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DOI: 10.1055/s-0044-1789602
In vitro Evaluation of Cytotoxicity, Biocompatibility, and Osteogenic Effect of Two Calcium Silicate Sealers Compared with AH Plus Jet
Funding This study was supported by grants from Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazilian Governmental Institutions.
Abstract
Objective The purpose of the study was to investigate the cytotoxicity, biocompatibility, and osteogenic effect of EndoSequence BCSealer HiFlow (BCH) and Bio-C Sealer (BCS) in osteosarcoma cells SAOS-2 compared with AH Plus Jet.
Materials and Methods For cytotoxicity analysis, the [3-(4,5-dimethyl-thiazole)-2,5-diphenyltetrazolium bromide-MTT; Sigma/Aldrich] method was used after 24, 48, and 72 hours. For cellular bioactivity, alkaline phosphatase enzyme (ALP) was evaluated after 7 and 14 days.
Statistical Analysis MTT assay was assessed using analysis of variance (ANOVA) and Tukey’s test and over time using ANOVA and Sidak’s test. For ALP analysis, the one-way ANOVA and Student’s paired t-tests were used.
Results BCS was like AH Plus Jet. After 72 hours, BCH and BCS did not differ from AH Plus Jet and showed similar behavior in terms of viability. ALP showed a difference only after 14 days. BCH had the lowest bioactivity value. AH Plus Jet and BCS were like each other.
Conclusion AHP was more viable for SAOS-2, and the biocompatibility of Calcium silicate-based sealers was acceptable. The present finding assessed the biocompatibility of Calcium silicate bioceramic sealers, such as BCS, EndoSequence BCH, and AH Plus Jet, is acceptable and they have osteogenic effect and bioactivity.
Publication History
Article published online:
12 March 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Grossman LI. An improved root canal cement. J Am Dent Assoc 1958; 56 (03) 381-385
- 2 Giacomino CM, Wealleans JA, Kuhn N, Diogenes A. Comparative biocompatibility and osteogenic potential of two bioceramic sealers. J Endod 2019; 45 (01) 51-56
- 3 Cintra LTA, Benetti F, de Azevedo Queiroz ÍO. et al. Evaluation of the cytotoxicity and biocompatibility of new resin epoxy-based endodontic sealer containing calcium hydroxide. J Endod 2017; 43 (12) 2088-2092
- 4 Antunes TBM, Janini ACP, Pelepenko LE. et al. Heating stability, physical and chemical analysis of calcium silicate-based endodontic sealers. Int Endod J 2021; 54 (07) 1175-1188
- 5 Chybowski EA, Glickman GN, Patel Y, Fleury A, Solomon E, He J. Clinical outcome of non-surgical root canal treatment using a single-cone technique with EndoSequence bioceramic sealer: a retrospective analysis. J Endod 2018; 44 (06) 941-945
- 6 Yan Y, Li Y, Chi Y, Ji M, Shen Y, Zou L. A comparative study of biological properties of three root canal sealers. Clin Oral Investig 2023; 28 (01) 11
- 7 Rodríguez-Lozano FJ, García-Bernal D, Oñate-Sánchez RE, Ortolani-Seltenerich PS, Forner L, Moraleda JM. Evaluation of cytocompatibility of calcium silicate-based endodontic sealers and their effects on the biological responses of mesenchymal dental stem cells. Int Endod J 2017; 50 (01) 67-76
- 8 Penha da Silva PJ, Marceliano-Alves MF, Provenzano JC, Dellazari RLA, Gonçalves LS, Alves FRF. Quality of root canal filling using a bioceramic sealer in oval canals: a three-dimensional analysis. Eur J Dent 2021; 15 (03) 475-480
- 9 Lim ES, Park YB, Kwon YS, Shon WJ, Lee KW, Min KS. Physical properties and biocompatibility of an injectable calcium-silicate-based root canal sealer: in vitro and in vivo study. BMC Oral Health 2015; 15 (01) 129
- 10 Rodríguez-Lozano FJ, López-García S, García-Bernal D. et al. Chemical composition and bioactivity potential of the new EndoSequence BC Sealer formulation HiFlow. Int Endod J 2020; 53 (09) 1216-1228
- 11 Hage W, Sarkis DK, Kallasy M. et al. Antimicrobial activity of five calcium silicate based root canal sealers against a multispecies engineered biofilm: an in vitro study. J Contemp Dent Pract 2023; 24 (09) 707-714
- 12 Quaresma SAL, Alves Dos Santos GN, Silva-Sousa AC. et al. Physicochemical properties of calcium silicate cement based endodontic sealers. J Mech Behav Biomed Mater 2024; 151: 106400
- 13 Sanz JL, Guerrero-Gironés J, Pecci-Lloret MP, Pecci-Lloret MR, Melo M. Biological interactions between calcium silicate-based endodontic biomaterials and periodontal ligament stem cells: a systematic review of in vitro studies. Int Endod J 2021; 54 (11) 2025-2043
- 14 Kandemir Demirci G, Çöven FO, Güneri P. et al. The solubility, pH value, chemical structure, radiopacity, and cytotoxicity of four different root canal sealers: an in vitro study. Clin Oral Investig 2023; 27 (09) 5413-5425
