Biodentine as an Apical Barrier in Young Teeth

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Introduction

In the realm of endodontics, the quest for materials that provide effective sealing and promote healing is ongoing. Biodentin, a bioactive dentin substitute, has emerged as a promising candidate for use as an apical barrier in young permanent teeth. This article explores the efficacy and advantages of Biodentin in this critical dental application.



What is Biodentin?

Biodentin is a calcium silicate-based material designed to mimic the properties of natural dentin. It is known for its excellent biocompatibility, bioactivity, and ability to induce dentin regeneration. These properties make it an ideal choice for various dental procedures, including root perforations, apexification, and as a dentin substitute under restorations.

The Need for Apical Barriers in Young Teeth

Young permanent teeth, particularly those with incomplete root formation, are susceptible to pulp necrosis and infection. In such cases, creating an effective apical barrier is crucial to prevent bacterial infiltration and promote healing. Traditional materials like Mineral Trioxide Aggregate (MTA) have been widely used, but Biodentin offers several advantages that make it a superior alternative.

 Advantages of Biodentin

Biocompatibility: Biodentin is highly biocompatible, reducing the risk of adverse reactions and promoting tissue healing.

Bioactivity: It stimulates the formation of dentin bridges and supports the regeneration of dental tissues.

Sealing Ability: Biodentin provides an excellent seal, preventing microleakage and bacterial penetration.

Handling Properties: It has favorable handling characteristics, allowing for easy placement and adaptation within the root canal system.

Setting Time: Biodentin sets relatively quickly, reducing the treatment time and improving patient comfort.

Research and Findings

·       Recent studies have demonstrated the effectiveness of Biodentin as an apical barrier in simulated young permanent teeth.

·       Research comparing Biodentin to MTA has shown that Biodentin provides a comparable, if not superior, seal against bacterial leakage. Additionally, its bioactive properties contribute to the regeneration of periapical tissues, further supporting its use in endodontic treatments.

 

Clinical Implications

·       The use of Biodentin as an apical barrier in young teeth has significant clinical implications. Its ability to provide a reliable seal and promote healing makes it an excellent choice for apexification procedures.

·       Dentists can leverage its properties to enhance treatment outcomes, reduce the risk of reinfection, and support the long-term health of young patients’ teeth.

 

Conclusion

Biodentin stands out as a highly effective material for use as an apical barrier in young permanent teeth. Its biocompatibility, bioactivity, and superior sealing ability make it a valuable tool in the arsenal of endodontic materials. As research continues to validate its benefits, Biodentin is poised to become a standard in dental practice for treating young patients with incomplete root formation.

 

References https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060927/


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