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Al-Ali M, Camilleri J. The scientific management of deep carious lesions in vital teeth using contemporary materials—A narrative review. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2022.1048137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
AimThe aim of this article is to review the scientific evidence for deep caries removal in permanent vital teeth and the choice of dentine replacement material and restoration of the teeth to maintain long term tooth vitality and function.MethodThe two position statements namely the European Society of Endodontology and the American Association of Endodontists position statements on vital pulp therapy will be scrutinized and compared with regards to the deep caries removal strategy and assessed for evidence of best practice. The properties of materials used to manage vital pulps and the best way to restore the teeth will be reviewed and guidance on the full management of vital teeth will be suggested.ConclusionsPromoting new treatment modalities for reversible and irreversible pulpitis allowing for pulp preservation should be considered. Although debatable, cases with deep caries should be managed by complete non-selective caries removal which will allow for pulpal management if needed and a more predictable outcome can be expected when using the new materials and treatment modalities of vital pulp therapy.
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2
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De Angelis F, Sarteur N, Buonvivere M, Vadini M, Šteffl M, D'Arcangelo C. Meta-analytical analysis on components released from resin-based dental materials. Clin Oral Investig 2022; 26:6015-6041. [PMID: 35870020 PMCID: PMC9525379 DOI: 10.1007/s00784-022-04625-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Accepted: 07/11/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVES Resin-based materials are applied in every branch of dentistry. Due to their tendency to release substances in the oral environment, doubts have been raised about their actual safety. This review aims to provide a comprehensive analysis of the last decade literature regarding the concentrations of elutable substances released from dental resin-based materials in different type of solvents. MATERIALS AND METHODS All the literature published on dental journals between January 2010 and April 2022 was searched using international databases (PubMed, Scopus, Web of Science). Due to strict inclusion criteria, only 23 papers out of 877 were considered eligible. The concentration of eluted substances related to surface and volume of the sample was analyzed, considering data at 24 h as a reference. The total cumulative release was examined as well. RESULTS The most eluted substances were HEMA, TEGDMA, and BPA, while the less eluted were Bis-GMA and UDMA. Organic solvents caused significantly higher release of substances than water-based ones. A statistically significant inverse correlation between the release of molecules and their molecular mass was observed. A statistically significant positive correlation between the amount of released molecule and the specimen surface area was detected, as well as a weak positive correlation between the release and the specimen volume. CONCLUSIONS Type of solvent, molecular mass of eluates, and specimen surface and volume affect substances release from materials. CLINICAL RELEVANCE It could be advisable to rely on materials based on monomers with a reduced elution tendency for clinical procedures.
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Affiliation(s)
- Francesco De Angelis
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy.
| | - Nela Sarteur
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
| | - Matteo Buonvivere
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
| | - Mirco Vadini
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
| | - Michal Šteffl
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
| | - Camillo D'Arcangelo
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
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3
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Arhakis A, Cotti E, Kotsanos N. Pulp Therapy in Pediatric Dentistry. Pediatr Dent 2022. [DOI: 10.1007/978-3-030-78003-6_14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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4
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Krastl G, Weiger R, Ebeleseder K, Galler K. Present status and future directions: Endodontic management of traumatic injuries to permanent teeth. Int Endod J 2021; 55 Suppl 4:1003-1019. [PMID: 34862800 DOI: 10.1111/iej.13672] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 12/02/2021] [Indexed: 12/26/2022]
Abstract
The prognosis of traumatized teeth depends largely on the fate of the pulp and its treatment. This review aims to update the present status on the endodontic management of traumatic injuries to permanent teeth and to identify relevant research areas that could contribute to an improvement in diagnosis and treatment of traumatized permanent teeth. Future research should pay greater attention to (1) diagnostic methods to assess the perfusion of the pulp and enhance detection of tooth cracks and initial signs of root resorption; (2) improved materials for vital pulp treatment; (3) studies focusing on type and duration of splinting after root fractures; (4) antiresorptive intracanal medication in case of posttraumatic pulp necrosis and infection-related resorption and (5) long-term data on the apical barrier technique compared to revitalization.
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Affiliation(s)
- Gabriel Krastl
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany
| | - Roland Weiger
- Department of Periodontology, Endodontology and Cariology, Center of Dental Traumatology, University Center for Dental Medicine UZB, University of Basel, Basel, Switzerland
| | - Kurt Ebeleseder
- University Clinic of Dental Medicine and Oral Health, Medical University Graz, Graz, Austria
| | - Kerstin Galler
- Department of Conservative Dentistry and Periodontology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany
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5
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Krastl G, Weiger R, Filippi A, Van Waes H, Ebeleseder K, Ree M, Connert T, Widbiller M, Tjäderhane L, Dummer PMH, Galler K. Endodontic management of traumatized permanent teeth: a comprehensive review. Int Endod J 2021; 54:1221-1245. [PMID: 33683731 DOI: 10.1111/iej.13508] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Accepted: 03/05/2021] [Indexed: 12/15/2022]
Abstract
The pulp plays a key role in the treatment of traumatic dental injuries (TDIs) and is strongly associated with the outcome, particularly in severe cases. A correct pulp diagnosis is essential as it forms the basis for developing the appropriate management strategy. However, many TDIs are complex, and their treatment requires a profound knowledge of the physiological and pathological responses of the affected tissues. This comprehensive review will look at the dentine-pulp complex and its interaction with the surrounding tissues following TDIs. The literature up to 2020 was reviewed based on several searches on PubMed and the Cochrane Library using relevant terms. In addition to the recently revised guidelines of the International Association of Dental Traumatology, this article aims to provide background information with a focus on endodontic aspects and to gather evidence on which a clinician can make decisions on the choice of the appropriate endodontic approach for traumatized permanent teeth.
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Affiliation(s)
- G Krastl
- Department of Conservative Dentistry and Periodontology, Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany
| | - R Weiger
- Department of Periodontology, Endodontology and Cardiology, University School of Dental Medicine, Basel, Switzerland.,Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland
| | - A Filippi
- Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland.,Department of Oral Surgery, University School of Dental Medicine, Basel, Switzerland
| | - H Van Waes
- Department of Paediatric Dentistry, Clinic for Orthodontics and Paediatric Dentistry, University of Zürich, Zürich, Switzerland
| | - K Ebeleseder
- University Clinic of Dental Medicine and Oral Health, Medical University Graz, Graz, Austria
| | - M Ree
- Private Practice, Purmerend, Netherlands
| | - T Connert
- Department of Periodontology, Endodontology and Cardiology, University School of Dental Medicine, Basel, Switzerland.,Center of Dental Traumatology, University School of Dental Medicine, Basel, Switzerland
| | - M Widbiller
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
| | - L Tjäderhane
- Department of Oral and Maxillofacial Diseases, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.,Research Unit of Oral Health Sciences, Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, University of Oulu, Oulu, Finland
| | - P M H Dummer
- School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK
| | - K Galler
- Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany
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6
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Mala K, Nangia U, Shetty N, Natarajan S, Shenoy R. Histological analysis of human pulp following direct pulp capping with different materials: An ex vivo study. J Conserv Dent 2021; 24:585-588. [PMID: 35558672 PMCID: PMC9089772 DOI: 10.4103/jcd.jcd_486_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/22/2021] [Accepted: 01/05/2022] [Indexed: 11/04/2022] Open
Abstract
Background: Aim: Materials and Methods: Results: Conclusion:
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7
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Characteristics of 10-Methacryloyloxidecyl Dihydrogen Phosphate Monomer in Self-Etching Two-Bottled Dental Adhesive System: Comparison with Commercial Products. MATERIALS 2020; 13:ma13163553. [PMID: 32806632 PMCID: PMC7475973 DOI: 10.3390/ma13163553] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 08/10/2020] [Accepted: 08/10/2020] [Indexed: 01/08/2023]
Abstract
Dentin bonding is a key in restorative dentistry. Here, we developed a self-etching two-bottle adhesive system containing 10-methacryloyloxidecyl dihydrogen phosphate monomer (MDP) and the physical, mechanical, and biocompatible properties were evaluated. The characteristics of MDP were analyzed using nuclear magnetic resonance (NMR). Tests for water sorption and solubility, the shear-bond strengths to dentin and enamel, and cytotoxicity were performed. The newly-blended experimental group showed the lowest thickness and water sorption and solubility values. The shear bond strength of enamel and dentin were comparable to control groups (the three other products were ClearfilTM, UniFil®, and AdheSE®). All test groups showed 60% of cell viability. In this study, the properties of the newly-synthesized adhesive are comparable with the others. The fundamental goal of this study is to get the MDP patent released, as it is intended for domestic production. For this purpose, this dentin adhesive was developed and compared with the commercial product.
