Preserving tooth vitality using Biodentine
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treatment
Indications
Artificial dentin in dentistry is necessary to preserve children's teeth in the most natural form. This also applies to milk units, which, despite their fragility, must be treated. After all, an infection can easily penetrate into the buds of permanent teeth, complicating their growth with the appearance of destructive diseases.
In addition, premature loss of baby teeth due to untreated pathologies can lead to the formation of malocclusion in a child.
After replacing temporary units with permanent ones, the formation of their roots continues, which lasts 2-3 years. During this period, the most important condition for the success of the process is the viability or vitality of the pulp. The internal soft tissues of the tooth are the source of dentin formation, and when they are damaged or lost, the physiological processes of root formation and hardening of the enamel are disrupted. As a result, this can lead to tooth loss. That is why the use of a biological method of treating pulpitis in children and adolescents is aimed at keeping the pulp “alive.”
Biodentine in dentistry for children is indicated if:
- Pulpitis, periodontitis of milk teeth
- Inflammation of the internal soft tissues of permanent dental units
- Deep caries
Treatment allows you to eliminate the pathological focus, relieve pain, and restore the shape and function of the tooth. Stopping inflammatory processes in the pulp creates conditions for the prevention of periodontitis and proper formation of the tooth root.
How is the treatment carried out?
Direct dental pulp coating
The technique involves sealing the exposed area of the vital pulp with dental material. This allows you to create conditions for the formation of secondary dentin and maintain the viability of soft tissues. Therapeutic manipulations are performed in several stages:
- Anesthesia
- Applying a rubber dam to isolate the surgical area and visually assess the clinical condition of the exposed soft tissue
- Cleaning the pathological cavity with an antiseptic or isotonic solution
- Drying with sterile swabs. The presence of spontaneous hemostasis within 3-5 minutes is also a sign of reversible pulpitis
- Applying biodentine to exposed areas of the pulp, as well as to the walls of the carious cavity. Hardening time of the composition – 12 minutes
- Final restoration of the external shape of the tooth using composite materials
After 2-3 months, control diagnostics are carried out. If the dentinal bridge is visualized on the x-ray and there are no signs of pulp inflammation, then the treatment is considered successful.
Correction by this biological method is contraindicated in the case of total destruction of the roots, decompensated carious lesions, or a low level of nonspecific resistance in the child. If there is no hemostasis within a set time, the pulp is amputated to the level where the expected reaction is adequate.
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What is biodentine?
This is a new generation of dental cement, which, due to its unique properties, is called “ideal” artificial dentin. A composite composition based on calcium silicate is able to completely replace damaged tissues in the crown and root parts of the tooth, fully restoring their lost functions.
From the point of view of dentists, biodentine is an impeccable material, among the properties of which are:
The unique qualities of the material create optimal conditions for maintaining pulp viability. Unlike calcium hydroxide, biodentine does not dissolve over time and does not change color compared to MTA preparations.
The innovative composition is widely used in the practice of treating primary and permanent teeth in children and adolescents. The material provides a reduction in sensitivity after manipulation and long-lasting restoration results.