[Aluminous cement for dental application (author's transl)].

Abstract

The various materials such as zinc oxide eugenol pastes, calcium hydroxide slurry and self hardening polymers have been used for the root canal filling and pulp capping. However, those materials have various problems in terms of biocompatibility and physical properties in clinical use. The development of root canal filling and pulp capping materials has been carried out with powder-liquid system which consisted of aluminous cement added to 20 wt% Ca (OH)2 and polyvinylalcohol solutions. The influence of polyvinylalcohol concentrations and L/P ratio on physical properties and biocompatibility were investigated. The results were as follows: 1. The initial setting time was showed between 3 and 20 minutes according to polyvinylalcohol concentration and L/P ratio and delayed linearly by increasing the L/P ratio. 2. The consistency was indicated between 18 and 51 mm with polyvinylalcohol concentration and L/P ratio. The lower the L/P ratio, the thicker was the consistency. 3. The solubilities in distilled water were 2.7-7.3% and 3.9-8.4%, respectively, after storage for 24 hours and 1 week, while those values in 199 medium were 2.9-6.2% and 4.4-9.9%, respectively, after storage for 24 hours and 1 week. 4. The pH values in distilled water were indicated high alkaline conditions of about 11.5 after storage for 24 hours and was not influenced by the repeated immersions. On the other hand, the pH values in 199 medium were showed high alkaline conditions of about 11.0 after storage for 24 hours, but decreased rapidly to the neutral conditions of about 8.0 with the repeated immersion. 5. The compressive strengths were increased by the use of higher polyvinylalcohol concentration and lower L/P ratio and indicated from 26 kg/cm2 and 278 kg/cm2. 6. By the use of the tissue culture method, mild response with the un-set cement was recognized from the morphological observation. In the case of the set cement, the cell morphological changes showed no significant difference in the cytotoxicity compared with that of control culture. The disappearance of the cytotoxicity was recognized in according to the progress of setting process.