Objective: The efficacy of Biodentine and mineral trioxide aggregate in pulpotomies of cariously exposed vital permanent teeth.
Methodology: A total of 60 patients were selected randomly, and after consent, local anesthesia was administered with 2% lidocaine with adrenaline 1:80,000. After rubber dam isolation and caries excavation, coronal pulp tissue removed and hemostasis achieved. Patients were divided into two groups with 30 in each group; biodentine and mineral trioxide aggregate (MTA). In group I pulpal wound was covered with Biodentine and rest of the cavity was restored with glass ionomer cement (GIC). In group II, 2 mm layer of MTA was placed on pulpal wound and then covered with a soaked cotton pellet and sealed with GIC. All Patients were called after 24 hours and after 7 days to assess postoperative discomfort and for permanent restoration. After 6 weeks patients were assessed for effectiveness of treatment. Any spontaneous or lingering dull pain was interpreted as failure.
Results: Out of 60 patients, 60% were female and 40% male. Mean age of the patients was 30.92±7.301 years. Pain assessment after 24 hours of treatment, was absent in Biodentine group 63% and in MTA group 67%, which is statistically in-significant (p=0.787). Pain after 7 days of treatment for both groups was absent in 83% in Biodentine and 80% in MTA group, which is statistically in-significant (p=0.785). Biodentine was effective in 82% patients and MTA in 76% with no significant difference in both groups (p=0.560).
Conclusion: The Biodentine was more effective as compared to MTA in pulpotomies if cariously exposed vital permanent teeth.
Key words: Biodentine, mineral trioxide, pulpotomy.
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