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Biodentine

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24<br />

❺ Evidence<br />

based bioactivity<br />

Two in vitro tests and two tests in animals were performed in order to demonstrate the<br />

bioactivity of <strong>Biodentine</strong> in clinical situations.<br />

5.1 - In vitro test of direct pulp capping on human<br />

extracted teeth<br />

Human teeth were extracted in order to make exposed pulp cavities which were then<br />

filled with <strong>Biodentine</strong> (About, 2007). The teeth (n = 15) were cultured for 24 hours<br />

(n = 5), 14 days (n = 5) and 28 days (n = 5) in order to determine the bioactivity of<br />

<strong>Biodentine</strong> (Fig 9).<br />

A<br />

B C<br />

Figure 9. Exposed pulp cavities (A) obturated with <strong>Biodentine</strong> (B) and cultured (C).<br />

At the end of the culture and after demineralisation, histological sections were done. The<br />

results showed good preservation of the pulp up to 28 days. Near the capped area, a<br />

change in the pulp tissue was reported, with the neo-formation of reparatory dentine<br />

comparable to that observed with MTA (Fig 10). This corresponds to the first signs of<br />

the formation of a dentine bridge.<br />

Figure 10. Observations after 28 days.<br />

To conclude, <strong>Biodentine</strong> is able to stimulate initiation and development of mineralization.

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