- 15 Myong-hyun B, Lozano A, Forner L, Llena C. López-García .pdf. 2019
- 16 Vouzara T, Dimosiari G, Koulaouzidou EA, Economides N. Cytotoxicity of a new calcium silicate endodontic sealer. J Endod 2018; 44 (05) 849-852
- 17 Chen B, Haapasalo M, Mobuchon C, Li X, Ma J, Shen Y. Cytotoxicity and the effect of temperature on physical properties and chemical composition of a new calcium silicate-based root canal sealer. J Endod 2020; 46 (04) 531-538
- 18 Zordan-Bronzel CL, Tanomaru-Filho M, Rodrigues EM, Chávez-Andrade GM, Faria G, Guerreiro-Tanomaru JM. Cytocompatibility, bioactive potential and antimicrobial activity of an experimental calcium silicate-based endodontic sealer. Int Endod J 2019; 52 (07) 979-986
- 19 Kim JH, Cho SY, Choi Y, Kim DH, Shin SJ, Jung IY. Clinical efficacy of sealer-based obturation using calcium silicate sealers: a randomized clinical trial. J Endod 2022; 48 (02) 144-151
- 20 Lee BN, Hong JU, Kim SM. et al. Anti-inflammatory and osteogenic effects of calcium silicate-based root canal sealers. J Endod 2019; 45 (01) 73-78
- 21 Candeiro GTM, Moura-Netto C, D'Almeida-Couto RS. et al. Cytotoxicity, genotoxicity and antibacterial effectiveness of a bioceramic endodontic sealer. Int Endod J 2016; 49 (09) 858-864
- 22 Donnermeyer D, Bürklein S, Dammaschke T, Schäfer E. Endodontic sealers based on calcium silicates: a systematic review. Odontology 2019; 107 (04) 421-436
- 23 López-García S, Pecci-Lloret MR, Guerrero-Gironés J. et al. Comparative cytocompatibility and mineralization potential of Bio-C sealer and totalfill BC sealer. Materials (Basel) 2019; 12 (19) 1-12
- 24 Collado-González M, García-Bernal D, Oñate-Sánchez RE. et al. Biocompatibility of three new calcium silicate-based endodontic sealers on human periodontal ligament stem cells. Int Endod J 2017; 50 (09) 875-884
- 25 Majors AK, Boehm CA, Nitto H, Midura RJ, Muschler GF. Characterization of human bone marrow stromal cells with respect to osteoblastic differentiation. J Orthop Res 1997; 15 (04) 546-557
- 26 Silva Almeida LH, Moraes RR, Morgental RD, Pappen FG. Are premixed calcium silicate-based endodontic sealers comparable to conventional materials? A systematic review of in vitro studies. J Endod 2017; 43 (04) 527-535
- 27 Tanomaru-Filho M, Andrade AS, Rodrigues EM. et al. Biocompatibility and mineralized nodule formation of Neo MTA Plus and an experimental tricalcium silicate cement containing tantalum oxide. Int Endod J 2017; 50 (Suppl. 02) e31-e39
- 28 Zordan-Bronzel CL, Esteves Torres FF, Tanomaru-Filho M, Chávez-Andrade GM, Bosso-Martelo R, Guerreiro-Tanomaru JM. Evaluation of physicochemical properties of a new calcium silicate-based sealer, Bio-C Sealer. J Endod 2019; 45 (10) 1248-1252
- 29 Yang X, Tian J, Li M. et al. Biocompatibility of a new calcium silicate-based root canal sealer mediated via the modulation of macrophage polarization in a rat model. Materials (Basel) 2022; 15 (05) 1962
- 30 Saber S, Raafat S, Elashiry M, El-Banna A, Schäfer E. Effect of different sealers on the cytocompatibility and osteogenic potential of human periodontal ligament stem cells: an in vitro study. J Clin Med 2023; 12 (06) 2344
- 31 Kebudi Benezra M, Schembri Wismayer P, Camilleri J. Interfacial characteristics and cytocompatibility of hydraulic sealer cements. J Endod 2018; 44 (06) 1007-1017
- 32 Loushine BA, Bryan TE, Looney SW. et al. Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer. J Endod 2011; 37 (05) 673-677
- 33 Zhou HM, Du TF, Shen Y, Wang ZJ, Zheng YF, Haapasalo M. In vitro cytotoxicity of calcium silicate-containing endodontic sealers. J Endod 2015; 41 (01) 56-61
- 34 Sfeir G, Zogheib C, Patel S, Giraud T, Nagendrababu V, Bukiet F. Calcium silicate based root canal sealers: a narrative review and clinical perspectives. Materials (Basel) 2021; 14 (14) 3965
- 35 Zamparini F, Siboni F, Prati C, Taddei P, Gandolfi MG. Properties of calcium silicate-monobasic calcium phosphate materials for endodontics containing tantalum pentoxide and zirconium oxide. Clin Oral Investig 2019; 23 (01) 445-457
- 36 Silva EJNL, Ehrhardt IC, Sampaio GC. et al. Determining the setting of root canal sealers using an in vivo animal experimental model. Clin Oral Investig 2021; 25 (04) 1899-1906
- 37 Prati C, Gandolfi MG. Calcium silicate bioactive cements: biological perspectives and clinical applications. Dent Mater 2015; 31 (04) 351-370
- 38 Duarte MAH, Marciano MA, Vivan RR, Tanomaru Filho M, Tanomaru JMG, Camilleri J. Tricalcium silicate-based cements: properties and modifications. Braz Oral Res 2018; 32 (Suppl. 01) e70