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Cavallaro-Mota FD, Esposo GN, Kury M, Fronza BM, Saraceni CHC, Andia DC, Lima AF. Assessment of 10-MDP and GPDM monomers on viability and inflammatory response in human dental pulp stem cells. Dent Mater 2025; 41:1-6. [PMID: 39472193 DOI: 10.1016/j.dental.2024.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2024] [Revised: 10/17/2024] [Accepted: 10/18/2024] [Indexed: 12/21/2024]
Abstract
OBJECTIVES to assess the cytotoxicity of the following functional monomers used in dental adhesives: 10-Methacryloyloxydecyl dihydrogen phosphate (10-MDP) and glycerol phosphate dimethacrylate (GPDM), and their effect on cytokine release from human dental pulp stem cells (hDPSCs). METHODS The hDPSCs cells were isolated from the dental pulp of extracted human third molars. The functional monomers, 10-MDP and GPDM, were diluted in dimethyl sulfoxide (DMSO) at concentrations ranging from 1 to 4 mM. Cells not exposed to the compounds served as controls. The hDPSCs were seeded into 96-well plates and incubated for 48 h. Subsequently, the cells were exposed to 10-MDP and GPDM for 24 h. Then, the culture medium was removed, the mitochondrial metabolism was evaluated using the MTT assay, while cell death analyzed by flow cytometry. Cytokine release (IL-1β, IL-6, IL-8, IL-10, TNF-α) was analyzed by the MAGPIX. The data were analyzed using one-way ANOVA and Tukey's test. RESULTS 10-MDP demonstrated significant toxicity to hDPSCs, reaching the IC50 at 3 mM. However, its impact on cytokine release was minimal, resulting only in IL-6 and IL-8 levels. GPDM exhibited lower toxicity, even at 4 mM, but induced an increase in IL-1β release and a reduction in IL-6, IL-8, and IL-10 levels, with no effect on TNF-α. Despite the MTT assay results indicating cytotoxicity, the cell death was low for both functional monomers. SIGNIFICANCE 10-MDP exhibited significant toxicity to hDPSCs, unlike GPDM, however, both monomers resulted in minimal cell death. 10-MDP had a minor impact on cytokine release, whereas GPDM demonstrated a potential to trigger an inflammatory reaction, particularly in the short term.
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Affiliation(s)
| | - Gabriela Nunes Esposo
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
| | - Matheus Kury
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
| | - Bruna M Fronza
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
| | - Cintia Helena C Saraceni
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
| | - Denise Carleto Andia
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
| | - Adriano F Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
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Lima AF, Pizzanelli GG, Stolf CS, Salomon JP, Lalevée J, Andia DC. Novel co-initiators of polymerization: Cytotoxicity profile and modulation of inflammatory mediators in human dental pulp stem cells. Dent Mater 2024; 40:1692-1696. [PMID: 39097504 DOI: 10.1016/j.dental.2024.07.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2024] [Revised: 07/18/2024] [Accepted: 07/23/2024] [Indexed: 08/05/2024]
Abstract
OBJECTIVES The aim of this study was to assess the cytotoxicity of novel polymerization co-initiators and their effect on cytokine release from human dental pulp stem cells (hDPSCs), comparing them with commonly used co-initiators. METHODS Cells were isolated from the dental pulp of healthy human third molars. The new co-initiators, namely HDa1, HD4, HD1, and MHPTm, were evaluated and compared with the compounds dimethylaminoethyl amine benzoate (EDAB) and 2-(dimethylamino)ethyl methacrylate (DMAEMA). These compounds were diluted in dimethylsulfoxide (DMSO) at concentrations ranging from 1 to 8 mM. hDPSCs were seeded onto 96-well plates and incubated for 48 h. Subsequently, the cells were exposed to different concentrations of the co-initiators mentioned for 24 h. After this period, the culture medium was removed, and mitochondrial metabolism was evaluated using the MTT assay, while cytokine release (IL-1β, IL-6, IL-8, IL-10, TNF-α) was analyzed by the MAGPIX assay. Cells without exposure to the tested compounds served as controls. The data were analyzed using one-way ANOVA and Tukey's test. RESULTS The compounds showed low toxicity, with 8 mM concentration causing the most significant reduction in mitochondrial metabolism. MHPTm was the most toxic co-initiator tested (compound bearing an amine functionality). All compounds up-regulated TNF-α, IL-10, IL-6, and IL-8, with HD4 exhibiting the most pronounced increase in IL-6 and IL-8. SIGNIFICANCE The newly proposed co-initiators demonstrated reduced impact on mitochondrial metabolism, comparable to some traditional co-initiators. Despite their lower toxicity, HD4 increased IL-6 and IL-8 release, suggesting its potential involvement in triggering an inflammatory reaction, particularly in the short term.
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Affiliation(s)
- Adriano F Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
| | - Giulia G Pizzanelli
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil
| | - Camila S Stolf
- Department of Prosthodontics and Periodontics, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil.
| | - Jean-Pierre Salomon
- Operative Dentistry and in Endodontics. Service de Chirurgie Maxillo-faciale, Stomatologie, Odontologie Hospitalière, C.H.U. de Besançon, France; Medical Devices and Dental Biomaterials Department, Odontology Department of Besançon's Medicine Faculty, France; Chercheur Associé EA 4662 " Nanomédecine, Radiologie, Thérapie " and " Macro-, Micro, and Nano-fillers of Direct, Indirect and 3D printed Medical Devices used in Oral Medicine. Université de Franche Comté, 3 Boulevard A. Flemming, 25000 Besançon, France
| | - Jacques Lalevée
- Institut de Science des Matériaux de Mulhouse. Universit ́e de Haute-Alsace, CNRS, IS2M UMR 7361, F-68100, Mulhouse, France
| | - Denise Carleto Andia
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Zip Code: 04026-002 Sao Paulo, Brazil.
