Year : 2020

Volume : Volume 11

Issue : Issue 3

Address for correspondence :
Dr. Kumar Shresth Gami.
drshresthgami@gmail.com

Abstract

Background:  Newer biomaterials like MTA and Biodentine has been introduced, but there is insufficient data regarding the outcome of pulpotomies with these materials in carious exposed young permanent molars. The aim of this analysis was to compare the pulpotomy materials Mineral Trioxide Aggregate (MTA) and Biodentine in carious exposed vital immature mandibular first permanent molars. Materials and methods:  In a split-mouth configuration, eighty immature first mandibular permanent molars with carious exposure were randomly assigned to an MTA or Biodentine category. The pulp stumps were covered with one of the study materials after the coronal pulp were amputated. Then coronal restorations were placed. At the start of the study, blinded clinical and radiographic evaluations were carried out. Following that, assessments at 6, 12, and 18 months were conducted, with distinctions made between and within the two classes. Results:  All outcome indicators for clinical performance showed high success in both classes, with no major statistically significant differences between them. The Biodentine and MTA groups had mean survival times of 18.8 and 20 months, respectively, with 95 per cent confidence intervals of (18.4–19.2) months and (19.0–20.0) months, respectively. Similarly, there were no substantial variations in radiographic performance between the Biodentine and MTA groups, with both groups showing an improvement in root length and apical closure. Conclusions:  In the treatment of curiously exposed vital immature mandibular first permanent molars, both materials were equally effective.

Keywords: Vital Pulpotomy, Biodentine, Mineral Trioxide Aggregate, Immature molars.