Evidence map›Paper›PMID 40794734›Full record

ArticlePloS one2025

Enhancing gutta-percha with silver mesoporous calcium silicate nanoparticles for advanced endodontic applications.

Amer A Mohammed, Ahmed H Ali, Federico Foschi, Francesco Mannocci

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amer A MohammedAesthetic and Restorative Dentistry Department, College of Dentistry, University of Baghdad, Baghdad, Iraq.ORCID https://orcid.org/0000-0003-4009-6732
Ahmed H AliAesthetic and Restorative Dentistry Department, College of Dentistry, University of Baghdad, Baghdad, Iraq.ORCID https://orcid.org/0000-0002-1083-9913
Federico FoschiDepartment of Restorative Dentistry, Unit of Endodontology, UCL Eastman Dental Institute, University College London, London, United Kingdom.
Francesco MannocciDepartment of Endodontics, Centre of Oral Clinical & Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, Guy's Dental Hospital, King's College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to develop a modified gutta-percha (GP) multifunctional endodontic material by incorporating mesoporous calcium silicate nanoparticles (MCSNs) or silver-incorporated mesoporous calcium silicate nanoparticles (Ag-MCSNs) as bioactive nanoparticle fillers to enhance bioactivity, biomineralization, and radiopacity while achieving low cytotoxicity and improved antibacterial activity. METHODOLOGY: MCSNs and Ag-MCSNs were synthesized and incorporated into GP at concentrations of 1%, 5%, and 10% by weight. The chemical and structural characterization of the new GP materials was performed using Fourier-transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), energy-dispersive spectrometry (EDS), and field emission-scanning electron microscopy (FE-SEM) to assess filler distribution. Biomineralization was evaluated using XRD, EDS, and scanning electron microscopy (SEM). Ion release, pH changes, MTT assays, and culture-based techniques were employed to assess bioactivity, biocompatibility, and antibacterial properties. Finally, radiopacity testing was conducted.

resultsAll samples of the newly developed GP exhibited uniform particle distribution within the GP matrix. Bioactivity and biomineralization tests revealed hydroxyapatite (HA) layer precipitation at 3, 7, 14, and 28 days, with maximum HA formation observed with prolonged immersion. Samples containing MCSNs or Ag-MCSNs created a weakly alkaline microenvironment initially, maintaining a suitable pH over time. All groups demonstrated non-cytotoxicity, with cell viability exceeding 70%. Antibacterial tests showed larger inhibition zones in all experimental groups compared to the control, with GP containing 10% MCSNs or Ag-MCSNs exhibiting the highest antibacterial activity, particularly Ag-MCSNs. Radiopacity tests indicated no significant difference between the experimental and control groups.

conclusionGutta-percha materials incorporated with 10% MCSNs or Ag-MCSNs demonstrated enhanced bioactivity, biomineralization, and antibacterial properties compared to the control GP, while maintaining suitable levels of biocompatibility in accordance with ISO 10993/2009 standards. The incorporation of Ag-MCSNs significantly improved antibacterial effects, particularly against Enterococcus faecalis, and increased radiopacity, making it a promising material for root canal therapy.

Indexed as

Calcium CompoundsEndodonticsGutta-PerchaMetal NanoparticlesNanoparticlesRoot Canal Filling MaterialsSilicatesSilverAnti-Bacterial AgentsHumansMicrobial Sensitivity TestsPorositySpectroscopy, Fourier Transform InfraredX-Ray DiffractionAnti-Bacterial AgentsCalcium Compoundscalcium silicateGutta-PerchaRoot Canal Filling MaterialsSilicatesSilver

Identifiers

PMID40794734
PMCPMC12342242

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.