DENTIN SUBSTITUTES

BY- DR. RISHIKA LUHACH

MDS PG 1ST YEAR
 CONTENTS

 INTRODUCTION
 IDEAL PROPERTIES
 DENTIN SUBSTITUTE MATERIALS-: CALCIUM
HYDROXIDE , GLASS INOMER CEMENT,
MINERAL TRIIOXIDE AGGREGATE,
BIOACTIVE GLASS ,BIODENTIN
 CONCLUSION
 REFERENCE
 INTRODUCTION

 DENTIN SUBSTITUTES ARE THE CEMENTS,

WHICH HAVE DENTIN LIKE MECHANICAL
PROPERTIES AND CAN BE USED AS
DENTIN REPLACEMENT IN THE TOOTH
CROWN AND ROOT REGION.
 DENTIN SUBSTITUTE
MATERIAL
 CALCIUM HYDROXIDE

 GLASS IONOMER CEMENT

 MINERAL TRIOXIDE AGGREGATE

 BIODENTIN

 BIOGLASS

 BIOCERAMICS
 IDEAL PROPERTIES

 BIOCOMPATIBILITY
 LONG TERM IMPERMEABILITY
 ANTIBACTERIAL PROPERTY
 INDUCTION OF HARD TISSUE FORMATION
 STABILITY
 NON ABSORBABILITY
 EASE OF HANDLING
 CALCIUM HYDROXIDE
 ONE OF THE OLDEST DENTIN SUBSTITUTE

 MECHANISM OF ACTION
CALCIUM HYDROXIDE INCREASES THE LOCAL
PH AT THE SITE OF PLACEMENT HENCE IT
CAUSES IRRITATION OF PULPAL TISSUES ,
THEREFORE INITIATING THE DENTINAL
REPAIR.
 ADVANTAGE
 ANTIBACTERIAL
 ABILITY TO STIMULATE REPARATIVE
DENTIN FORMATION

DISADVANTAGE
INADEQUATE STRENGTH
LACK OF CHEMICAL AND
MECHANICAL ADHESION
POOR SEAL
 GLASS IONOMER CEMENT

 THEY ARE BASED ON ACID BASE

CURED REACTION
 THEY ARE MODIFIRD WITH RESIN AND
HAVE A LOT OF ADVANTAGE AS
POTENTIAL DENTIN SUBSTITUTE.
 COMPOSITION OF GIC
 POWDER -:
SILICA , ALUMINA , ALUMINIUM
FLUORIDE , CALCIUM FLUORIDE ,
SODIUM FLUORIDE , ALUMINIUM
PHOSPHATE.
 LIQUID -:

POLYACRYLIC ACID , TARTARIC ACID ,

WATER
 ADVANTAGE

 COEFFICIENT OF THERMAL EXPANSION VERY

SIMILAR TO DENTIN DENTIN
 REMINERALIZATION POTENTIAL
 WELL TOLERATED BY PULP AND PERIODENTAL
CELLS
 PRE DOSED CAPSULE FOR EASIER USE
 CARIOSTATIC PROPERTY
 DISADVANTAG
E
 MECHANICALLY WEAK
 DO NOT RESIST PROPERLY TO
HYDROLYSIS AND EROSION WHEN
EXPOSED TO ORAL FLUIDS
 INDICATION

 CAVITIES THAT CANNOT BE PROPERLY

ISOLATED
 PATIENTS WITH HIGH CARIOUS RISK
 MINERAL TRIOXIDE
AGGREGATE
 MTA IS A BIOACTIVE SALT CEMENT
 HAS VERY TINY PARTICLE SIZE,
WATERPROOFING ABILITY
 AFTER SETTING HAVE CALCIUM ION
RELEASING PROPERTY
 PROPERTIES
 NON ABSORBABLE MATERIAL
 SETS WITH MOISTURE
 HIGH COMPRESSIVE STRENGTH

MECHANISM OF ACTION
MTA COMES IN CONTACT WITH ORAL FLUIDS, IT
GENERATES A REACTIONARY INTERFICIAL LAYER
OF HYDROXY APATITE CRYSTALS BY RELEASING
CALCIUM HYDROXIDE ON ITS SURFACE
IT STARTS THE GENERATION OF REPERATIVE DENTIN
 BIODENTIN
 USED IN DIRECT AND INDIRECT PULP
CAPPING
 PULP VITALITY AFTER DIRECT PULP
CAPPING CAN BE MAINTAINED
BECAUSE OF REPERATIVE DENTIN
FORMATION
 COMPOSITION OF
BIODENTIN
 POWDER - :
TRICALCIUM SILICATE , DICALCIM
SILICATE , CALCIUM CARBONATE ,
ZIRCONIUM OXIDE , IRON OXIDE.
 LIQUID -:

CALCIUM CHLORIDE, HYDRO-SOLUBLE

POLYMER , WATER.
 MECHANICAL PROPERTIES OF BIODENTIN ARE

SIMILAR TO DENTINWHICH AIDS IN THE USE AS A

BASE MATERIAL BENEATH THE COMPOSITE RESIN

OR AS A CORE BUILD UP MATERIAL IN VITAL PULP.

 BIOACTIVE GLASS
 APPEAR LIKE SMALL GRAINED GLASS
POWDER
 THIS MATERIAL IS ENORMOUSLY LABORIUS
AND STIFF .
 BIOACTIVE GLASS CAN AID IN PROLONGING
THE DURABILITY OF RESTORATIONS .
 PENETRATION DEPTH OF MICRO- ORGANISM
INTO THE TOOTH-RESTORATION INTERFACE
IS CONSIDERABLY SMALLER THAN FOR THE
CONVENTIONAL COMPOSITES.
 RESTORATION WITH BIOACTIVE GLASS
TEND TO SLOW DOWN THE
SECONDARY DENTAL CARIES AND
FURTHER RELEASE SOME MINERALS
THAT FACILITATE THE
REMINERALISATION OF LOST DENTINAL
STRUCTURES .
 CONCLUSION
 DENTIN SUBSTITUTES HAVE DENTIN LIKE
MECHANICAL AND PHYSICAL PROPERTIES
 THEY ARE USED FOR REHABILITATION OF
DENTIN STRUCTURE .
 THEY SHOULD BE BIOCOMPATIBLE
IMPERMEABLE , ANTI BACTERIAL, REGENERATIVE
, NON- ABSORBABLE AND EASILY MANIPULATED.
 RECENTLY INTRODUCED MATERIAL SUCH AS
BIODENTIN IS CONSIDERED AS IDEAL DENTIN
SUBSTITUTE MATERIAL IN RESTORATIVE
DENTISTRY
 REFERENCES
 A REVIEW OF BIODENTINE, A
CONTEMPORARY DENTINE
REPLACEMENT AND REPAIR MATERIAL (
ARTICLE ID – 160951, VOLUME 2014)
 REVIEW ON BIODENTINE – A BIOACTIVE
DENTIN SUBSTITUTE- IOSR JOURNAL
THANK
YOU