Evidence map›Paper›PMID 41745540›Full record

ReviewJournal of functional biomaterials2026

Histological Tissue Response to Calcium Silicate-Based Cements Assessed in Human Tooth Culture Models: A Systematic Review.

Alberto Cabrera-Fernández, Hebertt Gonzaga Dos Santos Chaves, Aránzazu Díaz-Cuenca, Juan J Segura-Egea, Jenifer Martín-González, João Peça, Diana B Sequeira, João Miguel Marques Dos Santos

Abstract readReview
In one paragraph

Review in Journal of functional biomaterials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Alberto Cabrera-FernándezDepartment of Stomatology, Endodontic Section, School of Dentistry, University of Sevilla, 41009 Sevilla, Spain.ORCID 0009-0003-9855-4924
Hebertt Gonzaga Dos Santos ChavesDepartament of Restorative Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil.ORCID 0000-0001-8611-3070
Aránzazu Díaz-CuencaMaterials Science Institute of Seville (ICMS), Joint CSIC-University of Seville Center, 41092 Sevilla, Spain.ORCID 0000-0002-5790-4452
Juan J Segura-EgeaDepartment of Stomatology, Endodontic Section, School of Dentistry, University of Sevilla, 41009 Sevilla, Spain.ORCID 0000-0002-0427-9059
Jenifer Martín-GonzálezDepartment of Stomatology, Endodontic Section, School of Dentistry, University of Sevilla, 41009 Sevilla, Spain.ORCID 0000-0001-9282-133X
João PeçaCenter for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal.ORCID 0000-0003-4989-2129
Diana B SequeiraCenter for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal.ORCID 0000-0001-6968-7611
João Miguel Marques Dos SantosInstitute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.ORCID 0000-0002-2865-9689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ex vivo human tooth culture models preserve the native dentine-pulp complex and offer a translational platform to study pulp-capping biomaterials. This systematic review aimed to synthesize the evidence on histological pulp tissue responses to calcium silicate-based cement (CSCs) used for direct pulp capping in human tooth culture models. The review followed PRISMA 2020 guidance. Eligible studies were ex vivo whole human tooth culture models with direct pulp exposure treated with commercial or experimental CSCs and reporting histological outcomes. Risk of bias was assessed using the QUIN tool. Thirteen studies were included. Most used immature human third molars (from 15- to 19-year-old patients) and culture periods up to 28 days, with a minority extending observation to 45-90 days. Across hydraulic CSCs, Biodentine was the most frequently evaluated material, followed by ProRoot MTA and several experimental hydraulic and resin-modified formulations. Overall, hydraulic CSCs were consistently associated with biocompatible pulp responses and a pro-mineralization pattern characterized by periexposure mineralized foci/osteodentin-like tissue; where assessed, immunohistochemistry supported odontoblast-like differentiation. In contrast, the resin-modified CSC TheraCal LC and other experimental resin-modified CSCs showed more heterogeneous findings, with reports of absent, delayed, or less prominent mineralization compared with reference hydraulic CSCs. In intact human tooth culture models, hydraulic CSCs show reproducible biocompatibility and early mineralization features consistent with reparative dentinogenesis, whereas resin-modified CSCs demonstrate more variable histological performance.

Indexed as

Biodentinecalcium silicate-based cementsdental pulp cappinghuman tooth culture modelreparative dentinvital pulp therapy

Identifiers

PMID41745540
PMCPMC12942347

What OpenQuestion holds

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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.