مقایسه تاثیر نسبت های مختلف مایع به پودر بر روی حلالیت سمان (CEM cement) Calcium Enriched Mixture

نوع مقاله : مقاله پژوهشی

نویسندگان

1 بخش اندودنتیکس، دانشکده دندان پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران

2 دانشکده دندان پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران

چکیده

حلالیت سیمان نقش مهمی در موفقیت بالینی و پایداری آن در محیط دهان دارد. تحقیقات نشان داده است که نسبت آب به پودر (W/P) می‌تواند بر حلالیت انواع سیمان‌ها تأثیر بگذارد. این مطالعه با هدف بررسی تأثیر نسبت‌های مختلف آب به پودر بر حلالیت سیمان کلسیم غنی‌شده (CEM) انجام شد.
مواد و روش‌ها:
سیمان CEM (شرکت بایونیک دنت، تهران، ایران) با نسبت‌های آب به پودر 1:2، 1:3 و 1:4 تهیه شد. به ترتیب 1 گرم سیمان با 5/0 میلی‌لیتر، 34/0 میلی‌لیتر و 25/0 میلی‌لیتر آب مخلوط شد. شش نمونه برای هر گروه تهیه و در حلقه‌های فلزی با قطر داخلی 30 میلی‌متر و ارتفاع 2 میلی‌متر قرار داده شد. وزن نمونه‌ها قبل و بعد از غوطه‌وری در آب با استفاده از ترازوی دیجیتال اندازه‌گیری شد. میزان حلالیت در هفته‌های اول و چهارم ارزیابی شد. تجزیه‌وتحلیل داده‌ها با استفاده از نرم‌افزار SPSS نسخه 24 و آزمون های ANOVA یک‌طرفه (One way ANOVA)، تی مستقل (independent samples T-test) و تی زوجی (Paired samples T-test) و آزمون تعقیبی توکی (Tukey) در سطح معناداری p<05/0 انجام شد.
نتایج:
وزن اولیه نمونه‌ها در گروه‌های 1:2، 1:3 و 1:4 به ترتیب 05/0±46/0، 02/0±49/0 و03 /0±48/0گرم بود که تفاوت معناداری نداشت (264/0p=). در هفته اول، گروه 1:2 بالاترین میزان حلالیت و گروه 1:4 کمترین میزان را نشان داد (001/0p=). این روند در هفته چهارم نیز حفظ شد، به‌طوری که گروه 1:2 بیشترین و گروه 1:4 کمترین حلالیت را داشتند (001/0p=).
نتیجه‌گیری:
افزایش نسبت آب به پودر منجر به افزایش حلالیت سیمان CEM می‌شود. انتخاب دقیق نسبت آب به پودر برای بهینه‌سازی نتایج بالینی ضروری است.
Background:
The solubility of cement is a critical property influencing its clinical success and stability in the oral environment. Previous studies have highlighted the role of water-to-powder (W/P) ratios in altering the solubility of various cements. This study aims to evaluate the impact of different W/P ratios on the solubility of Calcium-Enriched Mixture (CEM) cement. 
Methods:
CEM cement (BioniqueDent, Tehran, Iran) was prepared in W/P ratios of 1:2, 1:3, and 1:4. For each ratio, one gram of cement was mixed with 0.5 mL, 0.34 mL, and 0.25 mL of water, respectively, forming six samples per group. The samples, molded into metal rings (30 mm diameter, 2 mm height), were weighed on a digital scale before and after immersion in water. Solubility was assessed at one and four weeks. Data analysis was performed using SPSS software version 24 and statistical tests including one-way ANOVA, independent samples t-test, paired samples t-test, and Tukey’s post hoc test at a significance level of p<0.05. 
Results:
The mean initial dry weights for the 1:2, 1:3, and 1:4 W/P ratios were 0.46±0.05 g, 0.49±0.02 g, and 0.48±0.03 g, respectively, with no significant difference (p=0.264). At one week, the highest solubility was observed in the 1:2 W/P group, while the 1:4 W/P group showed the least solubility (p=0.001). Similarly, at four weeks, solubility remained highest in the 1:2 W/P group and lowest in the 1:4 W/P group (p=0.001). 
Conclusion: 
Increasing the water-to-powder ratio significantly enhances the solubility of CEM cement. Optimizing this ratio is essential for clinical applications. 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

comparison of the effect of different liquid-to-powder ratios on Calcium Enriched Mixture cement( CEM cement)

