journal article·2026-05-02Open access

Effect of Powder-to-Liquid Ratio on pH, Calcium Ion Release, and Solubility Behaviors of Endodontic Bioceramics: An In Vitro Study

Asuka Aka, Takashi Matsuura, Atsutoshi Yoshimura

Abstract

This study investigated the physicochemical properties of three endodontic bioceramics: MTA Flow White (F), MTA Repair HP (HP), and Nishika Canal Sealer BG multi (BG). Disc-shaped samples were immersed in deionized water for 28 days to analyze pH, calcium ion concentration, mass change, and water sorption. Additionally, the effect of varying powder-to-liquid (or paste) ratios was investigated for F and BG. All samples exhibited mass loss due to surface degradation. Results showed that F exhibited the highest alkalinity (pH 10.8–11.3) and significantly greater calcium ion release (173.3–523.3 ppm) than other materials (p < 0.05). HP showed moderate alkalinity (pH 10.4–10.7) with lower calcium release (43.3–66.3 ppm), while BG exhibited the lowest alkalinity (pH 9.3–9.4). Regarding the effect of consistency, variations in the powder-to-liquid (or paste) ratio significantly influenced the physical stability of F and BG—notably shifting F from mass loss to mass gain—but did not significantly affect their pH or calcium ion release kinetics (p > 0.05). Consequently, both null hypotheses were rejected, as significant differences were observed among the materials, and consistency significantly affected mass change and water sorption but not alkalinity or ion release.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Endodontics and Root Canal Treatments · Dental materials and restorations · Dental Erosion and Treatment

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Periodontology and Endodontology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki City 852-8588, Japan

Funding

Japan Society for the Promotion of Science

References (35)

