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Calcium silicate and calcium hydroxide materials for pulp capping: biointeractivity, porosity, solubility and bioactivity of current formulations

Abstract

Aim

The chemical-physical properties of novel and long-standing calcium silicate cements versus conventional pulp capping calcium hydroxide biomaterials were compared.

Methods

Calcium hydroxide–based (Calxyl, Dycal, Life, Lime-Lite) and calcium silicate–based (ProRoot MTA, MTA Angelus, MTA Plus, Biodentine, Tech Biosealer capping, TheraCal) biomaterials were examined. Calcium and hydroxyl ion release, water sorption, interconnected open pores, apparent porosity, solubility and apatite-forming ability in simulated body fluid were evaluated.

Results

All calcium silicate materials released more calcium. Tech Biosealer capping, MTA Plus gel and Biodentine showed the highest values of calcium release, while Lime-Lite the lowest. All the materials showed alkalizing activity except for Life and Lime-Lite. Calcium silicate materials showed high porosity values: Tech Biosealer capping, MTA Plus gel and MTA Angelus showed the highest values of porosity, water sorption and solubility, while TheraCal the lowest. The solubility of water-containing materials was higher and correlated with the liquid-to-powder ratio. Calcium phosphate (CaP) deposits were noted on materials surfaces after short aging times. Scant deposits were detected on Lime-Lite. A CaP coating composed of spherulites was detected on all calcium silicate materials and Dycal after 28 days. The thickness, continuity and Ca/P ratio differed markedly among the materials. MTA Plus showed the thickest coating, ProRoot MTA showed large spherulitic deposits, while TheraCal presented very small dense spherulites.

Conclusions

calcium silicate-based cements are biointeractive (ion-releasing) bioactive (apatite-forming) functional biomaterials. The high rate of calcium release and the fast formation of apatite may well explain the role of calcium silicate biomaterials as scaffold to induce new dentin bridge formation and clinical healing.

J Appl Biomater Funct Mater 2015; 13(1): e43 - e60

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/jabfm.5000201

Authors

Maria Giovanna Gandolfi, Francesco Siboni, Tatiana Botero, Maurizio Bossù, Francesco Riccitiello, Carlo Prati

Article History

Disclosures

Financial support: The research has been supported by the academic funds of the Master in Clinical Endodontics of the University of Bologna (Dean Prof. Carlo Prati).
Conflict of interest: The authors declare they have no conflicts of interest related to this study.

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Authors

Affiliations

  • Unit of Odontostomatological Sciences, Laboratory of Biomaterials and Oral Pathology, Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna - Italy
  • Department of Cariology, Restorative Science and Endodontics, University of Michigan, Ann Arbor, Michigan - USA
  • Unit of Paediatric Dentistry, Department of Odontostomatological and Maxillo-Facial Sciences, University of Rome Sapienza, Rome - Italy
  • Department of Odontostomatological and Maxillofacial Sciences, University of Naples Federico II, Naples - Italy
  • Unit of Odontostomatological Sciences, Endodontic Clinical Section, Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna - Italy

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