title: Pulp management after traumatic injuries with a tricalcium silicate-based cement (Biodentine™): a report of two cases, up to 48 months follow-up.
abstract: BACKGROUND
  Apexogenesis after traumatic exposure in vital young permanent teeth can be accomplished by implementing the appropriate vital pulp therapy such as pulp capping (direct or indirect) or pulpotomy (partial or complete) depending on the time between the trauma and treatment of the patient, degree of root development, and size of the pulp exposure.
  
  
  METHODS
  Two children with respectively 2 and 1 complicated enamel dentine fractures in immature permanent incisors were treated with new tricalcium silicate cement (Biodentine™). The treatment plan in these cases was to maintain pulp vitality aiming for apexogenesis which allows continued root development along the entire root length. Endodontic management included partial pulpotomy or pulpotomy using Biodentine™. Clinical and radiographical evaluation (up to 48 months) showed continual apexogenesis with no periodontal or periapical pathology. The appropriate restorations were functionally acceptable and aesthetically satisfying. The three traumatised teeth showed complete success both clinically (vitality and aesthetic outcome) as well as radiographically (apexogenesis and absence of pathological findings) after up to 48 months follow-up.
  
  
  CONCLUSIONS
  Biodentine™ is a suitable alternative to MTA for vital pulpotomy in traumatised permanent incisors. It is also beneficial as a temporary filling without any risk of discolouration.
authors.affiliation: Department of Paediatric Dentistry and Special Care, Paecomedis Research Cluster, Ghent University, UZ Ghent, 1P8, De Pintelaan 185, 9000, Ghent, Belgium. luc.martens@ugent.be.
authors.forename: L
authors.initials: L
authors.lastname: Martens
authors.affiliation: Department of Paediatric Dentistry and Special Care, Paecomedis Research Cluster, Ghent University, UZ Ghent, 1P8, De Pintelaan 185, 9000, Ghent, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Rajasekharan
authors.affiliation: Department of Paediatric Dentistry and Special Care, Paecomedis Research Cluster, Ghent University, UZ Ghent, 1P8, De Pintelaan 185, 9000, Ghent, Belgium.
authors.forename: R
authors.initials: R
authors.lastname: Cauwels
mesh_terms: D056624:Apexification / Q000379:methods; D017610:Calcium Compounds / Q000627:therapeutic use*; D002648:Child; D003188:Composite Resins / Q000737:chemistry; D003743:Dental Enamel / Q000293:injuries; D003764:Dental Materials / Q000737:chemistry; D003782:Dental Pulp / Q000293:injuries / Q000502:physiology; D003789:Dental Pulp Exposure / Q000628:therapy; D003793:Dental Restoration, Permanent / Q000379:methods; D003804:Dentin / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D057872:Pulp Capping and Pulpectomy Agents / Q000627:therapeutic use*; D011672:Pulpotomy / Q000379:methods*; D017640:Silicates / Q000627:therapeutic use*; D014082:Tooth Fractures / Q000628:therapy*; D014092:Tooth Root / Q000254:growth & development; D016896:Treatment Outcome
chemical_list: D017610:Calcium Compounds; D003188:Composite Resins; D003764:Dental Materials; D057872:Pulp Capping and Pulpectomy Agents; D017640:Silicates; C506393:tricalcium silicate
keywords: Biodentine™; Dental trauma; Immature teeth; Pulp therapy