BIOCERAMIC CEMENT: A NEW OPTION TO CAUSE PULP CONNECTIVE TISSUE METAPLASIA

Abstract

Bioceramic cements represent a significant innovation in contemporary endodontics due to their bioactive properties, biocompatibility, and ability to provide effective sealing of root canals. This study aimed to analyze the effectiveness of these materials in inducing metaplasia of the pulp connective tissue, investigating the involved cellular and molecular mechanisms, as well as evaluating their feasibility in different clinical contexts, especially in regions with structural and economic limitations. For this purpose, a clinical case reportmethodology was adopted, based on a qualitative approach focused on the clinical and radiographic evolution of pulp tissue after the application of bioceramic cement, combined with a survey on the availability, cost, and level of knowledge of dentists in the public and private sectors in the region of Ilhéus. The expected results indicate the still limited use of these materials, due to their high cost, restricted availability, and lack of public policies that enable their widespread incorporation into daily practice. Moreover, it is expected to confirm that professionals’ technical knowledge about the biological mechanisms of bioceramic cements remains limited, although their clinical potential is widely recognized. It is concluded that bioceramic cements stand out as a promising alternative for regenerative dentistry, promoting pulp repair and vitality; however, their democratization depends on strategies to overcome economic barriers, expand professional training, and encourage further clinical research, in addition to public policies that ensure greater accessibility and sustainability in dental practice.