Radiopacity of biodentine, Bio-MA, and calcium silicate-based cement added with different radiopacifiers
Main Article Content
Abstract
Objective: To investigate the radiopacity of two commercial calcium silicate cements (CSC)—Biodentine and Bio-MA—and experimental CSC containing one radiopacifier—zirconium oxide (Zr), barium sulfate (Ba), tantalum oxide (Ta) or bismuth oxide (Bi) according to International Organization for Standardization (ISO) 6876:2012.
Materials and Methods: Biodentine and Bio-MA were mixed according to the manufacturers’ instructions. CSC powder was added 20% by weight of radiopacifier in a blending machine. The powder was mixed with distilled water with a ratio of 0.5 g per 0.18 ml. The disc-shaped material, 6 mm in diameter and 1 mm thick, was formed in a mold. CSC without radiopacifier was used as a control. The disc was placed alongside 0.5-mm increment aluminium (Al) step wedge and irradiated with x-ray 60kV, 8mA, 0.016 msec on a digital receptor. Radiopacity of materials were compared with the aluminium step wedge using ImageJ program and transformed into mm of Al.
Results: Bio-MA radiopacity was 6.59±0.39 mmAl and was significantly higher than other investigated materials (p<.01). The radiopacity in mmAl of CSCs with the addition of radiopacifiers were CSC/Ba 2.52±0.14, CSC/Zr 2.90±0.05, CSC/Ta 3.39±0.10, CSC/Bi 5.42±018, and the control group was 0.99±0.06. They were all significantly different from each other (p<.01). Biodentine radiopaicty was 2.34±0.20 mmAl which was significantly lower than other groups (p<.05) except CSC/Ba (p>.05).
Conclusion: Radiopacity of Bio-MA, CSC/Bi, and CSC/Ta were greater than 3 mmAl and were clinically acceptable as recommended by ISO 6876:2012.
Article Details
References
Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010; 36: 400-13.
Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504.
Beyer-Olsen EM, Orstavik D. Radiopacity of root canal sealers. Oral Surg Oral Med Oral Pathol 1981; 51: 320-8.
Watts DC, McCabe JF. Aluminium radiopacity standards for dentistry: an international survey. J Dent 1999; 27: 73-8.
International Organization for Standardization (ISO). Dentistry - Root Canal Sealing Materials. London, UK: British Standards Institution 6876; 2012.
Camilleri J, Gandolfi MG. Evaluation of the radiopacity of calcium silicate cements containing different radiopacifiers. Int Endod J 2010; 43: 21-30.
Kim EC, Lee BC, Chang HS, Lee W, Hong CU, Min KS. Evaluation of the radiopacity and cytotoxicity of Portland cements containing bismuth oxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: 54-7.
Saliba E, Abbassi-Ghadi S, Vowles R, Camilleri J, Hooper S, Camilleri J. Evaluation of the strength and radiopacity of Portland cement with varying additions of bismuth oxide. Int Endod J 2009; 42: 322-8.
Chanin S, Sutimuntanakul S, Jeeruphan T. Comparison of radiopacity ot Thai white Portland cement with different radiopaque materials (High Grad Dip Project Report). Mahidol University. 2011.
Agarwal R, Nikhil V. The comparison of physicochemical properties of new and established root canal sealers. Endodontology 2016; 28: 97-101.
Cutajar A, Mallia B, Abela S, Camilleri J. Replacement of radiopacifier in mineral trioxide aggregate; characterization and determination of physical properties. Dent Mater 2011; 27: 879-91.
Tanalp J, Karapinar-Kazandağ M, Dölekoğlu S, Kayahan M. Comparison of the Radiopacities of Different Root-End Filling and Repair Materials. Sci World J
; 2013: 1-4.
Lucas CP, Viapiana R, Bosso-Martelo R, Guerreiro-Tanomaru JM, Camilleri J, Tanomaru-Filho M. Physicochemical Properties and Dentin Bond Strength of a Tricalcium Silicate-Based Retrograde Material. Braz Dent J 2017; 28: 51-6.
Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dent Mater 2013; 29: 20-8.
S. Coomaraswamy K, J. Lumley P, M. Shelton R, P. Hofmann M. Evaluation of Different Radiopacifiers for an MTA-Like Dental Cement. Key Eng Mater 2008;
-363: 885-8.
Camilleri J. Evaluation of the physical properties of an endodontic Portland cement incorporating alternative radiopacifiers used as root-end filling material. Int Endod J 2010; 43: 231-40.
Anas A, Asaad J, Tarboush K. A Comparison of intra-oral digital imaging modalities: Charged Couple Device versus Storage Phosphor Plate. Int J Health Sci (Qassim). 2010;4(2):156-67.
Torres JP, Sariol HC, Yperman J, Sauvanell ÁB, Carleer R, Campa JN. A novel X-ray radiography approach for the characterization of granular activated carbons used in the rum production. J Anal Sci Technol 2018; 9: 1-15.
Chen C, Hsieh SC, Teng NC, Kao CK, Lee SY, Lin CK, et al. Radiopacity and cytotoxicity of Portland cement containing zirconia doped bismuth oxide radiopacifiers.
J Endod 2014; 40: 251-4.
Colville AA, Staudhammer K. A Refinement of the Structure of Barite. Am Mineral 1967; 52: 1877-80.
Smith DK, Newkirk W. The crystal structure of baddeleyite (monoclinic ZrO2) and its relation to the polymorphism of ZrO2. Acta Cryst 1965; 18: 983-91.
Settawacharawanich S, Sutimuntanakul S, Phuvaravan S, Plang-ngern S. The chemical composition and physicochemical properties of a Thai white Portland cement (M.Sc. Project Report). Mahidol University. 2006.
Jeeruphan T, Sutimuntanakul S, Jainuch J. Radiopacity of Thai White Portland Cement Added with Bismuth Oxide in Different Ratio (High Grad Dip Project Report). Mahidol University. 2008.
Camilleri J, Sorrentino F, Damidot D. Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dent Mater 2013; 29: 580-93.
Camilleri J. Staining Potential of Neo MTA Plus, MTA Plus, and Biodentine Used for Pulpotomy Procedures. J Endod 2015; 41: 1139-45.
Kang SH, Shin YS, Lee HS, Kim SO, Shin Y, Jung IY, et al. Color changes of teeth after treatment with various mineral trioxide aggregate-based materials: an ex vivo study.
J Endod 2015; 41: 737-41.
Saghiri MA, Gutmann JL, Orangi J, Asatourian A, Sheibani N. Radiopacifier particle size impacts the physical properties of tricalcium silicate-based cements. J Endod 2015; 41: 225-30.
Camilleri J, Cutajar A, Mallia B. Hydration characteristics of zirconium oxide replaced Portland cement for use as a root-end filling material. Dent Mater 2011; 27: 845-54.
Camilleri J, Sorrentino F, Damidot DJCOI. Characterization of un-hydrated and hydrated BioAggregate™ and MTA Angelus™. Clin Oral Investig 2015; 19: 689-98.
Chaimanakarn C, Sutimuntanakul S, J J. Subcutaneous tissue response to calcium silicate-based cement (M.Sc. Project Report). Mahidol University 2014.
Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations. J Endod 2010; 36: 190-202.
McKee MW, Jurgens RW Jr. Barium sulfate products for roentgenographic examination of the gastrointestinal tract. Am J Hosp Pharm 1986; 43: 145-8.