j health sci med / jhsm

Journal of Health Sciences and Medicine

2636-8579

MediHealth Academy Yayıncılık

10.32322/jhsm.1438664

Oral and Maxillofacial Radiology Dental Materials and Equipment Restorative Dentistry

Ağız, Diş ve Çene Radyolojisi Diş Malzemeleri ve Ekipmanı Restoratif Diş Tedavisi

Radiopacity evaluations of the novel calcium-silicate and glass-Ionomer-based materials

https://orcid.org/0000-0001-9601-7410

Şeşen Uslu

Yeşim

BAHCESEHIR UNIVERSITY

https://orcid.org/0000-0001-7823-9562

Çelebi

Elif

BAHCESEHIR UNIVERSITY

https://orcid.org/0000-0002-9269-4868

Berkman

Meriç

YEDİTEPE ÜNİVERSİTESİ

03 25 2024

7 2 192 198 02 16 2024 03 10 2024

2018

Journal of Health Sciences and Medicine

Aims: Radiopacity is a crucial property for a liner or base material, and these materials should provide an optimal contrast for detecting secondary caries in radiographic examinations. The purpose of this study was to assess the radiopacity characteristics of four calcium-silicate-based and two glass-ionomer-based materials used as a liner or base in direct or indirect vital pulp therapy.Methods: A total of 60 cylindrical-shaped and 1 mm thick specimens were prepared from a calcium-silicate (Biodentine, Septodont), a calcium-silicate (MTA, Angelus), a light-cured resin-modified calcium silicate (TheraCal LC, Bisco), a dual-cured resin-modified calcium silicate (TheraCal PT, Bisco), a glass hybrid glass-ionomer (Equia Forte HT, GC), and a resin-modified glass ionomer (Glass Liner, Wp Dental) material (n=10). Digital radiographic images of the specimens, a molar tooth section with 1 mm thickness, and an aluminum step wedge were obtained by a digital radiography system (Heliodent Plus, Dentsply Sirona) with 60 kV voltage, 7 mA current, and 0.25 seconds exposure time. The mean gray values (MGV) of digital images were determined using the ImageJ software program (National Institute of Health, Bethesda, MD, USA). Kruskal-Wallis and Mann-Whitney tests (pBiodentine>Equia Forte HT>Theracal PT>Theracal LC>Glass Liner, respectively. All the tested liner or base materials exhibited significantly greater radiopacity values when compared to those of dentin (p

dental materials biocompatible materials calcium silicate cements dental radiography

1. Karadas M, Atıcı MG. Bond strength and adaptation of pulp capping materials to dentin. Microscopy Res Tech. 2020;83(5):514-522.

2. Cengiz E, Ulusoy N. Microshear bond strength of tri-calcium silicate-based cements to different restorative materials. J Adhesive Dentistry. 2016;18(3):231.

3. Davaie S, Hooshmand T, Ansarifard S. Different types of bioceramics as dental pulp capping materials: a systematic review. Ceramics Int. 2021;47(15):20781-20792.

4. Eid A, Mancino D, Rekab MS, Haikel Y, Kharouf N. Effectiveness of three agents in pulpotomy treatment of permanent molars with incomplete root development: a randomized controlled trial. Healthcare. 2022;10(3):431.

5. Dawood AE, Parashos P, Wong RH, Reynolds EC, Manton DJ. Calcium silicate‐based cements: composition, properties, and clinical applications. J Invest Clin Dentistry. 2017;8(2):e12195.

6. Hardan L, Mancino D, Bourgi R, et al. Bond strength of adhesive systems to calcium silicate-based materials: a systematic review and meta-analysis of in vitro studies. Gels. 2022;8(5):311.

7. Manoj A, Kavitha R, Karuveettil V, Singh VP, Haridas K, Venugopal K. Comparative evaluation of shear bond strength of calcium silicate-based liners to resin-modified glass ionomer cement in resin composite restorations-a systematic review and meta-analysis. Evidence-Based Dentistry. 2022:1-10. doi: 10.1038/s41432-022-0825-y

8. Raina A, Sawhny A, Paul S, Nandamuri S. Comparative evaluation of the bond strength of self-adhering and bulk-fill flowable composites to MTA Plus, Dycal, Biodentine, and TheraCal: an in vitro study. Restorat Dentistry Endodont. 2020;45(1):e10.