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Lima AF, Oliveira AAD, Fronza BM, Braga RR, Andia DC. Toxicity and cytokine release from human dental pulp stem cells after exposure to universal dental adhesives cured by single peak and polywave LEDs. Dent Mater 2024; 40:837-841. [PMID: 38570242 DOI: 10.1016/j.dental.2024.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 03/21/2024] [Indexed: 04/05/2024]
Abstract
OBJECTIVES to assess the impact of universal adhesives, cured with single-peak and polywave LEDs, on the metabolic activity and cytokine release of human dental pulp stem cells (hDPSCs). In addition, analyze the degree of conversion (DC) of the adhesives cured with the different LEDs. METHODS Discs (5 mm diameter, 1 mm thick) were prepared using three universal adhesives: Single Bond Universal (SBU, 3 M ESPE), Optibond Universal (OBU, Kerr), and Zipbond Universal (ZBU, SDI). These discs were cured for 40 s using a single-peak (DeepCure, 3 M ESPE) or a polywave light-emmiting diode (LED) curing unit (Valo Grand, Ultradent). After 24 h, the specimens were placed in 24-well culture plates, each containing 1 mL of culture medium for 24 h. hDPSCs (1.8 ×104) were seeded in 96-well plates and allowed to grow for 24 h. Subsequently, the cells were exposed to the extracts (culture medium containing eluates from the adhesive discs) for an additional 24 h. Cells not exposed to the extracts were used as a control group. The mitochondrial metabolism was assessed using the MTT assay and the cytokine release evaluated through MAGPIX. The degree of conversion of the adhesives was analyzed using FTIR (n = 5). The results were analyzed by ANOVA two-way and Tukey's test. RESULTS OBU and ZBU eluates caused a statistically significant reduction in mitochondrial metabolism, regardless of the LED used, indicating their cytotoxicity. In contrast, SBU did not significantly affect the MTT results, resembling the control group. A higher release of cytokines IL-1, IL-6, IL-10, and TNF-α were found in association to ZBU. SBU, on the other hand, increased the release of IL-8. OBU did not influenced the cytokine release. SBU presented the higher DC, while OBU and ZBU had similar DC, lower than SBU. SIGNIFICANCE In conclusion, universal adhesives exhibit toxicity towards hDPSCs, but the extent of toxicity varies depending on the adhesive material. ZBU was associated with increased cytokine release, particularly pro-inflammatory mediators, from hDPSCs. The different LEDs did not influenced the cytotoxicity of the evaluated adhesives.
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Affiliation(s)
- Adriano F Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil.
| | | | - Bruna M Fronza
- University of São Paulo, School of Dentistry, Department of Biomaterials and Oral Biology, São Paulo, Brazil
| | - Roberto Ruggiero Braga
- University of São Paulo, School of Dentistry, Department of Biomaterials and Oral Biology, São Paulo, Brazil
| | - Denise Carleto Andia
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil
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Cordeiro DCF, Favoreto MW, Centenaro GG, Gumy FN, Loguercio AD, Borges CPF, Reis A. At-home bleaching with carbamide peroxide with concentrations below 10%: bleaching efficacy and permeability in the pulp chamber. Clin Oral Investig 2024; 28:224. [PMID: 38509406 DOI: 10.1007/s00784-024-05604-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 03/06/2024] [Indexed: 03/22/2024]
Abstract
OBJECTIVES To evaluate the bleaching efficacy and permeability of hydrogen peroxide (HP) in the pulp chamber of human teeth bleached with lower concentrations of carbamide peroxide gel (4%, 5% and 7% CP). MATERIALS AND METHODS Bleaching gels with lower concentrations were formulated and a commercial standard gel, 10% CP, was used as a reference. Fifty-six human premolars were randomly divided into four groups. Applications of the bleaching gel were made for 3 h for 21 days. The bleaching efficacy was evaluated by digital spectrophotometry on 1, 7, 14 and 21 days, with analysis in the ∆Eab, ∆E00 and WID color spaces. The concentration of HP in the pulp chamber was measured in the same periods by UV-Vis spectrophotometry (µg/mL). Two-way repeated analysis of variance (ANOVA) examined bleaching efficacy and HP permeability, followed by Tukey's post-hoc test (α = 0.05). RESULTS All groups showed significant color changes, with no statistical differences after the second and third week of bleaching (p > 0.05). The 'time' factor was statistically different (p < 0.05), increasing the bleaching efficacy throughout the treatment. The 4% CP group had lower HP levels in the pulp chamber (p < 0.05). CONCLUSIONS The results seem promising, revealing that low concentration gels are as effective as 10% CP with the benefit of reducing the amount of HP in the pulp chamber. CLINICAL RELEVANCE Low concentration 4% PC and 5% PC maintains bleaching efficacy, reduces the penetration of HP peroxide into the pulp chamber, and may reduce tooth sensitivity.
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Affiliation(s)
- Deisy Cristina Ferreira Cordeiro
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Michael Willian Favoreto
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Gabrielle Gomes Centenaro
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Fernanda Novak Gumy
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | | | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil.
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Carneiro TS, Favoreto MW, Mena-Serrano A, Wendlinger M, Forville H, Reis A, Ceballos L, Loguercio AD. In vitro evaluation of the effect of different bleaching varnishes: Hydrogen peroxide penetration into the pulp chamber and color change. J ESTHET RESTOR DENT 2024; 36:402-409. [PMID: 37681984 DOI: 10.1111/jerd.13133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 08/09/2023] [Accepted: 08/28/2023] [Indexed: 09/09/2023]
Abstract
OBJECTIVE To evaluate the penetration of hydrogen peroxide (HP) into the pulp chamber and the color change of different bleaching varnishes in low concentrations used for at-home bleaching. MATERIALS AND METHODS Ninety healthy premolars were used, randomly distributed into nine groups (n = 10) according to bleaching varnish (PL, PolaLuminate; VS, VivaStyle Paint On Plus; CA, Cavex Bite&White whitening pen and; AW AlignerWhite) and time (10 and 30 min), and a control group (no bleaching). The penetration of HP was evaluated by UV-Vis spectroscopy. To evaluate the color change (ΔEab , ΔE00 , ΔWID ) a digital spectrophotometer was used (α = 0.05). RESULTS The AW group in 10 min and the control group showed similar and lower HP penetration in the pulp chamber when compared to the other groups (p = 0.003). Increasing the application time to 30 minutes elevated the amount of HP inside the pulp chamber for all groups (p = 0.003), except for PL (p > 0.05). When applied for 30 min all bleaching varnishes showed higher color change (ΔWID ) when compared to 10 min (p = 0.04). CONCLUSIONS For all bleaching varnishes evaluated, PolaLuminate applied for 30 min showed lower penetration into the pulp chamber and higher bleaching effects. CLINICAL SIGNIFICANCE The use of bleaching varnishes seems promising for teeth bleaching, but it varies according to user product and protocol.
