Evaluation of the Physicochemical and Biological Properties of Calcium-Silicate-Based Root-End Filling Materials

This study compared the physicochemical and biological properties of Bio-C Repair (BR), a new putty-type calcium silicate-based material, with ProRoot MTA (P) and Super-Bond (SB). Discs of the three materials were prepared. Human periodontal ligament cells were seeded onto the discs, and metabolic activity was assessed by MTT assay on days 7 and 28; cells without discs served as the negative control (NC). Moreover, the pH and calcium ion concentration of the eluate, the mass change, and the water sorption were investigated. On day 7, BR showed significantly lower cell activity than P and NC. However, by day 28, BR activity increased significantly, with no significant difference relative to other groups, whereas P activity was significantly suppressed relative to SB and NC. Physiochemically, BR maintained a significantly higher alkalinity (pH ~11.0) and greater calcium ion release than P throughout the 28 days. Furthermore, BR exhibited significant mass gain (15.7%) and the highest water sorption (15.4%), whereas P showed mass loss (-1.1%). Although the high pH of BR initially suppressed cell activity, it demonstrated favorable cytocompatibility by day 28. BR showed a significantly improved long-term cellular response compared to P, suggesting it is a promising alternative as a root-end filling material.