DENTAL NEWS & PEOPLE POSTED: 21 DECEMBER 2010

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Biodentine - The next big thing in dentistry AUTHOR: SEPTODONT

In September 2010, Septodont announced the addition of a breakthrough new product to

its portfolio: Biodentine. Like all Septodont products, research and scientific development

is paramount. Biodentine underwent extensive research on 300 patients over five years,

with 22 independent papers products by September 2010.

Preoperative X-ray: Proximal caries on the upper premolar

Deep cavity in the distal surface

Placement of Biodentine in the distal cavity

Biodentine is reworked and kept as a dentine substitute. Mesial cavity is prepared

Final restoration is done using N’Durance Dimer Flow as a base

Clinical view of the final restoration

Biodentine is a novel new material that Septodont claim is set to revolutionise the world of

dentistry. Biodentine is the first all-in-one bioactive and biocompatible dentine substitute,

based on unique Active Biosilicate Technology™, and designed to treat damaged dentine

both for restorative and endodontic indications.

Highly biocompatible, thanks to its tricalcium silicate core, Biodentine eliminates the risk of

adverse tissue response. It also helps preserve pulp vitality by promoting reactionary

dentine genesis and has, claim Septodont, outstanding sealing properties to reduce the

risk of clinical failures through bacterial percolation, thus ensuring the absence of

postoperative sensitivity.

“

Fact file:

Bioactive dentine substitute benefits:

Preservation of pulp vitality

Prevention of clinical failures

Ultimate dentine substitute

Available in box of 15 capsules

15 single-dose containers

Biodentine needs no surface conditioning or bonding and sets quickly, making it simple and

easy to use for the busy clinician.

What the experts think

Endodontist Dr Julian Webber describes it as ‘the perfect root canal repair material’. He

said: ‘Sophisticated biosilicate technology and 100% biocompatibility makes Biodentine the

perfect root canal repair material. With its improved handling ability and quick setting

time, it offers considerable advantages over other similar materials. I cannot recommend it

more highly.’

Professor Callum Youngson added: ‘Biodentine finally provides us with a material that

closely resembles lost dentine and has the potential to promote, rather than just allow,

healing of the pulpitic tooth. Biodentine is also compatible with the final composite

restoration, making it an important addition to the clinician’s armamentarium.’ Basingstoke

GDP Stephen Barlin has been using Biodentine for the last three months.

Q&A

Q In what situations have you used Biodentine?

A I have used Biotentine to restore deep class v cavities, gross root caries, restore

endodontic access cavities, and restorations where the pulp is likely to have been exposed.

Q How is Biodentine different or better than precious products and why?

A Biodentine’s most useful property is the biocompatibility. It works well when placed

against the pulp without causing adverse reactions. It means that to restore an exposure

only need to use one material; rather than two (GIC and MTA). I am unconvinced yet

about the strength of the material or how good it is at bonding to dentine.

Q What do you particularly like about it?

A It is easy to use and gives one further options when faced with difficult restoration

problems.

Q Which of its clinical attributes do you think is the most important?

A Clearly the biocompatibility is extremely valuable to me. It is an ideal material to use

when using the PAD (photo activated disinfection) technique I use routinely to restore

grossly carious teeth.

Q How easy is it to learn to use?

A The material is easy to use and the placement is easy enough, but one needs to be

careful not to overmanipulate the material.

Q Do you think Biodentine is the ‘Next Big Thing’?

A Biodentine is a useful adjunct to contemporary restorative materials as few materials are

truly biocompatible. In modern dentistry this material fits in well with the aim of using a

biological approach to the restoration of damaged teeth.