Non-Cochrane · intervention · PM42088729

Cytocompatibility of Three Calcium Silicate-Based Biomaterials: A Systematic Review and Meta-Analysis.

Shabani Panbeh Choleh Sahar, Heidari Mahmoud, Kazeminejad Ezatolah, et al. · Iranian endodontic journal · 2026 · PubMed · doi:10.22037/iej.v21i1.48350

Findings

109 findings

Population
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD 0.43 [-1.72, 2.57]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.18 [-1.26, 0.90]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.99 [-1.84, -0.13]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD 0.31 [-1.23, 1.85]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Margunato 2015 omitted
SMD 1.07 [-1.18, 3.31]
GRADE not reported
5 studies · 48 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Saberi 2016 omitted
SMD -0.25 [-1.41, 0.90]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture
SMD 0.74 [-1.13, 2.61]
GRADE not reported
6 studies · 54 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -0.82 [-1.46, -0.18]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -0.12 [-1.33, 1.08]
GRADE not reported
6 studies · 46 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Sultana 2018 omitted
SMD -0.45 [-1.63, 0.72]
GRADE not reported
6 studies · 52 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD -0.39 [-1.38, 0.60]
GRADE not reported
7 studies · 60 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Margunato 2015 omitted
SMD -0.50 [-1.64, 0.64]
GRADE not reported
6 studies · 54 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.20 [-1.29, 0.90]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Saberi 2016 omitted
SMD -3.19 [-7.05, 0.67]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Sultana 2018 omitted
SMD 0.27 [-1.72, 2.25]
GRADE not reported
5 studies · 46 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
5 days exposure · In vitro cell culture
SMD -0.13 [-1.01, 0.75]
GRADE not reported
2 studies · 14 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Agrafioti 2016 omitted
SMD 0.25 [-1.71, 2.21]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Margunato 2015 omitted
SMD 0.39 [-1.16, 1.94]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Dahake 2020 omitted
SMD 0.91 [-1.54, 3.35]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -0.30 [-1.44, 0.85]
GRADE not reported
6 studies · 54 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Sultana 2018 omitted
SMD 0.26 [-1.28, 1.81]
GRADE not reported
6 studies · 48 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -2.85 [-7.42, 1.72]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Saberi 2016 omitted
SMD 1.51 [-0.13, 3.16]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD -2.11 [-4.14, -0.08]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Youssef 2019 omitted
SMD 0.20 [-0.79, 1.20]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD 0.30 [-0.96, 1.56]
GRADE not reported
7 studies · 56 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD 0.68 [-0.60, 1.96]
GRADE not reported
6 studies · 46 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD 0.46 [-1.11, 2.03]
GRADE not reported
6 studies · 46 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -0.62 [-1.31, 0.08]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD 1.25 [0.32, 2.18]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD 0.52 [-0.18, 1.22]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -0.13 [-1.23, 0.96]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD -0.21 [-1.02, 0.59]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD 1.06 [-0.19, 2.30]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.01 [-1.01, 1.00]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD 0.85 [-0.42, 2.11]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD -2.20 [-6.98, 2.59]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.08 [-1.19, 1.02]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD 0.90 [-0.00, 1.81]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD 0.63 [-0.80, 2.06]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD 0.17 [-0.64, 0.98]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD 0.18 [-0.51, 0.86]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD 0.25 [-0.34, 0.84]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD 0.55 [-0.44, 1.53]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD -0.99 [-3.36, 1.38]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD 0.91 [0.04, 1.79]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD 0.06 [-0.62, 0.74]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD 0.41 [-0.28, 1.10]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD 0.36 [-0.30, 1.02]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)MTA 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD 0.49 [-0.93, 1.91]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.58 [-3.77, 2.61]
GRADE not reported
7 studies · 56 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Sultana 2018 omitted
SMD -1.46 [-5.36, 2.45]
GRADE not reported
7 studies · 58 participants
Human cell lines (e.g., dental pulp stem cells, gingival fibroblasts) in vitroBiodentine extract, undiluted (non-diluted)Untreated control groupCell viability (normalized to control, % viability)
48 hours · In vitro cell culture · Leave-one-out sensitivity analysis omitting Tomas-Catala 2018
SMD -0.91 [-3.61, 1.78]
GRADE not reported
3 studies
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD -1.71 [-4.37, 0.96]
GRADE not reported
4 studies · 40 participants
Human cell lines (e.g., dental pulp stem cells, gingival fibroblasts) in vitroBiodentine extract, undiluted (non-diluted)Untreated control groupCell viability (normalized to control, % viability)
48 hours · In vitro cell culture · Leave-one-out sensitivity analysis omitting Omidi 2019
SMD -2.65 [-6.84, 1.53]
GRADE not reported
3 studies
Human cell lines (e.g., dental pulp stem cells, gingival fibroblasts) in vitroBiodentine extract, undiluted (non-diluted)Untreated control groupCell viability (normalized to control, % viability)
48 hours · In vitro cell culture · Leave-one-out sensitivity analysis omitting Collado-Gonzalez 2017
