Efectividad de biodentine en pulpotomías de molares primarios.

Abstract

Vital pulp therapy is intended to preserve the pulp vitality of young primary or permanent teeth with immature roots affected by caries and no evidence of root pathology. One of the possible therapies is pulpotomy and bioinductive and regenerative materials are usually used, such as mineral trioxide aggregate and Biodentine. The objective was to determine the effectiveness of Biodentine in pulpotomies of primary molars. A systematic review was carried out in which 20 articles published from 2016 onwards were included, with clinical trials being the most representative design. Biodentine is an effective material for pulpotomies in primary molars, superior to materials such as calcium hydroxide and formocresol, and very similar to the effectiveness of MTA, which would be the other material of choice for vital pulp therapy in primary molars. Its advantages include its short setting time, its micromechanical anchorage, its high resistance to compression, in addition to preserving the pulp and promoting healing. The protocol includes absolute isolation of the tooth with a rubber dam, removal of infected dentin, access to the pulp chamber, and cleaning of the pulp. In case of bleeding, hemostasis must be achieved before applying Biodentine. This is prepared and placed directly in the pulp chamber, ensuring good adaptation to the walls of the cavity and margins. A week later the cavity can be prepared for the definitive restoration.