Show source-provided references
1. Sealing ability of a mineral trioxide aggregate when used as a root end filling material10.1016/S0099-2399(06)80271-2 ↗
2. Clinical application of calcium silicate-based bioceramics in endodontics10.1186/s12967-023-04550-4 ↗
3. Biocompatibility and biomineralization assessment of mineral trioxide aggregate flow10.1007/s00784-018-2423-0 ↗
4. Falkowska-Ostrowska, J., and Dura, W. (2025). The Washout Resistance of Bioactive Root-End Filling Materials-A Systematic Review. J. Clin. Med., 14.10.3390/jcm14072446 ↗
5. Vu, T.T., Nguyen, M.T., Sangvanich, P., Nguyen, Q.N., and Thunyakitpisal, P. (2020). Acemannan Used as an Implantable Biomaterial for Vital Pulp Therapy of Immature Permanent Teeth Induced Continued Root Formation. Pharmaceutics, 12.10.3390/pharmaceutics12070644 ↗
6. Mineral trioxide aggregate: A comprehensive literature review--Part I: Chemical, physical, and antibacterial properties10.1016/j.joen.2009.09.006 ↗
7. Mineral trioxide aggregate: A comprehensive literature review--Part III: Clinical applications, drawbacks, and mechanism of action10.1016/j.joen.2009.09.009 ↗
8. Comparison of in vitro biocompatibility and antibacterial activity of two calcium silicate-based materials10.1007/s10856-021-06523-9 ↗
9. Wiśniewski, P., Krokosz, S., Pietruska, M., and Zalewska, A. (2025). Functional and Bioactive Performance of Premixed Bioceramic Sealers with Warm Obturation: A Scoping Review. Gels, 11.10.3390/gels11110932 ↗
10. Barczak, K., Palczewska-Komsa, M., Lipski, M., Chlubek, D., Buczkowska-Radlińska, J., and Baranowska-Bosiacka, I. (2020). The Influence of New Silicate Cement Mineral Trioxide Aggregate (MTA Repair HP) on Metalloproteinase MMP-2 and MMP-9 Expression in Cultured THP-1 Macrophages. Int. J. Mol. Sci., 22.10.3390/ijms22010295 ↗
11. Effect of radiopacifier and liquid in the physicochemical and biological properties of calcium silicate clinker Angelus: A laboratory investigation10.1111/aej.12808 ↗
12. Push-out bond strength of MTA HP, a new high-plasticity calcium silicate-based cement10.1590/1807-3107BOR-2016.vol30.0084 ↗
13. Fagogeni, I., Metlerska, J., Falgowski, T., Górski, M., Lipski, M., and Nowicka, A. (2022). Effectiveness of Teeth Whitening after Regenerative Endodontics Procedures: An In Vitro Study. J. Clin. Med., 11.10.3390/jcm11237016 ↗
14. Physicochemical, cytotoxicity and in vivo biocompatibility of a high-plasticity calcium-silicate based material10.1038/s41598-019-40365-4 ↗
15. Physicochemical, antimicrobial, and biological properties of White-MTAFlow10.1007/s00784-020-03543-7 ↗
16. Tušas, P., Camilleri, J., Alksnė, M., Šimoliūnas, E., Drukteinis, S., Urbonė, E.M., Bukelskienė, V., Rutkūnas, V., and Pečiulienė, V. (2025). Biocompatibility of Hydraulic Calcium Silicate-Based Cement MTA Flow. J. Funct. Biomater., 16.10.3390/jfb16070252 ↗
17. A laboratory evaluation of cell viability, radiopacity and tooth discoloration induced by regenerative endodontic materials10.1111/iej.13308 ↗
18. Physicochemical properties of newly developed bioactive glass cement and its effects on various cells10.1002/jbm.b.33209 ↗
19. Comparison of calcium and hydroxyl ion release ability and in vivo apatite-forming ability of three bioceramic-containing root canal sealers10.1007/s00784-021-04118-w ↗
20. In vitro and in vivo effects of a novel bioactive glass-based cement used as a direct pulp capping agent10.1002/jbm.b.34107 ↗
21. Jo, S.B., Kim, H.K., Lee, H.N., Kim, Y.J., Dev Patel, K., Campbell Knowles, J., Lee, J.H., and Song, M. (2020). Physical Properties and Biofunctionalities of Bioactive Root Canal Sealers In Vitro. Nanomaterials, 10.10.3390/nano10091750 ↗
22. Composition and physicochemical properties of calcium silicate based sealers: A review article10.4317/jced.54103 ↗
23. pH and calcium ion release of 2 root-end filling materials10.1067/moe.2003.12 ↗
24. Mechanisms of Retinal Damage after Ocular Alkali Burns10.1016/j.ajpath.2017.02.005 ↗
25. Aka, A., Matsuura, T., and Yoshimura, A. (2024). An Evaluation of the Cytocompatibility of Endodontic Bioceramics in Human Periodontal-Ligament-Derived Cells. J. Funct. Biomater., 15.10.3390/jfb15080231 ↗
26. PRILE 2021 guidelines for reporting laboratory studies in Endodontology: A consensus-based development10.1111/iej.13542 ↗
27. PRILE 2021 guidelines for reporting laboratory studies in Endodontology: Explanation and elaboration10.1111/iej.13565 ↗
28. Oh, H., Kim, E., Lee, S., Park, S., Chen, D., Shin, S.J., and Kim, S. (2020). Comparison of Biocompatibility of Calcium Silicate-Based Sealers and Epoxy Resin-Based Sealer on Human Periodontal Ligament Stem Cells. Materials, 13.10.3390/ma13225242 ↗
29. Anti-inflammatory and Osteogenic Effects of Calcium Silicate-based Root Canal Sealers10.1016/j.joen.2018.09.006 ↗
30. López-García, S., Pecci-Lloret, M.R., Guerrero-Gironés, J., Pecci-Lloret, M.P., Lozano, A., Llena, C., Rodríguez-Lozano, F.J., and Forner, L. (2019). Comparative Cytocompatibility and Mineralization Potential of Bio-C Sealer and TotalFill BC Sealer. Materials, 12.10.3390/ma12193087 ↗
31. Sørensen, the pH concept and its early history10.1007/s10698-025-09532-6 ↗
32. Biological effects of acid-eroded MTA Repair HP and ProRoot MTA on human periodontal ligament stem cells10.1007/s00784-019-02822-2 ↗
33. Lee, S., and Shanti, A. (2021). Effect of Exogenous pH on Cell Growth of Breast Cancer Cells. Int. J. Mol. Sci., 22.10.21203/rs.3.rs-260226/v1 ↗
34. Aka, A., Matsuura, T., and Yoshimura, A. (2026). Evaluation of the Physicochemical and Biological Properties of Calcium-Silicate-Based Root-End Filling Materials. J. Funct. Biomater., 17.10.3390/jfb17030131 ↗
35. Biocompatibility of two novel root repair materials10.1016/j.joen.2011.02.029 ↗