Introduction This study aimed to evaluate the prognostic value of factors with regard to the treatment outcome of direct pulp capping using Biodentine (Septodont, Saint-Maur-des-Fossés, France), in permanent teeth in which the pulps were exposed during caries removal. Methods Between 2010 and 2014, 112 teeth with deep carious lesions underwent direct pulp capping. The patients were followed up at 2–3 months and 1–1.5 years with a routine examination on both recall visits. Periapical radiographs were taken at 1–1.5 years. Lack of patient complaints, positive reactions to cold and electric testing, no sensitivity to percussion, and no widening of the periapical ligament indicated success. The Fisher exact test was used for statistical analysis. The significance level was P = .05. Results Eighty-six teeth were available for 1–1.5 years follow-up. The overall success rate was 82.6%. Only age had a significant effect on the pulpal survival rate: the success rate was 90.9% in patients younger than 40 years and 73.8% in patients 40 years or older (P = .0480). Sex, initial or secondary caries treatment, occlusal or cervical/proximal caries, delayed placement of permanent filling, tooth position, and arch type did not influence the outcome. Conclusions A patient’s age influenced the outcome of direct pulp capping using this new calcium silicate cement. Clinical relevance Asymptomatic vital permanent teeth with cariously exposed pulp can be treated successfully by direct pulp capping using Biodentine.

Objective.The present study assessed the chemical elements in two novel calcium silicate-containing root canal sealers, BioRoot RCS and Well-Root ST, compared to a calcium silicate-containing root canal sealer that has been on the market for several years, MTA Fillapex, and epoxy resin-based sealer AHPlus.Material and Methods.The sealers were mixed and manipulated according to the manufacturers’ instructions. Twelve cylindrical molds (inner diameter 4 mm; height 3 mm) were placed on a glass petri dish and packed with the materials. The dish was transferred to an incubator. After 72 h the molds were examined by scanning electron microscopy and energy dispersive X-ray microanalysis.Results.BioRoot RCS and Well-Root ST had high peaks of calcium, zirconium, oxygen, carbon, silicon, and chlorine. Well-Root ST also had sodium, magnesium, aluminum, and titanium peaks. MTA Fillapex and AHPlus had carbon, oxygen, calcium, titanium, and bismuth peaks. A silicon peak was also observed for MTA Fillapex, and zirconium and tungsten peaks for AHPlus.Conclusion.BioRoot RSC had the highest degree of purity. The clinical implication of metals contained in the other sealers needs to be investigated.

This systematic review evaluates the marginal integrity of flowable and packable bulk fill composite materials placed in class II cavities. Electronic databases inclusive of MEDLINE, Scopus, and Web of Science were searched without restriction to date. The titles and abstracts of publications gathered from database searches were screened by reviewers according to the inclusion and exclusion criteria. From as initial yield of 142 articles ten studies were subject to qualitative analysis. The authors emphasized that marginal integrity in enamel and dentin does not significantly differ between flowable and packable bulk fill composites used for class II restorations. Moreover, their marginal integrity was comparable to conventional resin composites with incremental techniques. The adhesive system used with a total etch technique and assessed margin located in enamel resulted in better marginal integrity.