Abstract

Biodentine is one of the most successful and widely studied among the second generation of calcium silicate-based endodontic cements. Despite its popularity, the setting reactions of this cement system are not currently well understood. In particular, very little is known about the formation and structure of the major calcium silicate hydrate (C-S-H) gel phase, as it is difficult to obtain information on this poorly crystalline material by the traditional techniques of powder X-ray diffraction analysis (XRD) and Fourier transform infrared spectroscopy (FTIR). In this study, the hydration reactions of Biodentine are monitored by XRD, FTIR, isothermal conduction calorimetry and, for the first time, 29Si magic angle spinning nuclear magnetic resonance spectroscopy (29Si MAS NMR) is used to investigate the structures of the anhydrous calcium silicate phases and the early C-S-H gel product. XRD analysis indicated that the anhydrous powder comprises 73.8 wt% triclinic tricalcium silicate, 4.45 wt% monoclinic β-dicalcium silicate, 16.6 wt% calcite and 5.15 wt% zirconium oxide. Calorimetry confirmed that the induction period for hydration is short, and that the setting reactions are rapid with a maximum heat evolution of 28.4 mW g−1 at 42 min. A progressive shift in the FTIR peak maximum from 905 to 995 cm−1 for the O-Si-O stretching vibrations accompanies the formation of the C-S-H gel during 1 week. The extent of hydration was determined by 29Si MAS NMR to be 87.0%, 88.8% and 93.7% at 6 h, 1 day and 1 week, respectively, which is significantly higher than that of MTA. The mean silicate chain length (MCL) of the C-S-H gel was also estimated by this technique to be 3.7 at 6 h and 1 day, and to have increased to 4.1 after 1 week. The rapid hydration kinetics of Biodentine, arising from the predominance of the tricalcium silicate phase, small particle size, and ‘filler effect’ of calcite and zirconium oxide, is a favorable characteristic of an endodontic cement, and the high values of MCL are thought to promote the durability of the cement matrix.

Highlights

  • Since the introduction of mineral trioxide aggregate (MTA, Dentsply Tulsa Dental, Tulsa, OK, USA) 25 years ago, an expanding range of commercial calcium silicate-based endodontic cements has been brought to market [1,2,3,4]

  • Comparison of the backscattered electron (BSE) image and elemental maps for Ca, Si and Zr show discrete 2–10 μm radiopacifying zirconium oxide particles distributed among the calcium silicate cement phases, and the elemental map for C indicates that calcium carbonate is present as a finely divided sub-micron sized powder

  • SEM and energy dispersive X-ray analysis (EDX) data of hydrated samples are not presented in this study, as the application of these techniques to the microstructural analysis of hydrated Biodentine is extensively documented in the current literature [21,28,29,30,31,32,33]

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Summary

Introduction

Since the introduction of mineral trioxide aggregate (MTA, Dentsply Tulsa Dental, Tulsa, OK, USA) 25 years ago, an expanding range of commercial calcium silicate-based endodontic cements has been brought to market [1,2,3,4]. Biodentine (Septodont, Saint-Maur-des-Fossés, France) is arguably the most popular among the new generation of calcium silicate cements and, its properties and clinical applications have been widely reported and reviewed in the scientific literature [1,2,3,4,9,10,11] It is used, inter alia, in direct and indirect pulp capping, apexifications, retrograde restorations, perforations, resorptions and various other endodontic procedures to repair dentine and cementum [1,2,3,4,9,10,11,12]. The biocompatibility, bioactivity, cytotoxicity and antimicrobial properties of Biodentine are generally reported to be comparable with those of MTA; Biodentine is noted for its markedly reduced setting times, improved handling properties and reduced tooth discoloration [1,9,13,14]

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