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Sideri AI, Pappa EI, Skampardonis V, Barbagianni M, Georgiou SG, Psalla D, Marouda C, Prassinos NN, Galatos AD, Gouletsou PG. Prevention of Adhesions after Bone Fracture Using a Carboxymethylcellulose and Polyethylene Oxide Composite Gel in Dogs. Vet Sci 2024; 11:343. [PMID: 39195798 PMCID: PMC11360353 DOI: 10.3390/vetsci11080343] [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: 06/12/2024] [Revised: 07/08/2024] [Accepted: 07/26/2024] [Indexed: 08/29/2024] Open
Abstract
The formation of adhesions is a common complication following traumatic injuries and surgical procedures, often resulting in pain, stiffness, and loss of function. This study aimed to evaluate the feasibility and safety of using a composite material comprising of carboxymethylcellulose (CMC), polyethylene oxide (PEO), and calcium chloride, for preventing adhesions between muscle and bone during the healing stage, as well as its effect on the bone healing process. Ten healthy purpose-bred laboratory Beagle dogs were randomly subjected to two consecutive operations with a 6-month interval, alternating between left and right forelimbs. On the left forelimb an osteotomy at the ulna was performed, while on the right forelimb the same procedure was supplemented by the application of the anti-adhesion agent in the osteotomy site prior to closure. Clinical, diagnostic imaging, macroscopic, and histological evaluations were performed at various time points. The results showed no significant differences in surgical site perimeter (p = 0.558), lameness (p = 0.227), and radiographic bone healing (p = 0.379) between the two groups. However, the macroscopic (p = 0.006) and histological assessments revealed significantly lower adhesion scores (p = 0.0049) and better healing (p = 0.0102) in the group that received the anti-adhesion agent. These findings suggest that the CMC/PEO composite material is a safe and potentially effective intervention for preventing post-traumatic and post-surgical adhesions in canine patients without compromising bone healing. Further research is warranted to fully characterize the clinical benefits of this approach.
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Affiliation(s)
- Aikaterini I. Sideri
- Clinic of Surgery, School of Health Sciences, Faculty of Veterinary Science, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece; (A.I.S.); (E.I.P.); (M.B.); (S.G.G.); (A.D.G.)
| | - Elena I. Pappa
- Clinic of Surgery, School of Health Sciences, Faculty of Veterinary Science, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece; (A.I.S.); (E.I.P.); (M.B.); (S.G.G.); (A.D.G.)
| | - Vassilis Skampardonis
- Laboratory of Epidemiology, Biostatistics and Animal Health Economics, School of Health Sciences, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece;
| | - Mariana Barbagianni
- Clinic of Surgery, School of Health Sciences, Faculty of Veterinary Science, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece; (A.I.S.); (E.I.P.); (M.B.); (S.G.G.); (A.D.G.)
| | - Stefanos G. Georgiou
- Clinic of Surgery, School of Health Sciences, Faculty of Veterinary Science, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece; (A.I.S.); (E.I.P.); (M.B.); (S.G.G.); (A.D.G.)
| | - Dimitra Psalla
- School of Veterinary Medicine, Aristotle University of Thessaloniki, Stavrou Voutira 11, GR 54124 Thessaloniki, Greece; (D.P.); (C.M.); (N.N.P.)
| | - Christina Marouda
- School of Veterinary Medicine, Aristotle University of Thessaloniki, Stavrou Voutira 11, GR 54124 Thessaloniki, Greece; (D.P.); (C.M.); (N.N.P.)
| | - Nikitas N. Prassinos
- School of Veterinary Medicine, Aristotle University of Thessaloniki, Stavrou Voutira 11, GR 54124 Thessaloniki, Greece; (D.P.); (C.M.); (N.N.P.)
| | - Apostolos D. Galatos
- Clinic of Surgery, School of Health Sciences, Faculty of Veterinary Science, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece; (A.I.S.); (E.I.P.); (M.B.); (S.G.G.); (A.D.G.)
