Objectives <p>This study investigated novel mineral-organic cements based on magnesium and organophosphates, originally developed as resorbable bone adhesives. The aim was to evaluate this new class of materials in a dental context, focusing on their suitability as temporary restorative materials in endodontic treatments.</p> Materials and methods <p>Two thermally treated trimagnesium phosphate hydrates (Mg₃(PO₄)₂ ∙ xH₂O and Mg₃(PO₄)₂ ∙ 22H₂O (cattiite)) were each combined with two organophosphates (phosphoserine (OPLS) and sodium phytate (Na-IP6)), resulting in four adhesive formulations. These were compared with a commonly used material for temporary restorations (Cavit™) and a reference adhesive (TTCP + OPLS) regarding mechanical strength, sealing ability (methylene blue penetration) on bovine teeth, and structural integrity.</p> Results <p>Shear bond strength to dental hard tissues was significantly higher for the new cements compared to Cavit™, particularly for the OPLS + TMP ∙ xH₂O formulation (4.35 ± 0.71&#xa0;MPa vs. 0.29 ± 0.16&#xa0;MPa; initially on dentin). pH and temperature during setting remained within clinical limits. TMP ∙ xH₂O + OPLS also showed the favorable sealing behavior, while Cavit™ performed similarly. Porosimetry, SEM and micro-CT supported the favorable profile of this formulation.</p> Conclusion <p>The combination of 400&#xa0;°C sintered TMP ∙ xH₂O and OPLS proved most suitable in terms of handling, stability, and sealing. This system are promising candidates for temporary restorations, particularly in non-retentive cavities.</p> Clinical relevance <p>The tested cements may serve as novel resorbable, adhesive alternatives for temporary restorations. Future applications could include pulp capping or perforation repair.</p> Graphical abstract <p></p>

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Magnesium-organophosphate bone adhesives repurposed as endodontic cements for dental applications

  • Tobias Renner,
  • Laura Marx,
  • Niclas Fleckenstein,
  • Valentin C. Steinacker,
  • Paul F. Otto,
  • Alexander C. Kübler,
  • Uwe Gbureck

摘要

Objectives

This study investigated novel mineral-organic cements based on magnesium and organophosphates, originally developed as resorbable bone adhesives. The aim was to evaluate this new class of materials in a dental context, focusing on their suitability as temporary restorative materials in endodontic treatments.

Materials and methods

Two thermally treated trimagnesium phosphate hydrates (Mg₃(PO₄)₂ ∙ xH₂O and Mg₃(PO₄)₂ ∙ 22H₂O (cattiite)) were each combined with two organophosphates (phosphoserine (OPLS) and sodium phytate (Na-IP6)), resulting in four adhesive formulations. These were compared with a commonly used material for temporary restorations (Cavit™) and a reference adhesive (TTCP + OPLS) regarding mechanical strength, sealing ability (methylene blue penetration) on bovine teeth, and structural integrity.

Results

Shear bond strength to dental hard tissues was significantly higher for the new cements compared to Cavit™, particularly for the OPLS + TMP ∙ xH₂O formulation (4.35 ± 0.71 MPa vs. 0.29 ± 0.16 MPa; initially on dentin). pH and temperature during setting remained within clinical limits. TMP ∙ xH₂O + OPLS also showed the favorable sealing behavior, while Cavit™ performed similarly. Porosimetry, SEM and micro-CT supported the favorable profile of this formulation.

Conclusion

The combination of 400 °C sintered TMP ∙ xH₂O and OPLS proved most suitable in terms of handling, stability, and sealing. This system are promising candidates for temporary restorations, particularly in non-retentive cavities.

Clinical relevance

The tested cements may serve as novel resorbable, adhesive alternatives for temporary restorations. Future applications could include pulp capping or perforation repair.

Graphical abstract