Utility of biphasic calcium phosphate cement as a seal for root-end filling.

Department of Endodontics, Nihon University School of Dentistry. Division of Advanced Dental Treatment, Dental Research Center. Department of Microbiology and Immunology, Nihon University School of Dentistry. Department of Dental Materials, Nihon University School of Dentistry. Department of Complete Denture Prosthodontics, Nihon University School of Dentistry. Department of Operative Dentistry, Nihon University School of Dentistry. Nihon University School of Dentistry.

Dental materials journal. 2023;(3):412-417

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Abstract

The recently developed biphasic calcium phosphate cement (BCPC) consists of α-tricalcium phosphate-tetracalcium phosphate as the solid phase and calcium phosphate solution as the liquid phase. BCPC powder is composed of a single solid solution with a monomodal size distribution. Here, we used a bacterial leakage model to examine the utility of BCPC as a seal for root-end filling. We prepared large (median particle size=9.96 µm; BCPC-L) and small (median particle size=4.84 µm; BCPC-S) BCPC powders. In total, 45 single-rooted teeth were instrumented, resected at the root-end, and retrofilled with experimental materials. Mineral trioxide aggregate (MTA) was used as the control. After visual confirmation of BCPC powder size and retrofilling quality by microscopy, bacterial leakage tests were conducted using Enterococcus faecalis. The bacterial leakage tests did not reveal any significant differences between BCPC-S and MTA. Our findings suggest that BCPC-S is useful for root-end filling.