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  • Research Articles
    Effect of irrigants on the color stability, solubility, and surface characteristics of calcium-silicate based cements
    Selen Küçükkaya Eren, Sevinc Askerbeyli Örs, Hacer Aksel, Şenay Canay, Duygu Karasan
    Restor Dent Endod 2022;47(1):e10.   Published online February 10, 2022
    DOI: https://doi.org/10.5395/rde.2022.47.e10
    AbstractAbstract PDFPubReaderePub
    Objectives

    This study aimed to investigate the color stability, solubility, and surface characteristics of 3 calcium silicate-based cements (CSCs) after immersion in different solutions.

    Materials and Methods

    ProRoot white mineral trioxide aggregate (MTA), Biodentine, and Endosequence Root Repair Material (ERRM) were placed in cylindrical molds and stored at 37°C for 24 hours. Each specimen was immersed in distilled water, 5% sodium hypochlorite (NaOCl), 2% chlorhexidine, or 0.1% octenidine hydrochloride (OCT) for 24 hours. Color changes were measured with a spectrophotometer. Solubility was determined using an analytical balance with 10−5 g accuracy. The surface characteristics were analyzed using scanning electron microscopy and energy-dispersive spectroscopy. Data were analyzed using 2-way analysis of variance, the Tukey test, and the paired t-test.

    Results

    MTA exhibited significant discoloration in contact with NaOCl (p < 0.05). White precipitation occurred on the surfaces of Biodentine and ERRM after contact with the solutions, and none of the materials presented dark brown discoloration. All materials showed significant solubility after immersion in the solutions (p < 0.05), irrespective of the solution type (p > 0.05). The surface topography and elemental composition of the samples showed different patterns of crystal formation and precipitation depending on the solution type.

    Conclusions

    All materials presented some amount of solubility and showed crystal precipitation after contact with the solutions. Biodentine and ERRM are suitable alternatives to ProRoot MTA as they do not exhibit discoloration. The use of OCT can be considered safe for CSCs.

