Regenerative Potential of Bioceramic-Based Materials in Partial Pulpotomy: A Clinical and Radiographic Assessment

Abstract

The preservation of pulp vitality through conservative vital pulp therapy has gained renewed attention with the advent of bioceramic-based materials. This study aimed to evaluate the regenerative potential of bioceramic materials in partial pulpotomy using clinical and radiographic assessment. A total of teeth diagnosed with reversible pulpitis or traumatic pulp exposure were treated with partial pulpotomy followed by application of Mineral Trioxide Aggregate (MTA), Biodentine, or EndoSequence Root Repair Material (RRM). Clinical evaluation focused on pain relief, absence of tenderness, and maintenance of vitality, while radiographic assessment examined dentin bridge formation, periapical healing, and continued root development. Follow-up evaluations were performed at 3, 6, and 12 months. The results demonstrated high clinical and radiographic success rates across all groups, with Biodentine and MTA showing comparable regenerative potential. Bioceramic-based materials exhibited excellent biocompatibility, sealing ability, and capacity to promote hard tissue regeneration and pulpal healing. The findings support the use of bioceramic materials as reliable agents in partial pulpotomy procedures, offering predictable outcomes for maintaining long-term pulp vitality and structural integrity.