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Majeed R, Elnawawy HM, Kutty MG, Yahya NA, Azami NH, Abu Kasim NH, Nabhan MS, Cooper PR, Camilleri J, Ahmed HMA. Physicochemical, mechanical and biological properties of nano-calcium silicate-based cements: a systematic review. Odontology 2023; 111:759-776. [PMID: 36864211 DOI: 10.1007/s10266-023-00786-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 01/17/2023] [Indexed: 03/04/2023]
Abstract
This systematic review evaluated the effects of nano-sized cement particles on the properties of calcium silicate-based cements (CSCs). Using defined keywords, a literature search was conducted to identify studies that investigated properties of nano-calcium silicate-based cements (NCSCs). A total of 17 studies fulfilled the inclusion criteria. Results indicated that NCSC formulations have favourable physical (setting time, pH and solubility), mechanical (push out bond strength, compressive strength and indentation hardness) and biological (bone regeneration and foreign body reaction) properties compared with commonly used CSCs. However, the characterization and verification for the nano-particle size of NCSCs were deficient in some studies. Furthermore, the nanosizing was not limited to the cement particles and a number of additives were present. In conclusion, the evidence available for the properties of CSC particles in the nano-range is deficient-such properties could be a result of additives which may have enhanced the properties of the material.
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Affiliation(s)
- Rabia Majeed
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Hoda Mohamed Elnawawy
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Muralithran Govindan Kutty
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Noor Azlin Yahya
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Noor Hayati Azami
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Noor Hayaty Abu Kasim
- Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia
| | - Mohamed Shady Nabhan
- Department of Removable Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
| | - Paul Roy Cooper
- Department of Oral Sciences, University of Otago, Otago, New Zealand
| | - Josette Camilleri
- School of Dentistry, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Hany Mohamed Aly Ahmed
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
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Yang Y, Liu H, Wang ZJ, Hu P, Haapasalo M, Manso A, Ma JZ, Shen Y. The effect of acidity on the physicochemical properties of two hydraulic calcium silicate-based cements and two calcium phosphate silicate-based cements. BMC Oral Health 2023; 23:554. [PMID: 37568132 PMCID: PMC10416429 DOI: 10.1186/s12903-023-03211-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 07/06/2023] [Indexed: 08/13/2023] Open
Abstract
BACKGROUND Bioceramic cements have been widely used in endodontic treatment. This study aimed to compare the microhardness, elastic modulus, internal microstructure and chemical compositions of Biodentine, WMTA, ERRM Putty, iRoot FS and IRM after exposure to PBS, butyric acid, and butyric acid followed by PBS. METHODS Specimens of each material were prepared and randomly divided into 5 subgroups (n = 5): subgroup A: PBS (pH = 7.4) for 4 days, subgroup B: PBS (pH = 7.4) for 14 days, subgroup C: butyric acid (pH = 5.4) for 4 days, subgroup D: butyric acid (pH = 5.4) for 14 days, subgroup E: butyric acid for 4 days followed by 10 days in contact with PBS. The surface microhardness, elastic modulus, internal morphologic and chemical compositions of specimens were analyzed. RESULTS The microhardness and elastic modulus values of all materials were significantly higher in the presence of PBS compared to exposure to butyric acid, with the same setting time (P < 0.01). After 4-day exposure to butyric acid followed by 10-day exposure to PBS, the microhardness values returned to the same level as 4-day exposure to PBS (P > 0.05). Biodentine showed significantly higher microhardness and elastic modulus values than other materials, while IRM displayed the lowest (P < 0.01). CONCLUSION Biodentine seems the most suitable bioceramic cements when applied to an infected area with acidic pH. Further storage at neutral pH, e.g. PBS reverses the adverse effects on bioceramic cements caused by a low pH environment.
