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BiodentineTM Applications in Irreversible Pulpitis Management in Children and Adults

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Biodentine™

Abstract

Vital pulp therapy (VPT) in permanent teeth with carious pulp exposure and symptoms of irreversible pulpitis has been a matter of debate, with root canal therapy being the conventional standard of care. Previously reported negative outcomes for VPT in these teeth were based on data from studies that have used calcium hydroxide (CH) in direct pulp capping and partial and full pulpotomy. The introduction of calcium silicate-based materials with bioactivity and biomineralization potential has opened a new era in VPT with more favorable outcomes. Biodentine is a calcium silicate cement that has several advantages including good sealing ability, adequate compressive strength, a relatively short initial setting time, promotion of hard tissue formation, higher level of calcium ion release, and better color stability. Biodentine demonstrated higher success rate or at least equal success rates to MTA in all VPT procedures; added to this are the advantages of easy handling, fast set, and low discoloration potential. Understanding of the histopathology and histobacteriology of the exposed pulp in teeth with clinical symptoms of irreversible pulpitis and the healing potential of the inflamed pulp forms the basis for the decision-making process toward a biologically based minimally invasive management of these teeth. This conservative treatment will have the advantages of maintaining the vitality of the remaining portion of the dental pulp and maintaining proprioception, and will probably reduce fracture susceptibility. Case selection, strict aseptic condition, capping material, and good coronal seal are crucial for its long-term success.

In this chapter, the authors aim to review the pulp status in teeth with carious exposures and clinical symptoms of irreversible pulpitis and the clinical management of these teeth from case selection to materials with particular focus on Biodentine, in addition to clinical procedures and outcome in both children and adults.

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Authors and Affiliations

  1. Department of Conservative Dentistry, Jordan University of Science and Technology, Irbid, Jordan

    Nessrin Taha

  2. Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand

    Papimon Chompu-inwai

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  1. Nessrin Taha
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  1. Aix Marseille University, CNRS, ISM, Institute of Movement Science, Marseille, France

    Imad About

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Taha, N., Chompu-inwai, P. (2022). BiodentineTM Applications in Irreversible Pulpitis Management in Children and Adults. In: About, I. (eds) Biodentine™. Springer, Cham. https://doi.org/10.1007/978-3-030-80932-4_8

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