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01.01.2024 | Research

Effect of a calcium silicate cement and experimental glass ionomer cements containing calcium orthophosphate particles on demineralized dentin

verfasst von: Handially S. Vilela, Rafael B. Trinca, Tarsila V. M. Alves, Tais Scaramucci, Leticia O. Sakae, Flávia S. Mariano, Marcelo Giannini, Flávia R. O. Silva, Roberto R. Braga

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2024

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Abstract

Objective

The study aims to evaluate the effect of a glass ionomer cement (GIC; Fuji 9 Gold Label, GC) with added calcium orthophosphate particles and a calcium silicate cement (CSC; Biodentine, Septodont) regarding ion release, degradation in water, mineral content, and mechanical properties of demineralized dentin samples.

Methods

GIC, GIC + 5% DCPD (dicalcium phosphate dihydrate), GIC + 15% DCPD, GIC + 5% β-TCP (tricalcium phosphate), GIC + 15% β-TCP (by mass), and CSC were evaluated for Ca²⁺/Sr²⁺/F⁻ release in water for 56 days. Cement mass loss was evaluated after 7-day immersion in water. Partially demineralized dentin disks were kept in contact with materials while immersed in simulated body fluid (SBF) at 37 °C for 56 days. The “mineral-to-matrix ratio” (MMR) was determined by ATR-FTIR spectroscopy. Dentin hardness and elastic modulus were obtained by nanoindentation. Samples were observed under scanning and transmission electron microscopy. Data were analyzed by ANOVA/Tukey test (α = 0.05).

Results

Ca²⁺ release from CSC and GIC (μg/cm²) were 4737.0 ± 735.9 and 13.6 ± 1.6, respectively. In relation to the unmodified GIC, the addition of DCPD or β-TCP increased ion release (p < 0.001). Only the dentin disks in contact with CSC presented higher MMR (p < 0.05) and mechanical properties than those restored with a resin composite used as control (p < 0.05). Mass loss was similar for GIC and CSC; however, the addition of DCPD or β-TCP increased GIC degradation (p < 0.05).

Conclusion

Despite the increase in ion release, the additional Ca²⁺ sources did not impart remineralizing capability to GIC. Both unmodified GIC and CSC showed similar degradation in water.

Clinical relevance

CSC was able to promote dentin remineralization.

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Titel: Effect of a calcium silicate cement and experimental glass ionomer cements containing calcium orthophosphate particles on demineralized dentin
verfasst von: Handially S. Vilela
Rafael B. Trinca
Tarsila V. M. Alves
Tais Scaramucci
Leticia O. Sakae
Flávia S. Mariano
Marcelo Giannini
Flávia R. O. Silva
Roberto R. Braga
Publikationsdatum: 01.01.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05489-6

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Effect of a calcium silicate cement and experimental glass ionomer cements containing calcium orthophosphate particles on demineralized dentin