    Citations

    Citations to this article as recorded by  
    • Chemical and in vivo analyses of calcium silicate‐based materials in bone and connective tissues
      Ana Cristina Padilha Janini, Lauter Eston Pelepenko, Brenda Fornazaro Moraes, Victor Augusto Benedicto dos Santos, Matheus Barros‐Costa, Isabela Alvarenga Maciel dos Santos, Fábio Roberto de Souza Batista, Juliana de Aguiar Silveira Meira, Mariza Akemi Ma
      International Endodontic Journal.2025; 58(3): 484.     CrossRef
    • Topic: Perspectives on Success and Failure of Endodontic Treatments
      Ilma Robo, Manola Kelmendi, Eva Habazaj, Kleves Elezi, Rialda Xhizdari, Nevila Alliu
      SN Comprehensive Clinical Medicine.2025;[Epub]     CrossRef
    • Bismuth release from endodontic materials: Proposed mechanisms for systemic circulation and organ accumulation
      Lauter Eston Pelepenko, Benjamin Hewitt, Rodrigo Bueno de Oliveira, Brenda Fornazaro Moraes, Débora C. Coraça-Huber, Ana Cristina Padilha Janini, Marina Angélica Marciano
      Journal of Hazardous Materials.2025; 494: 138580.     CrossRef
    • Effect of Vital Pulp Therapy Biomaterials on Tooth Discolouration: A Review of the Literature
      Maedeh Gilvari Sarshari, Kiana Shakeri, Ardavan Parhizkar, Naresh Kasoju
      International Journal of Biomaterials.2025;[Epub]     CrossRef
    • Data about application of chlorhexidine as a periodontal irrigant – Systematic Review.
      Ilma Robo, Manola Kelmendi , Eva Habazaj , Kristi Sulanjaku , Nevila Alliu
      Acta Stomatologica Marisiensis Journal.2025; 8(1): 6.     CrossRef
    • Biocompatibility of Hydraulic Calcium Silicate-Based Cement MTA FlowTM on Human Dental Pulp Stem Cells In Vitro
      Paulius Tušas, Josette Camilleri, Milda Alksnė, Egidijus Šimoliūnas, Saulius Drukteinis, Eglė Marija Urbonė, Virginija Bukelskienė, Vygandas Rutkūnas, Vytautė Pečiulienė
      Journal of Functional Biomaterials.2025; 16(7): 252.     CrossRef
    • The outcome of combined use of iRoot BP Plus and iRoot SP for root-end filling in endodontic microsurgery: a randomized controlled trial
      Xu Dong, Qin Su, Wen Li, Jinbo Yang, Dongzhe Song, Jing Yang, Xin Xu
      Clinical Oral Investigations.2024;[Epub]     CrossRef
    • How Does Ethylenediaminetetraacetic Acid Irrigation Affect Biodentine? A Multimethod Ex Vivo Study
      Katarzyna Dąbrowska, Aleksandra Palatyńska-Ulatowska, Leszek Klimek
      Materials.2024; 17(6): 1230.     CrossRef
    • Color stability and solubility of Biodentine and NeoPutty in contact with different irrigation solutions
      Sıla Nur Usta, Cangül Keskin
      Restorative Dentistry & Endodontics.2024;[Epub]     CrossRef
    • The impact of various irrigation solutions on the color stabilities of five calcium silicate cement: an in-vitro study
      Aslı Soğukpınar Onsuren, Onur Kesici, Elif Uğurbekler Hündü
      Selcuk Dental Journal.2024; 11(3): 313.     CrossRef
    • Bioceramics in Endodontics: Updates and Future Perspectives
      Xu Dong, Xin Xu
      Bioengineering.2023; 10(3): 354.     CrossRef
    • Effect of calcium silicate-based endodontic sealers on tooth color: A 3-year in vitro experimental study
      Carmen Llena, Ana Herrero, Sandra Lloret, Martha Barraza, Jose Luis Sanz
      Heliyon.2023; 9(2): e13237.     CrossRef
    • Evaluation of the Shear Bond Strength of Four Bioceramic Materials with Different Restorative Materials and Timings
      Abeer S. Alqahtani, Ayman M. Sulimany, Abdullah S. Alayad, Abdulaziz S. Alqahtani, Omar A. Bawazir
      Materials.2022; 15(13): 4668.     CrossRef
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    • 9 Web of Science
    • 13 Crossref
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    Influence of reciprocating and rotary instrumentation on microbial reduction: a systematic review and meta-analysis of in vitro studies
    Selen Küçükkaya Eren, Emel Uzunoğlu-Özyürek, Sevilay Karahan
    Restor Dent Endod 2021;46(2):e19.   Published online March 10, 2021
    DOI: https://doi.org/10.5395/rde.2021.46.e19
    AbstractAbstract PDFPubReaderePub
    Objectives

    The purpose of this study was to conduct a systematic review and meta-analysis of in vitro studies regarding the effectiveness of reciprocating and rotary instrumentation on microbial reduction in root canals.

    Materials and Methods

    PubMed, Scopus, Web of Science, the Cochrane Library, and the gray literature were searched through December 2019. Studies comparing the influence of reciprocating and rotary instrumentation on the removal of microorganisms from root canals that quantified the antimicrobial effect were included. Data extraction was completed using a systematic form for data collection. The risk of bias of the studies was evaluated. Standardized mean differences (SMDs) and confidence intervals (CIs) were calculated using a random effects meta-analysis.

    Results

    Seventeen in vitro studies were included in this systematic review, of which 7 provided adequate data for inclusion in the meta-analysis. Both reciprocating and rotary systems were similarly effective in reducing the microbial load in infected root canals (SMD [95% CI], 0.0481 [−0.271, 0.367]). Three studies showed a low risk of bias, whereas most of the studies (82%) presented a medium risk.

