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European Archives of Paediatric Dentistry

, Volume 16, Issue 6, pp 491–496 | Cite as

Pulp management after traumatic injuries with a tricalcium silicate-based cement (Biodentine™): a report of two cases, up to 48 months follow-up

  • L. MartensEmail author
  • S. Rajasekharan
  • R. Cauwels
Case Report

Abstract

Background

Apexogenesis after traumatic exposure in vital young permanent teeth can be accomplished by implementing the appropriate vital pulp therapy such as pulp capping (direct or indirect) or pulpotomy (partial or complete) depending on the time between the trauma and treatment of the patient, degree of root development, and size of the pulp exposure.

Case report

Two children with respectively 2 and 1 complicated enamel dentine fractures in immature permanent incisors were treated with new tricalcium silicate cement (Biodentine™). The treatment plan in these cases was to maintain pulp vitality aiming for apexogenesis which allows continued root development along the entire root length. Endodontic management included partial pulpotomy or pulpotomy using Biodentine™. Clinical and radiographical evaluation (up to 48 months) showed continual apexogenesis with no periodontal or periapical pathology. The appropriate restorations were functionally acceptable and aesthetically satisfying. The three traumatised teeth showed complete success both clinically (vitality and aesthetic outcome) as well as radiographically (apexogenesis and absence of pathological findings) after up to 48 months follow-up.

Conclusion

Biodentine™ is a suitable alternative to MTA for vital pulpotomy in traumatised permanent incisors. It is also beneficial as a temporary filling without any risk of discolouration.

Keywords

Dental trauma Immature teeth Pulp therapy Biodentine™ 

References

  1. American Academy on Pediatric Dentistry Clinical Affairs Committee-Pulp Therapy s, American Academy on Pediatric Dentistry Council on Clinical Affairs. Guideline on pulp therapy for primary and young permanent teeth. Pediatr Dent. 2008;30(7 Suppl):170–4.Google Scholar
  2. Bucher K, Neumann C, Thiering E, Hickel R, Kuhnisch J. Complications and survival rates of teeth after dental trauma over a 5-year period. Clin Oral Invest. 2013;17(5):1311–8. doi: 10.1007/s00784-012-0817-y.CrossRefGoogle Scholar
  3. De Blanco LP. Treatment of crown fractures with pulp exposure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82(5):564–8.CrossRefPubMedGoogle Scholar
  4. Fong CD, Davis MJ. Partial pulpotomy for immature permanent teeth, its present and future. Pediatr Dent. 2002;24(1):29–32.PubMedGoogle Scholar
  5. Gandolfi MG, Siboni F, Polimeni A et al. In vitro screening of the apatite-forming ability, biointeractivity and physical properties of a tricalcium silicate material for endodontics and restorative dentistry. Dent J. 2013;1:41–60. doi: 10.3390/dj1040041.CrossRefGoogle Scholar
  6. Karabucak B, Li D, Lim J, Iqbal M. Vital pulp therapy with mineral trioxide aggregate. Dent Traumatol. 2005;21(4):240–3. doi: 10.1111/j.1600-9657.2005.00306.x.CrossRefPubMedGoogle Scholar
  7. Koubi G, Colon P, Franquin JC et al. Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth—a prospective study. Clin Oral Investig. 2013;17(1):243–9. doi: 10.1007/s00784-012-0701-9.PubMedCentralCrossRefPubMedGoogle Scholar
  8. Nowicka A, Lipski M, Parafiniuk M et al. Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod. 2013;39(6):743–7. doi: 10.1016/j.joen.2013.01.005.CrossRefPubMedGoogle Scholar
  9. Ojeda-Gutierrez F, Martinez-Marquez B, Arteaga-Larios S, Ruiz-Rodriguez MS, Pozos-Guillen A. Management and followup of complicated crown fractures in young patients treated with partial pulpotomy. Case Rep Dent. 2013;2013:597563. doi: 10.1155/2013/597563.PubMedCentralPubMedGoogle Scholar
  10. Rajasekharan S, Martens LC, Cauwels RG, Verbeeck RM. Biodentine material characteristics and clinical applications: a review of the literature. Eur Arch Paediatr Dent. 2014;15(3):147–58. doi: 10.1007/s40368-014-0114-3.CrossRefPubMedGoogle Scholar
  11. Shabahang S. Treatment options: apexogenesis and apexification. Pediatr Dent. 2013;35(2):125–8.PubMedGoogle Scholar
  12. Valles M, Mercade M, Duran-Sindreu F, Bourdelande JL, Roig M. Influence of light and oxygen on the color stability of five calcium silicate-based materials. J Endod. 2013;39(4):525–8. doi: 10.1016/j.joen.2012.12.021.CrossRefPubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2015

Authors and Affiliations

  1. 1.Department of Paediatric Dentistry and Special Care, Paecomedis Research ClusterGhent UniversityGhentBelgium

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