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Affiliation(s)
- Taynara S Carneiro
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
- Area of Stomatology, IDIBO research group, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain
| | - Michael W Favoreto
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | | | - Michel Wendlinger
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - Heloisa Forville
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - Laura Ceballos
- Area of Stomatology, IDIBO research group, Health Sciences Faculty, Rey Juan Carlos University, Alcorcón, Madrid, Spain
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
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Dias S, Casqueiro L, Pereira R, Silveira J, Mata A, Marques D. Hydrogen Peroxide Diffusion through Dental Tissues-In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 16:5552. [PMID: 37629843 PMCID: PMC10456627 DOI: 10.3390/ma16165552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 08/02/2023] [Accepted: 08/08/2023] [Indexed: 08/27/2023]
Abstract
Whitening products commonly utilize hydrogen peroxide (HP) as an active principle, which can penetrate dental tissues with potential side effects due to its low molecular weight. This study aimed to evaluate the HP diffusion of two in-office whitening products, namely 6% VivaStyle Paint On Plus (VS) and Opalescence Boost 40% (OP), in different tooth types. Additionally, the influence of the area of exposure, dental tissue thickness and pulp chamber volume was assessed. Each group consisted of eighteen intact anterior (A), premolar (PM) and molar (M) human teeth, and a positive pulpal pressure model was employed. The samples were analyzed using spectrophotometry, and results were expressed as the mean and 95% confidence interval. Statistical tests and linear regression models were appropriately applied at α = 5%. The total HP (µg) retrieved was as follows: VS-A, 1.333 [1.214, 1.452]; OP-A, 1.538 [1.457, 1.620]; VS-PM, 1.208 [1.123, 1.291]; OP-PM, 3.628 [3.401, 3.855]; VS-M, 2.560 [2.297, 2.823]; and OP-M, 4.197 [3.997, 4.396], with statistically significant differences in diffusion kinetics between whitening products for PM and M. Several HP concentrations attained a minimum cytotoxicity value of 2.22 µg/mL. The regression model shows that OP exposed the pulp chamber to 1.421 µg of HP more than that of VS. Different whitening products can cause cytotoxic HP concentrations in the pulp chamber, with a higher risk observed in molars.
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Affiliation(s)
- Susana Dias
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
| | - Leonor Casqueiro
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
| | - Ruben Pereira
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
| | - João Silveira
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| | - António Mata
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
| | - Duarte Marques
- Oral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal; (S.D.); (L.C.); (R.P.); (J.S.); (A.M.)
- LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
- Postgraduate Programme in Prosthodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, 1950-044 Lisboa, Portugal
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Agostinelli BG, Andia DC, Lima AF. Co-initiators of polymerization can modulate the inflammatory cytokine release without major cytotoxic effects in human dental pulp cells. J Biomed Mater Res B Appl Biomater 2023; 111:1112-1120. [PMID: 36598816 DOI: 10.1002/jbm.b.35218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 11/16/2022] [Accepted: 12/23/2022] [Indexed: 01/05/2023]
Abstract
To evaluate the cytotoxicity of co-initiators of polymerization and its influence on cytokine release from human dental pulp cells (hDPCs). Cells were isolated from the dental pulp of sound human third molars. The co-initiators dimethylaminoethyl amine benzoate-(EDAB), 2-(dimethylamino)ethyl methacrylate (DMAEMA); 2-Ethylhexyl 4-(dimethylamino)benzoate (EHA) and bis(4-methyl phenyl)iodonium hexafluorophosphate (BPI) were diluted in dimethylsulfoxide (DMSO) at different concentrations. In this way, experimental groups and one control (without treatment) were obtained. hDPCs (10 × 104 cell per well) were seeded on 96 well plates and incubated at 37°C and 5% CO2 for 48 h. After this, the cells were exposed to different concentrations of co-initiators cited for 24 h. After this time, the culture medium was removed, and the mitochondrial metabolism was evaluated by MTT assay, cell death by flow cytometry, and cytokine released (IL-1β, IL6, IL-8, IL-10, and TNF-α) was analyzed by MAGPIX assay. The data were analyzed by ANOVA one-way and Tukey's test. EHA, DMAEMA, and EDAB did not reduce the mitochondrial metabolism. BPI presented high toxicity with remarkable reduction (80%) after exposure to 1 mM. The cell death of all test groups was similar to control. After 24 h treatment, the IL-8 was up-regulated by all compounds, while IL-6 was upregulated after exposure to EHA and downregulated after DMAEMA stimulation. BPI, EHA, EDAB, and DMAEMA can trigger an initial inflammatory response, upregulating the IL-8 secretion in hDPCs in a compound-concentration-dependent manner; however, this was not accompanied by major cytotoxic effects at cell death or mitochondrial-metabolism levels.
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Affiliation(s)
| | | | - Adriano F Lima
- Dental Research Division, Paulista University, Sao Paulo, Brazil
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Zeng Y, Liu L, Huang D, Song D. Immortalized cell lines derived from dental/odontogenic tissue. Cell Tissue Res 2023:10.1007/s00441-023-03767-5. [PMID: 37039940 DOI: 10.1007/s00441-023-03767-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 03/16/2023] [Indexed: 04/12/2023]
Abstract
Stem cells derived from dental/odontogenic tissue have the property of multiple differentiation and are prospective in tooth regenerative medicine and cellular and molecular studies. However, in the face of cellular senescence soon in vitro, the proliferation ability of the cells is limited, so studies are hindered to some extent. Fortunately, immortalization strategies are expected to solve the above issues. Cellular immortalization is that cells are immortalized by introducing oncogenes, human telomerase reverse transcriptase genes (hTERT), or miscellaneous immortalization genes to get unlimited proliferation. At present, a variety of immortalized stem cells from dental/odontogenic tissue has been successfully generated, such as dental pulp stem cells (DPSCs), periodontal ligament cells (PDLs), stem cells from human exfoliated deciduous teeth (SHEDs), dental papilla cells (DPCs), and tooth germ mesenchymal cells (TGMCs). This review summarized establishment and applications of immortalized stem cells from dental/odontogenic tissues and then discussed the advantages and challenges of immortalization.
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Affiliation(s)
- Yanglin Zeng
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, National Center for Stomatology, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Liu Liu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, National Center for Stomatology, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Dingming Huang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, National Center for Stomatology, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
- Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Dongzhe Song
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, National Center for Stomatology, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.
- Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.