| | - Pagona G. Gouletsou
- Clinic of Obstetrics and Reproduction, Faculty of Veterinary Science, School of Health Sciences, University of Thessaly, Trikalon 224, GR 43100 Karditsa, Greece
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Silva ECA, Pradelli JA, da Silva GF, Cerri PS, Tanomaru-Filho M, Guerreiro-Tanomaru JM. Biocompatibility and bioactive potential of NeoPUTTY calcium silicate-based cement: An in vivo study in rats. Int Endod J 2024; 57:713-726. [PMID: 38467586 DOI: 10.1111/iej.14054] [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: 09/13/2023] [Revised: 01/12/2024] [Accepted: 02/19/2024] [Indexed: 03/13/2024]
Abstract
AIM To evaluate the inflammatory reaction and the ability to induce mineralization activity of a new repair material, NeoPUTTY (NPutty; NuSmile, USA), in comparison with Bio-C Repair (BC; Angelus, Brazil) and MTA Repair HP (MTA HP; Angelus, Brazil). METHODOLOGY Polyethylene tubes were filled with materials or kept empty (control group, CG) and implanted in subcutaneous tissue of rats for 7, 15, 30, and 60 days (n = 6/group). Capsule thickness, number of inflammatory cells (ICs), fibroblasts, collagen content, and von Kossa analysis were performed. Unstained sections were evaluated under polarized light and by immunohistochemistry for osteocalcin (OCN). Data were submitted to two-way anova followed by Tukey's test (p ≤ .05), except for OCN. OCN data were submitted to Kruskal-Wallis and Dunn and Friedman post hoc tests followed by the Nemenyi test at a significance level of 5%. RESULTS At 7, 15, and 30 days, thick capsules containing numerous ICs were seen around the materials. At 60 days, a moderate inflammatory reaction was observed for NPutty, BC while MTA HP presented thin capsules with moderate inflammatory cells. In all periods, NPutty specimens contained the highest values of ICs (p < .05). From 7 to 60 days, the number of ICs reduced significantly while an increase in the number of fibroblasts and birefringent collagen content was observed. At 7 and 15 days, no significant difference was observed in the immunoexpression of OCN (p > .05). At 30 and 60 days, NPutty showed the lowest values of OCN (p < .05). At 60 days, a similar immunoexpression was observed for BC and MTA HP (p > .05). In all time intervals, capsules around NPutty, BC, and MTA HP showed von Kossa-positive and birefringent structures. CONCLUSIONS Despite the greater inflammatory reaction promoted by NeoPutty than BC and MTA HP, the reduction in the thickness of capsules, the increase in the number of fibroblasts, and the reduction in the number of ICs indicate that this bioceramic material is biocompatible Furthermore, NeoPutty presents the ability to induce mineralization activity.
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Affiliation(s)
- Evelin Carine Alves Silva
- Department of Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, São Paulo, Brazil
| | - Jéssica Arielli Pradelli
- Department of Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, São Paulo, Brazil
| | | | - Paulo Sérgio Cerri
- Department of Morphology, School of Dentistry, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil
| | - Mario Tanomaru-Filho
- Department of Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, São Paulo, Brazil
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Bilge K, Ataş O, Yildiz Ş, Çalik I, Dündar S, Gezer Ataş A. Histological evaluation of tissue reaction and new bone formation of different calcium silicate-based cements in rats. Aust Dent J 2024; 69:18-28. [PMID: 37715562 DOI: 10.1111/adj.12980] [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] [Accepted: 08/31/2023] [Indexed: 09/17/2023]
Abstract
BACKGROUND The purpose of this study was to evaluate the local reactions and new bone formation of rat subcutaneous and bone tissue to different calcium silicate cements. METHODS In this study, 80 rats were divided into five groups as control, BIOfactor MTA (BIO), NeoMTA Plus (NEO), MTA Repair Hp (REP), Biodentine (DENT) and then into two subgroups according to sacrification times (7, 30 days; n = 8). Polyethylene tubes filled with appropriate materials (test groups); empty tubes (control group) were implanted into the dorsum of each rat subcutaneously. For intraosseous implantation, materials were placed in the cavities created in tibia of rats. Subcutaneous tissue and tibia samples were stained with haematoxylin-eosin and subjected to histopathological analysis. A score (0-3) was used to grade inflammatory reaction and new bone formation. Data were analysed by Kruskal-Wallis and Mann-Whitney U tests (P < 0.05). RESULTS Inflammatory reaction observed in subcutaneous and intraosseous tissues for 7 days decreased significantly in all groups over time (P < 0.05). It was determined that there was significant increase in new bone formation in REP, BIO, DENT groups over time (P < 0.05). CONCLUSION Four contemporary bioceramic materials induced local inflammation and tissues changes shortly after subcutaneous implantation, which were reduced over time. In ıntraosseous implantation, all materials induced new bone formation over time. REGISTRATION NUMBER ADJ-03-23-0134. © 2023 Australian Dental Association.
