A prospective evaluation of Tri-Calcium Silicate as a pulp medicament in primary teeth

Abstract

The continuous research of dental materials resulted in the evolution of bioactive materials over the past three decades from just relatively specialized, highly biocompatible but low strength materials to the currently known products with advanced formulations for expanded clinical uses in restorative dentistry. BiodentineTM was one of those products. It is classified as a calcium silicate based material and is considered to be the newer sister product of MTA which somehow is categorized similarly. The use of BiodentineTM in pediatric dentistry was just vague prior to the initiation of this study. Its similarity to MTA was a motive for us as researchers to investigate its performance as a pulp dressing in primary teeth. Moreover, partial pulpotomy technique in primary molars was revisited using BiodentineTM. The current study was composed of two corresponding, in vivo and in vitro studies. In the in vivo study, a total of twenty seven patients between ages of 4-7 years old were selected from the outpatient clinic of Pediatric Dentistry Department, Faculty of Dentistry, Ain Shams University from which 45 teeth were recruited following the inclusion criteria adopted by the study. Teeth were randomly allocated into four groups and received treatment accordingly.