Impact of Biodentine Placement on Fracture Resistance and its Influence on Discoloration with Different Scaffolds

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dc.authoridSarıyılmaz, Evren / 0000-0003-1711-7056
dc.authoridSarıyılmaz, Öznur / 0000-0003-4263-6851
dc.authoridÇarıkçıoğlu, Burak / 0000-0001-5951-8179
dc.authoridAlan, Raif / 0000-0003-2602-3481
dc.contributor.authorSarıyılmaz, Evren
dc.contributor.authorSarıyılmaz, Öznur
dc.contributor.authorÇarıkçıoğlu, Burak
dc.contributor.authorUslu, Gülşah
dc.contributor.authorAlan, Raif
dc.date.accessioned2026-02-03T12:02:41Z
dc.date.available2026-02-03T12:02:41Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction This study aimed to investigate the fracture resistance of teeth that underwent ex vivo regenerative endodontic treatment using Biodentine placed either above or below the cemento-enamel junction (CEJ). Additionally, it examined the impact of different placement approaches, in combination with various scaffold materials (blood, platelet-rich fibrin [PRF], injectable PRF [i-PRF]), on tooth discoloration over time. Methods Thirty-nine human maxillary incisors were divided into three groups. The control group consisted of intact teeth. In the two experimental groups, regenerative endodontic procedures were simulated, and Biodentine was placed above or below the CEJ. Fracture resistance was evaluated after thermal and mechanical aging using a chewing simulator. In the discoloration test, 96 human maxillary incisor teeth were selected. Roots were sectioned 10 mm apical to the CEJ and canal enlargement was performed Gates-Glidden burs. Teeth were grouped according to the placement level of Biodentine (above or below CEJ) and the type of scaffold materials used (blood, PRF, i-PRF, distilled water). Discoloration was assessed by using a spectrophotometer at baseline, 1 week, 1 month, and 6 months. Data were analyzed using one-way analysis of variance followed by Tukey post hoc tests independent t -tests were used to evaluate the effect of placement location on color change. Results The fracture resistance of intact teeth was significantly higher than that of the group in which Biodentine was placed below the CEJ. Blood and blood-derived products resulted in greater discoloration compared to distilled water, whereas PRF induced less discoloration than blood. Furthermore, the placement of Biodentine above the CEJ led to significantly less discoloration at specific time points compared to its placement below the CEJ. Conclusions Positioning Biodentine above the CEJ may offer clinical advantages by potentially improving structural integrity while minimizing aesthetic concerns. When PRF is used as the scaffold material and Biodentine is placed coronally, tooth discoloration is minimized.
dc.description.sponsorshipCanakkale Onsekiz Mart University the Scientific Research Coordination Unit [TSA-2024-4696]
dc.description.sponsorshipThis work was supported by Canakkale Onsekiz Mart University the Scientific Research Coordination Unit, project number: TSA-2024-4696.
dc.identifier.doi10.1016/j.joen.2025.05.018
dc.identifier.endpage1206
dc.identifier.issn0099-2399
dc.identifier.issn1878-3554
dc.identifier.issue9
dc.identifier.pmid40451421
dc.identifier.scopus2-s2.0-105007759072
dc.identifier.scopusqualityQ1
dc.identifier.startpage1199
dc.identifier.urihttps://doi.org/10.1016/j.joen.2025.05.018
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34830
dc.identifier.volume51
dc.identifier.wosWOS:001572746000007
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Endodontics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260130
dc.subjectBiodentine
dc.subjectfracture resistance
dc.subjecti-PRF
dc.subjectPRF
dc.subjectregenerative endodontic treatment
dc.subjectscaffold
dc.titleImpact of Biodentine Placement on Fracture Resistance and its Influence on Discoloration with Different Scaffolds
dc.typeArticle

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