9. Gandolfi MG, Siboni F, Prati C. Chemical–physical properties of TheraCal, a novel light‐curable MTA‐like material for pulp capping. Int Endodont J. 2012;45(6):571-579.

10. Bisco TheraCal PT dual-cured resin-modified calcium silicate pulpotomy treatment vs MTA products. 2023. BISCO. https://global.bisco.com/assets/4/22/TheraCal_PT_5Reasons1.pdf

11. Falakaloğlu S, Özata MY, Plotino G. Micro-shear bond strength of different calcium silicate materials to bulk-fill composite. PeerJ. 2023;11:e15183.

12. Balci M, Turkun L, Boyacıoglu H, Guneri P, Ergucu Z. Radiopacity of Posterior restorative materials: a comparative in vitro study. Operat Dentistry. 2023;48(3):337-346.

13. Bilvinaite G, Drukteinis S, Brukiene V, Rajasekharan S. Immediate and long-term radiopacity and surface morphology of hydraulic calcium silicate-based materials. Materials. 2022;15(19):6635 doi: 10.3390/ma15196635

14. Mann A, Zeng Y, Kirkpatrick T, et al. Evaluation of the physicochemical and biological properties of EndoSequence BC Sealer HiFlow. J Endodont. 2022;48(1):123-131.

15. Poorterman JH, Aartman IH, Kalsbeek H. Underestimation of the prevalence of approximal caries and inadequate restorations in a clinical epidemiological study. Commun Dentistry Oral Epidemiol. 1999;27(5):331-337.

16. Espelid I, Tveit A, Erickson R, Keck S, Glasspoole E. Radiopacity of restorations and detection of secondary caries. Dental Materials. 1991;7(2):114-117.

17. Lachowski KM, Botta SB, Lascala CA, Matos AB, Sobral MAP. Study of the radio-opacity of base and liner dental materials using a digital radiography system. Dentomaxillofac Radiol. 2013;42(2):20120153.

18. Corral C, Negrete P, Estay J, et al. Radiopacity and chemical assessment of new commercial calcium silicate-based cements. Int J Odontostomatol. 2018;12(3):262-268.

19. Yaylaci A, Karaarslan ES, Hatirli H. Evaluation of the radiopacity of restorative materials with different structures and thicknesses using a digital radiography system. Imaging Sci Dent. 2021;51(3):261-269. doi: 10.5624/isd.20200334

20. Watts D, McCabe J. Aluminium radiopacity standards for dentistry: an international survey. J Dentistry. 1999;27(1):73-78.

21. Williams J, Billington R. A new technique for measuring the radiopacity of natural tooth substance and restorative materials. J Oral Rehab. 1987;14(3):267-269.

22. Shah PM, San Chong B, Sidhu SK, Ford TRP. Radiopacity of potential root-end filling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1996;81(4):476-479.

23. Kaup M, Schäfer E, Dammaschke T. An in vitro study of different material properties of Biodentine compared to ProRoot MTA. Head Face Med. 2015;11(1):16.

24. Marciano MA, Estrela C, Mondelli RFL, Ordinola-Zapata R, Duarte MAH. Analysis of the color alteration and radiopacity promoted by bismuth oxide in calcium silicate cement. Braz Oral Res. 2013;27(4):318-323.

25. Pelepenko LE, Saavedra F, Antunes TB, et al. Physicochemical, antimicrobial, and biological properties of White-MTAFlow. Clin Oral Invest. 2021;25(2):663-672.

26. Tanalp J, Karapınar-Kazandağ M, Dölekoğlu S, Kayahan MB. Comparison of the radiopacities of different root-end filling and repair materials. Scientif World J. 2013;2013:594950.

27. Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dental Materials. 2013;29(2):e20-e28.

28. Cutajar A, Mallia B, Abela S, Camilleri J. Replacement of radiopacifier in mineral trioxide aggregate; characterization and determination of physical properties. Dental Materials. 2011;27(9):879-891.