Abstract

Mineral trioxide aggregate (MTA) and Portland cement (PC) are calcium silicate cements. They have similar physicochemical, mechanical and biological properties. The addition of zirconium oxide (ZrO2) to PC provides radiopacity. Silver nanoparticles (AgNPs) may improve some properties of cements. The aim of this study was to evaluate the effect of AgNPs on physicochemical/mechanical properties and antibacterial activity of white MTA (WMTA) and PC associated with ZrO2. The following materials were evaluated: WMTA; PC 70% + ZrO2 30%; WMTA+ AgNPs; and PC 70% + ZrO2 30% + AgNPs. The study evaluated radiopacity, setting time, pH, compressive strength and solubility. For radiopacity analysis, radiographs were made alongside an aluminum (Al) step wedge. To evaluate the antibacterial activity, direct contact test was performed on planktonic cells and Enterococcus faecalis biofilm induced on bovine root dentin for 14 days. The experimental periods were 5 and 15 h. Data were obtained as CFU mL-1. The obtained data were submitted to ANOVA and Tukey tests (p<0.05). The addition of AgNPs to WMTA increased the pH, lowered the solubility and the initial and final setting times. The addition of AgNPs to PC/ZrO2 maintained the pH, lowered the solubility, and increased the setting time and compressive strength. The radiopacity of all materials was higher than 4 mmAl. The addition of AgNPs promoted an increase in antibacterial activity for calcium silicate cements and favored the physicochemical and mechanical properties of the materials.

Highlights

  • The physicochemical, mechanical and biological properties of Mineral Trioxide Aggregate (MTA) and Portland cement (PC) are similar [1]

  • white MTA (WMTA) had the highest radiopacity, showing values statistically similar to PC/ ZrO2 and WMTA/AgNPs, while the lowest radiopacity was observed for PC/ZrO2/AgNPs

  • The shortest observed setting times were for WMTA/AgNPs, which presented statistically difference from all other groups

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Summary

Introduction

The physicochemical, mechanical and biological properties of Mineral Trioxide Aggregate (MTA) and Portland cement (PC) are similar [1]. The MTA consists of tricalcium silicate, dicalcium silicate, bismuth oxide (BO) and calcium sulfate traces [2]. BO may affect the physicochemical and biological properties of MTA [3]. Addition of zirconium oxide (ZrO2) to MTA and PC can improve the physicochemical and antimicrobial properties of materials [4]. Addition of 30% ZrO2 does not affect the hydration of PC and originates bioactive cement with properties similar to MTA [5]. ZrO2 may be a proper alternative as radiopacifier agent in substitution to BO providing physicochemical, mechanical and biological properties to calcium silicate cements. The association of PC with 30% ZrO2 shows radiopacity, compressive strength, setting time, water absorption and solubility similar to MTA. The association promoted proper pH and calcium ions release [3,4,6]

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