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Affiliation(s)
- Yan Yang
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei Province, China
- Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada
| | - He Liu
- Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Zhe-Jun Wang
- Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Pei Hu
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei Province, China
| | - Markus Haapasalo
- Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada
| | - Adriana Manso
- Division of Restorative Dentistry, Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
| | - Jing-Zhi Ma
- Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei Province, China.
| | - Ya Shen
- Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
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Dastorani M, Malekpour B, AminSobhani M, Alemrajabi M, Mahdian A, Malekpour B. Comparison of bacterial microleakage of three bioactive endodontic sealers in simulated underwater diving and aviation conditions. BMC Oral Health 2021; 21:345. [PMID: 34266421 PMCID: PMC8283829 DOI: 10.1186/s12903-021-01699-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Accepted: 06/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Bacterial microleakage is an important cause of apical periodontitis and endodontic treatment failure. This study aimed to assess the bacterial microleakage of nano-mineral trioxide aggregate (nano-MTA) as a sealer, Endoseal MTA, and GuttaFlow Bioseal sealers in atmospheric pressure, and simulated underwater diving and aviation conditions. METHODS In this in vitro, experimental study, 180 extracted single-rooted teeth were cleaned and shaped, and were then randomly divided into three groups for single-cone obturation using Endoseal MTA, GuttaFlow Bioseal, or nano-MTA as a sealer. Each group was then randomly divided into three subgroups, and subjected to ambient atmospheric pressure, 2 atm pressure (to simulate underwater diving), and 0.5 atm pressure (to simulate aviation) using a custom-made pressure chamber. The teeth then underwent microbial leakage test using Streptococcus mutans (S. mutans), and the percentage of samples showing microleakage was recorded for up to 1 month, and analyzed using the Chi-square test. RESULTS The three sealer groups were significantly different regarding bacterial microleakage (P < 0.05). The nano-MTA group showed significantly higher microleakage after 15 days than the other two groups (P = 0.006). The effect of pressure on bacterial microleakage was not significant in any sealer group (P > 0.05). CONCLUSION Within the limitations of this in vitro study, it may be concluded that single-cone obturation technique using nano-MTA as a sealer results in lower resistance to bacterial microleakage compared with the use of GuttaFlow Bioseal, and Endoseal MTA. Pressure changes in simulated underwater diving and aviation conditions had no significant effect on bacterial microleakage. Trial Registration Number This is not a human subject research.
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Affiliation(s)
- Mehdi Dastorani
- Department of Endodontics, School of Dentistry, AJA University of Medical Sciences, End of 13th East St., Ajodanieh, Tehran, Iran
| | - Behnam Malekpour
- School of Dentistry, AJA University of Medical Sciences, End of 13th East St., Ajodanieh, Tehran, Iran
| | - Mohsen AminSobhani
- Department of Endodontics, School of Dentistry, AJA University of Medical Sciences, End of 13th East St., Ajodanieh, Tehran, Iran
| | - Mohammadsadegh Alemrajabi
- Department of Oral Medicine, School of Dentistry, AJA University of Medical Science, End of 13th East St., Ajodanieh, Tehran, Iran
| | - Arezoo Mahdian
- Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Qom Abad, Ghasrodasht St., 713451836 Shiraz, Iran
| | - Behrooz Malekpour
- School of Dentistry, AJA University of Medical Sciences, End of 13th East St., Ajodanieh, Tehran, Iran
- Department of Prosthodontics, Isfahan (Khorasgan) Branch, Isfahan Azad University, University Blvd, Arqavanieh, Jey Street, P.O.Box: 81595-158, Isfahan, Iran
