Solanki Nidhi Pravinchandra, Venkappa Kishan Karkala, Shah Nimisha Chinmay
Department of Conservative Dentistry and Endodontics, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
J Conserv Dent. 2018 Jan-Feb;21(1):10-15. doi: 10.4103/JCD.JCD_45_17.
This systematic review intended to compare the biocompatibility and sealing ability of mineral trioxide aggregate (MTA) and biodentine as root-end filling material.
A computerized literature search was performed on March 1, 2016, in MEDLINE, PubMed, and COCHRANE LIBRARY for data published from January 2011 to March 2016. Quality assessment of the selected studies was performed according to the PRISMA guidelines, 2009.
A total of 12 studies were included in this review. Of these, four studies compared the biocompatibility and eight compared the sealing ability. With regard to biocompatibility, two articles showed biodentine to be better and two showed comparable results, while in the case of sealing ability, one article showed MTA to be better, six articles showed biodentine to be better, and the rest one article showed the comparable result.
It may be concluded that good sealing ability of biodentine along with its favorable biological properties show that materials can be used competently in clinical practice as a retrograde filling material. However, long-term assessment in clinical situations is necessary for further inferences.
本系统评价旨在比较矿物三氧化物凝聚体(MTA)和生物陶瓷作为根尖充填材料的生物相容性和封闭能力。
于2016年3月1日在MEDLINE、PubMed和COCHRANE图书馆进行计算机文献检索,以获取2011年1月至2016年3月发表的数据。根据2009年PRISMA指南对所选研究进行质量评估。
本评价共纳入12项研究。其中,4项研究比较了生物相容性,8项研究比较了封闭能力。关于生物相容性,两篇文章显示生物陶瓷更好,两篇显示结果相当,而在封闭能力方面,一篇文章显示MTA更好,六篇文章显示生物陶瓷更好,其余一篇文章显示结果相当。
可以得出结论,生物陶瓷良好的封闭能力及其良好的生物学特性表明,该材料可作为逆行充填材料在临床实践中有效使用。然而,需要在临床情况下进行长期评估以进行进一步推断。