Bioactive material as an alternative in pulpotomies in primary teeth.

Abstract

Introduction: Biodentine is a bioceramic and bioactive compound based on calcium silicate that has been presented as a substitute for dentin, given its physicochemical characteristics, biocompatibility and ease of handling, it has a wide range of applications for pulp therapy treatments, as well as in pediatric dentistry. Composed of a powder portion including tricalcium silicate, zirconium oxide, calcium oxide, calcium carbonate, and iron oxide; and a liquid portion that includes calcium chloride, polycarboxylate, and purified water. The objective is to know the characteristics of Biodentine and its application in pediatric patients. Case Report: A 5-year-old male presented for consultation due to aesthetic rehabilitation of the anterior sector. Clinically, dental organs 51, 52, 61 and 62 were observed with coronary destruction and carious lesions (ICDAS 5). It was decided to perform pulpotomies, using a technique that allows the preservation of the root pulp, hemorrhage is inhibited, Biodentine is applied and aesthetic restoration with celluloid and gyomer sheath is applied. He remains under radiographic control. Conclusions: The main properties of the material such as better handling, fast setting time, higher compressive strength, increased density, decreased porosity and early synthesis of reparative dentin, can be considered a promising drug for the treatment of pulpotomies in primary dentition.