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Saghiri MA, Asatourian A, Rahmani B, Gutmann JL, Morgano SM. The pH and Bismuth Oxide Particle Size can Affect Diametral Tensile Strength of Mineral Trioxide Aggregate. Eur Endod J 2021; 6. [PMID: 34047298 PMCID: PMC8461494 DOI: 10.14744/eej.2021.27136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 02/09/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE The aim of the present study was to evaluate the effect of different pHs (4.4, 5.4, 6.4, 7.4, 8.4, and 9.4) and three different particle sizes of bismuth oxide on diametral tensile strength (DTS) of white Mineral Trioxide Aggregate (WMTA). METHODS Thirty cylindrical moulds were divided into six groups of five; WMTA was mixed, placed inside the moulds, and wrapped in pieces of gauze soaked in synthetic tissue fluid (STF) with pH values of either 4.4, 5.4, 6.4, 7.4, 8.4, 9.4. For bismuth oxide, eighteen similar molds were divided into three groups of six (n=6). Then bismuth oxide with three particle sizes, including fine (120 nm), medium (200 nm), and coarse (10 μm), were provided and added to the Portland cement, which did not have any bismuth oxide to create WMTA. Then WMTA was mixed, placed inside cylindrical molds. After incubation at 95% humidity for 48 hours, samples were subjected to DTS testing by an Instron Universal testing machine with a crosshead speed of 1 mm/min. Then, one sample from each group was subjected to scanning electron microscope (SEM) analysis. Data were analysed by ANOVA and Tukey tests (α=0.05). RESULTS The comparison of DTS in pH groups were: 8.4>7.4>9.4>6.4>5.4>4.4 (P<0.05); and in bismuth oxide groups were: fine particles > medium particles > coarse particles (P<0.05). Acidic pH, negatively affected the distribution of Ca2+ and Si4+ ions, while bismuth oxide with fine particles enhanced it. CONCLUSION Acidic pH can decline the DTS of MTA significantly. However, reducing the particle size of bismuth oxide can increase the DTS of MTA significantly.
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Affiliation(s)
- Mohammad Ali Saghiri
- From the Director of Biomaterial and Prosthodontic Laboratory Assistant Professor, Department of Restorative Dentistry, Rutgers School of Dental Medicine, NJ Adjunct Assistant Professor, Department of Endodontics, University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, CA
| | - Armen Asatourian
- Research Associate, Sector of Angiogenesis and Regenerative Medicine (A.A.), Dr. Hajar Afsar Lajevardi Memorial Foundation, Hackensack, NJ
| | - Behnam Rahmani
- Research Assistant, Sector of Innovative Dentistry and Medicine, Dr. Hajar Afsar Lajevardi Memorial Foundation, Hackensack, NJ
| | - James L. Gutmann
- Professor and Chair, Department of Endodontics, Nova Southeastern University, College of Dental Medicine, Fort Lauderdale, Florida
| | - Steven M. Morgano
- Professor and Chairman, Department of Restorative Dentistry, Rutgers School of Dental Medicine, Newark, NJ
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Histological Evaluation of Periradicular Tissue Inflammatory Reactions and Calcified Tissue Formations After Implantation of Experimental Calcium Silicate and Hydroxyapatite Based Nanostructural Cements Into Root Canals of Rabbits Teeth. ACTA VET-BEOGRAD 2021. [DOI: 10.2478/acve-2021-0006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
The aim of the study was to evaluate inflammatory tissue reactions and the formation of calcified tissue after implantation of experimental nanostructured calcium silicate cement (CS) and hydroxyapatite with calcium silicate cement (HA-CS) into root canals of rabbits’ teeth. The study was conducted on four rabbits of the genus Oryctolagus cuniculus. After instrumentation and irrigation, the root canals of the central incisors were dried and filled with CS, HA-CS and control material (MTA Angelus). The animals were sacrificed after 28 days. After histological preparation and hematoxylin-eosin staining, tissue samples were evaluated for the intensity and extension of inflammatory tissue reaction; continuity, morphology and thickness of the newly formed calcified tissue; and presence of giant cells, materials particles and microorganisms. Kruskal Wallis and Dunn’s post hoc test were used for data analysis (α=0.05). There were no significant differences in the intensity of inflammatory reactions between CS, HA-CS and MTA control. HA-CS showed significantly better results than MTA and CS with respect to continuity of the newly formed calcified tissue (P=0.003 and P=0.010, respectively). Significant differences in thickness of the calcified tissue existed between CS and MTA (P=0.004) and between HA-CS and MTA (P=0.012). Application of CS and HA-CS resulted in minimal inflammatory tissue response, similar to the MTA control. CS and HA-CS were more efficient than MTA in supporting hard tissue formation. The best organized newly formed calcified tissue was seen after HA-CS application.
