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Research Article
Effect of moisture and pH on setting time and microhardness of three premixed calcium silicate-based root canal sealers: an in vitro experimental study
Sooyoun Kim
Restor Dent Endod 2025;50(4):e41.   Published online November 28, 2025
DOI: https://doi.org/10.5395/rde.2025.50.e41
AbstractAbstract PDFPubReaderePub
Objectives
The study aimed to investigate how environmental conditions impact the setting time and microhardness of premixed calcium silicate-based sealers.
Methods
The setting time and microhardness of three sealers (Endoseal MTA [MARUCHI], One-Fil [MEDICLUS], and Well-Root ST [VERICOM]) were evaluated under four environmental conditions: unsoaked, distilled water-soaked, phosphate-buffered saline-soaked, and pH 5-soaked gypsum molds (n = 12/group/condition). The setting time was measured with Gilmore needles, and microhardness was assessed using a Vickers tester after 3 days. Welch’s analysis of variance and Games-Howell post hoc tests were used for statistical analysis.
Results
The sealer type and environmental conditions significantly influenced setting time and microhardness (p < 0.001). The initial and final setting times were the shortest in the unsoaked samples. For Endoseal MTA and One-Fil, the unsoaked condition exhibited significantly shorter setting times than the soaked conditions. Well-Root ST exhibited significantly longer setting times in acidic conditions. Surface microhardness was highest in the unsoaked group (p < 0.001). Among the soaked groups, the phosphate-buffered saline-soaked group had the lowest hardness for Endoseal MTA, whereas the pH 5-soaked group exhibited the lowest hardness for One-Fil and Well-Root ST. Endoseal MTA consistently demonstrated a lower microhardness than the other sealers (p < 0.001).
Conclusions
Moisture, pH, and solution chemistry influenced the setting time and microhardness of premixed calcium silicate sealers. Although acidic conditions generally prolong the setting time and reduce hardness, the effects vary based on the sealers used and the setting environment.
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  • 48 Download
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Case Report
Multidisciplinary management of an endo-perio lesion complicated by a cemental tear: a case report
Nishanth D. Sadhak, Akshaya Pallod, Shreyas Oza
Restor Dent Endod 2025;50(3):e31.   Published online August 22, 2025
DOI: https://doi.org/10.5395/rde.2025.50.e31
AbstractAbstract PDFPubReaderePub
Endodontic-periodontal lesions (EPLs) complicated by cemental tears present a diagnostic and therapeutic challenge. This case report describes the successful management of a 66-year-old male patient with a mandibular second molar (#18) exhibiting an EPL complicated by a cemental tear. Clinical examination revealed a draining sinus tract, deep periodontal pockets, and radiographic evidence of a “J-shaped” lesion and a radiopaque cemental fragment. The tooth had previously initiated endodontic treatment. A multidisciplinary approach involving endodontic treatment and surgical removal of the cemental tear was implemented. At 24-month follow-up, clinical and radiographic examination revealed significant improvement in periodontal health, bone regeneration, and resolution of the lesion. This case highlights the importance of considering cemental tears in the differential diagnosis of EPLs and demonstrates the efficacy of a combined endodontic-periodontal approach for achieving predictable outcomes.
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  • 196 Download
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Research Articles
Physicochemical properties of a calcium aluminate cement containing nanoparticles of zinc oxide
Amanda Freitas da Rosa, Thuany Schmitz Amaral, Maria Eduarda Paz Dotto, Taynara Santos Goulart, Hebert Luís Rossetto, Eduardo Antunes Bortoluzzi, Cleonice da Silveira Teixeira, Lucas da Fonseca Roberti Garcia
Restor Dent Endod 2023;48(1):e3.   Published online December 8, 2022
DOI: https://doi.org/10.5395/rde.2023.48.e3
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the effect of different nanoparticulated zinc oxide (nano-ZnO) and conventional-ZnO ratios on the physicochemical properties of calcium aluminate cement (CAC).

Materials and Methods

The conventional-ZnO and nano-ZnO were added to the cement powder in the following proportions: G1 (20% conventional-ZnO), G2 (15% conventional-ZnO + 5% nano-ZnO), G3 (12% conventional-ZnO + 3% nano-ZnO) and G4 (10% conventional-ZnO + 5% nano-ZnO). The radiopacity (Rad), setting time (Set), dimensional change (Dc), solubility (Sol), compressive strength (Cst), and pH were evaluated. The nano-ZnO and CAC containing conventional-ZnO were also assessed using scanning electron microscopy, transmission electron microscopy, and energy-dispersive X-ray spectroscopy. Radiopacity data were analyzed by the 1-way analysis of variance (ANOVA) and Bonferroni tests (p < 0.05). The data of the other properties were analyzed by the ANOVA, Tukey, and Fisher tests (p < 0.05).