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Cytotoxic Effects of Zoom ® Whitening Product in Human Fibroblasts. MATERIALS 2020; 13:ma13071491. [PMID: 32218276 PMCID: PMC7177679 DOI: 10.3390/ma13071491] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 03/22/2020] [Accepted: 03/23/2020] [Indexed: 01/23/2023]
Abstract
Tooth whitening procedures are increasing; however, side effects can occur, such as damage to pulp cells, by the whitening products. This study aims to assess the cellular effects promoted by a whitening product, namely, the oxidative stress fostered by the active agent hydrogen peroxide, with and without photoactivation. Additionally, if cellular recovery occurred, we intended to determine the time point where cells recover from the tooth whitening induced damage. Human fibroblasts were exposed to hydrogen peroxide, Zoom®, Zoom® + irradiation, and irradiation alone. The following analysis was performed: metabolic activity evaluation by the MTT assay; cell viability, mitochondrial membrane potential, peroxides production, superoxide radical production, and reduced glutathione expression by flow cytometry. We determined the IC50 value for all groups, and a dose-dependent cytotoxic effect was verified. At the times analyzed, hydrogen peroxide groups showed no metabolic activity recovery while a cell recovery was observed after 24 h (Zoom®) and 48 h (Zoom® + irradiation). Cell death was seen in hydrogen peroxide and Zoom® + irradiation groups, mainly by apoptosis, and the irradiation had a cytotoxic effect per se. This in vitro study supports that whitening products with moderate hydrogen peroxide (HP) concentration have a temporary effect on cells, allowing a cellular recovery.
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Massaro H, Zambelli LFA, Britto AAD, Vieira RP, Ligeiro-de-Oliveira AP, Andia DC, Oliveira MT, Lima AF. Solvent and HEMA Increase Adhesive Toxicity and Cytokine Release from Dental Pulp Cells. MATERIALS 2019; 12:ma12172750. [PMID: 31461952 PMCID: PMC6747760 DOI: 10.3390/ma12172750] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 08/22/2019] [Accepted: 08/23/2019] [Indexed: 12/19/2022]
Abstract
The aim of the present study was to evaluate the effect of the hydroxyethyl-methacrylate (HEMA) concentration and solvent content of dental adhesives on cell viability and cytokine (IL-1b, IL-6, IL-10, TNF-α) release by human dental pulp cells (HDPCs). HDPCs were obtained from fresh extracted human third molars. Experimental adhesives were prepared containing different concentrations of HEMA (0%, 10%, and 20%) with and without solvent (ethanol 10%). Cylindrical specimens were immersed on culture medium during 24 h to obtain the extracts. The cells were incubated with extracts (culture medium + components leached from the adhesives) of different adhesives, and cell viability and cytokine release were evaluated after 6 and 24 h of exposure. Adhesives containing HEMA promoted high cell viability reduction after 6 h of exposure; but after 24 h, the results were similar to the ones found among control group cells. These effects on cell viability were prominently increased with the addition of solvent. Although IL-1b release was not affected by exposure to eluates, other cytokines (IL-10, IL-6, TNF-α) were modulated by the different experiment conditions, directly influenced by the HEMA concentration and presence of solvent. Higher HEMA concentrations, combined with the presence of solvent, can promote significant reduction on HDPC viability, increasing the release of anti- and pro-inflammatory mediators.
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Affiliation(s)
- Helder Massaro
- Department of Endodontics, Paulista University, Rua Doutor Bacelar, 1212, Sao Paulo 04026-002, Brazil
| | | | - Auriléia A de Britto
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), Sao Paulo 01504-001, Brazil
| | - Rodolfo P Vieira
- Post-graduation Program in Bioengineering and in Biomedical Engineering, Universidade Brasil, Rua Carolina Fonseca 235, São Paulo 08230-030, Brazil
- Department of Sciences of Human Movement and Rehabilitation, Federal University of São Paulo (UNIFESP), Avenida Ana Costa 95, Santos 11060-001, Brazil
- Brazilian Institute of Teaching and Research in Pulmonary and Exercise Immunology (IBEPIPE), Rua Pedro Ernesto 240, São José dos Campos 12245-520, Brazil
- School of Medicine, Anhembi Morumbi University, Avenida Deputado Benedito Matarazzo 4050, São José dos Campos 12230-002, Brazil
| | - Ana P Ligeiro-de-Oliveira
- Post Graduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), Sao Paulo 01504-001, Brazil
| | - Denise C Andia
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Sao Paulo 04026-002, Brazil
| | - Marcelo T Oliveira
- Department of Restorative Dentistry, Ibirapuera University, Av. Interlagos, 1329-Chácara Flora, São Paulo SP 04661-100, Brazil
| | - Adriano F Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, Sao Paulo 04026-002, Brazil.
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Cavalli V, Silva BGD, Berger SB, Marson FC, Tabchoury CPM, Giannini M. Decomposition Rate, pH, and Enamel Color Alteration of At-Home and In-Office Bleaching Agents. Braz Dent J 2019; 30:385-396. [DOI: 10.1590/0103-6440201902484] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Accepted: 03/01/2019] [Indexed: 11/21/2022] Open
Abstract
Abstract This study evaluated the decomposition rate (DR), pH, enamel color alteration (DE) and whiteness index (DWI) promoted by at-home and in-office bleaching. Enamel surface was submitted to (n=10): at-home (10%, 15%, 20% carbamide peroxide - CP, 6% hydrogen peroxide -HP) and three 35% HP agents with light irradiation (LED, laser, and halogen) or no treatment (control). The DR and pH of agents were measured after 0, 2, 4, 6 and 8 h (at-home) or after 5, 15, 20, 30 and 40 min (in-office). Color parameters (L*, a*, b*, DE, DWI) were determined at baseline and after bleaching. DR, pH, L*, a*, b* data were analyzed by one-way (at-home) or two-way (in-office) repeated measures ANOVA and Tukey test. DE and DWI, by one-way (at-home) or two-way (in-office) ANOVA and Tukey test. DR of at-home agents was similar after 6 and 8 h (p>0.05), with pH close to neutral (6.5 to 6.9, CP) or acid 5.9 (6% HP). From 4 to 8 h, DE was higher for 15% and 20% CP compared with 10% CP (p<0.05). After 40 min, DR of 35% HP agents was similar and all exhibited significant DE in one application (p<0.05), regardless light irradiation. DWI indicated whitening effect with no differences among groups (p>0.05). One 35% HP showed alkaline pH, and the others, pH < 5.5. At-home agents could be applied for 2 h (15%, 20% CP, 6% HP) and 4 h (10% CP) and the in-office agents, up to 40 min in one application, without light.
