Clinical Evaluation of Mineral Trioxide Aggregate and Biodentine As Direct Pulp Capping Agents in Carious Teeth

Overview

Journal J Conserv Dent

Specialty Dentistry

Date 2017 Sep 1

PMID 28855754

Citations 25

Authors

Swaroop Hegde

B Sowmya

Sylvia Mathew

Shilpa H Bhandi

Shruthi Nagaraja

K Dinesh

Affiliations

Soon will be listed here.

Abstract

Background: Root canal treatment has been a routine treatment option for carious exposure of the dental pulp. In the context of minimally invasive dentistry, direct pulp capping (DPC) procedure with a reliable biomaterial may be considered as an alternative provided the pulp status is favorable. Mineral trioxide aggregate (MTA), a bioactive cement with excellent sealing ability and biocompatibility is capable of regenerating relatively damaged pulp and formation of dentin bridge when used as DPC agent. Biodentine is comparatively a new biomaterial claimed to possess properties similar to MTA and is currently explored for vital pulp therapy procedures.

Aim: The aim of the present study was to evaluate the clinical response of pulp-dentin complex after DPC with MTA and biodentine in carious teeth.

Subjects And Methods: Twenty-four permanent molars with carious exposure having no signs and symptoms of irreversible pulpitis were selected and assigned to one of the two groups, Group I - MTA and Group II - biodentine. Patients were recalled at 3 weeks, 3 months, and 6 months for clinical and radiographic evaluation. Fisher's exact test was used along with Chi-square test for statistical analysis.

Results: Over a period of 6 months, MTA and biodentine showed 91.7% and 83.3% success rate, respectively, based on the subjective symptoms, pulp sensibility tests, and radiographic appearance.

Conclusion: MTA and biodentine may be used as DPC agents when the pulpal diagnosis is not more than reversible pulpitis.

Citing Articles

Outcomes of vital pulp therapy using various pulp capping agents.

Yadav R, Jasrasaria N, Tiwari R, Verma U J Conserv Dent Endod. 2025; 28(2):138-143.

PMID: 40046468 PMC: 11878679. DOI: 10.4103/JCDE.JCDE_817_24.

Comparative analysis of Biodentine and Mineral Trioxide Aggregate repair High Plasticity in reinforcing roots with perforation: An in vitro study.

Anija R, Kalita C, Satheesh S, Seal M, Kalita T, Saikia A J Conserv Dent Endod. 2025; 28(1):63-67.

PMID: 39974673 PMC: 11835356. DOI: 10.4103/JCDE.JCDE_711_24.

Treatment Outcomes and Prognostic Factors of Direct Pulp Capping in Permanent Teeth: A Systematic Review and Meta-Analysis.

Prasertsuksom N, Osiri S, Jaruchotiratanasakul N, Ongchavalit L Eur Endod J. 2024; 9(4):295-307.

PMID: 39523694 PMC: 11685521. DOI: 10.14744/eej.2024.93723.

Calcium Silicate-Based Cements in Restorative Dentistry: Vital Pulp Therapy Clinical, Radiographic, and Histological Outcomes on Deciduous and Permanent Dentition-A Systematic Review and Meta-Analysis.

Xavier M, Costa A, Ramos J, Carames J, Marques D, Martins J Materials (Basel). 2024; 17(17).

PMID: 39274654 PMC: 11396151. DOI: 10.3390/ma17174264.

Immunohistochemical study of mixing mineral trioxide aggregate with hyaluronic acid as a pulp-capping agent in dog teeth.

Ahmed M, Saeed M, Hasan N J Conserv Dent Endod. 2024; 27(5):485-490.

PMID: 38939541 PMC: 11205164. DOI: 10.4103/JCDE.JCDE_88_24.

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