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. 2026 Apr 28;21(1):e12. doi: 10.22037/iej.v21i1.48350

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).