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Karaarslan ES, Özmen ZC, Aytac F, Bicakci AA, Buldur M, Aydogan L, Hologlu F, Özkocak B. Evaluation of biochemical changes in dental tissues after different office bleaching methods. Hum Exp Toxicol 2018; 38:389-397. [PMID: 30526070 DOI: 10.1177/0960327118817103] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The color of the teeth is an important topic for many people and can be influenced by intrinsic and extrinsic stains. There is an increasing demand for whitening of the teeth year by year. The most popular way of whitening is "bleaching," which is the result of the breakdown of pigments located in the enamel and/or the dentin, caused by reactive oxygen species (ROS) released from bleaching agents. These bleaching agents could increase matrix metalloproteinase (MMP)-mediated collagen degradation in dentin. The aim of this study was to compare biochemical changes and oxidative stress levels of the human premolar dentin-pulp complex after three different bleaching methods containing hydrogen peroxide (H2O2) bleaching agents. Individuals, whose first four premolars were extracted for orthodontic purposes, included into the study. Group 1-Laser: bleaching gel containing 46% H2O2 (LaserWhite20 whitening gel, Biolase Technology Inc., San Clemente, CA, USA) and a diode laser activation (Ezlase 940 nm system). Group 2: 35% H2O2 containing whitening gel (Whiteness HP Maxx, FGM) and halogen light source activation (Optilux 501, Kerr, Orange, CA, USA). Group 3: 35% H2O2 containing whitening gel (Whiteness HP Maxx, FGM). Group 4-Control: No whitening treatment. According to the test results, there were no significant differences among groups in the values of cathepsin B and MMP proteolytic activities ( p > 0.05). The total ROS values released from the dentin tissue were higher than those obtained from the pulp tissue ( p < 0.05). There were significant differences among the bleaching groups in the ROS values released from the dentin tissue.
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Affiliation(s)
- E S Karaarslan
- 1 Department of Restorative Dentistry, Faculty of Dentistry, Gaziosmanpaşa University, Tokat, Turkey
| | - Z C Özmen
- 2 Department of Biochemistry, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - F Aytac
- 3 Department of Restorative Dentistry, Faculty of Dentistry, Abant Izzet Baysal University, Bolu, Turkey
| | - A A Bicakci
- 4 Department of Orthodontics, Faculty of Dentistry, Gaziosmanpaşa University, Tokat, Turkey
| | - M Buldur
- 1 Department of Restorative Dentistry, Faculty of Dentistry, Gaziosmanpaşa University, Tokat, Turkey
| | - L Aydogan
- 2 Department of Biochemistry, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - F Hologlu
- 4 Department of Orthodontics, Faculty of Dentistry, Gaziosmanpaşa University, Tokat, Turkey
| | - Bbc Özkocak
- 3 Department of Restorative Dentistry, Faculty of Dentistry, Abant Izzet Baysal University, Bolu, Turkey
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do Carmo Públio J, Zeczkowski M, Burga-Sánchez J, Ambrosano GMB, Groppo FC, Aguiar FHB, Lima DANL. Influence of different thickeners in at-home tooth bleaching: a randomized clinical trial study. Clin Oral Investig 2018; 23:2187-2198. [DOI: 10.1007/s00784-018-2613-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 09/04/2018] [Indexed: 02/07/2023]
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Evaluating the effect of antioxidant agents on shear bond strength of tooth-colored restorative materials after bleaching: A systematic review. J Mech Behav Biomed Mater 2017; 71:156-164. [PMID: 28327437 DOI: 10.1016/j.jmbbm.2017.03.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Revised: 03/06/2017] [Accepted: 03/09/2017] [Indexed: 11/21/2022]
Abstract
PURPOSE The main objective of the present study was to make a systematic review of how antioxidant agents affect shear bond strength of tooth-colored restorative materials after bleaching. DATA SOURCES Electronic search was used to extract the related articles on the targeted key words such as "antioxidant", "dental bleaching" and "shear bond strength" (SBS) from MeSH, PubMed, Medline, and Cochrane electronic data bases. These articles were all published before 2016. STUDY SELECTION Inclusion criteria were restricted to English journal articles concerning humans, clinical trials, cohorts and case-control studies. Therefore, systematic reviews, case reports, letters to editors, editorials and congress abstracts were excluded from the analysis. CONCLUSIONS Most studies conducted on the issue have produced experimental data which are rather controversial, and there is no general agreement about the reported outcomes. As an illustration, most studies have not considered the relationship between the type of antioxidant materials and the shear bond strength. In point of fact, some researchers (e.g Kimyai et al.) have concluded that antioxidants like gel and solution leave similar effects on SBS. Alternatively, certain studies (e.g., Kunt et al.) have produced inconclusive data regarding the impact of one week postponement of the restorative process on SBS after the bleaching process. The results of the studies evaluating the role of various adhesive systems used after bleaching have demonstrated that regardless of the type of adhesive system used, applying antioxidants before restorative procedures can adversely affect the bleaching agents utilized for SBS. It has also been suggested that the type of the adhesive system used might be correlated with the magnitude of SBS. The results obtained from the systematic review of the articles under investigation reflected that the use of antioxidant agents, regardless of their type, form, concentration and duration of application, can improve SBS after bleaching.
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Cavalli V, Silva BG, Berger SB, Abuna G, Marson FC, Tabchoury CPM, Giannini M. Effect of Adhesive Restoration and Bleaching Technique on the Concentration of Hydrogen Peroxide In the Pulp Chamber. Oper Dent 2017; 42:E44-E54. [DOI: 10.2341/16-079-l] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This study aimed to quantify the concentration of hydrogen peroxide into the pulp chamber in the presence or absence of adhesive enamel restorations and to analyze the resin-dentin interface of bleached groups. Bovine incisors (120) were randomly divided into three groups according to enamel treatment (n=40 each): (1) enamel without restoration (control); (2) enamel cavities (3 mm diameter × 1.5 mm depth) restored with a silorane-based (SB) system; or (3) enamel cavities (3 mm diameter × 1.5 mm depth) restored with a dimethacrylate-based (DB) system. Restorations were thermocycled, and all groups were submitted to one application of 35% hydrogen peroxide (HP) agent for 45 minutes and subjected to four light activation methods (n=10 each): without light, light-emitting diode (LED), LED/diode laser, or halogen light. Acetate buffer solution was placed into the pulp chamber before bleaching, and this solution was collected to spectrophotometrically determine the concentration of HP that reached the pulp chamber after bleaching. Rhodamine B was added to the HP agent and applied on additional enamel samples of each group for 24 hours. Samples were sectioned mesiodistally, and the bleaching agent was traced using confocal microscopy. According to two-way analysis of variance and Tukey test (α=0.05), the HP concentration in the pulp chamber of the control group was significantly lower than that of the SB group (p<0.05), regardless of light activation. No differences were observed between DB and SB groups and between control and DB groups, except for the DB halogen light activated group, which exhibited higher HP intrapulpal concentration (p<0.05). Confocal microscopy exhibited HP diffusion through the interface of the SB and DB restored groups as well as enamel prisms in the control group. The SB restorative system increased the HP diffusion into the pulp chamber, but HP was able to diffuse even in the absence of enamel restorations.