SMD -0.63 [-3.07, 1.81]
GRADE not reported
3 studies
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -1.71 [-6.15, 2.73]
GRADE not reported
7 studies · 60 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Margunato 2015 omitted
SMD -0.58 [-2.01, 0.85]
GRADE not reported
6 studies · 54 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD -1.75 [-4.99, 1.49]
GRADE not reported
8 studies · 66 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.91 [-3.61, 1.78]
GRADE not reported
3 studies · 30 participants
Human cell lines (e.g., dental pulp stem cells, gingival fibroblasts) in vitroBiodentine extract, undiluted (non-diluted)Untreated control groupCell viability (normalized to control, % viability)
48 hours · In vitro cell culture · Leave-one-out sensitivity analysis omitting Saberi 2016
SMD -2.76 [-6.70, 1.19]
GRADE not reported
3 studies
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Margunato 2015 omitted
SMD -3.12 [-6.40, 0.16]
GRADE not reported
7 studies · 60 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD 0.35 [-1.69, 2.39]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -2.18 [-6.21, 1.85]
GRADE not reported
7 studies · 56 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -1.07 [-2.35, 0.21]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.63 [-3.07, 1.81]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture
SMD 0.15 [-1.58, 1.89]
GRADE not reported
6 studies · 54 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Saberi 2016 omitted
SMD 0.39 [-1.55, 2.34]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Saberi 2016 omitted
SMD -2.76 [-6.70, 1.19]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Saberi 2016 omitted
SMD 0.72 [-1.27, 2.72]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.54 [-3.71, 2.62]
GRADE not reported
7 studies · 56 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Youssef 2019 omitted
SMD -2.87 [-5.99, 0.24]
GRADE not reported
7 studies · 60 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Omidi 2019 omitted
SMD -1.07 [-4.51, 2.37]
GRADE not reported
7 studies · 56 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Agrafioti 2016 omitted
SMD 0.64 [-1.59, 2.86]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD 0.24 [-1.81, 2.29]
GRADE not reported
6 studies · 54 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD -0.09 [-1.77, 1.59]
GRADE not reported
7 studies · 60 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
5 days exposure · In vitro cell culture
SMD 0.73 [-0.52, 1.97]
GRADE not reported
2 studies · 14 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -0.50 [-2.14, 1.14]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Omidi 2019 omitted
SMD -2.65 [-6.84, 1.53]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Sultana 2018 omitted
SMD 0.09 [-2.00, 2.17]
GRADE not reported
6 studies · 52 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Dahake 2020 omitted
SMD 0.66 [-1.51, 2.84]
GRADE not reported
5 studies · 44 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Margunato 2015 omitted
SMD 0.49 [-1.73, 2.71]
GRADE not reported
5 studies · 48 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
7 days exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Sultana 2018 omitted
SMD -0.60 [-1.95, 0.74]
GRADE not reported
5 studies · 46 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD 0.36 [-1.65, 2.38]
GRADE not reported
6 studies · 50 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -0.01 [-0.73, 0.72]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.17 [-1.00, 0.67]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -0.38 [-1.07, 0.31]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD -5.66 [-14.50, 3.18]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -2.21 [-6.16, 1.75]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD -0.11 [-0.70, 0.48]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -1.81 [-5.54, 1.91]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD 0.08 [-0.61, 0.76]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -6.28 [-15.89, 3.33]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD -4.06 [-8.27, 0.14]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:2 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -6.92 [-14.93, 1.08]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -1.05 [-3.32, 1.22]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.44 [-1.58, 0.70]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -0.83 [-1.79, 0.13]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD -3.90 [-6.85, -0.94]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Zhou 2013 omitted
SMD -1.49 [-2.81, -0.17]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.45 [-2.33, 1.44]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD -0.55 [-1.39, 0.29]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Collado-Gonzalez 2017 omitted
SMD -0.22 [-0.90, 0.47]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Assadian 2022 omitted
SMD -0.75 [-1.81, 0.31]
GRADE not reported
3 studies · 30 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD -0.83 [-2.43, 0.76]
GRADE not reported
4 studies · 36 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)Biodentine 1:4 diluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture · Leave-one-out sensitivity analysis: Tomas-Catala 2018 omitted
SMD -0.36 [-2.11, 1.39]
GRADE not reported
3 studies · 26 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)CEM cement undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
24 hours exposure · In vitro cell culture
SMD -0.39 [-1.89, 1.11]
GRADE not reported
2 studies · 16 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)CEM cement undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
48 hours exposure · In vitro cell culture
SMD 0.31 [-0.49, 1.11]
GRADE not reported
2 studies · 20 participants
Human cell lines (dental pulp stem cells, gingival and periodontal fibroblasts, bone marrow stem cells, SHED)CEM cement undiluted extractUntreated controlCell viability (percent of control; MTT and other viability assays)
72 hours exposure · In vitro cell culture
SMD -2.80 [-8.62, 3.01]
GRADE not reported
2 studies · 16 participants