Results

The nano-ZnO and CAC containing conventional-ZnO powders presented particles with few impurities and nanometric and micrometric sizes, respectively. G1 had the highest Rad mean value (p < 0.05). When compared to G1, groups containing nano-ZnO had a significant reduction in the Set (p < 0.05) and lower values of Dc at 24 hours (p < 0.05). The Cst was higher for G4, with a significant difference for the other groups (p < 0.05). The Sol did not present significant differences among groups (p > 0.05).

Conclusions

The addition of nano-ZnO to CAC improved its dimensional change, setting time, and compressive strength, which may be promising for the clinical performance of this cement.

Citations

Citations to this article as recorded by  
  • Calcium aluminate cement: a study on the effect of additives for dental applications
    Sara Ghorbani, Rahim Naghizadeh, Ebrahim Ghasemi, Hamidreza Rezaie
    Advances in Cement Research.2025; 37(4): 269.     CrossRef
  • Experimental Study on Cement-Based Materials Modified by Nano-Zinc Oxide and Nano-Zirconia Based on Response Surface Optimization Design
    Hongyin Hu, Fufei Wu, Jiao Chen, Shuangshuang Guan, Peng Qu, Hongqin Zhang, Yuyi Chen, Zirun Xu, Chuanteng Huang, Shuang Pu
    Materials.2025; 18(7): 1515.     CrossRef
  • Radiographic, mechanical, and chemical properties of mineral trioxide aggregate from nanosilica and clam shell calcium carbonate
    Leny Yuliatun, Muhammad Adly Rahandi Lubis, Muhammad Khaliim Jati Kusala, Lia Destiarti, Ratna Betriani, Jolang Budiarta, Mariyam Mariyam
    Polyhedron.2025; 278: 117590.     CrossRef
  • Application of Calcium Aluminate-Based Materials for Direct Pulp Capping – In Vivo Study
    Ognjenka Janković, Smiljana Paraš, Tijana Adamović, Ljiljana Tadić Latinović, Radmila Arbutina, Igor Đukić, Saša Marin, Marko Bulajić, Karolina Vukoje, Vukoman Jokanović, Verica Pavlić
    Acta Veterinaria.2025; 75(2): 212.     CrossRef
  • Nanotechnology for calcium aluminate cement: thematic analysis
    Lapyote Prasittisopin
    REVIEWS ON ADVANCED MATERIALS SCIENCE.2025;[Epub]     CrossRef
  • 1,863 View
  • 45 Download
  • 6 Web of Science
  • 5 Crossref
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Cytotoxicity of two self-adhesive resin cements and their interference in the phagocytic activity of murine macrophages
Danilo Couto da Silva, Leonardo Gomes Vaz, Warley Luciano Fonseca Tavares, Leda Quercia Vieira, Ricardo Reis de Oliveira, Antônio Paulino Ribeiro Sobrinho
Restor Dent Endod 2022;47(3):e31.   Published online July 14, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e31
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate in vitro the effects of the self-adhesive resin cements RelyX U200 (3M ESPE) and seT PP (SDI Limited) on murine macrophages and the interference of the photoactivation.

Materials and Methods

Cell viability assays, cell adherence, yeast phagocytosis of Saccharomyces boulardii and production of reactive oxygen species (ROS) were performed in the presence of capillaries containing the respective self-adhesive cement when photoactivated or not.

Results

After long periods of contact, both types of cements, when not photoactivated, are more cytotoxic for macrophages. The seT PP cement when only chemically activated seems to interfere more negatively in the process of phagocytosis of yeasts S. boulardii. Both types of cements interfere in the cell adhesion process, independent of photoactivation. None of the types of cements tested was able to induce the production of ROS.

Conclusions

Our results highlight the great importance of the photoactivation of self-adhesive resin cements in the dental clinic, since RelyX U200, when photoactivated, presented the best results within the evaluated parameters.

Citations

Citations to this article as recorded by  
  • Influence of Preheating Self-Adhesive Cements on the Degree of Conversion, Cell Migration, and Cell Viability
    Henrique Cantarelli, Fernando Antonio Costa Xavier, Fernando Freitas Portella, Keiichi Hosaka, Eduardo Galia Reston, Louis Hardan, Rim Bourgi, Celso Afonso Klein-Junior
    Applied Mechanics.2024; 5(3): 553.     CrossRef
  • Dental Luting Cements: An Updated Comprehensive Review
    Artak Heboyan, Anna Vardanyan, Mohmed Isaqali Karobari, Anand Marya, Tatevik Avagyan, Hamid Tebyaniyan, Mohammed Mustafa, Dinesh Rokaya, Anna Avetisyan
    Molecules.2023; 28(4): 1619.     CrossRef
  • 1,753 View
  • 20 Download
  • 4 Web of Science
  • 2 Crossref
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