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8
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Vouzara T, Roussou K, Nikolaidis AK, Tolidis K, Koulaouzidou EA. Organic Eluates Derived from Intermediate Restorative Dental Materials. Molecules 2020; 25:molecules25071593. [PMID: 32235641 PMCID: PMC7180687 DOI: 10.3390/molecules25071593] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 03/28/2020] [Accepted: 03/29/2020] [Indexed: 12/21/2022] Open
Abstract
A great number of different types of materials have been used in dentistry as intermediate restoratives. Among them, new resin-based bases have been released in the dental market. The present study focuses on the identification of the organic eluates released from such materials and the study of their surface microstructure in combination with their corresponding elemental composition. For this purpose, the following materials were used:ACTIVA™BioACTIVE-BASE/LINER™, Ketac™Bond Glass Ionomer, SDR™ and Vitrebond™Light Cure Glass Ionomer Liner/Base. Methanolic leachates derived from polymerized materials were analyzed by means of gas chromatography-mass spectrometry (GC-MS). Scanning electron microscopy(SEM) was used for the surface monitoring of suitably prepared specimens. The GC-MS analysis revealed the elution of twenty different substances from the three resin-based materials, while none was eluted from the glass ionomer base. The SEM analysis for Vitrebond™ presented small pits, the one for Ketac™Bond presented elongated cracks, while no voids were present for ACTIVA™BioACTIVE-BASE/LINER™ and SDR™. Moreover, the resin matrix of some dental materials may inhibit elements' accumulation on the surface layers. Particularly, the detected organic eluents may be related to potential toxic effects.
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Affiliation(s)
- Triantafyllia Vouzara
- Division of Dental Tissues’ Pathology and Therapeutics (Basic Dental Sciences, Endodontology and Operative Dentistry), School of Dentistry, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece; (T.V.); (K.R.); (A.K.N.); (K.T.)
| | - Konstantina Roussou
- Division of Dental Tissues’ Pathology and Therapeutics (Basic Dental Sciences, Endodontology and Operative Dentistry), School of Dentistry, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece; (T.V.); (K.R.); (A.K.N.); (K.T.)
- Department of Pediatric Dentistry, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki 541 24, Greece
| | - Alexandros K. Nikolaidis
- Division of Dental Tissues’ Pathology and Therapeutics (Basic Dental Sciences, Endodontology and Operative Dentistry), School of Dentistry, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece; (T.V.); (K.R.); (A.K.N.); (K.T.)
| | - Kosmas Tolidis
- Division of Dental Tissues’ Pathology and Therapeutics (Basic Dental Sciences, Endodontology and Operative Dentistry), School of Dentistry, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece; (T.V.); (K.R.); (A.K.N.); (K.T.)
| | - Elisabeth A. Koulaouzidou
- Division of Dental Tissues’ Pathology and Therapeutics (Basic Dental Sciences, Endodontology and Operative Dentistry), School of Dentistry, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece; (T.V.); (K.R.); (A.K.N.); (K.T.)
- Correspondence: ; Tel.: +30-2310-999-616
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9
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Bio-Inductive Materials in Direct and Indirect Pulp Capping-A Review Article. MATERIALS 2020; 13:ma13051204. [PMID: 32155997 PMCID: PMC7085085 DOI: 10.3390/ma13051204] [Citation(s) in RCA: 88] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 03/03/2020] [Accepted: 03/04/2020] [Indexed: 12/25/2022]
Abstract
The article is aimed at analyzing the available research and comparing the properties of bio-inductive materials in direct and indirect pulp capping procedures. The properties and clinical performances of four calcium-silicate cements (ProRoot MTA, MTA Angelus, RetroMTA, Biodentine), a light-cured calcium silicate-based material (TheraCal LC) and an enhanced resin-modified glass-ionomer (ACTIVA BioACTIVE) are widely discussed. A correlation of in vitro and in vivo data revealed that, currently, the most validated material for pulp capping procedures is still MTA. Despite Biodentine’s superiority in relatively easier manipulation, competitive pricing and predictable clinical outcome, more long-term clinical studies on Biodentine as a pulp capping agent are needed. According to available research, there is also insufficient evidence to support the use of TheraCal LC or ACTIVA BioACTIVE BASE/LINER in vital pulp therapy.
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10
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Pucinelli CM, Silva RABD, Borges LL, Borges ATDN, Nelson-Filho P, Consolaro A, Gaton-Hernández P, Silva LABD. Tissue Response after Subcutaneous Implantation of Different Glass Ionomer-Based Cements. Braz Dent J 2019; 30:599-606. [PMID: 31800755 DOI: 10.1590/0103-6440201902619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 06/29/2019] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the subcutaneous connective tissue response of isogenic mice after implantation of different glass ionomer-based cements (EQUIA® Forte Fil, EQUIA® Fil and Ketac™ Universal Aplicap™). Eighty-seven isogenic BALB/c mice were allocated in 12 groups, 9 were considered as experimental groups (Ketac, E. Fil and E. Forte at 7, 21 and 63 days) and 3 controls (empty polyethylene tubes at 7, 21 and 63 days). After the experimental periods, the subcutaneous connective tissue surrounding the implanted material was removed and subjected to histotechnical processing and staining with hematoxylin and eosin. A histopathological description of the tissue reaction surrounding each material and a semi-quantitative analysis of collagen fiber formation and inflammatory infiltrate were performed. Additionally, the thickness of the granulomatous tissue in contact with each material was measured. Data were analyzed statistically (α=0.05) by the Kruskal-Wallis test, followed by Dunn post-test. Initially, the collagen fiber formation was not different among all the tested materials (p>0.05) but was different at 21 days with the control group presenting the most advanced stage of collagen fiber formation. At 63 days, EQUIA® Forte Fil group showed the most advanced stage of collagen fiber formation, compared to EQUIA® Fil group (p<0.05). The inflammatory infiltrate was not different among the tested materials in any experimental period (p>0.05). The thickness of the granulomatous tissue was greater in the E. Forte group, compared to control in all periods. All glass ionomer-based cements showed tissue compatibility, according to the evaluated parameters.
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Affiliation(s)
- Carolina Maschietto Pucinelli
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Luã Lopes Borges
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil.,Faculty of Amazonas, IAES - Manaus, AM, Brazil
| | - Alberto Tadeu do Nascimento Borges
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil.,Faculty of Amazonas, IAES - Manaus, AM, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Alberto Consolaro
- Department of Oral Pathology, Bauru Dental School, USP - Universidade de São Paulo, Bauru, SP, Brazil
| | - Patricia Gaton-Hernández
- Department of Integrated Pediatric Dentistry, School of Dentistry, UB - Universidade de Barcelona, Barcelona, Spain
| | - Lea Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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11
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Shear Bond Strength of Nanohybrid Composite to Biodentine with Three Different Adhesives. COATINGS 2019. [DOI: 10.3390/coatings9120783] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Biodentine® is a bioactive dentin coating widely used for dental restoration; however, its adhesion to the substrate could limit its clinical success. The aim of this study was to evaluate the shear bond strength (SBS) between Biodentine® and a composite resin, using different types of adhesive. In total, 120 acrylic blocks with a central hole were prepared. They were fully filled with Biodentine®, and divided into two time groups: 12 min (n = 60) and 24 h (n = 60); each group was subdivided into four groups according to the adhesive: three-step etch and rinse (3-E&R) (n = 15), two-step etch and rinse (n = 15), and a universal adhesive subdivided into two groups, two-step etch and rinse (n = 15) and one-step self-etch adhesive system (n = 15). After adhesive application, the composite was applied and stored at 100% humidity, at 37 °C, for 24 h, before the SBS test. Data were analyzed with one-way ANOVA, Fisher post hoc test, and Kolmogorov–Smirnov test. The 12-min group showed statistically significant differences (p = 0.009), with the highest values of adhesion for 3-E&R. No statistically significant differences were observed for the 24-h group (p = 0.813) and between adhesive systems (p = 0.071) regardless of adhesion time. Higher adhesion values were found at 24 h. It is essential to consider the longest setting time for Biodentine®. In terms of adhesive, 3-E&R had the highest adhesion values.