Included primary studies 61

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Saberi 2015
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Zhou 2013
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Agrafioti 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Agrafioti 2016
Interaction of dental pulp stem cells with Biodentine and MTA after exposure to different environments.
PMID:27812618
2016this review onlynot statednot extracted yet
Akbulut 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Akbulut 2018
Effects of four novel root-end filling materials on the viability of periodontal ligament fibroblasts.
PMID:30135845
2018this review onlynot statednot extracted yet
Assadian 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Assadian 2022
Comparative evaluation of the effects of three hydraulic calcium silicate cements on odontoblastic differentiation of human dental pulp…
PMID:36350874
2022this review onlynot statednot extracted yet
Attik 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Attik 2014
In vitro biocompatibility of a dentine substitute cement on human MG63 osteoblasts cells: Biodentine™ versus MTA(®).
PMID:24517569
2014this review onlynot statednot extracted yet
Birant 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Birant 2021
Cytotoxicity of NeoMTA Plus, ProRoot MTA and Biodentine on human dental pulp stem cells.
PMID:34141112
2021this review onlynot statednot extracted yet
Bortoluzzi 2015
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bortoluzzi 2015
Cytotoxicity and osteogenic potential of silicate calcium cements as potential protective materials for pulpal revascularization.
PMID:26494267
2015this review onlynot statednot extracted yet
Bossu 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Bossu 2021
Biocompatibility and Antibiofilm Properties of Calcium Silicate-Based Cements: An In Vitro Evaluation and Report of Two Clinical Cases.
PMID:34073519
2021this review onlynot statednot extracted yet
Collado-Gonzalez 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Collado-Gonzalez 2017
Cytotoxicity and bioactivity of various pulpotomy materials on stem cells from human exfoliated primary teeth.
PMID:28169432
2017this review onlynot statednot extracted yet
Costa 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Costa 2016
Osteogenic and Angiogenic Response to Calcium Silicate-based Endodontic Sealers.
PMID:26577874
2016this review onlynot statednot extracted yet
Dahake 2020
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Dahake 2020
Response of stem cells from human exfoliated deciduous teeth (SHED) to three bioinductive materials - An in vitro experimental study.
PMID:31920278
2020this review onlynot statednot extracted yet
Gomes-Cornelio 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Gomes-Cornelio 2017
Bioactivity of MTA Plus, Biodentine and an experimental calcium silicate-based cement on human osteoblast-like cells.
PMID:26610093
2017this review onlynot statednot extracted yet
Hengameh 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Hengameh 2014
Effects of two bioactive materials on survival and osteoblastic differentiation of human mesenchymal stem cells.
PMID:25125848
2014this review onlynot statednot extracted yet
Jovanovic 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Khedmat 2013
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Khedmat 2013
Sealing ability of three commercial mineral trioxide aggregates and an experimental root-end filling material.
PMID:24454452
2006this review onlynot statednot extracted yet
Kucukkaya 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kucukkaya 2016
In Vitro Cytotoxicity of Calcium Silicate-Based Endodontic Cement as Root-End Filling Materials.
PMID:26904364
2016this review onlynot statednot extracted yet
Margunato 2015
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Margunato 2015
In Vitro Evaluation of ProRoot MTA, Biodentine, and MM-MTA on Human Alveolar Bone Marrow Stem Cells in Terms of Biocompatibility and…
PMID:26410417
2015this review onlynot statednot extracted yet
Omidi 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Omidi 2019
The effect of different pulp-capping materials on proliferation, migration and cytokine secretion of human dental pulp stem cells.
PMID:32695293
2020this review onlynot statednot extracted yet
Pedano 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Pedano 2018
Freshly-mixed and setting calcium-silicate cements stimulate human dental pulp cells.
PMID:29525357
2018this review onlynot statednot extracted yet
Pedrosa 2022a
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Pedrosa 2022a
Exposure to lipopolysaccharide and calcium silicate-based materials affects the behavior of dental pulp cells.