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Affiliation(s)
- K Bilge
- Department of Restorative Dentistry, Faculty of Dentistry Firat University, Elazıg, Turkey
| | - O Ataş
- Department of Pediatric Dentistry, Faculty of Dentistry Firat University, Elazıg, Turkey
| | - Ş Yildiz
- Department of Pediatric Dentistry, Faculty of Dentistry Firat University, Elazıg, Turkey
| | - I Çalik
- Department of Pathology, Faculty of Medicine, Firat University, Elazıg, Turkey
| | - S Dündar
- Department of Periodontology, Faculty of Dentistry, Firat University, Elazig, Turkey
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Kim K, Lee D, Kim HY, Kim S, Lyu JH, Park S, Park YC, Kim H. Anti-Inflammatory Effects of Spirodela polyrhiza (L.) S CHLEID. Extract on Contact Dermatitis in Mice-Its Active Compounds and Molecular Targets. Int J Mol Sci 2023; 24:13271. [PMID: 37686078 PMCID: PMC10488168 DOI: 10.3390/ijms241713271] [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: 06/28/2023] [Revised: 08/22/2023] [Accepted: 08/24/2023] [Indexed: 09/10/2023] Open
Abstract
Spirodela polyrhiza (L.) SCHLEID. has been used to treat epidemic fever, dysuria, and various skin ailments, such as measles eruptions, eczema, and pruritus, in China, Japan, and Korea. In this study, the active compounds in S. polyrhiza and their target genes were identified by network-based analysis. Moreover, the study evaluated the effects of a 70% ethanolic extract of S. polyrhiza (EESP) on skin lesions, histopathological changes, inflammatory cytokines, and chemokines in mice with contact dermatitis (CD) induced by 1-fluoro-2,4-dinitrobenzene (DNFB), and examined the inhibitory effects of EESP on mitogen-activated protein kinase (MAPK) signalling pathways. In our results, 14 active compounds and 29 CD-related target genes were identified. Among them, tumour necrosis factor (TNF) and interleukin 6 (IL-6) were identified as hub genes, and luteolin and apigenin showed a strong binding affinity with TNF (<-8 kcal/mol) and IL-6 (<-6 kcal/mol). Our in vivo studies showed that topical EESP ameliorated DNFB-induced skin lesions and histopathological abnormalities, and reduced the levels of TNF-α, interferon (IFN)-ɣ, IL-6, and monocyte chemotactic protein (MCP)-1 in inflamed tissues. In conclusion, our findings suggest the potential for dermatological applications of S. polyrhiza and suggest that its anti-dermatitis action is related to the inhibition of TNF and IL-6 by luteolin and luteolin glycosides.
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Affiliation(s)
- Kukhwa Kim
- Department of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital, Yangsan 50612, Republic of Korea;
| | - Daniel Lee
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea; (D.L.); (H.-Y.K.)
| | - Han-Young Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea; (D.L.); (H.-Y.K.)
| | - Soyeon Kim
- Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea; (S.K.); (S.P.)
| | - Ji-Hyo Lyu
- Herbal Medicine Resources Research Center, Korea Institute of Oriental Medicine, Naju 58245, Republic of Korea;
| | - Sujung Park
- Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea; (S.K.); (S.P.)
| | - Young-Chul Park
- Department of Microbiology & Immunology, School of Medicine, Pusan National University, Yangsan 50612, Republic of Korea;
| | - Hyungwoo Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea; (D.L.); (H.-Y.K.)
- Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea; (S.K.); (S.P.)
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Patel M, Patel H, Kesharani P, Jani K, Shah K, Kapadia U. Evaluation of Sealing Ability of MTA Flow, Biodentine and Pro-Root MTA to Seal the Furcal Perforation with and without Internal Matrix- An In vitro Study. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2023; 15:S1192-S1194. [PMID: 37694009 PMCID: PMC10485456 DOI: 10.4103/jpbs.jpbs_165_23] [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: 02/19/2023] [Revised: 02/22/2023] [Accepted: 02/24/2023] [Indexed: 09/12/2023] Open
Abstract
Introduction Endodontic mistakes, also known as procedural accidents, are those bad events that occur during treatment, some of which are attributable to a lack of attention to detail and others of which are completely unforeseeable. The second most frequent reason for root canal failure is perforation. Aims and Objective The current in vitro study's objective was to assess the furcal perforation's potential to be sealed with and without internal matrix by MTA flow, Biodentine, and pro-root MTA. Materials and Methods 60 samples were allocated into six groups at random (10 each). In intact permanent mandibular first and second teeth, furcal perforation sites were made and sealed with various materials. Following perforation sealing, the specimens' capacity for sealing was evaluated using the dye penetration method. Result The current study's findings indicated that Group 2 has the least amount of microleakage and Group 5 has the most. Conclusion Biodentine has excellent sealing capabilities and can be utilised to heal furcation perforations with or without internal matrix.
