Introduction: Nanoparticles are gaining more interest in dentistry for their antimicrobial, physical as well as other properties. This study aimed to evaluate the effect of adding two types of nanoparticles (NPs) on calcium silicate hydraulic cement’ s (CSHC) unique bioactivity and antibacterial properties. Methods and Materials: Biotitania/AgCl NPs were synthetized and characterized for its morphology, types of formed functional groups and crystalline AgCl using field emission scanning electron microscope (FE-SEM) equipped with energy-dispersive X-ray spectroscopy (EDS), X-ray diffractometer (XRD), Fourier transformation infrared spectroscopy (FT-IR) and thermo-gravimetric analysis (TGA). The former NPs and commercial titania (TiO2) NPs were added (0. 5, 1. 5 and 3-weight %) to commercial CSHS powder. A total of 140 disk-shaped specimens (10 mm×1 mm) were prepared (seven material groups per each test in addition to the eighth cell control group) to evaluate cell viability and alkaline phosphatase activity (ALP) after 3 and 12 days, respectively. All were incubated with mesenchymal stem cells. Antibacterial efficacy against Streptococcus mutans (S. mutans) was evaluated through the bacterial growth curve slopes while being in direct contact with the tested material groups for 18 h. Results: Addition of all NPs percentages had no significant effect (P>0. 05) on cell viability in comparison to positive control CSHC. Commercial TiO2 NPs (0. 5 weight %) had statistically significant lower values (P≤ 0. 05) for bacterial growth curve slope. However, addition of all NPs percentages had significantly improved (P≤ 0. 05) the ALP activity of CSHC with the most prominent effect to 3-weight% biotitania/AgCl NPs. Conclusion: Based on this in vitro study, addition of biotitania/AgCl NPs up to 3-weight% significantly improved the bioactivity of CSHC without having a significant negative impact on its antibacterial efficacy. Interestingly, the addition of commercial TiO2 even in small amounts can significantly improve CSHC antibacterial efficacy.

Background: This study was designed to investigate the in vitro bioactivity of a new dual cured calcium silicate cement (TheraCal PT) compared to its light cured (TheraCal LC) and chemically set (Biodentine) counterparts. Materials and Methods: The study is an in vitro original research article. Prepared cements discs were immersed in deionized water. Ca2+ release was evaluated using inductively coupled plasma‑, optical emission spectrometry while pH was assessed using a pH meter after 1, 14, and 28 days. Discs for surface characterization were immersed in phosphate‑, buffered saline (PBS) and were examined using an environmental scanning electron microscope with energy dispersive X‑, ray (ESEM/EDX), immediately after setting and at 1, 14, and 28 days intervals after that. Attenuated total reflectance (ATR)/Fourier transform infrared (FTIR) and Raman spectroscopy analyses were performed after setting and after 28 days storage in PBS. Statistical analysis was performed using the two‑, way repeated measure analysis of variance test followed by Bonferroni test for multiple comparisons (P < 0. 05). Results: Biodentine exhibited the highest mean values for Ca2+ release (792, 639, 278 ppm) and pH (10. 99, 12. 7, 11. 54) at all time intervals. ESEM/EDX displayed a continuous layer of calcium phosphate formed by Biodentine and TheraCal LC while TheraCal PT developed scarce interrupted precipitates after immersion in PBS. ATR/FTIR and Raman spectroscopy for the formed precipitates confirmed the presence of phosphate and Ca (OH) 2 in Biodentine, TheraCal LC and TheraCal PT. Conclusion: TheraCal PT exhibited limited in vitro bioactivity which may limit its prognosis in clinical applications for vital pulp therapy. TheraCal LC is considered a potential bioactive calcium silicate cement despite its lower Ca2+ release compared to Biodentine. Highest bioactivity was observed in Biodentine.

