Abstract
Vital pulpotomy is essential for preserving primary molars and while MTA is the gold standard, Biodentine has emerged as a promising alternative. Therefore, it is of interest to compare Biodentine and MTA in 120 primary molars over a 12-month follow-up. Biodentine showed a 93.3% success rate versus 91.7% for MTA, with no significant differences in clinical or radiographic outcomes. Procedural time was significantly shorter with Biodentine and both materials showed similarly low rates of internal resorption and furcation radiolucency. Thus, biodentine provides comparable success to MTA with added efficiency, supporting its use as a reliable pulpotomy material in primary molars.