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Calcium Silicate-Based Cement (Biodentine™) as a Bioactive Material for the Long-Term Preservation of Pulp Vitality in Restorative Dentistry and Prosthodontics

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Abstract

Preservation of pulp vitality in cases of deep carious lesions or pulp exposure after mechanical trauma is a critical factor determining the prognosis of teeth after restorative treatment. Although Biodentine has demonstrated a successful outcome when used for direct or indirect pulp capping (DPC/IPC), data on its potential application as a core buildup material underneath prosthetic restorations are completely lacking.

In this chapter, a literature survey of the electronic database on clinical studies on humans published between 2015 and 2020 is presented. Biodentine use in IPC was reported in four studies, with 80% of treated teeth maintaining their vitality after 12 months. Its application in DPC was reported in nine studies and showed 86% success after 3 years.

This chapter highlights the factors providing evidence for the application of Biodentine as core buildup material which include its enhanced mechanical and handling properties, good sealing ability, and development of a firm bond with the underlying dentin substrate. It is highly indicated for teeth of younger patients with mild symptoms of reversible pulpitis following a strict IPC or DPC aseptic protocol.

Clinical cases demonstrating successful application of Biodentine in deep carious lesions in abutment teeth covered with indirect restorations or full-coverage crowns are also presented.

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Authors and Affiliations

  1. Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki (AUTh), Thessaloniki, Greece

    Athina Bakopoulou

  2. Department of Paediatric Dentistry, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece

    Anna Koutrouli

  3. Aix Marseille University, CNRS, ISM, Institute of Movement Science, Marseille, France

    Imad About

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  1. Athina Bakopoulou
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  2. Anna Koutrouli
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  3. Imad About
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Correspondence to Athina Bakopoulou .

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

    Imad About

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Bakopoulou, A., Koutrouli, A., About, I. (2022). Calcium Silicate-Based Cement (Biodentine™) as a Bioactive Material for the Long-Term Preservation of Pulp Vitality in Restorative Dentistry and Prosthodontics. In: About, I. (eds) Biodentine™. Springer, Cham. https://doi.org/10.1007/978-3-030-80932-4_9

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  • DOI: https://doi.org/10.1007/978-3-030-80932-4_9

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