Objective: Initial setting time is one of the most important properties of calcium silicate cements (CSCs) such as white mineral trioxide aggregate (WMTA). This study aimed to evaluate the effect of two methods used to reduce the particle size of WMTA, mechanical activation and chemical synthesis. Methods: WMTA without bismuth oxide (WMTA-B) was provided and divided into four groups (n=5) including: WMTA-B, WMTA-B+10 min milling, WMTA-B+30 min milling, and sol-gel. In groups 2 and 3, the milling was performed by using tungsten carbide balls in a ratio 1:15 (w/w) and a vibration frequency of 30 Hz together with absolute ethanol. For the fourth group, polyethylene glycol (PEG), calcium acetate (Ca(C 2 H 3 O 2 ) 2 ), SiO 2 , and aluminum oxide (Al 2 O 3 ) were used for the sol-gel process. After preparation, sample powders were mixed with distilled water and placed in cylindrical molds, covered with water-moistened gauze, and incubated at 37°C for 24 hours. The Vicat needle test analyzed the initial setting time. Data were analyzed by ANOVA and Tukey tests at a significance level of P<0.05. The correlation between particle size and setting time was determined. Results: Initial setting time of the sol-gel and WMTA-B+30 min milling was significantly lower than in the other two groups (P<0.05). A significant correlation was noticed between particle size and initial setting time (P<0.05). Conclusion: Sol-gel process introduces a promising alternative strategy for the reduction of initial setting time of CSC materials. While both methods increased surface area, mechanical activation was not as successful in reducing surface area and initial setting time as effectively as the sol-gel process.
Background: Implantology or implant dentistry is growing fast during last four decades. Facing the growing demand of implant treatment, there are extreme challenges to clinicians and researchers. First is peri-implantitis with remarkable prevalence. Though investigators have revealed that the etiology of the peri-implant infection is similar to periodontitis, clinically there is no effective treatment. Second, implantation in patients with severe systemic conditions, i.e., severe diabetes, lupus, osteoporosis, organ transplant, and cancer with intensive radiotherapy and/or chemotherapy, is another challenge to implant treatment for lack of scientific research data. Animal models are crucial to help investigators reveal the mechanisms underlying these disorders. Murine models are used most commonly. Rats are the better subject in dental implant research, due to mice could not provide clinical compatible and macro-level measurable data for implant osseointegration and peri-implantitis in oral cavity for lacking enough cancellous bone to support an implant more than 1 mm in length. Objective: Our aim of this research is to find a clinical comparable rat dental implant model. Methods: Six male Sprague-Dawley rats with body weight more than 500 g were used in the experiment. Each rat received two implants. One implant was placed at maxillary diastema in each side. Seven weeks after the implantation, only one implant successfully osseointegrated without movement and inflammation. Implant success and failure rate is analyzed by using Clopper-Pearson's exact method at 95% confidence interval. Results: The present data indicate that the true success rate of implantation in maxillary natural diastema in rat is less than 38.4% at a confident level of 95%. Meanwhile, Micro-CT indicates maxillary first molar position will be a promising site for implantation. Conclusion: Maxillary nature diastema may not be an appropriate site for implantation research for its low successful rate, but maxillary first molar position could be a candidate for implantation research. Further researches are required to illustrate the details.
Introduction: The thickness threshold for detecting endodontic biomaterials depends on many factors, such as the nature of the radiopacifier and the particle size. Aim: The aim of this study was to determine the effect of thickness on radiodensity of various endodontic biomaterials; and evaluate the impact of radiopacifier particle size on radiodensity. Materials and Methods: This in-vitro study was conducted between August 2018 to December 2019. The study was divided in two parts, in first part, Six endodontic biomaterials (AH26, EndoSequence, Endoseal Mineral Trioxide Aggregate (MTA), Nano-MTA, Endocem Zr, and MTA without radiopacifier) were selected and evaluated in different thicknesses, in second part, MTA mixed with Bismuth oxide 10 μm, 200 μm, 120 nm (Groups 1-3), and Zirconium oxide 5 μm, 1 μm and 20 nm (Groups 4-6) were placed in frames with 1 mm, 0.5 mm, 0.2 mm, 0.1 mm thicknesses to evaluate the radiopacity. Results: The mean radiodensity was significantly different among various thickness (p<0.001) and materials (p<0.001). The changes of the radiodensity in various thickness from one material to the other were not uniform (interaction p-value <0.001). A 1 mm thickness had highest radiodensity (206.6±83.99), followed by 0.5 mm (68.9±24.6), 0.2 mm (17.9±4.9), and 0.1 mm thick material had least radiodensity (11.97±4.37). Materials of AH26 (99.1±103.2), Nano MTA (97.4±104.9), Endoseal MTA (87.86±101.4), Endosequence BC sealer (85.5±93.87) and Endocem Zr (71.88±77.67) were significantly different from the control group (16.38±10.85). The size of particles played important role in radiodensity (p<0.001). The radiodensity of Fine GIII (100 nm) material (112.68±108.47) was significantly higher than other materials: Thin GII (200 nm) (100.9±102.4), Fine GVI (20-40 nm) (99.7±95.1), Coarse GI (10 μm) (76.66±74.75), Thin GV (1~3 μm) (63.19±67.3), Coarse GIV (5 μm) (49.66±51.59) and MTA without Radiopaque Agent GVII (100%) (23.67±19.68). The effect of the thickness on radiodensity was different for each biomaterial, with significant differences from the control group. Conclusion: One of the readily available methods for increasing radiodensity is to increase the amount of radiopacifier, which might compromise the physical properties of the material. Fine particle radiopacifier (120 nm) with 1 mm thickness has significantly higher radiodensity than any other biomaterials in this study. Within the limitations of the current study, it can be concluded that the radiopacifier particle size has a significant impact on the level of radiodensity of dental biomaterials. Finding the optimum distribution, size, and geometry of radiopacifier particles within the same fraction rate can enhance the radiodensity.
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