Development and evaluation of reparative tricalcium silicate-ZrO2 -Biosilicate composites

J Biomed Mater Res B Appl Biomater. 2021 Apr;109(4):468-476. doi: 10.1002/jbm.b.34714. Epub 2020 Aug 28.

Abstract

Biosilicate is a bioactive glass-ceramic used in medical and dental applications. This study evaluated novel reparative materials composed of pure tricalcium silicate (TCS), 30% zirconium oxide (ZrO2 ) and 10 or 20% biosilicate, in comparison with Biodentine. Setting time was evaluated based on ISO 6876 standard, radiopacity by radiographic analysis, solubility by mass loss, and pH by using a pH meter. Cytotoxicity was evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide and NR assays. Alkaline phosphatase (ALP) activity and alizarin red were used to evaluate cell bioactivity. Antimicrobial activity was assessed on Enterococcus faecalis by the direct contact test. The data were submitted to analysis of variance (ANOVA)/Tukey; Bonferroni and Kruskal-Wallis, and Dunn tests (α = 0.05). The association of Biosilicate with TCS + ZrO2 had appropriate setting time, radiopacity, and solubility, alkaline pH, and antimicrobial activity. TCS and Biodentine showed higher ALP activity in 14 days than the control (serum-free medium). All cements produced mineralized nodules. In conclusion, Biosilicate + TCS ZrO2 decreased the setting time and increased the radiopacity in comparison to TCS. Biosilicate + TCS ZrO2 presented lower solubility and higher radiopacity than Biodentine. In addition, these experimental cements promoted antimicrobial activity and mineralization nodules formation, suggesting their potential for clinical use.

Keywords: antimicrobial; bioactive glass; bioactive material; cytotoxicity; mineralization.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alkaline Phosphatase
  • Anthraquinones
  • Biocompatible Materials
  • Bone Cements
  • Bone Neoplasms / pathology
  • Calcium Compounds / chemistry*
  • Calcium Compounds / pharmacology
  • Calcium Compounds / toxicity
  • Cell Line, Tumor
  • Dental Cements
  • Enterococcus faecalis / drug effects
  • Glass / chemistry*
  • Humans
  • Hydrogen-Ion Concentration
  • Materials Testing
  • Osteosarcoma / pathology
  • Silicate Cement
  • Silicates / chemistry*
  • Silicates / pharmacology
  • Silicates / toxicity
  • Solubility
  • Zirconium / chemistry*
  • Zirconium / pharmacology
  • Zirconium / toxicity

Substances

  • Anthraquinones
  • Biocompatible Materials
  • Bone Cements
  • Calcium Compounds
  • Dental Cements
  • Silicates
  • sodium oxide-calcium oxide-silicon dioxide-diphosphorus pentoxide
  • Silicate Cement
  • tricalcium silicate
  • alizarin
  • Zirconium
  • Alkaline Phosphatase
  • zirconium oxide