Clinical evaluation of biodentine: Its efficacy in the management of deep dental caries

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dc.contributor.authorKusumvalli, Sen_US
dc.contributor.authorDiwan, Abhinaven_US
dc.contributor.authorPasha, Shirazen_US
dc.contributor.authorDevale, Madhuri Ren_US
dc.contributor.authorChowdhary, Chava Deepaken_US
dc.contributor.authorSaikia, Priyankien_US
dc.date.accessioned2020-01-02T06:46:14Z
dc.date.available2020-01-02T06:46:14Z
dc.date.issued2019-03
dc.description.abstractBackground: The advancement in the dentin regeneration aiming at the preservation of pulpal vitality has challenged the traditional concept of substituting diseased tooth with inert materials. Clinical studies, demonstrating preservation of pulpal vitality with the use of biomimetic materials in deep carious lesions, are lacking in the literature. Objective: This clinical study aims to assess the treatment outcome of vital pulp therapy using Biodentine in cases of deep carious lesion in a single visit treatment protocol. Methodology: Twelve posterior teeth with deep carious lesion with no signs of irreversible pulpitis were selected for the study. After rubber dam application, excavation of caries was performed until all infected dentin was removed leaving behind affected dentine. Biodentine was applied followed by immediate restoration with bonded composite resin. The patient was recalled at time intervals of 1 day, 1 month, 3 months, 6 months and up to 1 year for clinical and radiographic evaluation. Outcome was described in terms of success and failure. Success was defined as clinical absence of signs and symptoms, response to sensibility test on every recall visits, no tooth discoloration seen, and radiographical absence of periapical pathosis. Results: All the 12 patients were recalled at the end of 1 year for follow-up. The overall success rate was 83.4%. Two of the twelve cases required root canal treatment to relieve painful pulpitis. On clinical and radiographic examination, no signs of periapical pathosis were noted in the 10 successful cases. Conclusion: In deep carious lesions, vital pulp therapy with Biodentine has proven to maintain the pulpal vitality in permanent teeth with single visit treatment protocol.en_US
dc.identifier.affiliationsDepartment of Conservative Dentistry and Endodontics, Sri Rajiv Gandhi Dental College of Science and Hospital, Bengaluru, Karnataka, Indiaen_US
dc.identifier.citationKusumvalli S, Diwan Abhinav, Pasha Shiraz, Devale Madhuri R, Chowdhary Chava Deepak, Saikia Priyanki . Clinical evaluation of biodentine: Its efficacy in the management of deep dental caries. Indian Journal of Dental Research. 2019 Mar; 30(2): 191-195en_US
dc.identifier.issn0970-9290
dc.identifier.issn1998-3603
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/192238
dc.languageenen_US
dc.publisherIndian Society for Dental Researchen_US
dc.relation.issuenumber2en_US
dc.relation.volume30en_US
dc.source.urihttps://dx.doi.org/10.4103/ijdr.IJDR_333_17en_US
dc.subjectBiodentineen_US
dc.subjectdeep carious lesionen_US
dc.subjectvital pulp therapyen_US
dc.titleClinical evaluation of biodentine: Its efficacy in the management of deep dental cariesen_US
dc.typeJournal Articleen_US
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