dentistry is safe. J Can Dent Assoc. 2006 Apr;72(3): 247-248.
  8. Torabinejad M, Watson TF, Ford Pitt TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod. 1993;19:591-595.
  9. Farsi N, Alamoudi N, Balto K, Al Mushayt A. Clinical assessment of mineral trioxide aggregate (MTA) as direct pulp capping in young permanent teeth. J Clin Pediatr Dent. 2006 Winter;31(2):72-76.
  10. Damamaschke T, Gerth HU, Züchner H, Schäfer E. Chemical and physical surface and bulk material characterization of white ProRoot MTA and two Portland cements. Dent Mater. 2005 Aug;21(8):731-738.
  11. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review-part I: chemical, physical, and antibacterial properties. J Endod. 2010 Jan;36(1):16-27.
  12. Kusum B, Rakesh K, Richa K. Clinical and Radiographic evaluation of mineral trioxide aggregate, Biodentine™ and propolis as pulpotomy medicaments in primary teeth. Restor Dent Endod. 2015 Nov;40(4):276-285.
  13. Rodrigues LV, Vasconcelos AC, Campos PA, Brant JM. Apoptosis in pulp elimination during physiological root resorption in human primary teeth. Braz Dent J. 2009;20:179-185.
  14. Scarola V, Galmozzi A. Biologia dei processi di riassorbimento radicolare dei denti decidui. Minerva Stomatol. 2001 May;50(5):145-150.
  15. Bahrololoomi Z, Moeintaghavi A, Emtiazi M, Hosseini G. Clinical and radiographic comparison of primary molars after formocresol and electrosurgical pulpotomy: a randomized clinical trial. Indian J Dent Res. 2008 Jul-Sep;19(3):219-223.
  16. Niranjani K, Prasad MG, Vasa AA, Divya G, Thakur MS, Saujanya K. Clinical Evaluation of Success of Primary Teeth Pulpotomy Using Mineral Trioxide Aggregate®, Laser and Biodentine™–an In Vivo Study. J Clin Diagn Res. 2015 Apr;9(4):ZC35-37.
  17. Rajasekharan S, Martens LC, Vandenbulcke J, Jacquet W, Bottenberg P, Cauwels RG. Efficacy of three different pulpotomy agents in primary molars: a randomized control trial. Int Endod J. 2017 Mar;50(3):215-228.
  18. Nowicka A, Lipski M, Parafiniuk M, Sporniak-Tutak K, Lichota D, Kosierkiewicz A, et al. Response of human dental pulp capped with Biodentine™ and mineral trioxide aggregate. J Endod. 2013 Jun;39(6):743-747.
  19. Cohn C. Pulpotomy for Primary Teeth with Tricalcium Silicate Material. Inside Dentistry. 2013 Sept;9(9):7-11.
  20. El Meligy OA, Allazzam S, Alamoudi NM. Comparison between Biodentine™ and formocresol for pulpotomy of primary teeth: A randomized clinical trial. Quintessence Int. 47:571-580.
  21. Collado-González M, García-Bernal D, Oñate-Sánchez RE, Ortolani-Seltenerich PS, Álvarez-Muro T, Lozano A, et al. Cytotoxicity and bioactivity of various pulpotomy materials on stem cells from human exfoliated primary teeth. Int Endod J. 2017 Dec;50 Suppl 2:e19-e30.
  22. Croll TP, Killian CM. Zinc oxide-eugenol pulpotomy and stainless steel crown restoration of a primary molar. Quintessence Quintessence Int. 1992 Jun;23(6):383-388.
  23. Cuadros-Fernández C, Lorente Rodríguez AI, Sáez-Martínez S, García-Binimelis J, About I, Mercadé M. Short-term treatment outcome of pulpotomies in primary molars using mineral trioxide aggregate and Biodentine™: a randomized clinical trial. Clin Oral Investig. 2016 Sep;20(7):1639-2645.
  24. Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L. Primary Tooth Vital Pulp Therapy: A Systematic Review and Meta-analysis. Pediatr Dent. 2017 Jan 15;39 (1):16-123.
  25. Smith NL, Seale NS, Nunn ME. Ferric sulfate pulpotomy in primary molars: a retrospective study. Pediatr Dent. 2000 May-Jun;22(3):192-199.
  26. Malkondu Ö, Karapinar Kazandað M, Kazazoðlu E. A Review on Biodentine™, a Contemporary Dentine Replacement and Repair Material. Biomed Res Int. 2014:2014:1-10.
  27. De Rossi A, Silva LA, Gatón-Hernández P, Sousa-Neto MD, Nelson-Filho P, Silva RA, de Queiroz AM. Comparison of pulpal responses to pulpotomy and pulp capping with Biodentine and mineral trioxide aggregate in dogs. J Endod. 2014 Sep;40(9): 1362-1369.
  28. Kim JR, Nosrat A, Fouad AF. Interfacial characteristics of Biodentine and MTA with dentine in simulated body fluid. J Dent. 2015 Feb;43(2):241-247.
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