Calcium silicate/calcium phosphate biphasic cements for vital pulp therapy: chemical-physical properties and human pulp cells response

2015 ◽  
Vol 19 (8) ◽  
pp. 2075-2089 ◽  
Author(s):  
M. G. Gandolfi ◽  
G. Spagnuolo ◽  
F. Siboni ◽  
A. Procino ◽  
V. Rivieccio ◽  
...  
2018 ◽  
Vol 69 (6) ◽  
pp. 1524-1526
Author(s):  
Carmen Todea ◽  
Andreea Igna ◽  
Emilia Ogodescu ◽  
Irina Zetu ◽  
Alexandru Ogodescu

Vital pulp therapy is an expanding concept in pediatric dentistry today thanks to the potential exhibited by new biomaterials to stimulate regeneration of the pulp cells. Biocompatibility, bioactivity and dentin-like physical properties, as well as good handling, fast setting and the possibility to fill large cavities with a single material are some of the ideal properties of materials aimed to heal traumatized and inflamed dental pulps, given by a good balance of their chemical components.


2021 ◽  
Vol 19 (3) ◽  
pp. 166-170
Author(s):  
A. V. Mitronin ◽  
D. A. Ostanina ◽  
Yu. A. Mitronin

The introduction of modified bioceramic calcium silicate- based materials into clinical practice has changed the standards and strategies of endodontic treatment. The review article highlights modern calcium silicate- based cements that are used in various areas of endodontics, including vital pulp therapy, root canal obturation, management of endodontic complications and pulp regeneration. The classifications of bioceramic materials based on their chemistry and specific use in endodontics are presented. The physicochemical and biological properties of various types of materials, as well as the features of their clinical application, are described.


Materials ◽  
2021 ◽  
Vol 14 (20) ◽  
pp. 6026
Author(s):  
Joanna Metlerska ◽  
Irini Fagogeni ◽  
Marcin Metlerski ◽  
Alicja Nowicka

Calcium silicate-based cements are biocompatible materials for vital pulp therapy. However, they discolour the tooth tissue, which is important for the aesthetics of the anterior teeth. The aim of this study was to investigate the effect of calcium silicate-based cements on tooth discolouration. The study included 70 extracted bovine incisors. The crown of the tooth was cut off from the root, 2 mm below the cement–enamel junction. The pulp tissue was removed via a cervical cut with a barbed broach. The teeth were randomly divided into five experimental, one positive, and one negative control groups. The evaluated materials included Biodentine, Ortho MTA, Retro MTA, MTA Plus, MTA Repair HP, and in the positive group, ProRoot MTA. A VITA Easyshade Compact 5.0 spectrophotometer was used before the application, after 1 week, 1 month, 3 months, and 6 months. The significance levels were set at p < 0.05. All materials significantly changed the teeth colour (p < 0.05). However, Ortho MTA, ProRoot MTA, MTA Plus, and Biodentine (ΔE > 6) caused maximum colour change after 6 months. While the ProRoot MTA, Ortho MTA, and MTA Plus caused grey discolouration, Biodentine darkened the shade of the base colour. Thus, Retro MTA and MTA Repair HP can be safely used in the aesthetic dentition zone. According to these clinical results, the possibility of using Biodentine, due to its lack of gray discoloration, can be considered.


Author(s):  
Francisco Javier Rodríguez-Lozano ◽  
S. López-García ◽  
D. García-Bernal ◽  
J. L. Sanz ◽  
A. Lozano ◽  
...  

2014 ◽  
Vol 30 (12) ◽  
pp. e362-e370 ◽  
Author(s):  
Kai-Chun Chang ◽  
Chia-Chieh Chang ◽  
Wei-Tang Chen ◽  
Chung-King Hsu ◽  
Feng-Huei Lin ◽  
...  

Materials ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 728
Author(s):  
David Donnermeyer ◽  
Magdalena Ibing ◽  
Sebastian Bürklein ◽  
Iris Weber ◽  
Maximilian P. Reitze ◽  
...  

The aim of this study was to gain information about the effect of thermal treatment of calcium silicate-based sealers. BioRoot RCS (BR), Total Fill BC Sealer (TFBC), and Total Fill BC Sealer HiFlow (TFHF) were exposed to thermal treatment at 37 °C, 47 °C, 57 °C, 67 °C, 77 °C, 87 °C and 97 °C for 30 s. Heat treatment at 97 °C was performed for 60 and 180 s to simulate inappropriate application of warm obturation techniques. Thereafter, specimens were cooled to 37 °C and physical properties (setting time/flow/film thickness according to ISO 6876) were evaluated. Chemical properties (Fourier-transform infrared spectroscopy) were assessed after incubation of the specimens in an incubator at 37 °C and 100% humidity for 8 weeks. Statistical analysis of physical properties was performed using the Kruskal-Wallis-Test (P = 0.05). The setting time, flow, and film thickness of TFBC and TFHF were not relevantly influenced by thermal treatment. Setting time of BR decreased slightly when temperature of heat application increased from 37 °C to 77 °C (P < 0.05). Further heat treatment of BR above 77 °C led to an immediate setting. FT-IR spectroscopy did not reveal any chemical changes for either sealers. Thermal treatment did not lead to any substantial chemical changes at all temperature levels, while physical properties of BR were compromised by heating. TFBC and TFHF can be considered suitable for warm obturation techniques.


Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 573
Author(s):  
João Miguel Santos ◽  
Joana F. Pereira ◽  
Andréa Marques ◽  
Diana B. Sequeira ◽  
Shimon Friedman

Background and Objectives: Symptomatic irreversible pulpitis in permanent mature teeth is a common indication for nonsurgical root canal treatment (NSRCT), but contemporary studies have reported on vital pulp therapy (VPT) applied in such teeth as a less invasive treatment. This systematic review assessed the outcomes of VPT, including partial and full pulpotomy performed with hydraulic calcium silicate cements (HCSCs) in permanent mature posterior teeth diagnosed with symptomatic irreversible pulpitis. Materials and Methods: The PRISMA guidelines were followed. The search strategy included PubMed®, EMBASE, Cochrane library and grey literature electronic databases. The quality assessment of the identified studies followed the Cochrane Collaboration Risk of Bias, ROBINS-I and Newcastle–Ottawa Scale tools. Results: The search of primary databases identified 142 articles, of which 9 randomized controlled trials and 3 prospective cohort studies were selected for review. The risk-of-bias was assessed as ‘high’ or ‘serious’, ‘fair’, and ‘low’ for three, seven and two articles, respectively. One to five years after VPT using HCSCs, the success rates mostly ranged from 78 to 90%. Based on two articles, the outcomes of the VPT and NSRCT were comparable at one and five years. Despite the necessity for the intra-operative pulp assessment in VPT procedures, the majority of the studies did not fully report on this step or on the time needed to achieve hemostasis. Small sample sizes, of under 23 teeth, were reported in three studies. Conclusions: The reviewed 12 articles reported favorable outcomes of the VPT performed with HCSCs in permanent mature posterior teeth with symptomatic irreversible pulpitis, with radiographic success in the range of 81 to 90%. Two articles suggested comparable outcomes of the VPT and root canal treatment. Universal case selection and outcome criteria needs to be established for VPT when considered as an alternative to NSRCT. This evidence supports the need for further research comparing longer-term outcomes of both of the treatment modalities.


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