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Why Biphasic? Assessment of the Effect on Cell Proliferation and Expression
Pierre Schembri-Wismayer1, Josette Camilleri2
1Department of Anatomy, Faculty of Medicine and Surgery, University of Msida, Malta.
Adding calcium phosphate to tricalcium silicate (TCS) cements alters hydration and reduces biocompatibility. These biphasic cements show reduced cell growth, indicating potential issues for endodontic applications.
Area of Science:
- Dental Materials Science
- Biomaterials Engineering
- Endodontic Materials Research
Background:
- Tricalcium silicate (TCS)-based materials are widely used in endodontics due to their hydraulic properties and ability to promote biomineralization.
- Newer biphasic cements incorporate a calcium phosphate phase into TCS, but their effects remain unclear.
Purpose of the Study:
- To characterize biphasic cements composed of TCS and calcium phosphate.
- To assess the impact of biphasic cement composition on cellular proliferation and expression.
Main Methods:
- Biphasic cements were prepared by mixing TCS with calcium phosphate monobasic or hydroxyapatite (1:1 ratio).
- Materials were characterized using SEM, energy-dispersive spectroscopy, and X-ray diffraction.
- Ion leaching, cell proliferation (MTT assay), and cell morphology (SEM) were assessed using cement leachate and human primary osteoblasts.
Main Results:
- Biphasic cement hydration was altered, with reduced pH and calcium ion release observed with calcium phosphate monobasic addition.
- Neither biphasic material formed crystalline calcium hydroxide.
- Biphasic cements demonstrated reduced osteoblast cell growth and proliferation compared to controls.
Conclusions:
- Incorporating a second cementitious phase into TCS significantly modifies its hydration characteristics.
- The addition of calcium phosphate negatively impacts the material's biocompatibility and cellular interaction properties.
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