Vital Pulp Therapy in Aesthetic Zone-Identifying the Biomaterial That Reduces the Risk of Tooth Discolouration

Calcium silicate-based cements are biocompatible materials for vital pulp therapy. However, they discolour the tooth tissue, which is important for the aesthetics of the anterior teeth. The aim of this study was to investigate the effect of calcium silicate-based cements on tooth discolouration. The study included 70 extracted bovine incisors. The crown of the tooth was cut off from the root, 2 mm below the cement–enamel junction. The pulp tissue was removed via a cervical cut with a barbed broach. The teeth were randomly divided into five experimental, one positive, and one negative control groups. The evaluated materials included Biodentine, Ortho MTA, Retro MTA, MTA Plus, MTA Repair HP, and in the positive group, ProRoot MTA. A VITA Easyshade Compact 5.0 spectrophotometer was used before the application, after 1 week, 1 month, 3 months, and 6 months. The significance levels were set at p < 0.05. All materials significantly changed the teeth colour (p < 0.05). However, Ortho MTA, ProRoot MTA, MTA Plus, and Biodentine (ΔE > 6) caused maximum colour change after 6 months. While the ProRoot MTA, Ortho MTA, and MTA Plus caused grey discolouration, Biodentine darkened the shade of the base colour. Thus, Retro MTA and MTA Repair HP can be safely used in the aesthetic dentition zone. According to these clinical results, the possibility of using Biodentine, due to its lack of gray discoloration, can be considered.

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Coronectomy of a lower third molar in combination with vital pulp therapy

European Journal of Dentistry ◽

10.4103/1305-7456.137660 ◽

2014 ◽

Vol 08 (03) ◽

pp. 416-418 ◽

Cited By ~ 2

Author(s):

Young-Bin Kim ◽

Woo-Hee Joo ◽

Kyung-San Min

Keyword(s):

Case Report ◽

Dental Materials ◽

Inferior Alveolar Nerve ◽

Third Molar ◽

Mineral Trioxide Aggregate ◽

Pulp Tissue ◽

Pulp Therapy ◽

Tertiary Dentin ◽

Vital Pulp Therapy

ABSTRACTCoronectomy is a procedure that intentionally spares the vital root after removal of the crown of the lower third molar to avoid damage to the inferior alveolar nerve. Vital pulp therapy is one option for managing exposed pulp tissue to reduce the risk of pulpal inflammation or necrosis. Among various dental materials, mineral trioxide aggregate (MTA) has been successfully used for vital pulp therapy. Thus, this case report discusses a coronectomy procedure in combination with vital pulp therapy using MTA. This case also attempts to highlight the formation of tertiary dentin, evidence of successful vital pulp therapy.

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Bioceramics in modern endodontics

Эндодонтия Today ◽

10.36377/1683-2981-2021-19-3-166-170 ◽

2021 ◽

Vol 19 (3) ◽

pp. 166-170

Author(s):

A. V. Mitronin ◽

D. A. Ostanina ◽

Yu. A. Mitronin

Keyword(s):

Clinical Practice ◽

Clinical Application ◽

Root Canal ◽

Calcium Silicate ◽

Biological Properties ◽

Review Article ◽

Endodontic Treatment ◽

Pulp Therapy ◽

Vital Pulp Therapy ◽

Physicochemical And Biological Properties

The introduction of modified bioceramic calcium silicate- based materials into clinical practice has changed the standards and strategies of endodontic treatment. The review article highlights modern calcium silicate- based cements that are used in various areas of endodontics, including vital pulp therapy, root canal obturation, management of endodontic complications and pulp regeneration. The classifications of bioceramic materials based on their chemistry and specific use in endodontics are presented. The physicochemical and biological properties of various types of materials, as well as the features of their clinical application, are described.

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Acemannan Used as an Implantable Biomaterial for Vital Pulp Therapy of Immature Permanent Teeth Induced Continued Root Formation

Pharmaceutics ◽

10.3390/pharmaceutics12070644 ◽

2020 ◽

Vol 12 (7) ◽

pp. 644

Author(s):

Tien Thuy Vu ◽

Minh Truong Nguyen ◽

Polkit Sangvanich ◽

Quang Ngoc Nguyen ◽

Pasutha Thunyakitpisal

Keyword(s):

Root Formation ◽

Treatment Success ◽

Permanent Teeth ◽

Pulp Tissue ◽

Pulp Therapy ◽

Exposure Site ◽

Vital Pulp Therapy ◽

Significant Difference ◽

Pulp Exposure

Direct pulp-capping, a vital pulp therapy, is used to protect and preserve pulp vitality by applying a biomaterial on the pulp exposure site. Acemannan, a polysaccharide extracted from Aloe vera, induces osteodentin-bridge formation to cover the exposure site in vivo. We evaluated the effect of acemannan sponges on partial pulpotomized permanent teeth with caries or accident-induced pulp exposure (n = 50). After removing infected dentin and inflamed pulp tissue, the teeth were randomly divided into acemannan or control (mineral trioxide aggregate (MTA) groups (n = 25). The teeth were examined immediately after treatment (baseline) and at 6- and 12-month follow-ups for clinical and cone beam computed tomography (CBCT) examination. The three-dimensional tooth length and root apex area were simulated to determine treatment success. We found that the overall success rate in the acemannan and MTA groups from baseline to 12-month follow-up was 90.91% and 95.65%, respectively, with no significant difference between the two groups (p > 0.05). In the success teeth in both groups, the root length increased, and the apex area significantly decreased (p < 0.05), indicating continued root formation. Our results suggest that acemannan is a promising low-cost biomaterial for partial pulpotomy treatment for immature permanent teeth requiring vital pulp therapy.

