Ozdemir Merve, Oncu Aysenur
Faculty of Dentistry, Department of Pediatric Dentistry, Lokman Hekim University, Ankara, Turkey.
Faculty of Dentistry, Department of Endodontics, Ankara University, Ankara, Turkey.
BMC Oral Health. 2025 May 15;25(1):727. doi: 10.1186/s12903-025-06065-4.
Pulpotomy is an accepted treatment option to preserve primary teeth with exposed pulp due to caries or trauma and to ensure proper function until physiologic exfoliation. This study aimed to assess the dentin penetration of NeoMTA 2, NeoPUTTY, and Biodentine using confocal laser scanning microscopy (CLSM).
The present study was performed using 42 freshly extracted lower primary molars. All samples were divided into 3 separate groups and the Biodentine, NeoMTA 2, and NeoPUTTY were placed on the cavity floor, respectively. High-speed diamond discs were used to create 2-mm-thick sections from the furcation region, including a 1- mm crown and 1-mm root. Primary molar tooth sections were placed on a glass slide and examined using a CLSM (LSM 980, Zeiss, Germany). All images were analyzed using ImageJ/Fiji (National Institute of Health, USA) software for the measurement of penetration depth. The penetration depth of the materials was evaluated using one- way ANOVA, and the Tukey test was used for comparisons between groups at p < 0.05 significance level.
There was no significant difference in penetration depth between the Biodentine and NeoMTA 2 materials. NeoPUTTY showed higher penetration depth than Biodentine and NeoMTA 2.
This study reported that NeoPUTTY showed higher dentinal tubule penetration in primary teeth than NeoMTA 2 and Biodentine as pulpotomy materials.
活髓切断术是一种公认的治疗方法,用于保留因龋齿或外伤导致牙髓暴露的乳牙,并确保其在生理性脱落前能正常发挥功能。本研究旨在使用共聚焦激光扫描显微镜(CLSM)评估新型MTA 2、新型PUTTY和生物陶瓷的牙本质渗透情况。
本研究使用42颗新鲜拔除的下颌乳磨牙。所有样本分为3组,分别将生物陶瓷、新型MTA 2和新型PUTTY放置于髓腔底部。使用高速金刚石切割片从根分叉区域制作2毫米厚的切片,包括1毫米的冠部和1毫米的根部。将乳磨牙切片置于载玻片上,使用CLSM(德国蔡司LSM 980)进行检查。所有图像使用ImageJ/Fiji(美国国立卫生研究院)软件进行分析,以测量渗透深度。使用单因素方差分析评估材料的渗透深度,并使用Tukey检验在p < 0.05显著性水平下进行组间比较。
生物陶瓷和新型MTA 2材料的渗透深度无显著差异。新型PUTTY的渗透深度高于生物陶瓷和新型MTA 2。
本研究表明,作为活髓切断术材料,新型PUTTY在乳牙中的牙本质小管渗透深度高于新型MTA 2和生物陶瓷。