Evidence map›Paper›PMID 41738332›Full record

ArticleAustralian endodontic journal : the journal of the Australian Society of Endodontology Inc2026

Biological and Mechanical Comparison of Eggshell-Derived Hydroxyapatite, Calcium Hydroxide, and Mineral Trioxide Aggregate.

Makbule Buse Dundar Sari, Ayse Demiral, Mustafa Gungormus, Nurgul K Bakirhan, Merve Aksoy

Abstract readComparative Study
In one paragraph

Article in Australian endodontic journal : the journal of the Australian Society of Endodontology Inc, 2026. 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. Trial
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

5 authors.

Makbule Buse Dundar SariDepartment of Pediatric Dentistry, School of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye.ORCID https://orcid.org/0000-0002-8848-8850
Ayse DemiralDepartment of Translational Medicine, Institute of Health Sciences, Ankara Yildirim Beyazit University, Ankara, Türkiye.
Mustafa GungormusDepartment of Basic Sciences, School of Dentistry, Ankara Yildirim Beyazit University, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-8894-0467
Nurgul K BakirhanDepartment of Analytical Chemistry, Gulhane School of Pharmacy, University of Health Sciences, Ankara, Türkiye.
Merve AksoyDepartment of Pediatric Dentistry, Gulhane School of Dentistry, University of Health Sciences, Ankara, Türkiye.

Funding

the Scientific Research Projects Coordination Office of the University of Health Sciences 2022/214
6 · The paper itself

Abstract

This study compared the mechanical properties of eggshell-derived hydroxyapatite (ESDHA), mineral trioxide aggregate (MTA), and calcium hydroxide (CH), and evaluated their cytotoxicity using human dental pulp stem cells (HDPSCs). Cement samples were prepared and incubated at 37°C under humid conditions. Cytotoxicity was assessed using extracts collected at different setting periods, followed by real-time cell analysis. Compressive strength was measured at multiple time points. Structural and chemical characterisation was performed using X-ray diffractometry, Raman spectroscopy, scanning electron microscopy, and energy-dispersive spectroscopy. ESDHA and MTA showed no cytotoxic effects, whereas CH exhibited initial cytotoxicity with a doubling time of 42.32 ± 1.69 h on day 1. MTA demonstrated the highest compressive strength (85.6 ± 3.2 MPa at 28 days), followed by ESDHA (18.9 ± 1.4 MPa), while CH had the lowest strength (5.1 ± 0.4 MPa). ESDHA appears to be a promising, cost-effective alternative with favourable cytocompatibility but requires mechanical improvement.

Indexed as

Aluminum CompoundsCalcium CompoundsCalcium HydroxideDurapatiteEgg ShellOxidesRoot Canal Filling MaterialsSilicatesAnimalsBiocompatible MaterialsCells, CulturedCell SurvivalCompressive StrengthDental PulpDrug CombinationsHumansAluminum CompoundsBiocompatible MaterialsCalcium CompoundsCalcium HydroxideDrug CombinationsDurapatitemineral trioxide aggregateOxidesRoot Canal Filling MaterialsSilicatescalcium hydroxidecytotoxicityeggshellhydroxyapatitemineral trioxide aggregatexCELLigence

Identifiers

PMID41738332
PMCPMC13436158

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.