Table 5.
Characteristics of the studies included in the meta-analysis
| Row | Names | Type of calcium silicate base cement ) MTA OR Biodentin OR Cem cement) | Type of cell line used | Substance concentration | Cell exposure time | Measurement method | significant or not significant |
|---|---|---|---|---|---|---|---|
| 1 | Omidi et al. [43] |
Angelus mineral trioxide aggregate (MTA; Angelus), calcium-enriched mixture (CEM; BioniqueDent), and Biodentine (Septodont) | human dental pulp stem cells (hDPSCs) | Non diluted 1:2 1:4 |
24 hr 48 hr 72 hr |
MTT assay | No significant effect at 48 h; significant increase in cell proliferation at 72 h for both CEM (P<0.01) and Biodentine (P<0.05). Biodentine induced significantly higher TGF-β1 secretion than CEM (P<0.05). |
| 2 | Youssef et al. [47] |
mineral trioxide aggregate (MTA), Biodentine | dental pulp stem cells (DPSCs) | Non diluted | 3 day | MTT assay | All materials showed significant cytotoxicity compared with control at day 3 (P<0.0001); Biodentine showed significantly lower cell viability than MTA. |
| 3 | Tomas-Catala et al. [49] |
MTA Repair HP, NeoMTA Plus, and Biodentine | human dental pulp stem cells (hDPSCs) | Non diluted 1:2 1:4 |
24 hr 48 hr 72 hr |
MTT assay | Biodentine showed significantly higher cell viability than MTA Repair HP and NeoMTA Plus at 48 and 72 h; highest cell migration rate observed with Biodentine (P<0.001) |
| 4 | Assadian et al.[64] | OrthoMTA (OMTA), Biodentine (BD) and Calcium-Enriched Mixture (CEM) | human dental pulp stem cells (hDPSCs) | Non diluted 1:2 1:4 |
Days 1, 3 and 5 | MTT assay | Not significant for cell viability at days 1 and 3; significant reduction only for 100% Biodentine at day 5 (P=0.016). |
| 5 | Agrafioti et al. [71] | Biodentine and MTA | dental pulp stem cells (DPSCs) | Non diluted | 4 day 7 day |
MTT assay |
Biodentine showed significantly higher cell viability than MTA at 4 days (P<0.01); no significant difference between Biodentine and MTA at 7 days (P>0.05). |
| 6 | Saberi et al. [45] |
mineral trioxide aggregate (MTA), calcium-enriched mixture (CEM) cement, Biodentine (BD) | human gingival fibroblasts (HGFs) | Non diluted | 24 hr 48 hr 168 hr |
MTT assay | No significant difference versus control at 24 and 48 h; significant reduction in cell viability for MTA (P<0.05) and Biodentine (P<0.01) at 168 h |
| 7 | Zhou et al. [6] |
Biodentine, White Pro Root mineral trioxide aggregate (MTA) | human gingival fibroblasts | 1:1 1:2 1:4 |
1day 3 day 7 day |
flow cytometry | No significant difference in cell viability between Biodentine and MTA at any concentration or time point (P>0.05); both significantly less cytotoxic than glass ionomer cement (P<0.05). |
| 8 | Dahake et al. [42] |
MTA (Mineral Trioxide Aggregate) and Biodentine | Stem Cells from Human Exfoliated Deciduous Teeth (SHED) | Non diluted | 7 day | MTT assay |
Biodentine and MTA showed significantly higher cell viability compared with control at 7 days; Biodentine showed higher viability than MTA (P<0.001). |
| 9 | Collado-Gonzalez et al. [66] |
Biodentine (Septodont, Saint-Maur-des-Fosses, France) MTA (Angelus, Londrina, PR, Brazil) | stem cells isolated from human exfoliated primary teeth (SHEDs) | Non diluted 1:2 1:4 |
24, 48 and 72h | MTT assay |
Biodentine significantly increased cell viability compared with control and MTA from 48 h onward (P<0.01). |
| 10 | Margunato et al. [59] |
ProRoot MTA (Dentsply Tulsa Dental, Tulsa, OK), Biodentine (Septodont, Saint Maur des Fossés, France), and MM-MTA (Micro-Mega, Besançon Cedex, France) | human bone marrow stem cells (hBMSCs) | Non diluted | days 1, 3, 7, and 14 | MTS assay | No cytotoxic effects observed for any material; all materials significantly stimulated osteogenic differentiation compared with control (P<0.05). |
| 11 | Sultana et al. [50] |
ProRoot MTA (MTA; Dentsply Tulsa Dental, Tulsa, OK), Biodentine (BD; Septodont, Saint Maur de Fosses, France) | human bone marrow-derived mesenchymal stem cells (hBMSCs) | Non diluted | 1day 3 day 5 day 7 day |
MTT assay |
ERRM and MTA showed significantly higher osteogenic activity than Biodentine (P<0.05); no significant difference between ERRM and MTA in cell viability (P>0.05). |