The Radiographic Outcome of Biodentine and Calcium Hydroxide as Indirect Pulp Capping Agent in the Management of Deep Caries

International Journal of Medical Science
© 2023 by SSRG - IJMS Journal
Volume 10 Issue 1
Year of Publication : 2023
Authors : Rozina Akter, Md. Ali Asgor Moral, Md. Asaduszaman, Mozammal Hossain
pdf
How to Cite?

Rozina Akter, Md. Ali Asgor Moral, Md. Asaduszaman, Mozammal Hossain, "The Radiographic Outcome of Biodentine and Calcium Hydroxide as Indirect Pulp Capping Agent in the Management of Deep Caries," SSRG International Journal of Medical Science, vol. 10,  no. 1, pp. 20-24, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I1P104

Abstract:

This randomized clinical trial was conducted to evaluate the radiographic results of Biodentine and Calcium hydroxide as agents for indirect pulpal coverage in deep carious lesions of permanent posterior teeth. Seventy permanent posterior teeth with deep carious lesions and reversible pulpal conditions were selected for the study according to the inclusion and exclusion criteria. These teeth were randomly divided into two groups. Group A: 35 teeth treated with Biodentine (experimental), group B: 35 teeth treated with calcium hydroxide (control). Standard procedures for indirect pulp closure were followed. The patient was evaluated at baseline, 3 and 6 months to assess the radiographic assessment of reparative dentin formation. Statistical analysis was performed using the chi-square (X2) test. A value of p<0.05 was considered statistically significant. After 6 months of observation, 31 teeth (91.18%) with Biodentine and 23 teeth (71.90%) made with calcium hydroxide showed reparative dentin formation. In conclusion, the induction of reparative dentin by Biodentine is more effective than the induction of calcium hydroxide as an indirect pulp-capping agent.

Keywords:

Pulp Capping, Biodentine, Calcium hydroxide, Radiography, Reparative Dentin.

References:

[1] Claudia Roxane Barthel et al., “Pulp Capping Carious Exposures: Treatment Outcome after 5 and 10 years – A Retrospective Study,” Journal of Endodontics, vol. 26, no. 9, pp. 525-528, 2000. Crossref, https://doi.org/10.1097/00004770-200009000-00010
[2] Lars Bjorndal et al., “Treatment of Deep Caries Lesions in Adults: Randomized Clinical Trials Comparing Stepwise vs. Direct Complete Excavation, and Direct Pulp Capping vs. Partial pulpotomy,” European Journal of Oral Sciences, vol. 118, No. 3, pp. 290- 297, 2010. Crossref, https://doi.org/10.1111/j.1600-0722.2010.00731.x
[3] Till Dammaschke , Jana Leidinger, and Edgar Schäfer, “Long-term Evaluation of Direct Pulp Capping Treatment Outcomes Over an Average Period of 6.1 years,” Clinical Oral Investigation, vol. 14, no. 5, pp. 559-567, 2010. Crossref, https://doi.org/10.1007/s00784- 009-0326-9
[4] D. Tziafas , A.J. Smith, H. Lesot. “Designing new Treatment Strategies in Vital Pulp Therapy,” Journal of Dentistry, vol. 28, No. 2, pp. 77-92, 2000. Crossref, https://doi.org/10.1016/s0300-5712(99)00047-0
[5] Peter E. Murray et al., “Analysis of Pulpal Reactions to Restorative Procedures, Materials, Pulp capping, and Future Therapies,” Critical Reviews in Oral Biology & Medicine, vol. 13, no. 6, pp. 509-520, 2002. Crossref, https://doi.org/10.1177/154411130201300607
[6] D. Ricketts. “Restorative Dentistry: Management of the Deep Carious Lesion and the Vital Pulp Dentine Complex,” British Dental Journal, vol. 191, no. 11, pp. 606-610, 2001. Crossref, https://doi.org/10.1038/sj.bdj.4801246
[7] D N J Ricketts 1, E A M Kidd, N Innes, J Clarkson, “Complete or Ultraconservative Removal of Decayed Tissue in Unfilled Teeth,” Cochrane Database of Sys Review, vol. 19, No. 3, 2006. Crossref, https://doi.org/10.1002/14651858.CD003808.pub2
[8] M. Maltz et al., “Deep Caries Lesions after Incomplete Dentine Caries Removal: 40-month follow-up Study,” Caries Research, vol. 41, no. 6, pp. 493-96, 2007. Crossref, https://doi.org/10.1159/000109349
[9] René J M Gruythuysen, A J P van Strijp, and Min-Kai Wu, “Long-Term Survival of Indirect Pulp Treatment Performed in Primary and Permanent Teeth With Clinically Diagnosed Deep Carious Lesions,” Journal of Endodontics, vol. 36, no. 9, pp. 1490-1493, 2010. Crossref, https://doi.org/10.1016/j.joen.2010.06.006
[10] Lars Bjørndal, “Indirect Pulp Therapy and Stepwise Excavation,” Pediatric Dentistry, vol. 30, No. 3, pp. 225-29, 2008.
[11] G. Bogen, N. P. Chandler. “Vital pulp therapy. In: Ingle JI, Bakland LK, Baumgartner JI. Ingle’s Endodontics”. Hamilton, Ontario: BC Decker Inc. pp. 1110-1130, 2008.
[12] T. J. Hilton. “Keys to Clinical Success with Pulp Capping: A Review of the Literature,” Operative Dentistry, vol. 34, no. 5, pp. 615- 25, 2009. Crossref, https://doi.org/10.2341/09-132-0
[13] H. Olsson, K. Petersson, and M. Rohlin, “Formation of Hard Tissue Barrier after Pulp Capping in Humans. A systematic Review,” International Endodontic Journal, vol. 39, no. 6, pp. 429-442, 2006. Crossref, https://doi.org/10.1111/j.1365-2591.2006.01116.x
[14] C.F. Cox et al., “Tunnel Defects in Dentin Bridges: Their Formation Following Direct Pulp Capping,” Operative Dentistry, vol. 21, no. 1, pp. 4-11, 1995.
[15] Patrick Laurent et al., “Induction of Specific Cell Responses to a Ca3SiO5-based Posterior Restorative Material,” Dental Materials Journal, vol. 24, no. 11, pp. 1486-1494, 2008. Crossref, https://doi.org/10.1016/j.dental.2008.02.020
[16] M. T. Firla. “Dentin-Ersatzmaterial auf Basis der Active Biosilicate Technology”. DZW Kompakt. Vol. 58, No. 1, 10-12, 2011.
[17] Jacques Déjou, Raskin Raskin, J. Colombani, “Physical, Chemical and Mechanical Behavior of a New Material for Direct Posterior Fillings,” Europan Cells Materials, vol. 10, no. 4, pp. 22, 2005.
[18] T. Dammaschke. “Direct Pulp Capping With Biodentine™-Full restoration in one session”. Septodont Case Studies Collection. Vol. 2, pp. 10-15, 2012.
[19] Farsi Najat et al., “Clinical Assessment of Mineral Trioxide Aggregates (MTA) as Direct Pulp capping of Young Permanent Teeth,” Journal of Clinical Pediatric Dentistry, vol. 31, no. 2, pp. 72-76, 2006. Crossref, https://doi.org/10.17796/jcpd.31.2.n462281458372u64
[20] Fatou Leye Benoist et al., “Evaluation of Mineral Trioxide Aggregate (MTA) Versus Calcium Hydroxide Cement (Dycal) in the Formation of a Dentine Bridge: A Randomized Controlled Trial,” International Dental Journal, vol. 62, no. 1, pp. 33-39, 2012. Crossref, https://doi.org/10.1111/j.1875-595X.2011.00084.x
[21] X. V. Tran et al., “Effect of a Calcium-Silicate-Based Restorative Cement on Pulp Repair,” Journal of Dental Research, vol. 91, no. 12, pp. 1166-1171, 2012. Crossref, https://doi.org/10.1177/0022034512460833
[22] Amir Shayegan et al., “Biodentine Used as a Pulp-Capping Agent in Primary Pig Teeth,” Pediatric Dentistry Journal, vol. 34, pp. 202E-208E, 2012.
[23] Andiara De Rossi et al., “Comparison of pulpal Responses to Pulpotomy and Pulp Capping with Biodentine and Mineral Trioxide Aggregate in dogs,” Journal of Endodontics, vol. 40, no. 9, pp. 1362-69, 2014. Crossref, https://doi.org/10.1016/j.joen.2014.02.006
[24] Anushka Lalit Jalan, Manjusha M. Warhadpande, and Darshan M. Dakshindas. “A Comparison of Human Dental Pulp Response to Calcium Hydroxide and Biodentine as Direct Pulp-Capping Agents,” Journal of Conservative Dentistry, vol. 20, no. 2, pp. 129, 2017. Crossref, https://doi.org/10.4103/0972-0707.212247
[25] R. Hoseinifar et al., “Histological Evaluation of Human Pulp Response to Direct Pulp Capping with MTA, CEM Cement, and Biodentine,” Journal of Dentistry, vol. 21, No. 3, pp. 117-183, 2020. Crossref, https://doi.org/10.30476/DENTJODS.2019.81796.0