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12
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Evaluation of the cytotoxicity of contemporary glass-ionomer cements on mouse fibroblasts and human dental pulp cells. Eur Arch Paediatr Dent 2019; 21:321-328. [DOI: 10.1007/s40368-019-00481-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Accepted: 09/17/2019] [Indexed: 10/25/2022]
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13
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Koc Vural U, Gokalp S, Kiremitci A. Effect of cavity lining on the restoration of root surface carious lesions: a split-mouth, 5-year randomized controlled clinical trial. Clin Oral Investig 2019; 24:979-989. [DOI: 10.1007/s00784-019-03001-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 06/28/2019] [Indexed: 10/26/2022]
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14
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Duncan HF, Galler KM, Tomson PL, Simon S, El‐Karim I, Kundzina R, Krastl G, Dammaschke T, Fransson H, Markvart M, Zehnder M, Bjørndal L. European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J 2019; 52:923-934. [DOI: 10.1111/iej.13080] [Citation(s) in RCA: 151] [Impact Index Per Article: 30.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Accepted: 01/14/2019] [Indexed: 01/22/2023]
Affiliation(s)
| | - H. F. Duncan
- Division of Restorative Dentistry Dublin Dental University Hospital Trinity College Dublin Dublin Ireland
| | - K. M. Galler
- Department of Conservative Dentistry and Periodontology University Hospital Regensburg Regensburg Germany
| | - P. L. Tomson
- School of Dentistry Institute of Clinical Sciences University of Birmingham Birmingham UK
| | - S. Simon
- Paris Diderot University, Paris 7 Paris France
| | - I. El‐Karim
- School of Medicine Dentistry and Biomedical Sciences Queen's University Belfast Belfast UK
| | - R. Kundzina
- Faculty of Health Sciences Institute of Clinical Odontology UiT the Arctic University of Norway Tromsø Norway
| | - G. Krastl
- Department of Conservative Dentistry and Periodontology University Hospital of Würzburg Würzburg Germany
| | - T. Dammaschke
- Department of Periodontology and Operative Dentistry Westphalian Wilhelms‐University Münster Germany
| | - H. Fransson
- Faculty of Odontology Department of Endodontics Malmö University Malmö Sweden
| | - M. Markvart
- Cariology and Endodontics Faculty of Health and Medical Sciences Department of Odontology University of Copenhagen Copenhagen Denmark
| | - M. Zehnder
- Department of Preventive Dentistry, Periodontology and Cariology University of Zurich Zurich Switzerland
| | - L. Bjørndal
- Cariology and Endodontics Faculty of Health and Medical Sciences Department of Odontology University of Copenhagen Copenhagen Denmark
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15
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McTigue DJ. Managing Traumatic Injuries in the Young Permanent Dentition. Pediatr Dent 2019. [DOI: 10.1016/b978-0-323-60826-8.00035-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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16
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Fuks AB, Kupietzky A, Guelmann M. Pulp Therapy for the Primary Dentition. Pediatr Dent 2019. [DOI: 10.1016/b978-0-323-60826-8.00023-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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17
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Tigani EK, Skrtic D, Valerio MS, Kaufman G. Assessing the effect of triethyleneglycol dimethacrylate on tissue repair in 3D organotypic cultures. J Appl Toxicol 2018; 39:247-259. [PMID: 30229966 DOI: 10.1002/jat.3714] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 07/14/2018] [Accepted: 07/19/2018] [Indexed: 12/17/2022]
Abstract
Leachables from dental restoratives induce toxicity in gingival and pulp tissues and affect tissue regeneration/healing. Appropriate testing of these materials requires a platform that mimics the in vivo environment and allows the architectural self-assembly of cells into tissue constructs. In this study, we employ a new 3D model to assess the impact of triethyleneglycol dimethacrylate (TEGDMA) on early organization and advanced recruitment/accumulation of immortalized mouse gingival fibroblasts (GFs) and dental papilla mesenchymal cells (DPMCs) in extracellular matrix. We hypothesize that TEGDMA (1) interferes with the developmental architecture of GFs and DPMCs, and (2) inhibits the deposition of mineral. To test these hypotheses, GFs and DPMCs were incubated with the soluble TEGDMA at concentrations (0-2.5) mmol/L. Diameter and thickness of the constructs were determined by microscopic analysis. Cell differentiation was assessed by immunocytochemistry and the secreted mineral detected by alizarin-red staining. TEGDMA interfered with the development of GFs and/or DPMCs microtissues in a dose-dependent manner by inhibiting growth of inter-spherical cell layers and decreasing spheroid size (four to six times). At low/moderate TEGDMA levels, GFs organoids retained their structures while reducing thickness up to 21%. In contrast, at low TEGDMA doses, architecture of DPMC organoids was altered and thickness decreased almost twofold. Overall, developmental ability of TEGDMA-exposed GFs and DPMCs depended on TEGDMA level. GFs constructs were more resistant to structural modifications. The employed 3D platform was proven as an efficient tool for quantifying the effects of leachables on tissue repair capacities of gingiva and dental pulp.
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Affiliation(s)
- Elise K Tigani
- Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD, 20899, USA
| | - Drago Skrtic
- Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD, 20899, USA
| | - Michael S Valerio
- Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD, 20899, USA
| | - Gili Kaufman
- Volpe Research Center, American Dental Association Foundation, Gaithersburg, MD, 20899, USA
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In-vitro transdentinal diffusion of monomers from adhesives. J Dent 2018; 75:91-97. [PMID: 29864446 DOI: 10.1016/j.jdent.2018.05.023] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Revised: 05/29/2018] [Accepted: 05/31/2018] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVES Biocompatibility of adhesives is important since adhesives may be applied on dentin near the pulp. Accurate knowledge of the quantity of monomers reaching the pulp is important to determine potential side effects. The aim of this study was to assess the transdentinal diffusion of residual monomers from dental adhesive systems using an in-vitro pulp chamber model. METHODS Dentin disks with a thickness of 300 μm were produced from human third molars. These disks were fixed between two open glass tubes, representing an in-vitro pulp chamber. The etch-and-rinse adhesive OptiBond FL and the self-etch adhesive Clearfil SE Bond were applied to the dentin side of the disks, while on in the pulpal side, the glass tube was filled with 600 μl water. The transdentinal diffusion of different monomers was quantified using ultra-performance liquid chromatography-tandem mass spectrometry. RESULTS The monomers HEMA, CQ, BisGMA, GPDM, 10-MDP and UDMA eluted from the dental materials and were able to diffuse through the dentin disks to a certain extent. Compounds with a lower molecular weight (uncured group: HEMA 7850 nmol and CQ 78.2 nmol) were more likely to elute and diffuse compared to monomers with a higher molecular weight (uncured group: BisGMA 0.42 nmol). When the adhesives were left uncured, diffusion was up to 10 times higher compared to the cured conditions. CONCLUSIONS This in-vitro research resulted in the quantification of various monomers able to diffuse through dentin and therefore contributes to a more detailed understanding about the potential exposure of the dental pulp to monomers from dental adhesives. CLINICAL SIGNIFICANCE Biocompatibility of adhesives is important since adhesives may be applied on dentin near the pulp, where tubular density and diameter are greatest.