    Conclusions

    Although both techniques decrease the microbial content (with reductions of 23.32%–88.47% and 23.33%–89.86% for reciprocating and rotary instrumentation, respectively), they are not able to provide complete disinfection of root canals.

    Citations

    Citations to this article as recorded by  
    • Fifteen years of engine‐driven nickel–titanium reciprocating instruments, what do we know so far? An umbrella review
      Felipe Immich, Lucas Peixoto de Araújo, Rafaella Rodrigues da Gama, Wellington Luiz de Oliveira da Rosa, Evandro Piva, Giampiero Rossi‐Fedele
      Australian Endodontic Journal.2024; 50(2): 409.     CrossRef
    • Does minimally invasive canal preparation provide higher fracture resistance of endodontically treated teeth? A systematic review ofin vitrostudies
      Sıla Nur Usta, Emmanuel João Nogueira Leal Silva, Seda Falakaloğlu, Mustafa Gündoğar
      Restorative Dentistry & Endodontics.2023;[Epub]     CrossRef
    • The Effect of Combined Ultrasonic Tip and Mechanized Instrumentation on the Reduction of the Percentage of Non-Instrumented Surfaces in Oval/Flat Root Canals: A Systematic Review and Meta-Analysis
      Marcella Dewes Cassal, Pedro Cardoso Soares, Marcelo dos Santos
      Cureus.2023;[Epub]     CrossRef
    • Impact of Different Access Cavity Designs and Ni–Ti Files on the Elimination of Enterococcus faecalis from the Root Canal System: An In Vitro Study
      Gizem Andac, Atakan Kalender, Buket Baddal, Fatma Basmaci
      Applied Sciences.2022; 12(4): 2049.     CrossRef
    • Shaping Properties and Outcomes of Nickel-Titanium Reciprocation Systems in Primary Teeth: A Systematic Review and Meta-Analysis of In Vitro Studies
      SelvaKumar Haridoss, Bhavyaa R, Kavitha Swaminathan, Aruna P
      Cureus.2022;[Epub]     CrossRef
    • Influence of Root Canal Sealers and Obturation Techniques on Vertical Root Fracture Resistance. An In Vitro Experiment
      Mazen F. Alkahtany, Khalid H. Almadi, Fahad A. Alahmad, Abdullah M. Alshehri, Abdulrahman A. AlSwayyed, Omar M. AlZahran, Ali AlHadan, Abdulaziz S. Almustafa, Fahim Vohra, Tariq Abduljabbar
      Applied Sciences.2021; 11(17): 8022.     CrossRef
    • 568 View
    • 17 Download
    • 7 Web of Science
    • 6 Crossref
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    Critical evaluation of fracture strength testing for endodontically treated teeth: a finite element analysis study
    Emel Uzunoglu-Özyürek, Selen Küçükkaya Eren, Oğuz Eraslan, Sema Belli
    Restor Dent Endod 2019;44(2):e15.   Published online April 18, 2019
    DOI: https://doi.org/10.5395/rde.2019.44.e15
    AbstractAbstract PDFPubReaderePub
    Objectives

    The aim of this study was to investigate whether the diameter and direction of the plunger and simulation of the periodontal ligament (PDL) affected the stress distribution in endodontically treated premolars.

    Methods

    A fracture strength test was simulated via finite element analysis. A base model was set up, and the following parameters were modified: plunger diameter (3 mm vs. 6 mm), plunger direction (vertical vs. 135° angular to the central fossa), and PDL simulation. The analysis was conducted using the CosmosWorks structural analysis program, and the results are presented in terms of von Mises stresses.

    Results

    The smaller plunger increased the stresses at the contact area of the crown, but the plunger diameter had no effect on the stress distribution within the root. An angular plunger direction increased stresses within the root, as well as at the buccal cusp of the crown, compared with the vertical direction. Simulation of the PDL caused higher stress accumulation, especially in the cervical region of the root.