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Solubility of Calcium Silicate Based Cements – a Comparative Study. ACTA MEDICA BULGARICA 2020. [DOI: 10.2478/amb-2020-0019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
Calcium silicate based cement is a group of biomaterials, based on Portland cement. Its physicochemical properties such as solubility are of the utmost importance. It should have low solubility in tissue fluid since the dissolution of materials may lead to treatment failure.
The aim of this study is to evaluate the solubility of five calcium silicate cements after being placed in distilled water for a period of 28 days.
Material and methods: The purpose of this study was to compare solubility of a four new calcium silicate-based cements, such as: gray MTA Angelus; white MTA Angelus; BioAggregate and Biodentine with conventional mineral trioxide aggregate White ProRoot. Solubility is evaluated using standardized samples of materials, which are weighed before and after 28-day immersion in distilled water.
Results: The lowest solubility is found at White ProRoot and the significantly highest solubility – at Biodentine.
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Pushpa S, Maheshwari C, Maheshwari G, Sridevi N, Duggal P, Ahuja P. Effect of pH on solubility of white Mineral Trioxide Aggregate and Biodentine: An in vitro study. J Dent Res Dent Clin Dent Prospects 2018; 12:201-207. [PMID: 30443306 PMCID: PMC6231146 DOI: 10.15171/joddd.2018.031] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Accepted: 08/16/2018] [Indexed: 11/09/2022] Open
Abstract
Background. The aim of this study was to evaluate the effect of acidic, neutral and alkaline environments on the solubility
of white mineral trioxide aggregate (WMTA) and Biodentine (BD).
Methods. Thirty-nine ring molds were randomly divided into three groups of A, B, and C (n = 12) with pH values of 7.4, 4.4
and 10.4, respectively, and an empty mold was used as a control. Each group was further divided into two subgroups (1 and
2) according to the material studied. The samples in groups A, B and C were transferred into synthetic tissue fluid buffered at
pH values of 7.4, 4.4 and 10.4, respectively, and kept in an incubator at 37°C with 100% humidity. Daily solubility at 1-, 2-,
5-, 14-, 21-, and 30-day intervals and cumulative solubility up to 5-, 14-, and 30-day intervals were calculated. Statistical
analysis was carried out with independent-samples t-test, two-way ANOVA and post hoc Tukey tests using SPSS 18. Statistical
significance was set at P<0.05.
Results. Both WMTA and BD exhibited the highest solubility in acidic pH with 5.4235±0.1834 and 10.7516±0.0639 mean
cumulative solubility values at 30-day interval, respectively. At all exposure times, BD was significantly more soluble than
WMTA (P<0.001).
Conclusion. Acidic periapical environment jeopardized the solubility of both WMTA and BD, affecting their sealing characteristics
in clinical applications like perforation repair procedures and blunderbuss canals.