نویسندگان [English]

  • mohammad Frough Reyhani 1
  • negin ghasemi 1
  • peyman taghizadeh 2
  • Ailar Javaheripour 1
1 Dept. of Endodontics, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده [English]

Background:
Cement solubility is a critical factor affecting its clinical performance and longevity. Water-to-powder (W/P) ratio plays a significant role in altering the solubility of dental cements. This study aimed to assess the effect of different W/P ratios on the solubility of Calcium-Enriched Mixture (CEM) cement.
Method:
CEM cement (BioniqueDent, Tehran, Iran) was mixed at W/P ratios of 1:2, 1:3, and 1:4 (1 g cement with 0.5, 0.34, and 0.25 mL water, respectively). Six samples per group were prepared in metal rings (30 mm diameter × 2 mm height) and weighed before and after immersion in water. Solubility was evaluated at one and four weeks. Data were analyzed using SPSS v24 with one-way ANOVA, independent and paired t-tests, and Tukey’s post hoc test (p<0.05).
Results:
Initial dry weights did not differ significantly among groups (p=0.264). At both one and four weeks, the 1:2 W/P group showed the highest solubility, while the 1:4 group exhibited the lowest (p=0.001).
Conclusion:
Higher water-to-powder ratios significantly increase the solubility of CEM cement. Proper adjustment of this ratio is important for optimal clinical performance.

  1.  

