Radiographic Evaluation of Bioceramic Root Repair Versus Bio-MTA in Revascularization of Immature Young Permanent Teeth

Abstract

Aim: This randomized clinical trial (RCT) evaluated the benefits of two bioceramic cements (Bioceramic Root Repair and Bio-MTA) as coronal plug substances used for the revascularization of non-vital, immature, permanent teeth having apical periodontitis from a radiographic perspective.  Subject and Methods: This RCT comprised twenty-eight non-vital immature permanent teeth having apical periodontitis in children aged seven to twelve. According to the coronal plug substances utilized, samples were randomly assigned to two groups: group I was Bioceramic Root Repair, and group II was Bio-MTA (mineral trioxide aggregate) (n = 14). For one year, the radiographic follow-up was caried out to assess the degree of effectiveness and measure alterations in the root length, root dentine thickness, and periapical lesion resolution. Results: For every individual studied group, there was a significant raise in dentin wall thickness and root length over time, nevertheless, the differences amongst both examined groups were not statistically significant (P > 0.05). Furthermore, following one year of therapy, the preapical lesion size significantly decreased in all patients; nevertheless, there was statistically nonsignificant variations amongst both research groups (P > 0.05). Conclusions: The revascularization of young permanent teeth having necrotic pulps and apical periodontitis may be possible with bioceramic cements as coronal plug materials.