Assessment of Biodentine as an indirect pulp capping material in young permanent molars

Abstract

Objective Assess Biodentine as an indirect pulp capping material for treatment of young first permanent molars with deep carious lesions and its microleakage (in vitro). Materials and methods Indirect pulp capping was performed on 60 young permanent molars in 30 children aged 6–10 years then were randomly divided into two treatment groups of 30 molars for each group. Group I: The pulp was indirectly capped with Biodentine. Group II: The pulp was indirectly capped with Dycal. At the same appointment, the tooth was restored with Medifil as a semipermanent restoration. Clinical evaluation and standardized periapical radiographs were done after 3, 6 and 9 months. Microleakage test was assessed by dye penetration technique and followed up after 24 h, 1 and 3 months. Results The two groups were clinically successful as Biodentine showed 100% success rate and Dycal showed 92.6%. There was no statistically significant difference (P > 0.05) between the two groups regarding to their clinical performance. While the radiographic examinations showed that Dycal had lower radiographic success rate (85.2%) in comparison to Biodentine (100%). Biodentine showed superior sealing ability than Dycal, with no statistically significant difference in the microleakage between the two tested materials (P > 0.05). Conclusion Biodentine is a promising material as an indirect pulp capping agent and exhibits superior sealing ability than Dycal.