Biodentine^® XP – Dentine Restoration System

Biodentine® is a unique combination of pulp therapeutic and restorative properties in one material, ideal for daily deep cavities restorations with the Bio-Bulk Fill procedures. Some of the materials commonly used for similar indications include:

• Mineral trioxide aggregate (MTA) is another biomaterial that is often used for pulp capping and perforation repairs. Although it displays good biocompatibility and sealing, it does not have the same purity as Biodentine^{® 3}. Further, it has a much longer setting time of up to four hours, is more difficult to handle, and may result in tooth discoloration, as reported in clinical use³.
• Calcium hydroxide was traditionally the material of choice for pulp capping. Although it is biocompatible and promotes dentine bridge formation, calcium hydroxide is vulnerable to dissolving and has limited mechanical strength, which can affect sealing⁴ and long term stability, which limit its use for permanent restorations.
• Glass ionomer cement (GIC) is often used for restorations and repairs. It offers good adhesion and resistance to leakage, and also releases fluoride for protection against caries. However, certain limitations may affect its clinical performance. Its relatively low compressive strength and hardness limit its use to lower-stress areas⁵. Additionally, the long-term sealing ability of GIC may be less predictable in some clinical scenarios. Unlike some bioactive materials, GIC does not actively promote pulp healing or dentine formation. Comparative studies have shown that alternative materials such as Biodentine^® may induce superior remineralization of caries-affected dentine⁶ and promote a favorable environment for angiogenesis and osteogenesis, thus stimulating the healing process⁷.

In conclusion, while there are a number of restorative materials on the market, numerous clinical and preclinical studies have reported favorable outcomes with Biodentine® in terms of handling, setting, sealing8, biocompatibility⁹, and bioactivity^{7, 10}.

Biodentine^® is a dentine substitute with multiple clinical applications.

In the crown, it can be used for temporary dentine-enamel restoration for up to 6 months, restoration of deep and/or large coronal carious lesions, restoration of cervical or radicular lesions, pulp capping (direct and indirect), and pulpotomy for diagnosed symptoms of reversible or irreversible pulpitis.

Biodentine^®’s unique combination of therapeutic and restorative properties makes it optimal for filling the tooth from pulp to crown using the Bio Bulk-Fill procedure. As only one material is used, it’s not necessary to use layering and light curing. The final enamel restoration can be placed in the same session, offering greater time-efficiency for practitioners, and fewer visits and less chair time for patients.

Biodentine^® XP cartridges have a shelf life of 24 months from the date of manufacture when storage recommendations are followed. To ensure product longevity:

• Keep cartridges in their original packaging until ready for use.
• Store cartridges at 5°C-25°C in a dry environment. 
• Avoid exposure to high temperatures, moisture, and direct sunlight.

Discard any Biodentine^® XP cartridges that have exceeded the expiry date on the packaging.

Yes. Biodentine® XP is a suitable dental material for primary (children 2+) and permanent teeth in accordance with its IFU. Biodentine® XP is favored in vital pulp therapy in young patients due to its excellent safety profile, biocompatibility, and bioactivity*****. Biodentine® XP’s benefits include:

• Preserving pulp vitality in deep caries or accidental pulp exposure.
• Promoting dentine bridge formation to protect the natural tooth structure.
• Supporting continued root development in immature permanent teeth by maintaining the health of the radicular pulp.

Biodentine® XP can be used in pediatric dentistry as a bulk-filling material. Using the Bio-Bulk Fill procedure*, the final restoration can be placed in the same visit.

***** Properties verified by preclinical studies.

It takes just 30 seconds to mix the Biodentine® XP cartridge to the required consistency using the high-speed Biodentine® XP Mixer.

Biodentine^® XP is applied directly into the tooth using the Biodentine^® XP Dispenser Gun. Once mixed, slot the Biodentine^® XP cartridge into the gun and bend the flexible nozzle to the suitable angle for accessing the tooth. Then simply place the nozzle into the cavity and squeeze the handle of the gun for direct application into the tooth for crown indications. Alternatively, you may apply Biodentine^® XP with an amalgam carrier, a spatula, or a Root Canal Messing Gun. If necessary, the material can be manipulated and shaped using hand instruments during its working time of approximately six minutes.

No, to ensure the best consistency, Biodentine XP 200/500 has to be mixed with our tailor-made mixer extruded with the Biodentine^® Gun. Otherwise, its technical specifications are not guaranteed. The patented, high-speed mixer is tailor-made for Biodentine^® XP cartridges, designed to mix the cartridge and provide the required consistency in 30 seconds.

The Biodentine^® XP powder component is composed of:

• Tricalcium silicate, the main ingredient that initiates the setting reaction, releases calcium ions, and stimulates dentine repair.
• Calcium carbonate and calcium oxide filler.
• Zirconium oxide for radiopacity.
• Iron oxide for its characteristic color.

The Biodentine^® XP liquid component is composed of:

• Calcium chloride
• Purified water

Both the powder and liquid components are included in the Biodentine® XP capsule and are ready to mix.