    Conclusions

    The plunger diameter had no effect on the stress distribution in the roots, whereas the plunger direction and PDL simulation did affect the stress distribution. More stringent standards can be established by taking such parameters into account when performing fracture testing in future studies.

    Citations

    Citations to this article as recorded by  
    • Access cavity in endodontics: Balancing precision, preservation, and clinical needs
      Dina Abdellatif, Ismail Davut Capar, De Fontaine Sarah, Alfredo Iandolo, Christophe Meyer, Davide Mancino
      Journal of Conservative Dentistry and Endodontics.2025; 28(6): 573.     CrossRef
    • Assessment of Stress Distribution with 3 Taper Design Preparation of Root Canal Using Finite Element Analysis
      Tejasree Rathod, G. Durgabhavani, Pudu Tirupathi, Nusrath Parveen, Yelloji Paramesh, Prabhakar Dharavattu
      Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 1): S112.     CrossRef
    • The impact of the filling technique with two sealers in bulk or associated with gutta-percha on the fatigue behavior and failure patterns of endodontically treated teeth
      Isabella Marian Lena, Luiza Colpo Chiaratti, Rafaela Oliveira Pilecco, Renan Vaz Machry, João Paulo Mendes Tribst, Cornelis Johannes Kleverlaan, Gabriel Kalil Rocha Pereira, Renata Dornelles Morgental
      PeerJ.2024; 12: e18221.     CrossRef
    • Stronger than Ever: Multifilament Fiberglass Posts Boost Maxillary Premolar Fracture Resistance
      Naji Kharouf, Eugenio Pedullà, Gianluca Plotino, Hamdi Jmal, Mohammed-El-Habib Alloui, Philippine Simonis, Patrice Laquerriere, Valentina Macaluso, Dina Abdellatif, Raphaël Richert, Youssef Haikel, Davide Mancino
      Journal of Clinical Medicine.2023; 12(8): 2975.     CrossRef
    • Neural network approach to evaluate the physical properties of dentin
      Mohammad Ali Saghiri, Ali Mohammad Saghiri, Elham Samadi, Devyani Nath, Julia Vakhnovetsky, Steven M. Morgano
      Odontology.2023; 111(1): 68.     CrossRef
    • Modelling and evaluating periodontal ligament mechanical behaviour and properties: A scoping review of current approaches and limitations
      Enaiyat Ghani Ovy, Dan L. Romanyk, Carlos Flores Mir, Lindsey Westover
      Orthodontics & Craniofacial Research.2022; 25(2): 199.     CrossRef
    • FEAr no more! Finite element analysis in orthodontics
      Shilpa Chawla, Shailesh Deshmukh
      Journal of the International Clinical Dental Research Organization.2022; 14(1): 6.     CrossRef
    • Influence of Methodological Variables on Fracture Strength Tests Results of Premolars with Different Number of Residual Walls. A Systematic Review with Meta-Analysis
      Carlo Gaeta, Crystal Marruganti, Emanuele Mignosa, Giovanni Franciosi, Edoardo Ferrari, Simone Grandini
      Dentistry Journal.2021; 9(12): 146.     CrossRef
    • 740 View
    • 26 Download
    • 8 Crossref
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    Mineral content analysis of root canal dentin using laser-induced breakdown spectroscopy
    Selen Küçükkaya Eren, Emel Uzunoğlu, Banu Sezer, Zeliha Yılmaz, İsmail Hakkı Boyacı
    Restor Dent Endod 2018;43(1):e11.   Published online February 4, 2018
    DOI: https://doi.org/10.5395/rde.2018.43.e11
    AbstractAbstract PDFPubReaderePub
    Objectives

    This study aimed to introduce the use of laser-induced breakdown spectroscopy (LIBS) for evaluation of the mineral content of root canal dentin, and to assess whether a correlation exists between LIBS and scanning electron microscopy/energy dispersive spectroscopy (SEM/EDS) methods by comparing the effects of irrigation solutions on the mineral content change of root canal dentin.

