Biodentine: A dentine substitute?

Abstract

Biodentine is a calcium silicate-based biomaterial that has been conceived as a substitute for dentin. It is frequently used in various clinical situations such as pulp lining (direct and indi-rect), pulpotomy, endodontic perforations, apexification, among others. The objective of this review is to provide a detailed analysis of the physical-chemical, biological properties and the main clinical applications of biodentine. An electronic literature search was carried out in the databases Medline (Pubmed), EBSCO-Host and Science direct (Elsevier) until July 2020. 92 % of the articles referenced in this review were selected through this search. The results indicate that biodentine is a cement for dental use with excellent properties characterized by relatively easy handling, low cost, high compressive and flexural strength, high biocompatibility and excellent bioactivity. In conclusion, biodentine is a recommended material in the treatment of various clinical situations in dental practice given its physicochemical and biological characte-ristics. However, randomized controlled clinical trials are necessary to determine and confirm that biodentine is indeed a dental material capable of replacing dentin.