Effect of root canal irrigating solutions on the compressive strength of tricalcium silicate cements

ABSTRACT
INTRODUCTION:

The aim of this study was to evaluate the effect of root canal irrigants on the compressive strength of hydraulic tricalcium silicate cements.

METHODS:

Specimens (n = 60) of tricalcium silicate materials-Group 1: White ProRoot mineral trioxide aggregate (MTA), Group 2: NeoMTA Plus, Group 3: White MTA Angelus, and Group 4: Biodentine were exposed to one of the solutions (n = 20): Phosphate buffered saline (PBS; control), 3 % NaOCl, or 17 % EDTA for 5 min while being suspended in PBS. Compressive strength values were evaluated after 7 days of storage. The data were statistically analyzed by two-way ANOVA and Tukey’s multiple comparison test (P = 0.05).

RESULTS:

Biodentine (BD) showed significantly higher compressive strength than the other materials (P < 0.05) in the control group. When exposed to NaOCl, compressive strength of WMTA and WMTA-A decreased significantly (P < 0.05), while EDTA decreased the compressive strength of all the cements compared to the control (P < 0.05). There was no significant difference in the compressive strength of BD and NMTA-P when exposed to NaOCl or EDTA.

CONCLUSION:

Biodentine and NeoMTA Plus did not show a significant reduction in compressive strength when exposed to NaOCl. EDTA reduced the compressive strength of the cements tested.

Tricalcium silicates were differentially influenced by root canal irrigants. It is essential to understand the composition of these materials prior to clinical use. Traces of irrigants from the root canal wall must be thoroughly removed.

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NeoMTA Plus is a stainproof, tricalcium silicate-based bioactive cement that can be used universally for vital pulp and other endodontic indications in primary and permanent teeth. NeoMTA Plus is a bioceramic cement that triggers the healing process. With NeoMTA Plus, general dentists, pediatric dentists, and endodontists now have a superior and reasonably priced bioceramic. Dentists praise the multi-use NeoMTA Plus because it mixes more smoothly, is easier to dispense and the unique gel enables more stable placement, washout resistance and faster clinical setting.

New, stain-free light color:

Ideal for pediatric dentistry—won’t discolor teeth
Liquids such as sodium hypochlorite won’t cause discoloration

Multiple indications:

Pulp-capping to base/liner
Pulpotomies to apexification
Sealer to perforation repair
Root-end filling to resorption

Non-cytotoxic

Inhibits bacterial growth* *Tested in vitro. Not a disinfectant

Grey MTA Plus is a bioceramic tricalcium silicate-based Dental Cement, which is slightly more radiopaque than (white) MTA. The light silvery color of MTA Plus is visible during placement. Grey MTA Plus is indicated for both Vital Pulp Therapy and Endodontic procedures. General dentists and endodontists praise the multi-use Grey MTA Plus because it mixes more smoothly and is easier to dispense. The unique gel enables more stable placement, washout resistance and faster clinical setting.

Multiple indications:

Pulp-capping to Base/Liner
Pulpotomies to Apexification
Sealer to Perforation Repair
Root-end Filling to Resorption

New, light grey color:

More radiopaque than the leading white MTAs
Visible for precise placement
Inhibits bacterial growth in vitro of Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa.
Non-cytotoxic

Better mixing, handling and placement:

Finer powder mixes more easily and smoothly
Dispense as little as 0.1 gm
Unique gel for stable placement
Washout resistant
No special equipment required

Smart, convenient packaging:

Protects fine powder in desiccant-lined bottle
Easy to dispense powder as needed
Dropper-tip gel bottle minimizes waste