Biodentine™ for deep caries management: A unique solution for clinical successes. 

1/3 of your patients* will present with a deep cavity. Your challenge will be to avoid pulp exposure.

Deep caries is defined as “Caries reaching the inner quarter of dentine, but with a zone of hard or firm dentine between the caries and the pulp, which is radiographically detectable when located on an interproximal or occlusal surface.” (1)

Why is the right restorative material key to successful deep caries management?

• To stop the progression of the carious lesion and to preserve pulp vitality by stimulating reparative dentine.
• To increase the distance between the final restoration and the pulp-dentine system and create a barrier effect. (1)

The ideal material has the following qualities:

• Antimicrobial properties to avoid bacterial contamination.
• Sealing ability to ensure a durable hermetic seal.
• Biocompatible, non-cytotoxic materials if pulp exposure.
• High remineralization Sealing ability to ensure a durable hermetic seal. ideally of both affected and infected dentine.
• High compressive strength to mimic natural dentine.

Biodentine™ has the unique qualities you need to ensure clinical success.

• Remineralisation: Promotes remineralization of the dentine. As a bioactive material, Biodentine™ promotes remineralization of dentine through the formation of reactionary dentine and dentinal bridges. When compared to glass ionomer cement, Biodentine™ achieved significantly higher remineralization of caries-affected dentine. (2) Of the two materials, only Biodentine™ was able to induce remineralization of caries-infected dentine, suggesting “an important role in the future of caries management.
• Biocompatible: Non-cytotoxic materials Ensures high cell viability and enhances biological healing. Based on patented ABS Platform technology, Biodentine™ is an ultra-pure material that has no mutagenic, sensitizing or irritant effects and does not induce systemic toxicity.
• Antibacterial Properties: Creates an unfavorable environment for bacterial growth. Biodentine™ has a high alkaline pH and creates an alkaline environment via the production of hydroxyl ions. This inhibits the proliferation of bacteria, reducing the risk of infection, failure and retreatment.
• Sealing Ability: Creates a tight seal and a protective barrier. Biodentine™ uses a resin-free formula that offers exceptional resistance to shrinkage. Its high dimensional stability ensures a long-lasting seal and outstanding protection against microleakage, reducing the risk of secondary caries. (3,4)
• High Compressive Strength: Mimics the natural properties of dentine. The compressive strength and microhardness of Biodentine™ are similar to that of dentine, making it an ideal substitute material.

Biodentine™ makes successful deep caries treatment possible in just one session.

The Bio Bulk-Fill Procedure Biodentine™ can be placed from the pulp to the crown, even in deep cavities.

It allows you to:

• Use just one material to fill the tooth before final restoration.
• Achieve an outstanding hermetic seal with antimicrobial protection.
• Reduce the risk of infection, failure and retreatment.
• Guarantee the long-term success of your restorations.

References

1. European society of endodontology position statement: management of deep caries and the exposed pulp. Duncan, Galler, Tomson, Simon, El-Karim, Kundzina, Krastl , Dammaschke, Fransson, Markvart, Zehnder, Bjørndal. 2019. DOI: 10.1111/iej.13080
2. Glass-ionomer and calcium silicate-based cements interactions with human dentine in health and disease: Two-photon fluorescence microscopy and Raman spectroscopy analysis. Shara Sajini, Amre R. Atmeh, Avijit Banerjee, Frederic Festy, Richard J. Cook, Manoharan Andiappan, Timothy F. Watson. 2022. DOI: 10.1016/j.dental.2022.09.001
3. Effect of different intermediary bases on microleakage of a restorative material in Class II box cavities of primary teeth. Abdelmegid FY, Salama FS, Al-Mutairi WM, Al-Mutairi SK, Baghazal SO. International Journal of Artificial Organs. 2017. DOI: 10.5301/ijao.5000566
4. Effect of Biodentine™ on secondary caries formation: An in vitro study. Özgül BM, Tirali RE, Cehreli SB. American Journal of Dentistry. 2016