Bioactive Materials Used in Vital Pulp Treatments


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Sakın Ulubay S., Akgün S. E., Okumuş İ.

3rd International Congress of Medical and Health Sciences Studies, 13 - 14 Aralık 2024, ss.35, (Özet Bildiri)

Özet


Untreated caries lesions continue to be one of the main etiological factors of pulpal injuries that require endodontic treatment. Among 293 diseases in the world, untreated dental caries have been shown to be the most common health problem affecting 2.4 billion people. In addition, the Ministry of Health reported that an average of 3.4 million endodontic procedures are performed annually in Turkey. The use of bioactive materials for regeneration, repair, and reconstruction in conservative dentistry, endodontics, and pediatric dentistry is rapidly increasing. A bioactive material is defined as a substance that produces an effect or induces a response in living tissues, organisms or cells. Bioactive substances that directly affect vital tissues, stimulate tissue healing, and maintain pulp vitality must be bacteriostatic, bactericidal, and sterile. For this purpose, agents frequently used in vital pulp treatments are calcium hydroxide, mineral trioxide aggregate (MTA), calcium-enriched mixture, Biodentine, glass ionomer cement, enamel matrix derivatives, and bioceramics. With nanotechnology and the resulting nanostructures, the properties of materials, such as antimicrobial activity, mechanical strength, drug release, and pharmacokinetics have significantly improved. In addition to new-generation materials such as Bioaggregate and Biodentine, materials such as calcium hydroxide and MTA are still used effectively and successfully in vital pulp treatments owing to their bioactive potential. These materials are expected to exhibit adequate clinical performance in vital pulp treatments with various modifications. The purpose of this review is to evaluate the different types of bioactive materials used in vital pulp treatments and their usage in these treatments in a broad sense.

Keywords: Vital Pulp Treatments, Bioactive Materials, Biodentine, Mineral Trioxide Aggregate, Pediatric Dentistry