Biodentine as a Pulpotomy Agent in Primary Teeth; A Systematic Review

Abstract

Pulpotomy is a commonly performed procedure in pediatric dentistry to preserve the vitality and function of the dental pulp in cases of deep caries or traumatic injuries. The choice of pulpotomy agent is crucial for successful outcomes. Biodentine, a bioactive dentin substitute, has gained popularity as a potential alternative to conventional pulpotomy agents. This systematic review aims to evaluate the effectiveness of Biodentine as a pulpotomy agent in primary teeth and compare it with other commonly used materials, including ferric sulfate. A comprehensive search was conducted in electronic databases (PubMed, Embase, and Cochrane Library) using relevant keywords and MeSH terms. Out of the initially identified 233 publications, studies published until June 2023 that evaluated the use of Biodentine as a pulpotomy agent in primary teeth were included. The selection process involved screening the titles, abstracts, and full texts of the articles. Data were extracted, and the risk of bias assessment was performed using appropriate tools. The outcomes of interest included clinical success rates, pulpal healing, postoperative pain, and adverse events. The review includes 9 studies that evaluated the use of Biodentine as a pulpotomy agent in primary teeth. Additionally, 3 studies comparing Biodentine and ferric sulfate as pulpotomy agents were identified. The clinical success rates of Biodentine ranged from 85% to 97%, with favorable pulpal healing observed in the majority of cases. Postoperative pain was reported to be minimal, and no major adverse events were recorded. Comparative studies showed comparable or superior outcomes for Biodentine when compared to ferric sulfate. These additional studies provide further insights into the comparison between Biodentine and ferric sulfate as pulpotomy agents in primary teeth, including clinical outcomes, long-term results, and radiographic assessments. Based on the available evidence, Biodentine demonstrates promising ........