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Affiliation(s)
- S Pushpa
- Department of Conservative Dentistry and Endodontics, Rama Dental College-Hospital and Research Centre, Kanpur - 208024, Uttar Pradesh, India
| | - Chakit Maheshwari
- Department of Conservative Dentistry and Endodontics, Rama Dental College-Hospital and Research Centre, Kanpur - 208024, Uttar Pradesh, India
| | - Garima Maheshwari
- Department of Conservative Dentistry and Endodontics, Rama Dental College-Hospital and Research Centre, Kanpur - 208024, Uttar Pradesh, India
| | - N Sridevi
- Department of Conservative Dentistry and Endodontics, Rama Dental College-Hospital and Research Centre, Kanpur - 208024, Uttar Pradesh, India
| | - Puneeta Duggal
- Department of Conservative Dentistry and Endodontics, Rama Dental College-Hospital and Research Centre, Kanpur - 208024, Uttar Pradesh, India
| | - Puneet Ahuja
- Department of Conservative Dentistry and Endodontics, Rama Dental College-Hospital and Research Centre, Kanpur - 208024, Uttar Pradesh, India
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Saghiri MA, Asatourian A, Nguyen EH, Wang S, Sheibani N. Hydrogel Arrays and Choroidal Neovascularization Models for Evaluation of Angiogenic Activity of Vital Pulp Therapy Biomaterials. J Endod 2018; 44:773-779. [PMID: 29602530 PMCID: PMC6300997 DOI: 10.1016/j.joen.2018.02.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Revised: 01/29/2018] [Accepted: 02/06/2018] [Indexed: 12/22/2022]
Abstract
INTRODUCTION This study intended to evaluate the angiogenic properties of vital pulp therapy materials including white mineral trioxide aggregate (WMTA), calcium hydroxide (Ca[OH]2), Geristore (Den-Mat, Santa Maria, CA), and nano WMTA biomaterials. METHODS WMTA, Ca(OH)2, Geristore, and nano WMTA disks were prepared, dispersed into 2 mL Milli-Q (Millipore, ThermoFisher, Hanover Park, IL) distilled water, and centrifuged to obtain 2 mL supernatant elution. Thirty-five wells of polyethylene glycol hydrogel arrays were prepared and divided into 5 groups of 7 (n = 7). Mice molar endothelial cells (ECs) were placed on hydrogel arrays. The elution prepared from each sample was diluted in growth medium (1:3) and added to the hydrogel arrays. The EC medium alone was used for the control. For the choroidal neovascularization (CNV) model, thirty-five 6-week-old female mice were lasered and divided into 5 groups, and elution from each sample (2 μL) or saline (control) was delivered by intravitreal injection on the day of the laser treatment and 1 week later. The mean number of nodes, the total length of the branches in the hydrogel arrays, and the mean area of CNV were calculated using ImageJ software (National Institutes of Health, Bethesda, MD) and analyzed by 1-way analysis of variance and post hoc Tukey honest significant difference tests. RESULTS The comparison of results regarding the number of nodes showed the values of control > Geristore > nano WMTA > WMTA > Ca(OH)2. Regarding the total branch length and the CNV area, the comparison of results showed values of Geristore > control > nano WMTA > WMTA > Ca(OH)2. CONCLUSIONS All tested materials showed minimal antiangiogenic activity, whereas Geristore and nano WMTA showed a higher proangiogenic activity than WMTA and Ca(OH)2.
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Affiliation(s)
- Mohammad Ali Saghiri
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Department of Biomedical Engineering, University of Wisconsin, Madison, Wisconsin.
| | - Armen Asatourian
- Sector of Angiogenesis Regenerative Medicine, Dr Hajar Afsar Lajevardi Research Cluster, Shiraz, Iran
| | - Eric H Nguyen
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Human Models for Analysis of Pathways (HMAPs) Center, University of Wisconsin, Madison, Wisconsin
| | - Shoujian Wang
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Nader Sheibani
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Department of Biomedical Engineering, University of Wisconsin, Madison, Wisconsin; Human Models for Analysis of Pathways (HMAPs) Center, University of Wisconsin, Madison, Wisconsin
