{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T19:38:24Z","timestamp":1767987504985,"version":"3.49.0"},"reference-count":49,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T00:00:00Z","timestamp":1619222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Materials"],"abstract":"<jats:p>This study aimed to assess the success of pulpotomy in primary molars using Biodentine, new-developed tri-calcium, di-calcium-based silicate cement, at 6 and 12 months. The hypothesis was that stages of root resorption could influence the treatment success. A novel composite score was used based on five clinical and radiographic outcomes: soft-tissue pathology, pain to percussion, pathologic mobility, radiolucency and pathologic root resorption. Patients\u2019 compliance and intraoperative pain experience were recorded using the Frankl scale and the Wong\u2013Baker scale. A total of 22 primary molars, 9 in stage S (stability) and 13 in stage R (resorption) were submitted to pulpotomy using Biodentine and restored with composite resin. The success rate was 92.3% in the R group compared to 100% in the S group at both 6 and 12 months (p = 0.850). There was no statistically significant effect of type of molar, tooth position and type of carious lesions on the composite outcome (all p &gt; 0.05). Overall, 73% of the children experienced no or mild\/moderate pain and 77% had a cooperative attitude. Children younger than 7 years old experienced more pain (p = 0.04). Biodentine is a promising biomaterial for pulpotomy of primary teeth regardless of the stage of root resorption.<\/jats:p>","DOI":"10.3390\/ma14092179","type":"journal-article","created":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T21:49:20Z","timestamp":1619300960000},"page":"2179","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluation of Biodentine in Pulpotomies of Primary Teeth with Different Stages of Root Resorption Using a Novel Composite Outcome Score"],"prefix":"10.3390","volume":"14","author":[{"given":"Rosa","family":"Guagnano","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, C.I.R. Dental School, Section of Pediatric Dentistry, University of Turin, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5172-299X","authenticated-orcid":false,"given":"Federica","family":"Romano","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, C.I.R. Dental School, Section of Periodontology, University of Turin, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3796-3022","authenticated-orcid":false,"given":"Patrizia","family":"Defabianis","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, C.I.R. Dental School, Section of Pediatric Dentistry, University of Turin, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s13005-020-00237-z","article-title":"Dental caries in primary and permanent teeth in children\u2019s worldwide, 1995 to 2019: A systematic review and meta-analysis","volume":"16","author":"Kazeminia","year":"2020","journal-title":"Head Face Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1079\/PHN2003589","article-title":"Diet, nutrition and the prevention of dental diseases","volume":"7","author":"Moynihan","year":"2004","journal-title":"Public Health Nutr."},{"key":"ref_3","first-page":"119","article-title":"Management of the pulp in primary teeth\u2013an update","volume":"110","author":"Brosnan","year":"2014","journal-title":"N. Z. Dent. 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