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Biodentine pulpotomy several days after pulp exposure: Four case reports
1Department of Conservative Dentistry and Endodontics, Goa Dental College and Hospital, Bambolim, Goa, India.
Journal of Conservative Dentistry : JCD
|February 7, 2015
Summary
Biodentine pulpotomy successfully treated traumatic pulp exposures in mature incisors. This vital pulp therapy demonstrated long-term tooth vitality and absence of periapical issues, offering a promising alternative to root canal treatment.
Area of Science:
- Dentistry
- Endodontics
- Regenerative Endodontics
Background:
- Conventional treatment for pulp exposure involves root canal therapy.
- Traumatic pulp exposure in mature permanent incisors presents a clinical challenge.
Observation:
- Four cases of traumatized maxillary central incisors with pulp exposure were treated.
- Treatment involved Biodentine pulpotomy, capping the exposed pulp with Biodentine.
- Immediate restoration followed the pulpotomy procedure.
Findings:
- Clinical and radiographic assessments were performed at multiple recall intervals up to 18 months.
- No spontaneous pain was reported in any case.
- All treated teeth maintained pulp vitality and showed no periapical radiolucency after 18 months.
Implications:
- Biodentine pulpotomy is a viable treatment option for vital pulp exposure in permanent incisors resulting from trauma.
- This approach may preserve pulp vitality and avoid root canal treatment.
- Further research can explore long-term outcomes and broader applications of Biodentine in pulp therapy.