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Effects of smear layer removal agents on the physical properties and microstructure of mineral trioxide aggregate cement. J Dent 2017; 66:32-36. [PMID: 28867660 DOI: 10.1016/j.jdent.2017.08.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 08/12/2017] [Accepted: 08/30/2017] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To compare the effect of QMix (Dentsply Sirona), 7% maleic acid (MA), and 17% ethylenediaminetetraacetic acid (EDTA) on the microhardness, flexural strength and microstructure of mineral trioxide aggregate (MTA; ProRoot MTA, Dentsply Sirona). METHODS Forty MTA specimens were divided into four groups: [I] QMix [II] 7% MA [III] 17% EDTA and [IV] distilled water (control). After treatment with 5mL of the respective solution for 1min, the specimens were tested for microhardness using a Knoop hardness tester. Forty additional specimens were similarly treated and evaluated for the flexural strength using a universal testing machine. For microstructure evaluation, MTA specimens were treated in a similar manner and examined by X-ray diffractometry and scanning electron microscopy (SEM). RESULTS For microhardness, there were no differences between distilled water, QMix and EDTA groups. However, MTA exposed to distilled water had higher microhardness than MA. When compared with QMix and EDTA, MA had lower microhardness; there was no difference between EDTA and QMix. For flexural strength, distilled water group had higher flexural strength than the other agents. There were no differences between EDTA vs MA and EDTA vs QMix. Specimens treated with QMix had higher flexural strength than MA. X-ray diffraction indicated that EDTA inhibited hydration of MTA. For SEM, all the tested agents altered the microstructure of MTA when compared to distilled water. CONCLUSION MA had more detrimental effect on the physical properties of MTA and EDTA was more detrimental to the hydration of MTA. CLINICAL SIGNIFICANCE The present study highlights the effect of newer chelating agents on the physical properties and microstructure of MTA. Preventing the deterioration of MTA is important for its long term success in endodontic procedures.
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Saghiri MA, Orangi J, Tanideh N, Asatourian A, Janghorban K, Garcia-Godoy F, Sheibani N. Repair of bone defect by nano-modified white mineral trioxide aggregates in rabbit: A histopathological study. Med Oral Patol Oral Cir Bucal 2015; 20:e525-31. [PMID: 26034924 PMCID: PMC4598919 DOI: 10.4317/medoral.20290] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2014] [Accepted: 03/21/2015] [Indexed: 11/25/2022] Open
Abstract
Background Many researchers have tried to enhance materials functions in different aspects of science using nano-modification method, and in many cases the results have been encouraging. To evaluate the histopathological responses of the micro-/nano-size cement-type biomaterials derived from calcium silicate-based composition with addition of nano tricalcium aluminate (3CaO.Al2O3) on bone healing response. Material and Methods Ninety mature male rabbits were anesthetized and a bone defect was created in the right mandible. The rabbits were divided into three groups, which were in turn subdivided into five subgroups with six animals each based on the defect filled by: white mineral trioxide aggregate (WMTA), Nano-WMTA, WMTA without 3CaO.Al2O3, Nano-WMTA with 2% Nano-3CaO.Al2O3, and empty as control. Twenty, forty and sixty days postoperatively the animals were sacrificed and the right mandibles were removed for histopathological evaluations. Kruskal-Wallis test with post-hoc comparisons based on the LSMeans procedure was used for data analysis. Results All the experimental materials provoked a moderate to severe inflammatory reaction, which significantly differed from the control group (p< 0.05). Statistical analysis of bone formation and bone regeneration data showed significant differences between groups at 40- and 60- day intervals in all groups. Absence of 3CaO.Al2O3 leads to more inflammation and foreign body reaction than other groups in all time intervals. Conclusions Both powder nano-modification and addition of 2% Nano-3CaO.Al2O3 to calcium silicate-based cement enhanced the favorable tissue response and osteogenesis properties of WMTA based materials. Key words:Bone regeneration, cement, endodontics, histopathology, nano-wmta, tricalcium aluminate.
