Author : Dental Product Shopper
Published Date 08/21/2013
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? Has a wide range of endodontic and restorative applications.
? Fits the ?save the tooth? philosophy.

I have found many uses for Septodont?s BIODENTINE in a range of restorative and endodontic cases. Interestingly, I discovered it by chance.

Worked from the Start

In March 2010, I received a sample of a dentin substitute material for premarket testing and evaluation. It arrived late morning, and that afternoon I had a patient come in with seriously deep caries and an exposed nerve?a perfect opportunity to try this material. It worked beautifully, and I used the sample consistently, and successfully, for pulp capping and maintaining vitality in similar cases. Then I ran out. Although the material wasn?t on the market yet, I was able to obtain more from Septodont until BIODENTINE was officially launched about a year later.

Great Properties

BIODENTINE is a bioactive and biocompatible dentin substitute formulated with active biosilicate technology. It has mechanical properties and behavior very similar to that of natural dentin? Septodont has dubbed it ?dentin in a capsule? and that?s not hyperbole. The bioactive component stimulates pulp cells to rapidly build thick dentin bridges and to promote pulp healing. I use BIODENTINE both in the crown (for deep carious lesions, pulp capping, permanent dentin restoration) and in the root (for apexification, perforations, internal and external resorptions, and more).

Among my favorite benefits of BIODENTINE is its excellent seal; it anchors micromechanically without surface preparation.

Chairside Pluses

I have had a perfect track record when using BIODENTINE for asymptomatic cases?no history of pain, normal percussion, and no sensitivity to cold?with carious pulpal exposure.

For endodontic applications, mineral trioxide aggregate (MTA) has been available since 1992. MTA and BIODENTINE have similar chemical formulations: tricalcium silicate with high pH. BIODENTINE could be described as ?engineered? MTA. BIODENTINE is easier to use, faster setting, less expensive, and more versatile. MTA does not have the physical properties to be used as a base (only a liner). And with BIODENTINE, I can fill the entire preparation and cover the area without the added difficulty of placing it in a specific location.

I am currently using BIODENTINE differently than I did initially. My basic sandwich technique involves filling half of a preparation with BIODENTINE, then filling the rest with glass ionomer. The 2 materials bond together exceptionally well. With more than 3 years and 200 cases under my belt, I now confidently place crowns on treated teeth within a month, knowing that vitality will be maintained with BIODENTINE. With that first case, I waited 8 months, because I didn?t believe it worked. I have never had to go back in after crown placement. My only failures have been caused by lack of patient compliance by not returning for a final restoration.

BIODENTINE helps preserve pulp, and prevent postoperative sensitivity and clinical failures. I couldn?t imagine practicing the dentistry I do without BIODENTINE and would recommend it unquestioningly to my colleagues.