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Demir N, Kahvecioğlu F, Karcı M, Ülker HE, Günaydın N. In vitro evaluation of cytotoxicity of different self-adhesive resin cements. ACTA ODONTOLOGICA TURCICA 2017. [DOI: 10.17214/gaziaot.330671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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20
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Ramesh D, Sridhar S, Siddiqui DA, Valderrama P, Rodrigues DC. Detoxification of Titanium Implant Surfaces: Evaluation of Surface Morphology and Bone-Forming Cell Compatibility. ACTA ACUST UNITED AC 2017. [DOI: 10.1007/s40735-017-0111-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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21
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Cortés O, Alcaina A, Bernabé A. Biocompatibility Evaluation of Four Dentin Adhesives Used as Indirect Pulp Capping Materials. Acta Stomatol Croat 2017; 51:113-121. [PMID: 28827848 PMCID: PMC5548215 DOI: 10.15644/asc51/2/4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND In many cases, the indirect pulp treatment (IPT) is an acceptable treatment for deciduous teeth with reversible pulp inflammation. Various medicaments have been used for IPT, ranging from calcium hydroxide and glass ionomers to dentin adhesives. OBJECTIVE This in vitro trial aimed to measure cytotoxicity in a cell culture, comparing the following four adhesives: Xeno® V (XE), Excite® F DSC (EX), Adhese® OneF (AD) and Prime & Bond NT (PB). MATERIALS AND METHODS The adhesives were prepared according to the manufacturer's instructions. After 24 hours of exposure, the cell viability was evaluated using a photometrical test (MTT test). Data were subjected to analysis of variance (ANOVA). RESULTS Adhesives, the main component of which was 2-hydroxyethyl methacrylate (HEMA), were found to be less cytotoxic, while those that included the monomer urethane dimethacrylate (UDMA were the most cytotoxic) in their composition. The effects on cell viability assay varied between the adhesives assayed with statistically significant differences. CONCLUSIONS The results may support the argument that Adhese® OneF is the least cytotoxic of the adhesives assayed, and may be considered as an adhesive agent for indirect pulp treatment. However, Prime and Bond NT showed a reduced biocompatibility under the same conditions.
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Affiliation(s)
- Olga Cortés
- Clínica Odontológica, Universidad de Murcia, Hospital Morales Meseguer, Spain
| | - Antonia Alcaina
- Clínica Odontológica, Universidad de Murcia, Hospital Morales Meseguer, Spain
| | - Antonia Bernabé
- Clínica Odontológica, Universidad de Murcia, Hospital Morales Meseguer, Spain
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Nilsen BW, Jensen E, Örtengren U, Michelsen VB. Analysis of organic components in resin-modified pulp capping materials: critical considerations. Eur J Oral Sci 2017; 125:183-194. [PMID: 28444854 DOI: 10.1111/eos.12347] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2017] [Indexed: 12/27/2022]
Abstract
The purpose of this study was to elucidate the organic composition and eluates of three resin-based pulp-capping materials in relation to their indications and safety data sheets. Uncured samples of Theracal LC, Ultra-Blend Plus, and Calcimol LC were investigated using gas chromatography-mass spectrometry (GC-MS) and ultra-performance liquid chromatography-mass spectrometry (UPLC-MS). Identification/quantification of 7-d leachables of cured samples was performed using GC-MS for 2-hydroxyethyl methacrylate (HEMA), 2-(dimethylamino)ethyl methacrylate (DMAEMA), camphorquinone (CQ), ethylene glycol dimethacrylate (EGDMA), ethyl-4-(dimethylamino)benzoate (DMABEE), and triethylene glycol dimethacrylate (TEGDMA). A similar organic composition was found for Ultra-Blend and Calcimol; however, only Ultra-Blend is indicated for direct pulp-capping. In contrast to the other materials analysed, Theracal contained substances of high molecular weight. The safety data sheets of all materials were incomplete. We detected HEMA, CQ, and TEGDMA in eluates from Ultra-Blend and Calcimol, and it was considered that HEMA might have originated from decomposition of diurethane dimethacrylate (UDMA) in the GC-injector. For Theracal, additives associated with light curing (DMABEE and CQ) were detected in higher amounts (4.11 and 19.95 μg mm-2 ) than in the other materials. Pores were quantified in all samples by micro-computed tomography (micro-CT) analysis, which could influence leaching. The organic substances in the investigated materials might affect their clinical suitability as capping agents, especially for direct capping procedures.
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Affiliation(s)
- Bo W Nilsen
- Department of Clinical Dentistry, UiT - The Arctic University of Norway, Tromsø, Norway
| | - Einar Jensen
- Department of Pharmacy, UiT - The Arctic University of Norway, Tromsø, Norway
| | - Ulf Örtengren
- Department of Clinical Dentistry, UiT - The Arctic University of Norway, Tromsø, Norway.,Department of Cariology, Institute of Odontology/Sahlgrenska Academy, Göteborg, Sweden
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SHINKAI K, TAIRA Y, KAWASHIMA S, SUZUKI S, SUZUKI M. Histological evaluation of direct pulp capping with all-in-one adhesives in rat teeth. Dent Mater J 2017; 36:348-356. [DOI: 10.4012/dmj.2016-148] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Koichi SHINKAI
- Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata
| | - Yoshihisa TAIRA
- Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata
| | - Satoki KAWASHIMA
- Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata
| | - Shiro SUZUKI
- Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata
| | - Masaya SUZUKI
- Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata
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Gurpinar A, Onur MA, Cehreli ZC, Tasman F. Cytotoxicity of Two-step Self-etching Primer/Adhesives on L929 Cells. J BIOACT COMPAT POL 2016. [DOI: 10.1177/0883911506060833] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The cytotoxicity of four self-etching primer/adhesive systems (Clearfil® SE Bond, Clearfil® Protect Bond, Mac Bond® II and FL® Bond) was tested against L929 fibroblasts. The primer or adhesive component of each adhesive system was diluted serially with the culture medium at a ratio of 1:1,000 and 1:4,000 (v/v). Cytotoxicity was identified by adding L929 cells in 24-well culture plates at an initial density of 35,000 cells mL 1. The cells were maintained for 5 days; every 24h, the medium was changed with fresh medium containing specific dilutions of the primer or adhesive components of the test materials. Cytotoxicity was assessed quantitatively at 24, 48, 72, 96 and 120h. Physiological and pathological cellular changes as well as reactions and growth of the cell cultures were examined under an inverted microscope. All self-etching systems were found to be cytotoxic to varying degrees; more pronounced toxic effects were observed at lower dilution (1:1,000 [v/v]). The adhesive components of Mac Bond® II and FL® Bond showed the highest cytotoxicity at 1:1,000 (v/v). The primer and adhesive of Clearfil® SE Bond, the primer of Mac Bond® II and the antibacterial monomer (MDPB)-containing Clearfil® Protect Bond (at 1:4,000 [v/v]) were relatively less cytotoxic.
