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      An in vitro evaluation of antimicrobial activity of a fast-setting endodontic material

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          Abstract

          The aim of this study is to evaluate the antimicrobial activity of the fast-setting iRoot Fast Set Root Repair Material (iRoot FS), Mineral trioxide aggregate (MTA) and Biodentine. The materials were freshly mixed or set for 1 and 7 days to conduct the agar diffusion test, direct contact test and carry-over effect test against E. faecalis and P. gingivalis, and the pH values were also measured. The data were analyzed by an analysis of variance and one-way ANOVA or Dunnett’s T3 test, and the Tukey’s post hoc test for multiple comparisons (α = 0.05). In the direct contact test, all three materials showed good antibacterial activity after setting for 20 min. The antibacterial properties of the three materials decreased with the increase of setting time ( p < 0.05). The suspension of all the three materials showed high pH values (11–12) and no significant difference was observed ( p > 0.05). With the extension of setting time, the pH of iRoot FS and Biodentine slightly decreased ( p < 0.05). Fresh iRoot FS, Biodentine, and MTA killed E. faecalis and P. gingivalis effectively, but their antimicrobial effect decreased after 24 h, and distinctly decreased after 7 days after mixing. iRoot FS, Biodentine, and MTA showed a tendency of alkalinity during this 7-day experiment.

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          Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties.

          An ideal orthograde or retrograde filling material should seal the pathways of communication between the root canal system and its surrounding tissues. It should also be nontoxic, noncarcinogenic, nongenotoxic, biocompatible, insoluble in tissue fluids, and dimensionally stable. Mineral trioxide aggregate (MTA) was developed and recommended initially because existing root-end filling materials did not have these "ideal" characteristics. MTA has also been recommended for pulp capping, pulpotomy, apical barrier formation in teeth with open apexes, repair of root perforations, and root canal filling. Since MTA's introduction in 1993, numerous studies have been published regarding various aspects of this material. The aim of Part I of this literature review is to present investigations regarding the chemical, physical, and antibacterial properties of MTA. A review of the literature was performed by using electronic and hand-searching methods for the chemical and physical properties and antibacterial activity of MTA from November 1993-September 2009. There are many published reports regarding the chemical, physical, and antibacterial properties of MTA. Our search showed that MTA is composed of calcium, silica, and bismuth. It has a long setting time, high pH, and low compressive strength. It possesses some antibacterial and antifungal properties, depending on its powder-to-liquid ratio. MTA is a bioactive material that influences its surrounding environment.
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            Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis.

            The antibacterial effectiveness of 7 different endodontic sealers, AH Plus, Apexit Plus, iRoot SP, Tubli Seal, Sealapex, Epiphany SE, and EndoRez against Enterococcus faecalis was studied in vitro. A modified direct contact test was used. Bacteria in suspension were exposed to the materials for 2-60 minutes by using sealers that were freshly mixed or set for 1, 3, and 7 days. The pH values and contact angles of sterile water on sealers at different times after setting were also measured. Fresh iRoot SP killed all bacteria in 2 minutes, AH Plus in 5 minutes, EndoRez in 20 minutes, and Sealapex and Epiphany in 60 minutes. Freshly mixed Apexit Plus and Tubli Seal failed to kill all bacteria at 60 minutes. For 1-day and 3-day samples, iRoot SP and EndoRez had the strongest antibacterial activity, followed by Sealapex and Epiphany; Tubli Seal and AH Plus did n'ot show any significant antibacterial activity. Of all the samples, Apexit Plus had the lowest antimicrobial activity. The pH of the sealers could not alone explain their antibacterial effect. Fresh iRoot SP, AH Plus, and EndoRez killed E. faecalis effectively. IRoot SP and EndoRez continued to be effective for 3 and 7 days after mixing. Sealapex and EndoRez were the only ones with antimicrobial activity even at 7 days after mixing.
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              A Review on Biodentine, a Contemporary Dentine Replacement and Repair Material

              Biodentine is a calcium-silicate based material that has drawn attention in recent years and has been advocated to be used in various clinical applications, such as root perforations, apexification, resorptions, retrograde fillings, pulp capping procedures, and dentine replacement. There has been considerable research performed on this material since its launching; however, there is scarce number of review articles that collates information and data obtained from these studies. Therefore, this review article was prepared to provide the reader with a general picture regarding the findings about various characteristics of the material. The results of a PubMed search were classified and presented along with some critical comments where necessary. The review initially focuses on various physical properties of the material with subheadings and continues with biocompatibility. Another section includes the review of studies on Biodentine as a vital pulp treatment material and the article is finalized with the summary of some case reports where the material has been used.
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                Author and article information

                Contributors
                zouling@scu.edu.cn
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                26 September 2022
                26 September 2022
                2022
                : 12
                : 16021
                Affiliations
                GRID grid.13291.38, ISNI 0000 0001 0807 1581, State Key Laboratory of Oral Diseases, Sichuan University, National Clinical Research Center for Oral Diseases, Department of Endodontics, West China Hospital of Stomatology, , Sichuan University, ; Chengdu, 610041 China
                Article
                20454
                10.1038/s41598-022-20454-7
                9513078
                36163407
                f2d0dc4f-b862-418f-b106-cd395e83d6af
                © The Author(s) 2022

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 12 May 2022
                : 13 September 2022
                Categories
                Article
                Custom metadata
                © The Author(s) 2022

                Uncategorized
                antimicrobials,bacteria,pulpitis
                Uncategorized
                antimicrobials, bacteria, pulpitis

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