PMID:36287503
2022this review onlynot statednot extracted yet
Pedrosa 2022b
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Pedrosa 2022b
Calcium silicate-based cements affect the cell viability and the release of TGF-β1 from apical papilla cells.
PMID:35019013
2021this review onlynot statednot extracted yet
Pelepenko 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Pelepenko 2021
Physicochemical, antimicrobial, and biological properties of White-MTAFlow.
PMID:32864726
2021this review onlynot statednot extracted yet
Pinheiro 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Pinheiro 2018
Cell Viability and Tissue Reaction of NeoMTA Plus: An In Vitro and In Vivo Study.
PMID:29866406
2018this review onlynot statednot extracted yet
Saberi 2015
Cytotoxicity of Various Endodontic Materials on Stem Cells of Human Apical Papilla.
PMID:26843872
2016this review onlynot statednot extracted yet
Saberi 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Saberi 2016 (Table 5 ref 45; Table 3 row 4)
Cytotoxic effects of mineral trioxide aggregate, calcium enrichedmixture cement, Biodentine and octacalcium pohosphate onhuman gingival…
PMID:27429722
2016this review onlynot statednot extracted yet
Samyuktha 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Samyuktha 2014
Cytotoxicity evaluation of root repair materials in human-cultured periodontal ligament fibroblasts.
PMID:25298650
2014this review onlynot statednot extracted yet
Sismanoglu 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Sismanoglu 2022
Effects of calcium silicate-based cements on odonto/osteogenic differentiation potential in mesenchymal stem cells.
PMID:35229930
2023this review onlynot statednot extracted yet
Sultana 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Sultana 2018
Evaluation of Biocompatibility and Osteogenic Potential of Tricalcium Silicate-based Cements Using Human Bone Marrow-derived Mesenchymal…
PMID:29306530
2018this review onlynot statednot extracted yet
Tomas-Catala 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Tomas-Catala 2018
Biocompatibility of New Pulp-capping Materials NeoMTA Plus, MTA Repair HP, and Biodentine on Human Dental Pulp Stem Cells.
PMID:29079052
2018this review onlynot statednot extracted yet
Weekate 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Weekate 2021
Alterations of mitochondrial dynamics, inflammation and mineralization potential of lipopolysaccharide-induced human dental pulp cells…
PMID:33503268
2021this review onlynot statednot extracted yet
Youssef 2019
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Youssef 2019
Effects of mineral trioxide aggregate, calcium hydroxide, biodentine and Emdogain on osteogenesis, Odontogenesis, angiogenesis and cell…
PMID:31266498
2019this review onlynot statednot extracted yet
Zhou 2013
In vitro cytotoxicity evaluation of a novel root repair material.
PMID:23522540
2013this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationHuman cell lines (in vitro); animal cell lines excludedHuman dental pulp stem cells (6 studies), human gingival fibroblasts (2), SHED (2), hBMSCs (2) among 11 meta-analysis studies; 32 studies overall
InterventionMTA, Biodentine and CEM cement extractsMTA, Biodentine, CEM cement (undiluted, 1:2 and 1:4 extracts)
ComparisonAt least two different materials compared with each other; control groupUntreated control group
OutcomesCytotoxicity measured by cell viability assays (e.g., MTT)Cell viability (normalized percentage), pooled as SMD
Study designsIn vitro studies in English published up to February 16, 202332 in vitro studies in the review (n=32); 11 in meta-analysis (n=11)
TimingNot specified24, 48 and 72 hours; 5 and 7 days

AMSTAR 2 items

Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.

ItemExtractor AExtractor BAgree
1Research question includes PICO componentsYesYesyes
2Protocol established before the reviewcriticalNoNoyes
3Choice of study designs explainedNoNoyes
4Comprehensive literature searchcriticalPartial YesPartial Yesyes
5Study selection in duplicateYesYesyes
6Data extraction in duplicateYesYesyes
7List of excluded studies with reasonscriticalNoNoyes
8Included studies described in detailPartial YesPartial Yesyes
9Risk of bias assessed satisfactorilycriticalRCT: Partial Yes · NRSI: N/ANRSI: Yes · RCT: N/Ano
10Funding of included studies reportedNoNoyes
11Appropriate meta-analysis methodscriticalRCT: Yes · NRSI: N/ANRSI: Yes · RCT: N/Ano
12Impact of risk of bias on the pooled resultsNoNoyes
13Risk of bias accounted for in interpretationcriticalNoNoyes
14Heterogeneity explainedYesYesyes
15Publication bias investigatedcriticalNoNoyes
16Conflicts of interest reportedYesYesyes
OverallCritically LowCritically Lowyes