Afsaneh Ghorbani¹*, Mohammad Forough Reyhani² and Yashar Rezaei³

¹Postgraduate Student of Orthodontics, Department of Orthodontics, School of Dentistry, Babol University of Medical Sciences, Babol, Iran
²Professor, Department of Endodontics, Faculty of Dentistry. Tabriz University of Medical Sciences, Tabriz, Iran
³Dental and Periodontal Research Center, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran

*Corresponding Author: Afsaneh Ghorbani, Postgraduate Student of Orthodontics, Department of Orthodontics, School of Dentistry, Babol University of Medical Sciences, Babol, Iran.

Received: July 24, 2023; Published: August 07, 2023

Abstract

Background: The solubility of root end filling materials is strongly affected by the environment they are in contact with. The aim of this study is to compare the solubility of CEM cement in two neutral and acidic environments.

Materials and Methods: 40 metal rings filled with CEM cement were prepared and were randomly divided into two groups. Samples in groups 1 and 2 were placed in artificial interstitial fluid with pH = 7.4 and pH = 4.4 and then were transferred into bottles containing distilled water with pH = 7.4 and pH = 4.4. Solubility of CEM cement samples were calculated in two time periods. Data were analyzed using independent t-test.

Results: The results of this study showed the level of solubility in acidic group on both days 7 and 28 was more than the neutral group, which was statistically significant (P = 0.001).

Conclusion: The solubility of CEM cement in the neutral and acidic environment increases with time. The more acidic the environment, the greater the dissolution.

Keywords:CEM Cement; PH; Solubility; Acidic Environment

References

1. Nekoofar MH., et al. “pH of pus collected from periapical abscesses”. International Endodontic Journal6 (2009): 534-538.
2. Zavare FJ., et al. “Chemical modification of MTA and CEM cement to decrease setting time and improve bioactivity properties by adding alkaline salts”. Journal of Dental Research, Dental Clinics, Dental Prospects1 (2020): 1.
3. Reyhani MF., et al. “Effects of various liquid-to-powder ratios on the compressive strength of calcium enriched mixture”. Journal of Dental Research, Dental Clinics, Dental Prospects2 (2021): 129.
4. Esmaeili B., et al. “Coronal discoloration induced by calcium-enriched mixture, mineral trioxide aggregate and calcium hydroxide: a spectrophotometric analysis”. Iranian Endodontic Journal.1 (2016): 23.
5. International Organization for Standardization. ISO 6876: 2012-Dentistry: Root canal sealing materials (2012).
6. Torabinejad M., et al. “Sealing ability of a mineral trioxide aggregate when used as a root end filling material”. Journal of Endodontics12 (1993): 591-595.
7. Torabinejad M and Chivian N. “Clinical applications of mineral trioxide aggregate”. Journal of Endodontics3 (1999): 197-205.
8. Shabahang S and Torabinejad M. “Treatment of teeth with open apices using mineral trioxide aggregate”. Practical Periodontics and Aesthetic Dentistry: PPAD3 (2000): 315-320.
9. Haghgoo R., et al. “Microleakage of CEM cement and ProRoot MTA as furcal perforation repair materials in primary teeth”. Iranian Endodontic Journal4 (2013): 187.
10. Sharaan M and Ali A. “Mineral Trioxide Aggregate vs Calcium-Enriched Mixture Pulpotomy in Young Permanent Molars with a Diagnosis of Irreversible Pulpitis: A Randomized Clinical Trial”. Iranian Endodontic Journal 3 (2022): 106-113.
11. Manohar S., et al. “A comparative evaluation of four regenerative materials for pulpotomy in primary molars: An in vivo study”. Dental Research Journal (Isfahan) 19 (2022): 102.
12. Asgary S., et al. “Outcomes of root canal therapy or full pulpotomy using two endodontic biomaterials in mature permanent teeth: a randomized controlled trial”. Clinical Oral Investigation3 (2022): 3287-3297.
13. Sáez MdM., et al. “Evaluation of pH and calcium ion diffusion from calcium hydroxide pastes and MTA”. Acta odontológica Latinoamericana 1 (2017): 26-32.
14. Sobhnamayan F., et al. “Effect of different pH values on the compressive strength of calcium-enriched mixture cement”. Iranian Endodontic Journal1 (2015): 26.
15. Jamali Zavare F., et al. “Chemical modification of MTA and CEM cement to decrease setting time and improve bioactivity properties by adding alkaline salts”. Journal of Dental Research, Dental Clinics, Dental Prospects 1 (2020): 1-11.
16. Kaplan A., et al. “Disintegration of endodontic cements in water”. Journal of Endodontics7 (1997): 439-441.
17. Yavari HR., et al. “Placement in an acidic environment increase the solubility of white mineral trioxide aggregate”. Journal of Conservative Dentistry: JCD3 (2023): 257.
18. Rahimi S., et al. “Comparison of microleakage with three different thicknesses of mineral trioxide aggregate as root-end filling material”. Journal of Oral Science3 (2008): 273-277.
19. Namazikhah M., et al. “The effect of pH on surface hardness and microstructure of mineral trioxide aggregate”. International Endodontic Journal2 (2008): 108-116.
20. Utneja S., et al. “Current perspectives of bio-ceramic technology in endodontics: calcium enriched mixture cement-review of its composition, properties and applications”. Restorative Dentistry and Endodontics 1 (2015): 1-13.
21. Saghiri MA., et al. “A comparative study of MTA solubility in various media”. Iranian Endodontic Journal 1 (2011): 21.
22. Saghiri MA., et al. “The effect of pH on solubility of nano-modified endodontic cements”. Journal of Conservative Dentistry: JCD1 (2014): 13.
23. Shojaee NS., et al. “Solubility of two root-end filling materials over different time periods in synthetic tissue fluid: a comparative study”. Journal of Dentistry3 (2015): 189.
24. Keyf F., et al. “Water sorption and solubility of different luting and restorative dental cements”. Turkish Journal of Medical Sciences1 (2007): 47-55.
25. Pushpa S., et al. “Effect of pH on solubility of white Mineral Trioxide Aggregate and Biodentine: An in vitro study”. Journal of Dental Research, Dental Clinics, Dental Prospects3 (2018): 201.
26. Shahi S., et al. “The Effect of Different Mixing Methods on the pH and Solubility of Mineral Trioxide Aggregate and Calcium-Enriched Mixture”. Iranian Endodontic Journal 2 (2015): 140-143.
27. Shojaee NS., et al. “Effect of Different Water-to-powder Ratios on the Solubility and Microhardness of Calcium-Enriched Mixture Cement”. Iranian Endodontic Journal 3 (2019): 185-189.
28. Abbaszadegan A., et al. “Effect of calcium chloride on physical properties of calcium-enriched mixture cement”. Australian Endodontic Journal 3 (2015): 117-121.
29. Azuma M. “Fundamental mechanisms of host immune responses to infection”. Journal of Periodontal Research 5 (2006): 361-373.
30. Fridland M and Rosado R. “MTA solubility: a long term study”. Journal of Endodontics 5 (2005): 376-379.

Citation

Citation: Afsaneh Ghorbani., et al. “Comparison of CEM Cement Solubility in Acidic and Neutral Environments: An In-Vitro Experiment".Acta Scientific Dental Sciences 7.9 (2023): 23-27.

Copyright

Copyright: © 2023 Afsaneh Ghorbani.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.