<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Pulp cavity perforation is defined as pathological connection between root canal system and external surface of the tooth. This iatrogenic pulp chamber injury may have serious implications on the success of root canal treatment. The sealing of perforation is crucial for good prognosis of the treated tooth. The ideal material for sealing perforations in the pulp cavity should be characterized by a good adhesion, lack of sensitivity to tissue fluids, volume stability, radiopacity on radiographs and excellent bioactivity and biocompatibility. To date the most well -known bioceramic material to is mineral trioxide aggregate. Due to over thirty years of its application in endodontics, it is called the „gold standard” for perforation repair. Recently, many new bioceramic materials have been developed and introduced to dentistry and endodontics, showing promising clinical results. One of the materials successfully used for pulp chamber floor perforation repair is Biodentine. According to the manufacturers, Biodentine has a much shorter setting time compared to other bioceramic cements, and also has better mechanical properties and is easier to use. The aim of the article is to analyse the available research and compare the properties of those bioceramic materials in a perforation sealing procedure. Based on the analysis of the current literature, it can be concluded that mineral trioxide aggregate is still the most proven and tested material among bioceramic materials, but Biodentine is a good alternative as it is relatively easy to manipulate but also has predictable clinical results.</p>
</abstract>

Pulp cavity perforation is defined as pathological connection between root canal system and external surface of the tooth. This iatrogenic pulp chamber injury may have serious implications on the success of root canal treatment. The sealing of perforation is crucial for good prognosis of the treated tooth. The ideal material for sealing perforations in the pulp cavity should be characterized by a good adhesion, lack of sensitivity to tissue fluids, volume stability, radiopacity on radiographs and excellent bioactivity and biocompatibility. To date the most well -known bioceramic material to is mineral trioxide aggregate. Due to over thirty years of its application in endodontics, it is called the „gold standard” for perforation repair. Recently, many new bioceramic materials have been developed and introduced to dentistry and endodontics, showing promising clinical results. One of the materials successfully used for pulp chamber floor perforation repair is Biodentine. According to the manufacturers, Biodentine has a much shorter setting time compared to other bioceramic cements, and also has better mechanical properties and is easier to use. The aim of the article is to analyse the available research and compare the properties of those bioceramic materials in a perforation sealing procedure. Based on the analysis of the current literature, it can be concluded that mineral trioxide aggregate is still the most proven and tested material among bioceramic materials, but Biodentine is a good alternative as it is relatively easy to manipulate but also has predictable clinical results.

The Use of Mineral Trioxide Aggregate and Biodentine in Furcal Perforations Sealing – A Review Article

Chair of Conservative Dentistry and Endodontics Medical University of Lodz

Journal of Health Study and Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Pulp cavity perforation is defined as pathological connection between root canal system and external surface of the tooth. This iatrogenic pulp chamber injury...

The Use of Mineral Trioxide Aggregate and Biodentine in Furcal Perforations Sealing – A Review Article

Published Online: Jul 15, 2024

Page range: 95 - 110

Received: Nov 17, 2024

Accepted: Jul 02, 2024

DOI: https://doi.org/10.2478/jhsm-2024-0004

Keywords
bioceramic, MTA, Biodentine, pulp chamber, perforation

© 2024 Krystyna Pietrzycka, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

The Use of Mineral Trioxide Aggregate and Biodentine in Furcal Perforations Sealing – A Review Article

Published Online: Jul 15, 2024

Page range: 95 - 110

Received: Nov 17, 2024

Accepted: Jul 02, 2024

DOI: https://doi.org/10.2478/jhsm-2024-0004

Keywordsbioceramic, MTA, Biodentine, pulp chamber, perforation

© 2024 Krystyna Pietrzycka, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
bioceramic, MTA, Biodentine, pulp chamber, perforation