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Affiliation(s)
- Aylin Gurpinar
- Faculty of Science, Department of Biology, Hacettepe University, Beytepe Campus, Ankara, Turkey,
| | - Mehmet Ali Onur
- Faculty of Science, Department of Biology, Hacettepe University, Beytepe Campus, Ankara, Turkey
| | - Zafer C. Cehreli
- Faculty of Dentistry, Department of Pediatric Dentistry, Hacettepe University, Ankara, Turkey
| | - Fugen Tasman
- Faculty of Dentistry, Department of Endodontics, Hacettepe University, Ankara, Turkey
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Gölz L, Simonis RA, Reichelt J, Stark H, Frentzen M, Allam JP, Probstmeier R, Winter J, Kraus D. In vitro biocompatibility of ICON(®) and TEGDMA on human dental pulp stem cells. Dent Mater 2016; 32:1052-64. [PMID: 27323651 DOI: 10.1016/j.dental.2016.06.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 04/30/2016] [Accepted: 06/03/2016] [Indexed: 01/09/2023]
Abstract
OBJECTIVES Resin infiltrants have been successfully used in dental medicine preventing the progression of tooth decay in an early phase of caries development. ICON(®) is an infiltrant of low-viscosity which penetrates via dentinal tubules into the lesion in dependence of the demineralization depth. Hence, we performed an in vitro study to determine the effect of ICON(®) on human dental pulp stem cells (hDPSCs). METHODS Using explant technique, primary hDPSCs were collected from extracted teeth. Characterization and isolation were performed with typical mesenchymal stem cell markers (Stro-1, CD73, CD90, CD105) and hDPSCs differentiation was validated by immunofluorescence and flow cytometry. HDPSCs were stimulated with light-cured ICON(®) (lc) and non-light-cured ICON(®) (nc) conditioned media as well as different TEGDMA concentrations followed by the analysis of cytotoxicity, pro- and anti-inflammatory responses and differentiation using XTT assay, RT-PCR and ELISAs, respectively. RESULTS Initial analysis demonstrated that hDPSCs express characteristic mesenchymal stem cell markers and differentiate into adipocytes, chondrocytes and osteoblasts. Notably, ICON(®) nc dramatically reduced cell viability (up to 98.9% after 48h), whereas ICON(®) lc showed only a modest cytotoxicity (10%). Data were in line with cytokine expression demonstrating increased levels of IL-6 and IL-8 as well as decreased IL-10 after ICON(®) nc exposure compared to ICON(®) lc. ICON(®) lc caused almost no alterations of DSPP, whereas ICON(®) nc markedly elevated DSPP mRNA levels (130.3-times). A concentration-dependent effect was observed in TEGDMA challenged hDPSCs. SIGNIFICANCE ICON(®) is a successful minimal invasive technique. However, clinicians should strictly follow manufacturer's instructions to prevent adverse effects.
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Affiliation(s)
- Lina Gölz
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - Ruth Andrea Simonis
- Department of Prosthodontics, Preclinical Education and Material Sciences, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - Joana Reichelt
- Department of Prosthodontics, Preclinical Education and Material Sciences, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - Helmut Stark
- Department of Prosthodontics, Preclinical Education and Material Sciences, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - Matthias Frentzen
- Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany
| | - Jean-Pierre Allam
- Department of Dermatology and Allergy, University of Bonn, Bonn, Germany
| | - Rainer Probstmeier
- Neuro- and Tumor Cell Biology Group, Department of Nuclear Medicine, University Hospital Bonn, Bonn, Germany
| | - Jochen Winter
- Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany
| | - Dominik Kraus
- Department of Prosthodontics, Preclinical Education and Material Sciences, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany.
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Schwendicke F, Brouwer F, Schwendicke A, Paris S. Different materials for direct pulp capping: systematic review and meta-analysis and trial sequential analysis. Clin Oral Investig 2016; 20:1121-32. [PMID: 27037567 DOI: 10.1007/s00784-016-1802-7] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Accepted: 03/16/2016] [Indexed: 01/18/2023]
Abstract
OBJECTIVES We systematically assessed randomized controlled trials comparing direct pulp capping materials. METHODS Trials comparing materials for direct capping and evaluating clinically and/or radiographically determined success after minimum 3 months were included. Two reviewers independently screened electronic databases (Medline, Central, Embase) and performed hand searches. Risk of bias was assessed and meta-analyses were performed, separated for dentition. Trial sequential analysis was used to assess risk of random errors. Strength of evidence was graded using the GRADE approach. RESULTS From a total of 453 identified studies, 11 (all with high risk of bias) investigating 1094 teeth (922 patients) were included. Six studies were on primary teeth (all with carious exposures) and five on permanent teeth (carious and artificial exposures). Mean follow-up was 14 months (range 3-24). Most studies used calcium hydroxide as control, comparing it to mineral trioxide aggregate (MTA) (three studies), bonding without prior etching/conditioning (two), or bonding with prior etching/conditioning, enamel matrix proteins, resin-modified glass ionomer cement, calcium sulfate, zinc oxide eugenol, corticosteroids, antibiotics, or formocresol (each in only one study). One study compared MTA and calcium-enriched cement. In permanent teeth, risk of failure was significantly decreased if MTA instead of calcium hydroxide was used (risk ratio (RR) [95 % confidence intervals (CI)] 0.59 [0.39/0.90]); no difference was found for primary teeth. Other comparisons did not find significant differences or were supported by only one study. No firm evidence was reached according to trial sequential analysis. CONCLUSION There is insufficient data to recommend or refute the use of a specific material. More long-term practice-based studies with real-life exposures are required. CLINICAL RELEVANCE To reduce risk of failure, dentists might consider using MTA instead of calcium hydroxide (CH) for direct capping. Current evidence is insufficient for definitive recommendations.
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Affiliation(s)
- Falk Schwendicke
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany.
| | - Fredrik Brouwer
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
| | - Anja Schwendicke
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
| | - Sebastian Paris
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Aßmannshauser Str. 4-6, 14197, Berlin, Germany
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Schwendicke F, Tu YK, Hsu LY, Göstemeyer G. Antibacterial effects of cavity lining: A systematic review and network meta-analysis. J Dent 2015; 43:1298-307. [DOI: 10.1016/j.jdent.2015.07.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2015] [Revised: 06/26/2015] [Accepted: 07/01/2015] [Indexed: 11/16/2022] Open
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Schwendicke F, Göstemeyer G, Gluud C. Cavity lining after excavating caries lesions: meta-analysis and trial sequential analysis of randomized clinical trials. J Dent 2015; 43:1291-7. [PMID: 26265350 DOI: 10.1016/j.jdent.2015.07.017] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 07/03/2015] [Accepted: 07/30/2015] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES After removal of dentine caries lesions, cavity lining has been advocated. Non-clinical data support this approach, but clinical data are sparse and ambiguous. We aimed at evaluating the benefits and harms of cavity lining using meta-analysis and Trial Sequential Analysis. DATA We included randomized clinical trials comparing restorations without versus with cavity lining for treating primary caries lesions. Only trials reporting failure (defined as need to re-retreat) after ≥1 year follow-up were included. Trial selection, data extraction, and risk of bias assessment were conducted independently by two reviewers. We conducted random-effects intention-to-treat and per-protocol meta-analyses, and Trial Sequential Analysis to control for random errors. SOURCES Electronic databases (PubMed, Embase, CENTRAL) were systematically screened, and hand searches and cross-referencing performed. STUDY SELECTION From 128 studies, three randomized trials (89/130 patients or teeth), all treating primary teeth, were included. The trials had high risk of bias. All trials compared no lining versus calcium hydroxide lining after selective caries removal followed by adhesive restoration. Follow-up was 36 to 53 months. Restoring the cavity without lining did not significantly affect the risk of failure (intention-to-treat relative risk (RR) (95% confidence interval) 0.71 (0.49-1.04), per-protocol RR 0.52 (0.24-1.10). According to Trial Sequential Analysis, no firm evidence was reached. The quality of evidence was very low. CONCLUSIONS Strong recommendations for using cavity liners are unsubstantiated, but firm evidence for omitting lining is also unavailable. Our findings apply only to primary teeth and calcium hydroxide liner. CLINICAL SIGNIFICANCE Whilst lining is frequently performed in dental practice, very few randomized clinical trials investigated this issue. The three trials included in this review treated deciduous teeth and did not find lining with calcium hydroxide beneficial. Lining is not supported by sufficient clinical evidence.
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Affiliation(s)
- Falk Schwendicke
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Berlin, Germany.
| | - Gerd Göstemeyer
- Department of Operative and Preventive Dentistry, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Christian Gluud
- Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
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Solubility and pH of direct pulp capping materials: a comparative study. J Appl Biomater Funct Mater 2015; 13:e181-5. [PMID: 26045224 DOI: 10.5301/jabfm.5000230] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/06/2014] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND The objective of the present study was to compare solubility and pH of 6 direct pulp capping materials. METHODS Specimens of each material - i.e., Dycal, Calcicur, Calcimol LC, TheraCal LC, MTA Angelus and ProRoot MTA - were prepared and immersed in water. Solubility was determined after 24 hours and 2 months and analyzed statistically using a 1-way ANOVA and post hoc Tukey test. pH values were measured 3 and 24 hours after manipulation. RESULTS All direct pulp capping materials showed low solubility; the pH of tested materials ranged from 10 to 12 and showed a nonsignificant increase/reduction after 24 hours. CONCLUSIONS Within the limitations of this in vitro study, the direct pulp capping materials studied showed different solubility even if no changes were recorded over time. All of the materials showed a very alkaline pH.
