Influence of exposure to phosphoric and polyacrylic acids on selected microscopic and physical/chemical properties of calcium hydroxide cements

Purpose: This study aimed to evaluate if the contact of calcium hydroxide cements with polyacrylic and phosphoric acids would alter selected microscopic and physical and chemical properties. Materials and Methods: Chemically activated (Hydro C and Dycal Advanced Formula II) and resin-modified photoactivated (Ultra-blend Plus) calcium hydroxide cements were examined after exposure to the following different strategies: contact with no substance (control group); rinsing with water and drying; contact with polyacrylic acid, rinsing with water, and drying; and contact with phosphoric acid, rinsing with water, and drying. Surface morphology, determined by scanning electron microscopy (SEM), water sorption and solubility, and the release of hydroxyl ions were evaluated. Results: SEM showed a greater impact of the conditioning acids on the surface of the chemically activated cements. Ultra-blend Plus obtained the highest value of sorption (516.8 μg/mm3) and solubility (381.1 μg/mm3) and Hydro C had the lowest values 251.9 μg/mm3 and 206.3 μg/mm3 respectively. Considering the release of hydroxyl ions in comparison with time, Hydro C and Ultra-blend Plus presented significant statistical difference for polyacrylic and phosphoric acid subgroups. Conclusion: Hydro C and Dycal presented intensification of surface irregularities after contact with conditioning acids. The chemically activated materials suffered a decrease in sorption and solubility. The action of the conditioning acids promotes greater increase of the release of hydroxyl ions for Hydro C and Dycal.

___

  • (1) Yalcin M, Arslan U, Dundar A. Evaluation of antibacterial effects of pulp capping agents with direct contact test method. Eur J Dent 2014;8:95–9. doi:10.4103/1305-7456.126256.
  • (2) Lavôr MLT, Silva EL, Vasconcelos MG, Vasconcelos RG. Use of calcium hydroxide and MTA in dentistry: concepts, rationele and clinical practice. SALUSVITA, Bauru 2017;36:99–121. Retrieved from: https://secure.usc.br/static/biblioteca/salusvita/salusvita_v36_n1_2017_art_09.pdf.
  • (3) Duarte MAH, Martins CS, Demarchi ACOC, Godoy LF, Kuga MC, Yamashita JC. Calcium and hydroxide release from different pulp-capping materials. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 2007;104:e66–9. doi:10.1016/j.tripleo.2007.01.024.
  • (4) Titus HW, Draheim RN, Murrey AJ. The effect of enamel etchant on the solubility of three calcium hydroxide bases. J Prosthet Dent 1988;60:178–80. doi:10.1016/0022-3913(88)90311-3.
  • (5) Poggio C, Beltrami R, Colombo M, Ceci M, Dagna A, Chiesa M. In vitro antibacterial activity of different pulp capping materials. J Clin Exp Dent 2015;7:584–8. doi:10.4317/jced.52401.
  • (6) Ferreira M, Simões R, Carrilho E. Removal of calcium hydroxide of the root canal: Conventional irrigation vs sonic. Rev Port Estomatol Med Dentária e Cir Maxilofac 2014;55:97–101. doi:10.1016/j.rpemd.2014.01.004.
  • (7) Pereira JC, Gonçalves SA, Anauate-Neto C. Dentística: Uma Abordagem Multidisciplinar. Artes Médicas; 2014.
  • (8) Francisconi LF, Freitas AP, Scaffa PMC, Mondelli RFL, Francisconi PAS. Water sorption and solubility of different calcium hydroxide cements. J Appl Oral Sci 2009;17:427–31. doi:10.1590/S1678-77572009000500014.
  • (9) Natale LC, Rodrigues MC, Xavier TA, Simões A, Souza DN, Braga RR. Ion release and mechanical properties of calcium silicate and calcium hydroxide materials used for pulp capping. Int Endod J 2015;48:89–94. doi:10.1111/iej.12281.
  • (10) de Souza GF, Arrais AB, Aragão CFS, Ferreira IA, Borges BCD. Physical-Mechanical Properties and Micromorphology of Calcium Cements Exposed to Polyacrylic and Phosphoric Acids. Scanning 2018;2018:8. doi:10.1155/2018/3197510.
  • (11) Gandolfi MG, Siboni F, Botero T, Bossù M, Riccitiello F, Prati C. Calcium silicate and calcium hydroxide materials for pulp capping: biointeractivity, porosity, solubility and bioactivity of current formulations. J Appl Biomater Funct Mater 2015;13:43–60. doi:10.5301/jabfm.5000201.
  • (12) Nilsen BW, Jensen E, Örtengren U, Michelsen VB. Analysis of organic components in resin-modified pulp capping materials: Critical considerations. Eur J Oral Sci 2017. doi:10.1111/eos.12347.
  • (13) Sideridou I, Tserki V, Papanastasiou G. Study of water sorption, solubility and modulus of elasticity of light-cured dimethacrylate-based dental resins. Biomaterials 2003;24:655–65. doi.org/10.1016/S0142-9612(02)00380-0.
  • (14) Fonseca ASQS, Moreira ADL, Albuquerque PPAC, Menezes LR, Pfeifer CS, Schneider LFJ. Effect of monomer type on the C=C degree of conversion, water sorption and solubility, and color stability of model dental composites. Dent Mater 2017;33:394–401. doi:10.1016/j.dental.2017.01.010.
  • (15) Martim GC, Pfeifer CS, Girotto EM. Novel urethane-based polymer for dental applications with decreased monomer leaching. Mater Sci Eng C 2017;72:192–201. doi:10.1016/j.msec.2016.11.050.
  • (16) Driscoll CF, Woolsey GD, Reddy TG, Craig RG. Solubility of zinc oxide-eugenol and calcium hydroxide cements in simulated dentinal fluid. J Oral Rehabil 1989;16:451–5. doi.org/10.1111/j.1365-2842.1989.tb01365.x
  • (17) Tamburić SD, Vuleta GM, Ognjanović JM. In vitro release of calcium and hydroxyl ions from two types of calcium hydroxide preparation. Int Endod J 1993;26:125–30. doi:10.1111/j.1365-2591.1993.tb00554.x.
  • (18) Siqueira JF, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999;32:361–9. doi:10.1046/j.1365-2591.1999.00275.x.
  • (19) Anusavice KJ, Shen C, Rawls HR. Phillips materiais dentários. Rio de Janeiro: Elsevier; 2013.
  • (20) Scarano A, Manzon L, Di Giorgio R, Orsini G, Tripodi D, Piattelli A. Direct capping with four different materials in humans: histological analysis of odontoblast activity. J Endod 2003;29:729–34. doi:10.1097/00004770-200311000-00011.