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Affiliation(s)
- V Cavalli
- Vanessa Cavalli, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - BG Silva
- Bruna G Silva, DDS, MS student, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - SB Berger
- Sandrine B Berger, DDS, MS, PhD, associate professor, Department of Restorative Dentistry, University of North Parana, Londrina, Brazil
| | - G Abuna
- Gabriel Abuna, DDS, MS, PhD student, Department of Dental Materials, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - FC Marson
- Fabiano Carlos Marson, DDS, MS, PhD, associate professor, Department of Operative Dentistry, Faculty Ingá, Maringá, Brazil
| | - CPM Tabchoury
- Cinthia P. M. Tabchoury, PharmD, MS, PhD, associate professor, Department of Physiological Sciences, Piracicaba Dental School University of Campinas, Piracicaba, Brazil
| | - M Giannini
- Marcelo Giannini, DDS, MS, PhD, associate professor, Department of Restorative Dentistry Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
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Gonçalves RS, Costa CAS, Soares DGS, Santos PHD, Cintra LTA, Briso ALF. Effect of Different Light Sources and Enamel Preconditioning on Color Change, H2O2 Penetration, and Cytotoxicity in Bleached Teeth. Oper Dent 2016; 41:83-92. [DOI: 10.2341/14-364-l] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This study evaluated the effects of acid etching of the enamel and the combination of different light sources (halogen light, light-emitting diodes [LEDs], and LED/Laser) and the bleaching product on color change, penetration of hydrogen peroxide (H2O2), and cytotoxicity over time. The color change (ΔE) and the amount of H2O2 that permeated the tooth tissue were analyzed using a spectrophotometer. Cell metabolism and morphology were evaluated using the methylthiazol tetrazolium assay and scanning electron microscopy, respectively. The ΔE values and H2O2 permeation were not significantly different under any of the experimental conditions. Tooth whitening significantly reduced cell metabolism, regardless of whether a light source was used. Preconditioning the enamel did not influence the cellular metabolism in any group. In conclusion, combining the bleaching product with different light sources and/or preconditioning the enamel resulted in few significant changes in color, transenamel and transdentinal penetration of H2O2, or cytotoxicity and cell morphology.
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Affiliation(s)
| | - CAS Costa
- Carlos Alberto De Souza Costa, DDS, MSc, PhD, full professor, Araraquara School of Dentistry, UNESP – Univ Estadual Paulista, Department of Physiology and Pathology, Araraquara, São Paulo, Brazil
| | - DGS Soares
- Diana Gabriela Sousa Soares, DDS, MS, PhD student, Araraquara School of Dentistry, UNESP – Univ Estadual Paulista, Department of Dental Materials and Prosthodontics, Araraquara, São Paulo, Brazil
| | - PH dos Santos
- Paulo Henrique dos Santos, DDS, MSc, PhD, associate professor, Araçatuba School of Dentistry, UNESP – Univ Estadual Paulista, Department of Dental Materials and Prosthodontics, Araçatuba, São Paulo, Brazil
| | - LTA Cintra
- Luciano Tavares Angelo Cintra, DDS, MSc, PhD, associate professor, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Department of Restorative Dentistry, Araçatuba, São Paulo, Brazil
| | - ALF Briso
- André Luiz Fraga Briso, DDS, MS, PhD, associate professor, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Department of Restorative Dentistry, Araçatuba, São Paulo, Brazil
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de Paula EA, Kossatz S, Fernandes D, Loguercio AD, Reis A. Administration of Ascorbic Acid to Prevent Bleaching-induced Tooth Sensitivity: A Randomized Triple-blind Clinical Trial. Oper Dent 2014; 39:128-35. [DOI: 10.2341/12-483-c] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
This study evaluated the effect of ascorbic acid, 500 mg every eight hours, on bleaching-induced tooth sensitivity. A triple-blind, parallel design, and placebo-controlled randomized clinical trial was conducted on 39 adults. The pills (placebo or ascorbic acid) were administered three times per day for 48 hours; the first dose was given one hour prior to each bleaching session. Two bleaching sessions with 35% hydrogen peroxide gel were performed with a one-week interval. Tooth sensitivity was recorded up to 48 hours after bleaching. The color evaluation was performed before and 30 days after bleaching. The absolute risk and intensity of tooth sensitivity were evaluated by Fisher exact and Mann-Whitney U-tests, respectively. Color changes were evaluated by unpaired t-test (α=0.05). There were no significant differences in the absolute risk and intensity of tooth sensitivity and color change between the groups. Both groups showed a similar risk of tooth sensitivity (p>0.05). The perioperative use of an antioxidant, such as ascorbic acid (500 mg, three times daily) perorally, was not able to prevent bleaching-induced tooth sensitivity or reduce its intensity.
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Affiliation(s)
- EA de Paula
- Eloisa Andrade de Paula, DDS, MS, PhD student, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - S Kossatz
- Stella Kossatz, DDS, MS, PhD, associate professor, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - D Fernandes
- Daniel Fernandes, PharmD, MS, PhD, adjunct professor, School of Pharmacology, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
| | - AD Loguercio
- Alessandro Dourado Loguercio, DDS, MS, PhD, adjunct professor, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil
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do Carmo Públio J, D'Arce MBF, Ambrosano GMB, Aguiar FHB, Lovadino JR, Paulillo LAMS, Lima DANL. Efficacy of tooth bleaching with the prior application of a desensitizing agent. ACTA ACUST UNITED AC 2013; 6:133-40. [PMID: 24357604 DOI: 10.1111/jicd.12074] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2013] [Accepted: 06/06/2013] [Indexed: 11/29/2022]
Abstract
AIM In the present study, we evaluated the efficacy of bleaching on enamel and opposite dentin surfaces using 35% hydrogen peroxide (HP) with the prior application of a desensitizing agent. METHODS Thirty bovine dental fragments, with thicknesses of 1 mm enamel and 1.75 mm dentin, were stained in a solution of black tea. The fragments were randomly divided into three groups (n = 10) according to the following protocols: (a) 2% neutral fluoride + bleaching; (b) desensitizing agent + bleaching; and (c) without desensitizer + bleaching. The bleaching efficacy was evaluated four times: after staining with tea (baseline) and after each of the 3 weeks of bleaching, by means of the CIE Lab method using a reflectance spectrophotometer. The data coordinate L* was evaluated by an analysis of repeated measures with PROC MIXED and Tukey-Kramer's test. The ΔE values were subjected to anova and Tukey's test (α = 0.05). RESULTS The 35% HP treatment showed greater efficacy on deep dentin after removal of the enamel stains, with increasing means during all times in all treatments. CONCLUSION The use of a desensitizing agent prior to the bleaching session did not affect the mechanism of action of 35% HP with regard to tooth depth.
