Comparative Clinical Evaluation of Full Pulpotomy Using Mineral Trioxide Aggregate and Biodentine in Cariously Exposed Mature Permanent Mandibular Molars with Irreversible Pulpitis – A Novel Approach

A BSTRACT Introduction: Vital pulp in teeth increases the survival rate of teeth. Hence, the vitality of teeth should be preserved for longevity. There have been conflicting opinions about complete pulpotomy in permanent teeth having a mature apex with irreversible inflammatory changes in the pulp. In such cases, with the proper case selection, the vital pulp therapy can be a treatment of choice. It has a favorable outcome due to adequate pulpal blood supply and the healing potential of pulp tissue. In the present study, mineral trioxide aggregate (MTA) and Biodentine were used to treat mandibular molars with irreversible pulpitis. Aim: The aim of this in vivo study was to compare the clinical outcome of full pulpotomy using (MTA Angelus ® , Brazil) and Biodentine (Septodont, France) in cariously exposed mature permanent mandibular molars. Methods: Twenty-two patients were identified and selected as per the inclusion criteria. They were divided into two study groups as follows: Group I – Full pulpotomy using MTA ( n = 11) and Group II – Full pulpotomy using Biodentine ( n = 11). Results: At 24 h, 54.5% and 63.6% of success in treatment were achieved in the case of pulpotomy with MTA and Biodentine, respectively. There was no statistically significant difference in the success of treatment with MTA and Biodentine at 24 h, 1, and 3 months. Conclusion: Both materials, MTA and Biodentine, can be used in full pulpotomy procedures for successful treatment in mature teeth having irreversible pulpitis.