PMID- 29603021 OWN - NLM STAT- MEDLINE DCOM- 20190603 LR - 20220410 IS - 1436-3771 (Electronic) IS - 1432-6981 (Linking) VI - 23 IP - 1 DP - 2019 Jan TI - Microstructure and chemical analysis of four calcium silicate-based cements in different environmental conditions. PG - 43-52 LID - 10.1007/s00784-018-2394-1 [doi] AB - OBJECTIVE: The objective of this study was to analyze the microstructure and crystalline structures of ProRoot MTA, Biodentine, CEM Cement, and Retro MTA when exposed to phosphate-buffered saline, butyric acid, and blood. METHODS AND MATERIALS: Mixed samples of ProRoot MTA, Biodentine, CEM Cement, and Retro MTA were exposed to either phosphate-buffered saline, butyric acid, or blood. Scanning electron microscope (SEM) and energy-dispersive X-ray spectroscopic (EDX) evaluations were conducted of specimens. X-ray diffraction (XRD) analysis was also performed for both hydrated and powder forms of evaluated calcium silicate cements. RESULTS: The peak of tricalcium silicate and dicalcium silicate detected in all hydrated cements was smaller than that seen in their unhydrated powders. The peak of calcium hydroxide (Ca(OH)(2)) in blood- and acid-exposed ProRoot MTA, CEM Cement, and Retro MTA specimens were smaller than that of specimens exposed to PBS. The peak of Ca(OH)(2) seen in Biodentine specimens exposed to blood was similar to that of PBS-exposed specimens. On the other hand, those exposed to acid exhibited smaller peaks of Ca(OH)(2). CONCLUSION: Exposure to blood or acidic pH decreased Ca(OH)(2) crystalline formation in ProRoot MTA, CEM Cement and Retro MTA. However, a decrease in Ca(OH)(2) was only seen when Biodentine exposed to acid. CLINICAL RELEVANCE: The formation of Ca(OH)(2) which influences the biological properties of calcium silicate cements was impaired by blood and acid exposures in ProRoot MTA, CEM Cement, and Retro MTA; however, in the case of Biodentine, only exposure to acid had this detrimental effect. FAU - Ashofteh Yazdi, K AU - Ashofteh Yazdi K AD - Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. FAU - Ghabraei, Sh AU - Ghabraei S AD - Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. FAU - Bolhari, B AU - Bolhari B AD - Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. FAU - Kafili, M AU - Kafili M AD - Department of Endodontics, School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Meraji, N AU - Meraji N AUID- ORCID: 0000-0001-5522-574X AD - Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. meraji_n@yahoo.com. FAU - Nekoofar, M H AU - Nekoofar MH AD - Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. nekoofar@tums.ac.ir. AD - School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK. nekoofar@tums.ac.ir. FAU - Dummer, P M H AU - Dummer PMH AD - School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK. LA - eng GR - 27183/Tehran University of Medical Sciences and Health Services/ PT - Journal Article DEP - 20180330 PL - Germany TA - Clin Oral Investig JT - Clinical oral investigations JID - 9707115 RN - 0 (Calcium Compounds) RN - 0 (Dental Cements) RN - 0 (Drug Combinations) RN - 0 (Oxides) RN - 0 (Phosphorus Compounds) RN - 0 (ProRoot MTA) RN - 0 (Root Canal Filling Materials) RN - 0 (Saline Solution) RN - 0 (Silicates) RN - 0 (calcium-enriched mixture cement) RN - 107-92-6 (Butyric Acid) RN - 404G39282C (tricalcium silicate) RN - S4255P4G5M (calcium silicate) MH - Blood MH - Butyric Acid MH - Calcium Compounds/*chemistry MH - Dental Cements/*chemistry MH - Drug Combinations MH - Hydrogen-Ion Concentration MH - Materials Testing MH - Microscopy, Electron, Scanning MH - Oxides/chemistry MH - Phosphorus Compounds/chemistry MH - Root Canal Filling Materials/chemistry MH - Saline Solution MH - Silicates/*chemistry MH - Spectrometry, X-Ray Emission MH - Surface Properties MH - X-Ray Diffraction OTO - NOTNLM OT - Biodentine OT - CEM cement OT - Calcium silicate cement OT - EDX OT - MTA OT - SEM OT - XRD EDAT- 2018/04/01 06:00 MHDA- 2019/06/04 06:00 CRDT- 2018/04/01 06:00 PHST- 2017/06/12 00:00 [received] PHST- 2018/02/15 00:00 [accepted] PHST- 2018/04/01 06:00 [pubmed] PHST- 2019/06/04 06:00 [medline] PHST- 2018/04/01 06:00 [entrez] AID - 10.1007/s00784-018-2394-1 [pii] AID - 10.1007/s00784-018-2394-1 [doi] PST - ppublish SO - Clin Oral Investig. 2019 Jan;23(1):43-52. doi: 10.1007/s00784-018-2394-1. Epub 2018 Mar 30.