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Affiliation(s)
- Juliana do Carmo Públio
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas - UNiCAMP, Piracicaba, São Paulo, Brazil
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Lima AF, Ribeiro APD, Soares DGS, Sacono NT, Hebling J, de Souza Costa CA. Toxic effects of daily applications of 10% carbamide peroxide on odontoblast-like MDPC-23 cells. Acta Odontol Scand 2013; 71:1319-25. [PMID: 23351219 DOI: 10.3109/00016357.2012.762992] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND bleaching has been widely studied, mainly due to the possible undesirable effects that can be caused by this esthetic procedure. The cytotoxicity of the bleaching agents and its components to pulp cells has been demonstrated in several researches. The aim of this study was to evaluate the toxic effects of successive applications of 10% carbamide peroxide (CP) gel on odontoblast-like cells. MATERIALS AND METHODS Enamel-dentin discs obtained from bovine incisors were adapted to artificial pulp chambers (APCs). The groups were formed as follows: G1: Without treatment (control group); G2: 10% carbamide peroxide, CP (five applications/one per day); G3: 10% CP (one unique application); and G4: 35% hydrogen peroxide, HP (three applications of 15 min each). After treatment, cell metabolism (MTT), alkaline phosphatase (ALP) activity and plasma membrane damage (flow cytometry) were analyzed. RESULTS Reductions in cell metabolism and alkaline phosphatase activity along with severe damage of the cytoplasmic membrane were noted in G2. In G3, no damage was observed, compared to the control group. Intermediary values of toxicity were obtained after 35% HP application. CONCLUSION It can be concluded that one application of 10% CP did not cause toxic effects in odontoblast-like cells, but the successive application of this product promoted severe cytotoxic effects. The daily application of the bleaching agents, such as used in the at-home bleaching technique, can increase the damages caused by this treatment to the dental pulp cells.
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Affiliation(s)
- Adriano Fonseca Lima
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, SP, Brazil
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Lima AF, Basso FG, Ribeiro APD, Bagnato VS, Hebling J, Marchi GM, de Souza Costa CA. Effects of Laser Irradiation on Pulp Cells Exposed to Bleaching Agents. Photochem Photobiol 2013; 90:201-6. [PMID: 23931553 DOI: 10.1111/php.12155] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Accepted: 07/25/2013] [Indexed: 11/27/2022]
Abstract
The aim of this study was to evaluate the effect of low-level laser therapy (LLLT) on odontoblast-like cells exposed to a bleaching agent. Mouse dental papilla cell-23 cells were seeded in wells of 24-well plates. Eight groups were established according to the exposure to the bleaching agent and LLLT (0, 4, 10 and 15 J cm(-2) ). Enamel-dentin disks were adapted to artificial pulp chambers, which were individually placed in wells containing Dulbecco's modified Eagle's medium (DMEM). A bleaching agent (35% hydrogen peroxide [BA35%HP]) was applied on enamel (15 min) to obtain the extracts (DMEM + BA35%HP components diffused through enamel/dentin disks). The extracts were applied (1 h) to the cells, and then subjected to LLLT. Cell viability (Methyl tetrazolium assay), alkaline phosphatase (ALP) activity, as well as gene expression of ALP, fibronectin (FN) and type I collagen, were evaluated. The bleaching procedures reduced the cell viability, ALP activity and gene expression of dentin proteins. Laser irradiation did not modulate the cell response; except for FN, as LLLT decreased the gene expression of this protein by the cells exposed to the BA35%HP. It can be concluded that BA35%HP decreased the activities of odontoblasts that were not recovered by the irradiation of the damaged cells with low-level laser parameters tested.
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Affiliation(s)
- Adriano F Lima
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba, Brazil.,Department of Restorative Dentistry, Nove de Julho University, Sao Paulo, Brazil
| | - Fernanda G Basso
- Department of Pathology, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba, Brazil
| | - Ana P D Ribeiro
- Department of Operative Dentistry, University of Brasília-UnB, Brasilia, Federal District, Brazil
| | - Vanderlei S Bagnato
- Physics Institute of São Carlos, USP-University of São Paulo, São Carlos, Brazil
| | - Josimeri Hebling
- Department of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, Univ. Estadual Paulista (UNESP), Araraquara, Brazil
| | - Giselle M Marchi
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba, Brazil
| | - Carlos A de Souza Costa
- Department of Physiology and Pathology, Araraquara School of Dentistry, Univ. Estadual Paulista (UNESP), Araraquara, Brazil
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Effect of low-level laser therapy on odontoblast-like cells exposed to bleaching agent. Lasers Med Sci 2013; 29:1533-8. [PMID: 23525831 DOI: 10.1007/s10103-013-1309-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2012] [Accepted: 03/12/2013] [Indexed: 10/27/2022]
Abstract
The aim of the present study was to evaluate the effect of low-level laser therapy (LLLT) on odontoblast-like MDPC-23 cells exposed to carbamide peroxide (CP 0.01%-2.21 μg/mL of H2O2). The cells were seeded in sterile 24-well plates for 72 h. Eight groups were established according to the exposure or not to the bleaching agents and the laser energy doses tested (0, 4, 10, and 15 J/cm(2)). After exposing the cells to 0.01% CP for 1 h, this bleaching solution was replaced by fresh culture medium. The cells were then irradiated (three sections) with a near-infrared diode laser (InGaAsP-780 ± 3 nm, 40 mW), with intervals of 24 h. The 0.01% CP solution caused statistically significant reductions in cell metabolism and alkaline phosphate (ALP) activity when compared with those of the groups not exposed to the bleaching agent. The LLLT did not modulate cell metabolism; however, the dose of 4 J/cm(2) increased the ALP activity. It was concluded that 0.01% CP reduces the MDPC-23 cell metabolism and ALP activity. The LLLT in the parameters tested did not influence the cell metabolism of the cultured cells; nevertheless, the laser dose of 4 J/cm(2) increases the ALP activity in groups both with and without exposure to the bleaching agent.