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Lacerda-Santos R, de Meneses IHC, de Morais Sampaio GA, Pithon MM, Alves PM. Effect of degree of conversion on in vivo biocompatibility of flowable resin used for bioprotection of mini-implants. Angle Orthod 2015; 86:157-63. [DOI: 10.2319/112914-856.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
ABSTRACT
Objective:
To test the hypothesis that there is no difference between the biocompatibility and degree of monomer conversion of flowable resins used as bioprotective materials of orthodontic mini-implants.
Materials and Methods:
Forty-eight male Wistar rats were divided into four groups (n = 12). Group Control (polyethylene), Group Wave, Group Top Comfort, and Group Filtek. The animals were sacrificed after time intervals of 7, 15, and 30 days and tissues were analyzed under optical microscopy for inflammatory infiltrate, edema, necrosis, granulation tissue, multinucleated giant cells, and collagen formation. The degree of conversion was evaluated by the Fourier method. Biocompatibility and degree of conversion were evaluated by the Kruskal-Wallis and Dunn tests, and analysis of variance and the Tukey test, respectively (P < .05).
Results:
An intense inflammatory infiltrate was observed on the seventh day, with Groups Top Comfort and Filtek differing statistically from Group Control (P = .016). Edema, necrosis, granulation tissue, and giant cells showed greater expressiveness at 7 days, without statistical difference between them (P > .05). For the presence of collagen fibers, Group Top Comfort was shown to differ statistically from Group Control (P = .037) at 15 days and from Groups Filtek and Control (P = .008) at 30 days. Monomer conversion ranged from 62.3% in Group Top Comfort at 7 days to 79.1% in Group Filtek at 30 days.
Conclusions:
The hypothesis was rejected. The resin Top Comfort demonstrated lower tissue repair capacity with a lower number of collagen fibers compared with Filtek and Wave resins. The resin Top Comfort showed the lowest conversion values during the experiment.
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Affiliation(s)
- Rogério Lacerda-Santos
- Professor, Degree Program in Dentistry, Federal University of Campina Grande, Patos, Brazil
| | | | | | - Matheus Melo Pithon
- Professor, Degree Program in Dentistry, State University of Southwest Bahia, Jequié, Brazil
| | - Polliana Muniz Alves
- Professor, Graduate Program in Dentistry, State University of Paraíba, Campina Grande, Brazil
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Kim EC, Park H, Lee SI, Kim SY. Effect of the Acidic Dental Resin Monomer 10-methacryloyloxydecyl Dihydrogen Phosphate on Odontoblastic Differentiation of Human Dental Pulp Cells. Basic Clin Pharmacol Toxicol 2015; 117:340-9. [PMID: 25847254 DOI: 10.1111/bcpt.12404] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 03/24/2015] [Indexed: 12/22/2022]
Abstract
Although 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) is frequently used as an acidic resin monomer in dental adhesives, its effect on dental pulp cells (DPCs) has been rarely reported. The purpose of this study was to examine the effects of 10-MDP on the inflammatory response and odontoblastic differentiation of DPCs at minimally toxic concentrations. We found that 10-MDP caused the release of inflammatory cytokines including NO, PGE2, iNOS, COX-2, TNF-α, IL-1β, IL-6 and IL-8 in a concentration-dependent manner. In addition, 10-MDP reduced alkaline phosphatase activity, mineralization nodule formation and mRNA expression of odontoblastic differentiation markers such as dentin sialophosphoprotein, dentin matrix protein-1, osterix and Runx2 in a concentration-dependent manner with low toxicity. In addition, 10-MDP induced activation of nuclear factor-E2-related factor 2 (Nrf2) and its target gene, haeme oxygenase-1 (HO-1). We evaluated whether the effect of 10-MDP was related to the induction of HO-1 and found that treatment with a selective inhibitor of HO-1 reversed the production of 10-MDP-mediated pro-inflammatory cytokines and the inhibition of differentiation markers. Pre-treatment with either a GSH synthesis inhibitor or antioxidants blocked 10-MDP-induced mitogen-activated protein kinases (MAPKs), Nrf2 and NF-κB pathways. Taken together, the results of this study showed that minimally toxic concentrations of 10-MDP promoted an inflammatory response and suppressed odontoblastic differentiation of DPCs by activating Nrf2-mediated HO-1 induction through MAPK and NF-κB signalling.
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Affiliation(s)
- Eun-Cheol Kim
- Department of Oral and Maxillofacial Pathology & Research Center for Tooth and Periodontal Tissue Regeneration (MRC), School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Haejin Park
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea
| | - Sang-Im Lee
- Department of Dental Hygiene, School of Health Sciences, Dankook University, Cheonan, Republic of Korea
| | - Sun-Young Kim
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea
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Hamama H, Yiu C, Burrow M. Current update of chemomechanical caries removal methods. Aust Dent J 2014; 59:446-56; quiz 525. [PMID: 25131424 DOI: 10.1111/adj.12214] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2014] [Indexed: 11/27/2022]
Abstract
Chemomechanical caries removal is an excellent method for minimally invasive caries excavation, and the removal agents are either sodium hypochlorite (NaOCl)- or enzyme-based. The NaOCl-based agents include GK-101, GK-101E (Caridex) and Carisolv, and the enzyme-based agents include Papacarie and the experimental material, Biosolv. This review outlines the changes in chemomechanical caries removal methods and focuses on recently published laboratory and clinical studies. The historical development, mechanism of action, excavation time and biological effects on pulp and dental hard tissues are described. Based on existing evidence, the currently available chemomechanical caries removal methods are viable alternatives to conventional rotary instrument methods. Chemomechanical methods could be extremely useful in very anxious, disabled and paediatric patients. It does seem some of these agents would still benefit from quicker excavation times in order to achieve more universal acceptance. However, as a means of conserving the caries-affected dentine, chemomechanical caries removal is possibly much more successful than conventional rotary instrumentation.
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Affiliation(s)
- H Hamama
- Faculty of Dentistry, Prince Philip Dental Hospital, University of Hong Kong, Hong Kong SAR, China; Department of Conservative Dentistry, Faculty of Dentistry, Mansoura University, Egypt
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de Souza Costa CA, Hebling J, Scheffel DL, Soares DG, Basso FG, Ribeiro APD. Methods to evaluate and strategies to improve the biocompatibility of dental materials and operative techniques. Dent Mater 2014; 30:769-84. [DOI: 10.1016/j.dental.2014.04.010] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2013] [Revised: 02/05/2014] [Accepted: 04/25/2014] [Indexed: 01/09/2023]
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Winkler C, Schäfer L, Felthaus O, Allerdings J, Hahnel S, Behr M, Bürgers R. The bacterial adhesion on and the cytotoxicity of various dental cements used for implant-supported fixed restorations. Acta Odontol Scand 2014; 72:241-50. [PMID: 24074394 DOI: 10.3109/00016357.2013.828320] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
OBJECTIVE Bacterial adhesion on and cytotoxicity of eight luting agents used for implant-supported restorations were investigated. MATERIALS AND METHOD Surface roughness (Ra), surface free energy (SFE) values and three-dimensional images by atomic-force microscopy of circular specimens were determined. Bacterial suspensions of Streptococcus sanguinis and Streptococcus epidermidis were incubated at 37°C for 2 h. Adhering bacteria were examined with fluorescence dye CytoX-Violet, stained with 4',6-diamidino-2-phenylindole (DAPI) and visualized by fluorescence-microscopy. Cytotoxicity-testing was done with WST-1-tests (water soluble tetrazolium). No significant differences, neither with regard to Ra nor regarding SFE were determined. RESULTS Adherence of S. sanguinis was less on titanium, TempBondNE and TempBond. TempBond, TempBondNE, RelyX Unicem and Implantlink Semi Classic presented low amounts of S. epidermidis. WST-testing showed high cytotoxic potential of Harvard, Aqualox, TempBondNE and TempBond. No combination of low adherent bacteria with low cytotoxicity was found. CONCLUSION From a biological in-vitro perspective, none of the cements may be recommended for implant-supported restorations.
