• Restorative Dentistry and Endodontics
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• v.48 no.2
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• pp.21.1-21.15
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• 2023

Objectives: This study evaluated the effects of Biodentine (BD), Bio-C Repair (BCR), and mineral trioxide aggregate (MTA) plug on the fracture resistance of simulated immature teeth with replacement root resorption (RRR) and in vitro-induced osteoclastogenesis. Materials and Methods: Sixty bovine incisors simulating immature teeth and RRR were divided into 5 groups: BD and BCR groups, with samples completely filled with the respective materials; MTA group, which utilized a 3-mm apical MTA plug; RRR group, which received no root canal filling; and normal periodontal ligament (PL) group, which had no RRR and no root canal filling. All the teeth underwent cycling loading, and compression strength testing was performed using a universal testing machine. RAW 264.7 macrophages were treated with 1:16 extracts of BD, BCR, and MTA containing receptor activator of nuclear factor-kappa B ligand (RANKL) for 5 days. RANKL-induced osteoclast differentiation was assessed by staining with tartrate-resistant acid phosphatase. The fracture load and osteoclast number were analyzed using 1-way ANOVA and Tukey's test (α = 0.05). Results: No significant difference in fracture resistance was observed among the groups (p > 0.05). All materials similarly inhibited osteoclastogenesis (p > 0.05), except for BCR, which led to a lower percentage of osteoclasts than did MTA (p < 0.0001). Conclusions: The treatment options for non-vital immature teeth with RRR did not strengthen the teeth and promoted a similar resistance to fractures in all cases. BD, MTA, and BCR showed inhibitory effects on osteoclast differentiation, with BCR yielding improved results compared to the other materials.

• Restorative Dentistry and Endodontics
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• v.45 no.3
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• pp.34.1-34.7
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• 2020

Objectives: This study evaluated by using micro-computed tomography (micro-CT) the filling ability and sealer apical extrusion promoted by a new Sealer Injection System (SIS; Angelus) with side openings needle, in comparison with the conventional injection system, associated with a new ready-to-use calcium silicate-based sealer (Bio-C Sealer). Materials and Methods: Acrylic resin models containing a main curved artificial canal and 3 simulated lateral canals in apical, middle and cervical thirds were used. The main root canals were prepared using a rotary system up to size 35.05. The canals were filled with Bio-C sealer by using a single cone technique and the conventional delivery system or SIS. Samples were scanned in micro-CT. The percentage of voids throughout the entire extension of the main root canal and in each third of the lateral canals, besides the apical extrusion of the sealer was calculated. Data were submitted to t-test (p < 0.05). Results: There was no difference between both systems in the main root canals filling. Although the volume percentage of voids was similar in the apical and middle thirds of lateral canals, SIS had the greatest filling ability of the cervical third lateral canal. Moreover, the conventional system showed the highest apical extrusion of the sealer. Conclusions: The conventional and SIS obturation systems had an appropriate filling ability of the main root canal. SIS had the best filling of the cervical third of the lateral canals, besides lower sealer apical extrusion, suggesting its clinical indication.

• Restorative Dentistry and Endodontics
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• v.44 no.2
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• pp.17.1-17.10
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• 2019

Objectives: Root resorption is an unexpected complication after replantation procedures. Combining anti-osteoclastic medicaments with retrograde root filling materials may avert this resorptive activity. The purpose of this study was to assess effects of a cathepsin K inhibitor with calcium silicate-based cements on osteoclastic activity. Methods: MC3T3-E1 cells were cultured for biocompatibility analyses. RAW 264.7 cells were cultured in the presence of the receptor activator of nuclear factor-kappa B and lipopolysaccharide, followed by treatment with Biodentine (BIOD) or ProRoot MTA with or without medicaments (Odanacatib [ODN], a cathepsin inhibitor and alendronate, a bisphosphonate). After drug treatment, the cell counting kit-8 assay and Alizarin red staining were performed to evaluate biocompatibility in MC3T3-E1 cells. Reverse-transcription polymerase chain reaction, tartrate-resistant acid phosphatase (TRAP) staining and enzyme-linked immunosorbent assays were performed in RAW 264.7 cells to determine the expression levels of inflammatory cytokines, interleukin $(IL)-1{\beta}$, IL-6, tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$) and prostaglandin E2 (PGE2). Data were analyzed by one-way analysis of variance and Tukey's post hoc test (p < 0.05). Results: Biocompatibility results showed that there were no significant differences among any of the groups. RAW 264.7 cells treated with BIOD and ODN showed the lowest levels of $TNF-{\alpha}$ and PGE2. Treatments with BIOD + ODN were more potent suppressors of inflammatory cytokine expression (p < 0.05). Conclusion: The cathepsin K inhibitor with calcium silicate-based cement inhibits osteoclastic activity. This may have clinical application in preventing inflammatory root resorption in replanted teeth.