In recent years, cement composites based on calcium silicate have been more generally considered for medical applications. Calcium silicate Cement are among the categories that are used in dental root canal treatment. The aim of this study is to make new calcium silicate cement to preserve and strengthen desirable properties of this type of cements. In this study, composite dental cement based on calcium silicate was prepared. Then effect of adding biodegradable and biocompatible polymer such as chitosan on setting properties and its structure were studied. In this study, a combination of calcium silicate, dicalcium phosphate (DCP) and bismuth oxide (Bi2O3) as powder phase and 2% solution of the chitosan dissolved in 1% acetic acid solution as liquid phase, was used. As well as control sample was obtained by mixing the powder with distilled water as the liquid phase. Based on the obtained results, setting time of composite cement was changed from 51 to 67 minutes by adding chitosan polymer. Presence of chitosan also reduced the compressive strength a little. the bioactivity of the cement were studied in a solution of simulated body (SBF) for 14 days. the samples were analyzed by SEM to identify the microstructure and by XRD to determine crystal structure. The composition of cement before incubation in SBF was included early phases (phase calcium silicate and calcium phosphate) that after 14 days of immersion in SBF, they were converted to layer-shaped hydroxy apatite and the presence of chitosan had not any influence on the final phase of hydroxy apatite.

Introduction: Root mineral trioxide aggregate (MTA) is a type of MTA that has been introduced in the Iranian market. There have been few studies on this substance. This study compared the push-out bond strength of Root MTA and CEM cement, which were both Iranian products. Materials & Methods: This in vitro study was performed on 20 extracted maxillary incisors. Samples were divided in two groups. The canals of the first group were filled with Root MTA and the second group by CEM cement. In order to investigate the push-out bond strength, the device applied a force in the direction parallel to the longitudinal axis of the sample so that the desired materials would fail. Each sample was classified into one of three types of failureincluding adhesive (failure in the material and dentin interface), cohesive (failure in the material itself) or a combination of both. Results: There was no significant difference between the mean pressure on teeth for the two groups (P>0. 05). There was no significant difference between the frequencies of different types of failure between the two groups (P>0. 05). Cohesive failure in the CEM group was twice as high as in the MTA group (P>0. 05). Conclusion: There was not any significant difference between the push-out bond strength of CEM cement and Root MTA cement. These findings demonstrated that Root MTA material showed a satisfactory result in the bond strength test compared to CEM material, and could be used as an alternative to CEM cement.

Background: The aim of this study was to compare the push-out bond strengths of calcium silicate-based ProRoot MTA and Biodentine cements and SureFil SDR and EverX Posterior bulk-fill composite resins.Methods: Twenty-four single-rooted maxillary central incisors were sectioned below the cementoenamel junction, and the root canals were instrumented using rotary files. Thereafter, a parallel post drill was used to obtain a standardized root canal dimension. The roots were randomly assigned to one of the following groups with respect to the intra-orifice barrier used: ProRoot MTA; Biodentine; SureFil SDR; EverX Posterior. Five 1-mm-thick sections were obtained from the coronal aspect of each root. Push-out bond strength testing was performed and data were analyzed with Kruskal-Wallis and post hoc Dunn tests (P<0.05).Results: SureFil SDR and EverX Posterior bulk-fill composite resins’ bond strengths were significantly higher than ProRoot MTA and Biodentine calcium silicate cements. However, no statistically significant differences were observed between bulk-fill composite resins values and calcium silicate cement values.Conclusion: Within the limitations of present study, calcium silicate-based ProRoot MTA cement’s push-out bond strength was lower than those of Biodentine, SureFil SDR and EverX Posterior materials.

Introduction: Silicate-based cement alone and Hydroxyapatite as bone filling materials lead to successful results in implant dentistry and regenerative medicine. The purpose of this study was to compare the adhesion capability of periodontal ligament fibroblast cells (PDLFC) to the Nanohydroxyapatite silicate-based cement and silicate-based cement alone in vitro. Methods: Primary cell cultures of PDLFCs were obtained from clinically healthy third molars teeth. These third molars were either extracted for orthodontic reasons or extracted due to the impaction of teeth. Cells subcultured at a density of 10000 cells/well in 24-well plates. Methyl-tetrazolium bromide (MTT) assay was performed to evaluate the survival and proliferation of fibroblasts on 24h, 72h, and 1week after the cell culture. Scanning Electron Microscopy (SEM) analysis was used to examine the morphology of PDLFCs on the two scaffolds. Results: Cells were found growing in close proximity to both minerals but in terms of fibroblast cell attachment. Adding Nanohydroxyapatite did not improve cellular proliferation and silicate-based cement alone showed superior cellular proliferation in 72 hours. After 24h and 1week both minerals showed the same response. Conclusion: Although both Nanohydroxyapatite silicate-based cement and silicate-based cement alone are biocompatible, but nanohydroxyapatite silicate-based cement did not show improved biological activities when compared with silicate-based cement.