    1. Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S. Sealing ability of a novel endodontic cement as a root‐end filling material. Journal of Biomedical Materials, 2008; 87(3):706-9.
    2. Asgary S, Kamrani FA, Taheri S. Evaluation of antimicrobial effect of MTA, calcium hydroxide, and CEM cement. Iranian Endodontic Journal, 2007; 2(3):105-9.
    3.  Jaber Ansari Z, Ghasemi A, Norozi H, Akbarzade Baghban A, Samiei M. Microhardness of Calcium-enriched Mixture Cement and Covering Glass Ionomers after Different Time Periods of Application. Iranian Endodontic Journal. 2022 ;17(2):67-71
    4. Nosrat A, Asgary S, Eghbal MJ, Ghoddusi J, Bayat-Movahed S. Calcium-enriched mixture cement as artificial apical barrier: A case series. Journal of Conservative Dentistry, 2011;14(4):427-31.
    5. Millett D, McCabe JF, Gordon PH. The role of sandblasting on the retention of metallic brackets applied with glass ionomer cement. British Journal of Orthodontics, 1993; 20(2):117-22.
    6. Singh SB, Munjal P, Thammishetti N. Role of water/cement ratio on strength development of cement mortar. Journal of Building Engineering, 2015: 4:94-100.
    7. Esmaeili B, Alaghehmand H, Kordafshari T, Daryakenari G, Ehsani M, Bijani A. Coronal discoloration induced by calcium-enriched mixture, mineral trioxide aggregate and calcium hydroxide: a spectrophotometric analysis. Iranian Endodontic Journal, 2016; 11(1):23-8.
    8. Rouhani A, Akbari M, Farhadi-faz A. Comparison of tooth discoloration induced by calcium-enriched mixture and mineral trioxide aggregate. Iranian Endodontic Journal, 2016; 11(3):175-8.
    9. Samiee M, Eghbal MJ, Parirokh M, Abbas FM, Asgary S. Repair of furcal perforation using a new endodontic cement. Clinical Oral Investigations. 2010; 14:653–8.
    10. Asgary S, Ehsani S. Permanent molar pulpotomy with a new endodontic cement: a case series. Journal of Conservative Dentistry. 2009; 12:31–6.
    11.  Utneja S, Nawal RR, Talwar S, Verma M. Current perspectives of bio-ceramic technology in endodontics: calcium enriched mixture cement - review of its composition, properties and applications. Restorative Dentistry and Endodontics. 2015;40(1):1-13.
    12. Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink FJJoE. Comparison of mineral trioxide aggregate's composition with Portland cements and a new endodontic cement. Journal of Endodontics, 2009;35(2):243-50.
    13. Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh SJJoe. The properties of a new endodontic material. Journal of Endodontics, 2008;34(8):990-3.
    14. Parameswaran M, Vanaja Madanan K, Kumar Maroli R, Raghunathan D. Efficacy of Calcium Enriched Mixture Cement, Mineral Trioxide Aggregate and Calcium Hydroxide Used as Direct Pulp Capping Agents in Deep Carious Lesions - A Randomised Clinical Trial. Europe Endodontic Journal. 2023;8(4):253-261.
    15. Ha W, Kahler B, Walsh LJ. Classification and Nomenclature of Commercial Hygroscopic Dental Cements. Europe Endodontic Journal. 2017;2(1):1-10.
    16. Sahebi S, Nabavizadeh M, Dolatkhah V, Jamshidi DJIej. Short term effect of calcium hydroxide, mineral trioxide aggregate and calcium-enriched mixture cement on the strength of bovine root dentin.  Iranian Endodontic Journal. 2012;7(2):68-73.
    17. Oskoee SS, Kimyai S, Bahari M, Motahari P, Eghbal MJ, Asgary S. Comparison of shear bond strength of calcium-enriched mixture cement and mineral trioxide aggregate to composite resin. Journal of Contemporary Dental Practice. 2011;12(6):457-62.
    18. Ashraf H, Shafagh P, Mashhadi Abbas F, Heidari S, Shahoon H, Zandian A, Aghajanpour L, Zadsirjan S. Biocompatibility of an experimental endodontic sealer (Resil) in comparison with AH26 and AH-Plus in rats: An animal study. Journal of dental research, dental clinics, dental prospects. 2022;16(2):112-117.
    19. Shojaee NS, Adl A, Jafarpour D, Sobhnamayan F. Effect of Different Water-to-powder Ratios on the Solubility and Microhardness of Calcium-Enriched Mixture Cement. Iranian Endodontic Journal. 2019;14(3):185-9.
    20. Dong X, Xu X. Bioceramics in Endodontics: Updates and Future Perspectives. Bioengineering (Basel). 2023;10(3):354.
    21. Fridland M, Rosado R. Mineral trioxide aggregate (MTA) solubility and porosity with different water-to-powder ratios. Journal of Endodontics. 2003 ;29(12):814-7.
    22. Haghgoo R, Arfa S, Asgary S. Microleakage of CEM Cement and ProRoot MTA as Furcal Perforation Repair Materials in Primary Teeth. Iranian Endodontic Journal. 2013;8(4):187-190.
    23. Kazem M, Eghbal MJ, Asgary SJIej. Comparison of bacterial and dye microleakage of different root-end filling materials.  Iranian Endodontic Journal. 2010;5(1):17-22.
    24. Ramezanali F, Aryanezhad S, Mohammadian F, Dibaji F, Kharazifard MJ. In VitroMicroleakage of Mineral Trioxide Aggregate, Calcium-Enriched Mixture Cement and Biodentine Intra-Orifice Barriers. Iranian Endodontic Journal .2017;12(2):211-15.
    25. Hasheminia M, Nejad SL, Asgary SJIej. Sealing ability of MTA and CEM cement as root-end fillings of human teeth in dry, saliva or blood-contaminated conditions. Iranian Endodontic Journal, 2010;5(4):151-6.
    26. Ayatollahi F, Tabrizizadeh M, Bidoki FZ, Ayatollahi R, Abad MHB. Comparison of marginal adaptation of mta and cem cement apical plugs in three different media. Iranian Endodontic Journal. 2016;11(4):332-5.
    27. Abbaszadegan A, Sedigh Shams M, Jamshidi Y, Parashos P, Bagheri R. Effect of calcium chloride on physical properties of calcium‐enriched mixture cement. Australian Endodontic Journal. 2015;41(3):117-21.
    28. Shahi S, Ghasemi N, Rahimi S, Yavari HR, Samiei M, Janani M, et al. The Effect of Different Mixing Methods on the pH and Solubility of Mineral Trioxide Aggregate and Calcium-Enriched Mixture. Iranian Endodontic Journal. 2015;10(2):140-3.
    29. Shojaee NS, Sahebi S, Karami E, Sobhnamayan F. Solubility of two root-end filling materials over different time periods in synthetic tissue fluid: a comparative study. Journal of Dentistry, 2015;16(3):189-94.
    30. Keyf F, Tuna SH, ŞEn M, Safrany A. Water sorption and solubility of different luting and restorative dental cements. Turkish Journal of Medical Sciences. 2007;37(1):47-55.