• Korean Journal of Materials Research
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• v.29 no.11
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• pp.690-696
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• 2019

Geopolymer is an alumina silicate-based ceramic material that has good heat-resistance and fire-resistance; it can be cured at room temperature, and thus its manufacturing process is simple. Geopolymer can be used as a reinforcement or floor finish for high-speed curing applications. In this manuscript, we investigate a high-speed curing geopolymer achieved by adding calcium to augment the curing rate. Metakaolin is used as the main raw material, and aqueous solutions of KOH and $K_2SiO_3$ are used as the activators. As a result of optimizing the high bending strength as a target factor for geopolymers with $SiO_2/Al_2O_3$ ratio of 4.1 ~ 4.8, the optimum ranges of the active agent are found to be $0.1{\leq}K_2O/SiO_2{\leq}0.4$ and $10{\leq}H_2O/K_2O{\leq}32.5$, and the optimum range of the curing accelerator is found to be $$0.82{\leq_-}Ca(OH)_2/Al_2O_3{\leq_-}2.87$$. The maximum flexural strength is found to be 1.35 MPa at $Ca(OH)_2/Al_2O_3=2.82$, $K_2O/SiO_2=0.3$, and $H_2O/K_2O=11.3$. The physical and thermal properties are analyzed to validate the applicability of these materials as industrial insulating parts or repairing finishing materials in construction.

• Journal of Korean Dental Science
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• v.7 no.1
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• pp.1-5
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• 2014

Purpose: Capseal I and Capseal II are calcium silicate and calcium phosphate based experimental root canal sealers. This study sought to evaluate the biocompatibility and mineralization potential of Capseal I and Capseal II. Materials and Methods: The biocompatibility and mineralization related gene expression (alkaline phosphatase [ALP], bone sialoprotein [BSP], and osteocalcin) of Capseal I and Capseal II were compared using methylthiazol tetrazolium assay and reverse transcription-polymerization chain reaction analysis, respectively. The results were analyzed by Kruskal-Wallis test. A P-value of <0.05 was considered significant. Result: Both Capseal I and Capseal II were favorable in terms of biocompatibility, influencing the messenger RNA expression of ALP and BSP. Conclusion: Within the limitation of this study, Capseal is biocompatible, with mineralization promoting potential; thus, it could be a promising root canal sealer.

• International conference on construction engineering and project management
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• 2009.05a
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• pp.1630-1636
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• 2009

Nine alkali-activated (AA) mortars were mixed and cured at water or air-dried conditions to explore the significance and limitation for the application of the combination of Ba and Ca ions as an alkali-activator. Ground granulated blast-furnace slag (GGBS) was used for source materials, and calcium hydroxide (Ca(OH)₂) and barium hydroxide (Ba(OH)₂) were employed as alkali activators. Test results clearly showed that the water curing condition was more effective than the air-dried curing condition for the formation of the denser calcium silicate hydrate (C-S-H) gels that had a higher molar Si/Ca ratio, resulting in a higher strength development. At the same time, the introduction of Ba(OH)₂ led to the formation of 2CaO·Al₂O₃·SiO₂·8H₂O (C₂ASH₈) hydrates with higher molar Si/Al and Ca/Al ratios. Based on the test results, it can be concluded that the developed cementless mortars have highly effective performance and high potential as an eco-friendly sustainable building material.

• Journal of the korean academy of Pediatric Dentistry
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• v.48 no.3
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• pp.280-290
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• 2021

Color stability of pulp-capping material is considered vital to the final aesthetic result since the material is placed in the coronal area. The purpose of this study was to compare the color stability of various pulp-capping materials by analyzing color change of tooth over time. A cavity was formed in the crown of the extracted premolar, and 4 types of pulp-capping materials were filled. Color assessment was performed with a spectrophotometer at different intervals: before placement; immediately after material placement; 1 day, 1 week, 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 16 weeks after placement. Proroot white MTA^® and TheraCal LC^® showed a significant decrease in the L^* value and an increase in the ∆E^* value over time. In contrast, Biodentine^® and Well-Root^TM PT showed no significant change in the L^* value and maintained a steady ∆E^* value. The application of pulp-capping materials containing bismuth oxide as a radiopacifier may result in a color change of teeth. Long-term color stability of pulp-capping materials should be considered when treating teeth with thin enamel thickness or in aesthetically important area.