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Saghiri MA, Asatourian A, Orangi J, Lotfi M, Soukup JW, Garcia-Godoy F, Sheibani N. Effect of particle size on calcium release and elevation of pH of endodontic cements. Dent Traumatol 2015; 31:196-201. [PMID: 25571910 DOI: 10.1111/edt.12160] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/13/2014] [Indexed: 11/26/2022]
Abstract
BACKGROUND/AIM Elevation of pH and calcium ion release are of great importance in antibacterial activity and the promotion of dental soft and hard tissue healing process. In this study, we evaluated the effect of particle size on the elevation of pH and the calcium ion release from calcium silicate-based dental cements. MATERIAL AND METHODS Twelve plastic tubes were divided into three groups, filled with white mineral trioxide aggregate (WMTA), WMTA plus 1% methylcellulose, and nano-modified WMTA (nano-WMTA), and placed inside flasks containing 10 ml of distilled water. The pH values were measured using a pH sensor 3, 24, 72, and 168 h after setting of the cements. The calcium ion release was measured using an atomic absorption spectrophotometer with same sample preparation method. Data were subjected to two-way analysis of variance (anova) followed by post hoc Tukey tests with significance level of P < 0.05. RESULTS Nano-WMTA showed significant pH elevation only after 24 h (P < 0.05) compared with WMTA, and after 3, 24, and 72 h compared with WMTA plus 1% methylcellulose (P < 0.05). Nano-WMTA showed significantly higher calcium ion release values compared to the other two groups (P < 0.05). CONCLUSIONS Nano-modification of WMTA remarkably increased the calcium ion release at all time intervals postsetting, which can significantly influence the osteogenic properties of human dental pulp cells and as a consequence enhance mineralized matrix nodule formation to achieve desirable clinical outcomes. However, the increase in pH values mainly occurred during the short time postsetting. Addition of 1% methylcellulose imposed a delay in elevation of pH and calcium ion release by WMTA.
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Affiliation(s)
- Mohammad Ali Saghiri
- Departments of Ophthalmology & Visual Sciences and Biomedical Engineering, University of Wisconsin School of Medicine and Public health, Madison, WI, USA
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Saghiri MA, Gutmann JL, Orangi J, Asatourian A, Sheibani N. Radiopacifier particle size impacts the physical properties of tricalcium silicate-based cements. J Endod 2014; 41:225-30. [PMID: 25492489 DOI: 10.1016/j.joen.2014.09.025] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2014] [Revised: 09/26/2014] [Accepted: 09/27/2014] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the impact of radiopaque additive, bismuth oxide, particle size on the physical properties, and radiopacity of tricalcium silicate-based cements. METHODS Six types of tricalcium silicate cement (CSC) including CSC without bismuth oxide, CSC + 10% (wt%) regular bismuth oxide (particle size 10 μm), CSC + 20% regular bismuth oxide (simulating white mineral trioxide aggregate [WMTA]) as a control, CSC + 10% nano bismuth oxide (particle size 50-80 nm), CSC + 20% nano-size bismuth oxide, and nano WMTA (a nano modification of WMTA comprising nanoparticles in the range of 40-100 nm) were prepared. Twenty-four samples from each group were divided into 4 groups and subjected to push-out, surface microhardness, radiopacity, and compressive strength tests. Data were analyzed by 1-way analysis of variance with the post hoc Tukey test. RESULTS The push-out and compressive strength of CSC without bismuth oxide and CSC with 10% and 20% nano bismuth oxide were significantly higher than CSC with 10% or 20% regular bismuth oxide (P < .05). The surface microhardness of CSC without bismuth oxide and CSC with 10% regular bismuth oxide had the lowest values (P < .05). The lowest radiopacity values were seen in CSC without bismuth oxide and CSC with 10% nano bismuth oxide (P < .05). Nano WMTA samples showed the highest values for all tested properties (P < .05) except for radiopacity. CONCLUSIONS The addition of 20% nano bismuth oxide enhanced the physical properties of CSC without any significant changes in radiopacity. Regular particle-size bismuth oxide reduced the physical properties of CSC material for tested parameters.
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Affiliation(s)
- Mohammad Ali Saghiri
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Department of Biomedical Engineering, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
| | - James L Gutmann
- Department of Restorative Sciences, Texas A&M University Baylor College of Dentistry, Dallas, Texas
| | - Jafar Orangi
- Department of Dental Materials, Kamal Asgar Research Center, Tehran, Iran
| | - Armen Asatourian
- Department of Dental Materials, Kamal Asgar Research Center, Tehran, Iran
| | - Nader Sheibani
- Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Department of Biomedical Engineering, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
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