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Related Concept Videos

Veneer01:19

Veneer

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Veneer refers to a thin sheet of wood, typically produced to a thickness of about one-eighth of an inch or less. This material is crafted through various methods, the most common being rotary cutting. In this process, a log is mounted into a large lathe and spun against a knife edge, peeling off a continuous strip of wood as the knife penetrates deeper into the rotating log, creating a rotary-cut veneer.
Other veneering techniques include plain-slicing, quarter-slicing, and rift-slicing. These...
108

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Biodentine as BioRoot Inlay: A Case Report.

Gayatrikumary Thiyagarajan1, M Manoharan1, Mahesh Mathian Veerabadhran1

  • 1Department of Pedodontics and Preventive Dentistry, Vivekananda Dental College for Women, Tiruchengode, Tamil Nadu, India.

International Journal of Clinical Pediatric Dentistry
|July 31, 2023
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Summary

A novel BioRoot inlay technique using Biodentine offers a promising solution for open apex teeth. This method ensures a superior seal and promotes faster periapical healing, presenting a definitive alternative to traditional treatments.

Keywords:
Apical closureBioRoot inlayBiodentineEndodontic treatmentOpen apex

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Area of Science:

  • Endodontics
  • Biomaterials

Background:

  • Endodontic treatment success in open apex teeth relies on establishing an apical barrier.
  • Biodentine, a calcium silicate-based cement, offers advantages over traditional materials like MTA, GIC, and calcium hydroxide.
  • Existing Biodentine delivery methods (orthograde and retrograde) have significant drawbacks, including technique sensitivity, need for multiple radiographs, or surgical intervention.

Observation:

  • A custom-fit prefabricated BioRoot inlay, utilizing Biodentine, was employed to obturate a tooth with an open apex and parallel dentinal walls.
  • The BioRoot inlay provided a passive, three-dimensional seal of the root canal space, promoting apical barrier formation.
  • Biodentine used as a sealer in conjunction with the BioRoot inlay created a monoblock, effectively sealing discrepancies and resulting in periapical bone healing.

Findings:

  • The BioRoot inlay technique with Biodentine demonstrated faster periapical healing compared to conventional methods.
  • This innovative approach achieved a comprehensive three-dimensional obturation and apical seal in a wide-open apex.
  • The technique proved effective for teeth with parallel dentinal walls, promoting root-end induction.

Implications:

  • The Biodentine BioRoot inlay represents a viable and definitive alternative for managing open apices, applicable in both nonsurgical and surgical contexts.
  • This technique overcomes the placement challenges associated with traditional Biodentine applications.
  • It offers a promising minimally invasive option for achieving successful endodontic outcomes in complex cases.