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Comparative Evaluation of Mineral Trioxide Aggregate, Biodentine, and Calcium Hydroxide for Apical Closure in
1Department of Pediatric Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, SIMATS University, Chennai, Tamil Nadu, India.
Background:
Managing nonvital immature teeth with open apices poses clinical challenges, particularly in achieving predictable apical closure.
Aim:
To compare the efficacy of mineral trioxide aggregate (MTA), Biodentine, and calcium hydroxide in promoting apical closure in nonvital immature anterior teeth.
Materials And Methods:
This randomized controlled trial involved 60 patients aged 8-14 years with nonvital immature maxillary anterior teeth. Participants were divided into three groups: group I-MTA, group II-Biodentine, and group III-calcium hydroxide. Standardized treatment protocols were followed, and radiographic assessments were conducted at baseline, 3 months, 6 months, and 12 months to evaluate apical closure.
Results:
Group I (MTA) and group II (Biodentine) demonstrated significantly faster apical closure than group III (calcium hydroxide) (p < 0.05). Biodentine showed superior outcomes in achieving complete root-end closure within 6 months.
Conclusion:
Biodentine is an effective material for promoting faster apical closure in nonvital immature teeth, followed closely by MTA. Calcium hydroxide required a longer duration to achieve comparable results.
How To Cite This Article:
Sabu A, Ramesh R. Comparative Evaluation of Mineral Trioxide Aggregate, Biodentine, and Calcium Hydroxide for Apical Closure in Nonvital Immature Teeth: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2026;19(5):575-587.