• International Journal of Concrete Structures and Materials
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• v.5 no.1
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• pp.3-10
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• 2011

Theoretical models for prediction of the mechanical properties of cement mortar are developed based on the morphology and interactions of cement hydration products, capillary pores and microcracks. The models account for intermolecular interactions involving the nano-scale calcium silicate hydrate (C-S-H) constituents of hydration products, and consider the effects of capillary pores as well as the microcracks within the hydrated cement paste and at the interfacial transition zone (ITZ). Cement mortar was modeled as a three-phase material composed of hydrated cement paste, fine aggregates and ITZ. The Hashin's bound model was used to predict the elastic modulus of mortar as a three-phase composite. Theoretical evaluation of fracture toughness indicated that the frictional pullout of fine aggregates makes major contribution to the fracture energy of cement mortar. Linear fracture mechanics principles were used to model the tensile strength of mortar. The predictions of theoretical models compared reasonably with empirical values.

• Restorative Dentistry and Endodontics
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• v.45 no.1
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• pp.3.1-3.10
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• 2020

Objectives: This study investigated the indirect effect of calcium-enriched mixture (CEM) cement and mineral trioxide aggregate (MTA), as 2 calcium silicate-based hydraulic cements, on human dental pulp stem cells (hDPSCs) through different dentin thicknesses. Materials and Methods: Two-chamber setups were designed to simulate indirect pulp capping (IPC). Human molars were sectioned to obtain 0.1-, 0.3-, and 0.5-mm-thick dentin discs, which were placed between the 2 chambers to simulate an IPC procedure. Then, MTA and CEM were applied on one side of the discs, while hDPSCs were cultured on the other side. After 2 weeks of incubation, the cells were removed, and cell proliferation, morphology, and attachment to the discs were evaluated under scanning electron microscopy (SEM). Energy-dispersive X-ray (EDXA) spectroscopy was performed for elemental analysis. Alkaline phosphatase (ALP) activity was assessed quantitatively. The data were analyzed using the Kruskal-Wallis and Mann-Whitney tests. Results: SEM micrographs revealed elongated cells, collagen fibers, and calcified nucleations in all samples. EDXA verified that the calcified nucleations consisted of calcium phosphate. The largest calcifications were seen in the 0.1-mm-thick dentin subgroups. There was no significant difference in ALP activity across the CEM subgroups; however, ALP activity was significantly lower in the 0.1-mm-thick dentin subgroup than in the other MTA subgroups (p < 0.05). Conclusions: The employed capping biomaterials exerted biological activity on hDPSCs, as shown by cell proliferation, morphology, and attachment and calcific precipitations, through 0.1- to 0.5-mm-thick layers of dentin. In IPC, the bioactivity of these endodontic biomaterials is probably beneficial.

• Coupled systems mechanics
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• v.6 no.3
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• pp.335-349
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• 2017

To cope with the demand on giant and durable buildings, reinforcement of concrete is a practical problem being extensively investigated in the civil engineering field. Among various reinforcing techniques, fiber-reinforced concrete (FRC) has been proven to be an effective approach. In practice, such fibers include steel fibers, polyvinyl alcohol (PVA) fibers, polyacrylonitrile (PAN) carbon fibers and asbestos fibers, with the length scale ranging from centimeters to micrometers. When advancing such technique down to the nanoscale, it is noticed that carbon nanotubes (CNTs) are stronger than other fibers and can provide a better reinforcement to concrete. In the last decade, CNT-reinforced concrete attracts a lot of attentions in research. Despite high cost of CNTs at present, the growing availability of carbon materials might push the usage of CNTs into practice in the near future, making the reinforcement technique of great potential. A review of existing research works may constitute a conclusive reference and facilitate further developments. In reference to the recent experimental works, this paper reports some key evaluations on CNT-reinforced cementitious materials, covering FRC mechanism, CNT dispersion, CNT-cement structures, mechanical properties and fire safety. Emphasis is placed on the interplay between CNTs and calcium silicate hydrate (C-S-H) at the nanoscale. The relationship between the CNTs-cement structures and the mechanical enhancement, especially at a high-temperature condition, is discussed based on molecular dynamics simulations. After concluding remarks, challenges to improve the CNTs reinforcement technique are proposed.