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Lacerda-Santos R, De Farias MISS, De Carvalho FG, Pithon MM, Alves PM, Tanaka OM, Guênes GMT. In vivobiocompatibility versus degree of conversion of resin-reinforced cements in different time periods. Microsc Res Tech 2014; 77:335-40. [DOI: 10.1002/jemt.22348] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2013] [Revised: 02/06/2014] [Accepted: 02/08/2014] [Indexed: 11/05/2022]
Affiliation(s)
- Rogério Lacerda-Santos
- Department of Orthodontics and Clinic; Federal University of Campina Grande; Paraíba, Brazil, Av. dos Universitários, s/n, Rodovia Patos/Teixeira, Km1 Santa Cecília CEP 58700-970
| | - Maria Isabel Serpa Simões De Farias
- Department of Orthodontics and Clinic; Federal University of Campina Grande; Paraíba, Brazil, Av. dos Universitários, s/n, Rodovia Patos/Teixeira, Km1 Santa Cecília CEP 58700-970
| | - Fabiola Galbiatti De Carvalho
- Department of Orthodontics and Clinic; Federal University of Campina Grande; Paraíba, Brazil, Av. dos Universitários, s/n, Rodovia Patos/Teixeira, Km1 Santa Cecília CEP 58700-970
| | - Matheus Melo Pithon
- Department of Orthodontics; State University of Sudoeste da Bahia, Bahia, Brazil; Rua José Moreira Sobrinho, s/n - Jequiezinho Jequié - BA CEP 45200-000
| | - Pollianna Muniz Alves
- Department of Patology; State University of Paraíba, Paraíba, Brazil, Rua Baraúnas; 351, Bodocongó Campina Grande - PB CEP 58429-500
| | - Orlando Motohiro Tanaka
- Department of Orthodontics; Pontifical Catholic University of Paraná, Paraná, Brazil, Rua Imaculada Conceição; 1155, Prado Velho Curitiba - PR CEP 81611-970
| | - Gymenna Maria Tenório Guênes
- Department of Orthodontics and Clinic; Federal University of Campina Grande; Paraíba, Brazil, Av. dos Universitários, s/n, Rodovia Patos/Teixeira, Km1 Santa Cecília CEP 58700-970
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Cho SG, Lee JW, Heo JS, Kim SY. Gene Expression Change in Human Dental Pulp Cells Exposed to a Low-Level Toxic Concentration of Triethylene Glycol Dimethacrylate: An RNA-seq Analysis. Basic Clin Pharmacol Toxicol 2014; 115:282-90. [DOI: 10.1111/bcpt.12197] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Accepted: 01/02/2014] [Indexed: 12/17/2022]
Affiliation(s)
- Sung-Geun Cho
- Department of Conservative Dentistry; School of Dentistry; Kyung Hee University; Seoul Korea
| | - Jin-Woo Lee
- Department of Conservative Dentistry; School of Dentistry; Kyung Hee University; Seoul Korea
| | - Jung Sun Heo
- Department of Maxillofacial Biomedical Engineering; School of Dentistry; Kyung Hee University; Seoul Korea
| | - Sun-Young Kim
- Department of Conservative Dentistry; School of Dentistry; Kyung Hee University; Seoul Korea
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Nosrat A, Peimani A, Asgary S. A preliminary report on histological outcome of pulpotomy with endodontic biomaterials vs calcium hydroxide. Restor Dent Endod 2013; 38:227-33. [PMID: 24303358 PMCID: PMC3843034 DOI: 10.5395/rde.2013.38.4.227] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Revised: 09/08/2013] [Accepted: 09/17/2013] [Indexed: 02/06/2023] Open
Abstract
Objectives The purpose of the study was to evaluate human dental pulp response to pulpotomy with calcium hydroxide (CH), mineral trioxide aggregate (MTA), and calcium enriched mixture (CEM) cement. Materials and Methods A total of nine erupted third molars were randomly assigned to each pulpotomy group. The same clinician performed full pulpotomies and coronal restorations. The patients were followed clinically for six months; the teeth were then extracted and prepared for histological assessments. The samples were blindly assessed by an independent observer for pulp vitality, pulp inflammation, and calcified bridge formation. Results All patients were free of clinical signs/symptoms of pulpal/periradicular diseases during the follow up period. In CH group, one tooth had necrotic radicular pulp; other two teeth in this group had vital uninflamed pulps with complete dentinal bridge formation. In CEM cement and MTA groups all teeth had vital uninflamed radicular pulps. A complete dentinal bridge was formed beneath CEM cement and MTA in all roots. Odontoblast-like cells were present beneath CEM cement and MTA in all samples. Conclusions This study revealed that CEM cement and MTA were reliable endodontic biomaterials in full pulpotomy treatment. In contrast, the human dental pulp response to CH might be unpredictable.
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Affiliation(s)
- Ali Nosrat
- Iranian Center for Endodontic Research, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Ma S, Imazato S, Takahashi Y, Kiba W, Takeda K, Izutani N, Kitagawa H, Chen J. Mechanism of detoxification of the cationic antibacterial monomer 12-methacryloyloxydodecylpyridiniumbromide (MDPB) by N-acetyl cysteine. Dent Mater 2013; 29:1219-27. [PMID: 24119918 DOI: 10.1016/j.dental.2013.09.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2013] [Revised: 06/21/2013] [Accepted: 09/16/2013] [Indexed: 12/15/2022]
Abstract
OBJECTIVES The protective effects of N-acetyl cysteine (NAC) against cytotoxicity induced by conventional dental resin monomers have been widely documented. However, its effectiveness to detoxify cationic antibacterial monomers has not yet been elucidated. The aim of the present study was to investigate the possible protective effects of NAC against the cytotoxicity of 12-methacryloyloxydodecylpyridiniumbromide (MDPB) and explore the role of adduct formation in NAC-directed detoxification. METHODS The influences of NAC on the cytotoxicity of MDPB were studied in mouse osteoblast-like MC3T3-E1 cells using the MTT assay. Ultra-performance liquid chromatography (UPLC) and liquid chromatography-mass spectrometry (LC-MS) analysis were performed to investigate the possible chemical reaction between NAC and MDPB. RESULTS While only slight reduction in the cytotoxicity of MDPB by NAC was observed immediately after mixing with MDPB, remarkable protection against MDPB-induced cell death was detected when the mixture was tested after 24h of pre-incubation. UPLC and LC-MS analysis revealed that chemical binding of MDPB and NAC occurred under neutral conditions after 24h of pre-incubation. SIGNIFICANCE Our findings suggest that NAC reduces the toxicity of the cationic antibacterial monomer MDPB, and adduct formation is partially responsible for the detoxification ability of NAC against MDPB-induced cell damage.
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Affiliation(s)
- Sai Ma
- Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an 710032, PR China
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Cintra LTA, Benetti F, da Silva Facundo AC, Ferreira LL, Gomes-Filho JE, Ervolino E, Rahal V, Briso ALF. The number of bleaching sessions influences pulp tissue damage in rat teeth. J Endod 2013; 39:1576-80. [PMID: 24238450 DOI: 10.1016/j.joen.2013.08.007] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2013] [Revised: 08/06/2013] [Accepted: 08/06/2013] [Indexed: 12/01/2022]
Abstract
INTRODUCTION Hydrogen peroxide tooth bleaching is claimed to cause alterations in dental tissue structures. This study investigated the influence of the number of bleaching sessions on pulp tissue in rats. METHODS Male Wistar rats were studied in 5 groups (groups 1S-5S) of 10 each, which differed by the number (1-5) of bleaching sessions. In each session, the animals were anesthetized, and 35% hydrogen peroxide gel was applied to 3 upper right molars. Two days after the experimental period, the animals were killed, and their jaws were processed for light microscope evaluation. Pulp tissue reactions were scored as follows: 1, no or few inflammatory cells and no reaction; 2, <25 cells and a mild reaction; 3, between 25 and 125 cells and a moderate reaction; and 4, 125 or more cells and a severe reaction. Results from each experimental group were compared between groups and within groups to the corresponding unbleached upper left molars and analyzed for significant differences using the Kruskal-Wallis test (P < .05). RESULTS All tissue sections showed significant bleaching-induced changes in the dental pulp. After 1 bleaching session, necrotic tissue in the pulp horns and underlying inflammatory changes were observed. The extent and intensity of these changes increased with the number of bleaching sessions. After 5 sessions, the changes included necrotic areas in the pulp tissue involving the second third of the radicular pulp and intense inflammation in the apical third. CONCLUSIONS The number of bleaching sessions directly influenced the extent of pulp damage.
