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Nanosilica's Impact on Resin‐Based Pulp Capping Material Incorporating Tricalcium Silicate From White Portland Cement

Denny NurdinDepartment of Conservative Dentistry Faculty of Dentistry, Universitas Padjadjaran Bandung IndonesiaAlex KesumaPostgraduate Specialist Program in Conservative Dentistry, Faculty of Dentistry, Universitas Padjadjaran Bandung IndonesiaShintya Dewi AriyaniPostgraduate Specialist Program in Conservative Dentistry, Faculty of Dentistry, Universitas Padjadjaran Bandung IndonesiaIndra PrimathenaDepartment of Conservative Dentistry Faculty of Dentistry, Universitas Padjadjaran Bandung IndonesiaOpik Taofik HidayatDepartment of Conservative Dentistry Faculty of Dentistry, Universitas Padjadjaran Bandung IndonesiaNozimjon TuygunovFaculty of Dentistry, Kimyo International University in Tashkent Tashkent UzbekistanNora Sakina Mohd NoorDepartment of Restorative Dentistry Faculty of Dentistry, Universiti Malaya Kuala Lumpur MalaysiaArief CahyantoCentre of Medical and Bio‐Allied Health Sciences Research, Ajman University Ajman UAE
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ABSTRACT Pulp capping is vital for maintaining pulp health in restorative dentistry, traditionally using Mineral Trioxide Aggregate (MTA) due to its high bioactivity and biocompatibility. Recently, tricalcium silicate from white Portland cement (TSWPC) has gained attention as a cost‐effective alternative. This study investigates how the addition of nanosilica (NS) affects the bioactivity and mechanical properties of a resin‐based TSWPC‐ZrO 2 formulation for pulp capping. Two formulations, TSWPC‐ZrO 2 and TSWPC‐SiO 2 ‐ZrO 2 , were prepared and tested for compressive strength, flexural strength, and elastic modulus in accordance with ISO 9971‐1 and ISO 4049. Hydration‐driven bioactivity (pH, Ca 2+ /OH − release), NIH/3 T3 viability, and cell attachment were monitored for 28 days. NS increased 24 h compressive strength from 105 ± 6 MPa to 116 ± 4 MPa and elastic modulus from 7.19 ± 0.27 GPa to 7.55 ± 0.32 GPa, but reduced flexural strength from 83 ± 5 MPa to 61 ± 7 MPa. Both cements generated alkaline conditions (pH 8.0–9.5) and sustained Ca 2+ release (≤ 31 mg L −1 ), with no significant differences between groups. The NS formulation showed higher cell viability after 72 h (244% ± 22%) and enhanced fibroblast attachment. The results indicate that nanosilica accelerates hydration and improves compressive stiffness without compromising bioactivity, offering a mechanically robust, cost‐effective alternative to Mineral Trioxide Aggregate for vital‐pulp therapy.

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