    Materials and Methods

    Forty teeth with a single root canal were decoronated and longitudinally sectioned to expose the canals. The root halves were divided into 4 groups (n = 10) according to the solution applied: group NaOCl, 5.25% sodium hypochlorite (NaOCl) for 1 hour; group EDTA, 17% ethylenediaminetetraacetic acid (EDTA) for 2 minutes; group NaOCl+EDTA, 5.25% NaOCl for 1 hour and 17% EDTA for 2 minutes; a control group. Each root half belonging to the same root was evaluated for mineral content with either LIBS or SEM/EDS methods. The data were analyzed statistically.

    Results

    In groups NaOCl and NaOCl+EDTA, the calcium (Ca)/phosphorus (P) ratio decreased while the sodium (Na) level increased compared with the other groups (p < 0.05). The magnesium (Mg) level changes were not significant among the groups. A significant positive correlation was found between the results of LIBS and SEM/EDS analyses (r = 0.84, p < 0.001).

    Conclusions

    Treatment with NaOCl for 1 hour altered the mineral content of dentin, while EDTA application for 2 minutes had no effect on the elemental composition. The LIBS method proved to be reliable while providing data for the elemental composition of root canal dentin.

    Citations

    Citations to this article as recorded by  
    • In vitro evaluation of antimicrobial photodynamic therapy with photosensitizers and calcium hydroxide on bond strength, chemical composition, and sealing of glass-fiber posts to root dentin
      Thalya Fernanda Horsth Maltarollo, Paulo Henrique dos Santos, Henrique Augusto Banci, Mariana de Oliveira Bachega, Beatriz Melare de Oliveira, Marco Hungaro Antonio Duarte, Índia Olinta de Azevedo Queiroz, Rodrigo Rodrigues Amaral, Luciano Angelo Tavares
      Lasers in Medical Science.2025;[Epub]     CrossRef
    • Effect of Using 5% Apple Vinegar Irrigation Solution Adjunct to Diode Laser on Smear Layer Removal and Calcium/Phosphorus Ion Ratio during Root Canal Treatment
      Tarek AA Salam, Haythem SA Kader, Elsayed E Abdallah
      CODS - Journal of Dentistry.2024; 15(1): 3.     CrossRef
    • Evaluation of chemical composition of root canal dentin between two age groups using different irrigating solutions: An in vitro sem-eds study
      Naresh Kumar K, Abhijith Kallu, Surender L.R, Sravani Nirmala, Narender Reddy
      International Dental Journal of Student's Research.2024; 12(1): 18.     CrossRef
    • Minimally invasive management of vital teeth requiring root canal therapy
      E. Karatas, M. Hadis, W. M. Palin, M. R. Milward, S. A. Kuehne, J. Camilleri
      Scientific Reports.2023;[Epub]     CrossRef
    • The Effects of a Novel Nanohydroxyapatite Gel and Er: YAG Laser Treatment on Dentin Hypersensitivity
      Demet Sahin, Ceren Deger, Burcu Oglakci, Metehan Demirkol, Bedri Onur Kucukyildirim, Mehtikar Gursel, Evrim Eliguzeloglu Dalkilic
      Materials.2023; 16(19): 6522.     CrossRef
    • Chitosan Homogenizing Coffee Ring Effect for Soil Available Potassium Determination Using Laser-Induced Breakdown Spectroscopy
      Xiaolong Li, Rongqin Chen, Zhengkai You, Tiantian Pan, Rui Yang, Jing Huang, Hui Fang, Wenwen Kong, Jiyu Peng, Fei Liu
      Chemosensors.2022; 10(9): 374.     CrossRef
    • Quantitative analysis of cadmium in rice roots based on LIBS and chemometrics methods
      Wei Wang, Wenwen Kong, Tingting Shen, Zun Man, Wenjing Zhu, Yong He, Fei Liu
      Environmental Sciences Europe.2021;[Epub]     CrossRef
    • 471 View
    • 4 Download
    • 7 Crossref
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