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May 8, 20260 citations

Cytocompatibility of Three Calcium Silicate-Based Biomaterials: A Systematic Review and Meta-Analysis.

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SCsahar shabani panbeh cholehMHMahmoud HeidariEKEzatolah Kazeminejad

Key Points

  • This research aims to assess the cytotoxic effects of three calcium silicate-based cements on human dental pulp cells during vital pulp therapy.
  • Conducted systematic review and meta-analysis of studies investigating MTA, Biodentine, and CEM Cement.
  • Included studies measured cytotoxicity using MTT assay.
  • Evaluated various concentrations and exposure durations across included studies.
  • CEM cement consistently showed favorable biocompatibility in comparison to MTA and Biodentine.
  • Significant cytotoxic effects were observed only at specific concentrations and exposure durations.
  • Concentrations of MTA and Biodentine revealed no significant toxicity in other tested scenarios.

Abstract

Introduction: cytotoxic effects of three calcium silicate-based cements Mineral Trioxide Aggregate (MTA), Biodentine, and Calcium Enriched Mixture (CEM) Cement, focusing on their biocompatibility with human dental pulp cells in vital pulp therapy (VPT). Materials and Methods: ., MTT) were included. Results: <0.05). No other concentrations or exposure durations showed significant cytotoxic effects. CEM cement consistently demonstrated favorable biocompatibility across the included studies. Conclusion: biocompatibility for vital pulp therapy. Their biological responses may be influenced by material concentration and exposure duration, emphasizing the importance of careful and controlled clinical application.

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Cite This Study

choleh et al. (2026) studied this question.

synapsesocial.com/papers/69fd7fa1bfa21ec5bbf0836fhttps://doi.org/10.22037/iej.v21i1.48350
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparative Biological Properties of Resin-Modified Calcium Silicate Cements on Dental Stem Cells: A Systematic Review of In Vitro Studies2026
  2. 2Calcium Silicate-Based Cements for Vital Pulp Therapy: Integrated Assessment of Radiopacity, Elemental Composition, and 24-h Pulp Cell Responses2026
  3. 3Apoptotic effects of biodentine, calcium-enriched mixture (CEM) cement, ferric sulfate, and mineral trioxide aggregate (MTA) on human mesenchymal stem cells isolated from the human pulp of exfoliated deciduous teeth2024 · 2 citations
  4. 4Comparative evaluation of calcium-enriched mixture and mineral trioxide aggregate in vital pulp therapy of molars: A systematic review2026 · 1 citations
  5. 5Evaluation of Cytotoxicity of the Dental Materials TheraCal LC, TheraCal PT, ApaCal ART and Biodentine Used in Vital Pulp Therapy: In Vitro Study2024 · 13 citations