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Tano E, Otsuki M, Kato J, Sadr A, Ikeda M, Tagami J. Effects of 405 nm diode laser on titanium oxide bleaching activation. Photomed Laser Surg 2012; 30:648-54. [PMID: 23003121 DOI: 10.1089/pho.2012.3273] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVE The objective of this study was to evaluate the effects of a 405 nm diode laser on bleaching reaction of H(2)O(2) and VL-TiO(2) on methylene blue (MB) dye. BACKGROUND DATA Visible light activating titanium dioxide photocatalyst (VL-TiO(2)) may improve efficacy of hydrogen peroxide (H(2)O(2)) bleaching agents used in dentistry while contributing to their safety by lowering the required concentration of peroxide. METHODS The experimental solution was prepared with H(2)O(2), VL-TiO(2), MB, and pure water. The final concentration of H(2)O(2) was 3.5% and that of MB was 10 ppm. The experimental solution of 3 mL in a quartz cell was irradiated by a 405 nm diode laser with various powers, duty cycles, and pulse durations for 7 min. RESULTS In all irradiation conditions, the increase in laser irradiation time gradually decreased the MB concentration. Irradiation by higher output power showed more reduction of MB concentration. Pulse durations as short as 5 ms with duty cycle reduced to 25% did not affect the degree of the reduction in MB concentration compared with continuous wave irradiation at the same average output power. CONCLUSIONS It was concluded that using 405 nm diode laser, the bleaching effects of VL-TiO(2) depended upon the irradiation time and the average output power, regardless of pulse duration or duty cycle.
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Affiliation(s)
- Eri Tano
- Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Mendonça AAMD, Oliveira CFD, Hebling J, Costa CADS. Influence of thicknesses of smear layer on the transdentinal cytotoxicity and bond strength of a resin-modified glass-ionomer cement. Braz Dent J 2012. [DOI: 10.1590/s0103-64402012000400012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
This study evaluated the transdentinal cytotoxicity (TC) and the bond strength (BS) of a resin-modified glass-ionomer cement (RMGIC) applied to dentin covered with smear layer (SL) of different thicknesses. Forty dentin discs had thick (TSL) or thin (THSL) smear layer created on their occlusal side. In artificial pulp chambers, MDPC-23 cells were seeded on the pulpal side of the dentin discs and divided into five groups: G1TC: no treatment (control); G2TC: TSL + RMGIC; G3TC: THSL + RMGIC; G4TC: TSL removal + RMGIC; G5TC: THSL removal + RMGIC. After 24 h, cell metabolism and morphology were evaluated by the methyltetrazolium (MTT) assay and by scanning electron microscopy (SEM), respectively. For BS, the following groups were determined: G1BS: TSL removal + RMGIC; G2BS: THSL removal + RMGIC; G3BS: TSL + RMGIC; G4BS: THSL + RMGIC. Shear bond strength was tested to failure in a mechanical testing machine MTS (0.5 mm/min). Statistically significant difference was observed only between the control and experimental groups (Kruskal-Wallis, p<0.05). The metabolic activity of the viable MDPC-23 cells in G2TC, G3TC, G4TC and G5TC decreased by 54.85%, 60.79%, 64.12% and 62.51%, respectively. Mean shear bond strength values for G1BS, G2BS, G3BS and G4BS were 7.5, 7.4, 6.4 and 6.7 MPa, respectively, without significant difference among them (ANOVA, p>0.05). RMGIC presented moderate transdentinal cytotoxic effects. Maintenance or removal of smear layer did not affect the bond strength of RMGIC to dentin substrate.
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Lima AF, Sasaki RT, Araújo LS, Gaglianone LA, Freitas MS, Aguiar FHB, Marchi GM. Effect of Tooth Bleaching on Bond Strength of Enamel-Dentin Cavities Restored With Silorane- and Dimethacrylate-based Materials. Oper Dent 2011; 36:390-6. [DOI: 10.2341/10-332-l] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Prior bleaching treatment, with both low and high concentrations of bleaching agents, does not affect the push-out bond strength of dimethacrylate- and silorane-based materials to enamel-dentin cavities.
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Soares DGS, Ribeiro APD, Sacono NT, Coldebella CR, Hebling J, de Souza Costa CA. Transenamel and transdentinal cytotoxicity of carbamide peroxide bleaching gels on odontoblast-like MDPC-23 cells. Int Endod J 2010; 44:116-25. [DOI: 10.1111/j.1365-2591.2010.01810.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Lima AF, Lessa FCR, Mancini MNG, Hebling J, Costa CADS, Marchi GM. Transdentinal protective role of sodium ascorbate against the cytopathic effects of H2O2 released from bleaching agents. ACTA ACUST UNITED AC 2010; 109:e70-6. [PMID: 20303050 DOI: 10.1016/j.tripleo.2009.12.020] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2009] [Revised: 12/02/2009] [Accepted: 12/09/2009] [Indexed: 10/19/2022]
Abstract
OBJECTIVES The objectives of this study were to evaluate the transdentinal cytotoxicity of 10% and 16% carbamide peroxide gel (CP), as well as the ability of the antioxidant, 10% sodium ascorbate (SA), to protect the odontoblasts in culture. STUDY DESIGN Human dentin discs of 0.5-mm thickness were obtained and were placed into artificial pulp chambers. MDPC-23 odontoblastlike cells were seeded on pulp surface of the discs and the following groups were established: G1-No Treatment (control), G2-10% SA/6hs, G3-10%/CP6hs, G4-10%SA/6hs+10%CP/6hs, G5-16%CP/6hs, and G6-10%SA/6hs+16%CP/6hs. The cell viability was measured by the MTT assay. RESULTS In groups where 16% CP was used, decreased cell viability was observed. Conversely, the application of 10% SA on the dentin discs, before the use of the CP, reduced the cytotoxic effects of these products on cells. CONCLUSIONS The 16% CP cause a significant decrease in MDPC-23 cell viability and 10% SA was able to partially prevent the toxic effects of CP.
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Affiliation(s)
- Adriano Fonseca Lima
- Department of Restorative Dentistry, Piracicaba School of Dentistry, State University of Campinas-UNICAMP, Piracicaba, SP, Brazil
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