Marginal Adaptation Evaluation of Biodentine and MTA Plus in “Open Sandwich” Class II Restorations


This study aimed at evaluation of two different commercially available calcium silicate materials (Biodentine and mineral trioxide aggregate [MTA] Plus) used as dentin substitute.


Sixty Class II cavities were prepared in extracted mandibular third molars, with margins extending 1 mm below the cementum-enamel junction. The samples were divided into three groups on the basis of dentin substitute used: resin modified glass ionomer cement, Biodentine, and MTA Plus. Cavities were restored with composite resins in an “open sandwich” technique. The samples were subjected to alternate aging in phosphate buffered saline and cyclic loading. Marginal adaptation was evaluated in terms of “continuous margin” at the gingival margin, using a low vacuum scanning electron microscope. Statistical analysis was done with two-way analysis of variance with Holm-Sidak’s correction for multiple comparisons.


The glass ionomer group and Biodentine group presented an overall 83% and 91% of continuous margins, with no difference between them. MTA Plus showed least values of continuous margins. Granular deposits were seen over the surface of Biodentine and MTA Plus.


Biodentine and resin-modified glass ionomer cement, when used as a dentin substitute under composite restorations in open sandwich technique, gave satisfactory marginal adaptation values.

Contemporary calcium silicate materials can be used as dentin substitute materials in “open sandwich” Class II restorations. This study evaluates the marginal adaptation of Biodentine, MTA Plus, and resin modified glass ionomer cement used as dentin substitutes and reports better adaptation obtained with Biodentine and glass ionomer cement.

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NeoMTA Plus is a stainproof, tricalcium silicate-based bioactive cement that can be used universally for vital pulp and other endodontic indications in primary and permanent teeth. NeoMTA Plus is a bioceramic cement that triggers the healing process. With NeoMTA Plus, general dentists, pediatric dentists, and endodontists now have a superior and reasonably priced bioceramic. Dentists praise the multi-use NeoMTA Plus because it mixes more smoothly, is easier to dispense and the unique gel enables more stable placement, washout resistance and faster clinical setting.

New, stain-free light color:

Ideal for pediatric dentistry—won’t discolor teeth
Liquids such as sodium hypochlorite won’t cause discoloration

Multiple indications:

Pulp-capping to base/liner
Pulpotomies to apexification
Sealer to perforation repair
Root-end filling to resorption


Inhibits bacterial growth* *Tested in vitro. Not a disinfectant

Grey MTA Plus is a bioceramic tricalcium silicate-based Dental Cement, which is slightly more radiopaque than (white) MTA. The light silvery color of MTA Plus is visible during placement. Grey MTA Plus is indicated for both Vital Pulp Therapy and Endodontic procedures. General dentists and endodontists praise the multi-use Grey MTA Plus because it mixes more smoothly and is easier to dispense. The unique gel enables more stable placement, washout resistance and faster clinical setting.

Multiple indications:

Pulp-capping to Base/Liner
Pulpotomies to Apexification
Sealer to Perforation Repair
Root-end Filling to Resorption

New, light grey color:

More radiopaque than the leading white MTAs
Visible for precise placement
Inhibits bacterial growth in vitro of Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa.

Better mixing, handling and placement:

Finer powder mixes more easily and smoothly
Dispense as little as 0.1 gm
Unique gel for stable placement
Washout resistant
No special equipment required

Smart, convenient packaging:

Protects fine powder in desiccant-lined bottle
Easy to dispense powder as needed
Dropper-tip gel bottle minimizes waste