Method: Various amounts of CPP-ACP (0.5%, 1%, 2% and 3% w/w) were added to each test material. Setting times and compressive strengths were determined according to the ISO 9917-1 standard. Solubility was evaluated using the American Dental Association specification #8, and the Vickers surface microhardness (HV) was also measured. The data were analysed by one way analysis of variance followed by Tukey’s test. The level of significance was P < 0.05.
Result: The incorporation of 0.5% and 1% CPP-ACP into Biodentine® and 0.5% CPP-ACP into Angelus®MTA and GCMTA did not affect the cements’ physical properties except for increasing setting time. The incorporation of higher CPP-ACP concentrations into the test cements adversely affected the mechanical properties and increased the solubility in a concentration-dependant manner (P < 0.05). Biodentine® showed the shortest setting time and the highest compressive strength, surface microhardness and solubility amongst the test materials (P < 0.05). Angelus®MTA exhibited shorter setting time in comparison with GCMTA (P < 0.05) and the lowest solubility compared with Biodentine® and GCMTA (P < 0.05). The compressive strength and surface microhardness of Angelus®MTA and GCMTA were similar.
Conclusion: Low concentrations of CPP-ACP powder can be incorporated into calcium silicate-based cement without significantly compromising the mechanical properties and solubility of the modified cement. GCMTA showed similar mechanical properties to commercially available MTA.