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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: 1.2] [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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About I. Dentin-pulp regeneration: the primordial role of the microenvironment and its modification by traumatic injuries and bioactive materials. ACTA ACUST UNITED AC 2013. [DOI: 10.1111/etp.12038] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Krifka S, Spagnuolo G, Schmalz G, Schweikl H. A review of adaptive mechanisms in cell responses towards oxidative stress caused by dental resin monomers. Biomaterials 2013; 34:4555-63. [DOI: 10.1016/j.biomaterials.2013.03.019] [Citation(s) in RCA: 200] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Accepted: 03/09/2013] [Indexed: 12/28/2022]
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Asgary S, Ahmadyar M. Vital pulp therapy using calcium-enriched mixture: An evidence-based review. J Conserv Dent 2013; 16:92-8. [PMID: 23716958 PMCID: PMC3659871 DOI: 10.4103/0972-0707.108173] [Citation(s) in RCA: 62] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Revised: 05/16/2012] [Accepted: 06/01/2012] [Indexed: 11/09/2022] Open
Abstract
Worldwide, casecontrol studies have revealed that the treatment outcomes of root canal therapy (RCT) are generally favorable; however, the overall epidemiological success rate of RCT in the general population is relatively low. On the other hand, vitality of dental pulp is a key factor in the long-term prognosis of permanent teeth; in recent years, vital pulp therapy (VPT) has received significant consideration as it has been revealed that the inflamed pulp has the potential to heal. In this review article, the current best evidence with regard to VPT using calcium-enriched mixture (CEM) cement in human permanent/primary teeth is discussed. A strategy based on a search using keywords for CEM cement as well as VPT was applied.
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Affiliation(s)
- Saeed Asgary
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Ahmadyar
- Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Fuks AB, Guelmann M, Kupietzky A. Current developments in pulp therapy for primary teeth. ACTA ACUST UNITED AC 2012. [DOI: 10.1111/etp.12003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Elution of TEGDMA and HEMA from polymerized resin-based bonding systems. Dent Mater 2012; 28:1120-5. [DOI: 10.1016/j.dental.2012.06.010] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2012] [Revised: 05/29/2012] [Accepted: 06/25/2012] [Indexed: 12/13/2022]
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Kim RH, Williams DW, Bae S, Lee RS, Oh JE, Mehrazarin S, Kim T, Shin KH, Park NH, Kang MK. Camphorquinone inhibits odontogenic differentiation of dental pulp cells and triggers release of inflammatory cytokines. J Endod 2012; 39:57-61. [PMID: 23228258 DOI: 10.1016/j.joen.2012.09.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2012] [Revised: 09/01/2012] [Accepted: 09/10/2012] [Indexed: 12/26/2022]
Abstract
INTRODUCTION Camphorquinone (CQ) is a photoinitiator that triggers polymerization of light-curing materials such as dental adhesives and composites. CQ does not become a part of the polymer network, suggesting that CQ can be leached out into surrounding environment including dental pulp and exert adversary effects on tissues. In order to understand the mechanisms of CQ-induced side effects, we investigated the effect of CQ on cell viability, cytokine secretion, and odontogenic differentiation of dental pulp stem cells in vitro. METHODS Cell viability was assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay after CQ exposure. Western blotting was performed for p16(INK4A), p21(WAF1), and p53. Secretory cytokines were evaluated using the membrane-enzyme-linked immunosorbent assay as well as conventional and quantitative reverse-transcription polymerase chain reaction. The effects of CQ on odontogenic differentiation were evaluated using alkaline phosphatase and alizarin red S staining methods. RESULTS CQ treatment suppressed the proliferation of DPSCs and induced the expression of p16(INK4A), p21(WAF1), and p53. Levels of proinflammatory cytokines (eg, interleukin 6, interleukin 8, and matrix metalloproteinase-3 [MMP3]) were increased by CQ treatment. CQ also inhibited odontogenic differentiation and mineralization capacities of DPSC and MC3T3-E1 cells. CONCLUSIONS Our study showed that CQ may trigger pulpal inflammation by inducing proinflammatory cytokine production from the pulpal cells and may impair odontogenic differentiation of dental pulp cells, resulting in pulpal irritation and inflammation.
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Affiliation(s)
- Reuben H Kim
- UCLA School of Dentistry, Los Angeles, California, USA.
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Chang MC, Lin LD, Chuang FH, Chan CP, Wang TM, Lee JJ, Jeng PY, Tseng WY, Lin HJ, Jeng JH. Carboxylesterase expression in human dental pulp cells: role in regulation of BisGMA-induced prostanoid production and cytotoxicity. Acta Biomater 2012; 8:1380-7. [PMID: 21951919 DOI: 10.1016/j.actbio.2011.09.011] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2011] [Revised: 08/11/2011] [Accepted: 09/07/2011] [Indexed: 10/17/2022]
Abstract
Biocompatibility of dentin bonding agents (DBA) and composite resin may affect the treatment outcome (e.g., healthy pulp, pulpal inflammation, pulp necrosis) after operative restoration. Bisphenol-glycidyl methacrylate (BisGMA) is one of the major monomers present in DBA and resin. Prior studies focused on salivary esterase for metabolism and degradation of resin monomers clinically. This study found that human dental pulp cells expressed mainly carboxylesterase-2 (CES2) and smaller amounts of CES1A1 and CES3 isoforms. Exposure to BisGMA stimulated CES isoforms expression of pulp cells, and this event was inhibited by catalase. Exogenous addition of porcine esterase prevented BisGMA- and DBA-induced cytotoxicity. Interestingly, inhibition of CES by bis(p-nitrophenyl) phosphate (BNPP) and CES2 by loperamide enhanced the cytotoxicity of BisGMA and DBA. Addition of porcine esterase or N-acetyl-l-cysteine prevented BisGMA-induced prostaglandin E(2) (PGE(2)) and PGF(2α) production. In contrast, addition of BNPP and loperamide, but not mevastatin, enhanced BisGMA-induced PGE(2) and PGF(2α) production in dental pulp cells. These results suggest that BisGMA may induce the cytotoxicity and prostanoid production of pulp cells, leading to pulpal inflammation or necrosis via reactive oxygen species production. Expression of CES, especially CES2, in dental pulp cells can be an adaptive response to protect dental pulp against BisGMA-induced cytotoxicity and prostanoid release. Resin monomers are the main toxic components in DBA, and the ester group is crucial for monomer toxicity.
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LOUWAKUL P, LERTCHIRAKARN V. Incorporation of anti-inflammatory agent into calcium hydroxide pulp capping material: An in vitro study of physical and mechanical properties. Dent Mater J 2012; 31:32-9. [DOI: 10.4012/dmj.2011-072] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Costa CADS, Ribeiro APD, Giro EMA, Randall RC, Hebling J. Pulp response after application of two resin modified glass ionomer cements (RMGICs) in deep cavities of prepared human teeth. Dent Mater 2011; 27:e158-70. [DOI: 10.1016/j.dental.2011.04.002] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2010] [Revised: 11/23/2010] [Accepted: 04/04/2011] [Indexed: 11/17/2022]
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Effects of HEMA and TEDGMA on the in vitro odontogenic differentiation potential of human pulp stem/progenitor cells derived from deciduous teeth. Dent Mater 2011; 27:608-17. [DOI: 10.1016/j.dental.2011.03.002] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2010] [Revised: 12/19/2010] [Accepted: 03/10/2011] [Indexed: 12/22/2022]
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