Calcium Silicate Cements vs. Epoxy Resin Based Cements: Narrative Review

Abstract

In recent years, calcium silicate cements have been introduced. The purpose of this study is to analyze the main differences between calcium silicate-based cements and epoxy resin-based cements, analyzing the scientific literature of the last year to highlight the main advantages for predictable clinical use. Data collected from the included studies were used in order to analyze different features: chemical-physical properties, cytotoxicity and cell migration, inflammatory response, mineralizing and osteogenic activity, ion release and the filling efficiency of root canals. The calcium silicate cements analyzed in these studies showed good biological and mechanical properties compared to conventional resin-based cements, resulting in better biocompatibility and less cytotoxicity; long-term studies are needed, but these cements have ideal characteristics to allow efficient filling of root canals.

The Effect of Ultrasonic Agitation on the Porosity Distribution in Apically Perforated Root Canals Filled with Different Bioceramic Materials and Techniques: A Micro-CT Assessment

“…The homogeneity of root canal obturation highly depends on the porosity of the fillings [ 25 ], as open pores communicating with dentinal walls may create an excellent pathway for microleakage and eventually decrease the success rate and outcome of endodontic treatment [ 28 , 36 ]. Closed pores are considered to be less clinically relevant, as they represent empty spaces completely surrounded by filling material [ 37 ]. Nevertheless, it has been shown that this type of porosity may negatively affect the physical properties of the material, such as hardness and strength [ 36 , 38 ].…”