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Biodentine Total Pulpotomy as an Effective Alternative to Conventional Endodontic Therapy for Young Permanent Teeth – A Study from Calicut, India

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/332 ◽

2021 ◽

Vol 10 (21) ◽

pp. 1593-1597

Author(s):

Amith Adyanthaya ◽

Prathyusha P ◽

Risana K ◽

Aparna Sivaraman ◽

Nazreen Ayub K ◽

...

Keyword(s):

Treatment Options ◽

Clinical Signs ◽

Effective Alternative ◽

Permanent Teeth ◽

Pulp Tissue ◽

Term Survival ◽

Pulp Therapy ◽

Vital Pulp Therapy ◽

Permanent Molars

BACKGROUND The vitality of dental pulp is essential for long-term survival of the tooth. Vital pulp therapy (VPT) intends to maintain healthy pulp tissue by eliminating bacteria from the dentin-pulp complex. There are many treatment options for vital pulp therapy in extensively decayed teeth. Pulp capping or pulpotomy procedures rely upon an accurate assessment of the pulp status, and careful management of the remaining pulp tissue. We wanted to evaluate as to whether biodentine total pulpotomy is an effective alternative to conventional endodontic therapy for young permanent teeth. METHODS Full coronal pulpotomy was performed in young permanent molars diagnosed with acute irreversible pulpitis with Biodentine as the pulpotomy medicament. Follow up evaluation was done clinically and radiographically at 3, 6 and 12 months. RESULTS During follow-up periods clinical signs/symptoms were absent including pulpal pain, swelling or presence of sinus and percussion pain. Continuous root development and healing of periapical radiolucency were noticed in the study which were indicative of maintenance of vitality of the pulp. CONCLUSIONS Within the limitations of this clinical study, it is concluded that total pulpotomy with Biodentine has a promising scope in regenerative approaches in the treatment of carious young permanent teeth. KEY WORDS Biodentine, Coronal Pulpotomy, Permanent Teeth, Total Pulpotomy

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LECZENIE BIOLOGICZNE MIAZGI ZĘBÓW STAŁYCH

Pomeranian Journal of Life Sciences ◽

10.21164/pomjlifesci.38 ◽

2016 ◽

Vol 60 (2) ◽

Author(s):

Piotr Makowiecki ◽

Matylda Trusewicz ◽

Łukasz Tyszler ◽

Jadwiga Buczkowska-Radlińska

Keyword(s):

Treatment Option ◽

Dental Pulp ◽

Permanent Teeth ◽

Accurate Assessment ◽

Tissue Destruction ◽

Pulp Tissue ◽

Pulp Therapy ◽

Vital Pulp Therapy ◽

Tooth Survival ◽

Tooth Tissue

The vitality of dental pulp is essential for long‍‑term tooth survival. The aim of vital pulp therapy is to preserve vital, healthy pulp tissue. This therapy’s foundation is the elimination of bacteria from the dentin‍‑pulp complex. The treatment option depends on the cause and extent of mineralised tooth tissue destruction. The outcome of such treatment is determined by accurate assessment of the pulp’s status and the dentist’s ability to predict the success of the therapy. The aim of this review is to facilitate the dentist in making a proper decision referring to vital pulp therapy in permanent teeth, and to provide an overview of new approaches in such treatment.

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Vital Pulp Therapy—Current Progress of Dental Pulp Regeneration and Revascularization

International Journal of Dentistry ◽

10.1155/2010/856087 ◽

2010 ◽

Vol 2010 ◽

pp. 1-9 ◽

Cited By ~ 45

Author(s):

Weibo Zhang ◽

Pamela C. Yelick

Keyword(s):

Stem Cells ◽

Dental Pulp ◽

The Body ◽

Void Space ◽

Synthetic Material ◽

Pulp Tissue ◽

Pulp Regeneration ◽

Pulp Therapy ◽

Vital Pulp Therapy ◽

Review Current

Pulp vitality is extremely important for the tooth viability, since it provides nutrition and acts as biosensor to detect pathogenic stimuli. In the dental clinic, most dental pulp infections are irreversible due to its anatomical position and organization. It is difficult for the body to eliminate the infection, which subsequently persists and worsens. The widely used strategy currently in the clinic is to partly or fully remove the contaminated pulp tissue, and fill and seal the void space with synthetic material. Over time, the pulpless tooth, now lacking proper blood supply and nervous system, becomes more vulnerable to injury. Recently, potential for successful pulp regeneration and revascularization therapies is increasing due to accumulated knowledge of stem cells, especially dental pulp stem cells. This paper will review current progress and feasible strategies for dental pulp regeneration and revascularization.

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