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Affiliation(s)
- Mahendra Patel
- Conservative Conservative Dentistry and Endodontics, Private Practitioner, Ahmedabad, Gujarat, India
| | - Hardik Patel
- Department of Conservative Dentistry and Endodontics, Private Practitioner, Ahmedabad, Gujarat, India
| | - Pooja Kesharani
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences and Research Centre, Ahmedabad, Gujarat, India
| | - Karna Jani
- Department of Conservative Dentistry and Endodontics, Narshinbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujarat, India
| | - Khyati Shah
- Department of Conservative Dentistry and Endodontics, Private Practitioner, Ahmedabad, Gujarat, India
| | - Utsavi Kapadia
- Management Analyst III, Mount Sinai Hospital, New York, United State of America
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Dahake PT, Joshi SS, Kale YJ, Dadpe MV, Kendre SB. Biocompatibility of Ajwain Oil Combined with Eugenol and Zinc Oxide as a Deciduous Root Canal Obturating Material: An In Vivo Study. Int J Clin Pediatr Dent 2023; 16:431-436. [PMID: 37496932 PMCID: PMC10367296 DOI: 10.5005/jp-journals-10005-2531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2023] Open
Abstract
Aim and objectives The present study was intended to assess the biocompatibility of newly formulated materials such as zinc oxide (ZO) admixed with ajwain oil (A) as well as ajwain eugenol (E) (1:1 ratio) against ZOE through an animal model as root canal obturating materials in deciduous teeth. Materials and methods The study involved randomly selected 24 albino rats, which were divided into three groups based on test materials. Two polyethylene tubes (PETT) (8 mm long × 1 mm internal diameter) were inserted into connective tissues of the dorsal side on either side of each rat viz empty tube (negative control) and another containing test material (test group). Animals were sacrificed at the end of the 7th and 21st days. PETT with surrounding connective tissues were excised. Histopathological evaluations of the material's biocompatibility were done by determining inflammatory tissue responses. Non-parametric tests such as Kruskal-Wallis and Mann-Whitney U were used for statistical analysis (p < 0.05). Results Histopathological examination on the 7th day showed increased polymorphonuclear cells for all test materials compared to the negative control (p = 0.92), suggesting acute inflammation. The inflammation subsided gradually after 21 days (p = 0.48). The lymphocytes increased after 21 days for all the materials indicating chronic inflammation (p = 0.79), as well as fibroblasts (p = 0.34) and capillaries (p = 0.35), indicating healing and repair. Conclusion The newly formulated obturating materials were found to be biocompatible compared to ZOE. How to cite this article Dahake PT, Joshi SS, Kale YJ, et al. Biocompatibility of Ajwain Oil Combined with Eugenol and Zinc Oxide as a Deciduous Root Canal Obturating Material: An In Vivo Study. Int J Clin Pediatr Dent 2023;16(3):431-436.
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Affiliation(s)
- Prasanna T Dahake
- Department of Paediatric and Preventive Dentistry, Maharashtra Institute of Dental Sciences & Research (Dental College & Hospital), Latur, Maharashtra, India
| | - Sphurti S Joshi
- Department of Paediatric and Preventive Dentistry, Maharashtra Institute of Dental Sciences & Research (Dental College & Hospital), Latur, Maharashtra, India
| | - Yogesh J Kale
- Department of Paediatric and Preventive Dentistry, Maharashtra Institute of Dental Sciences & Research (Dental College & Hospital), Latur, Maharashtra, India
| | - Mahesh V Dadpe
- Department of Paediatric and Preventive Dentistry, Maharashtra Institute of Dental Sciences & Research (Dental College & Hospital), Latur, Maharashtra, India
| | - Shrikant B Kendre
- Department of Paediatric and Preventive Dentistry, Maharashtra Institute of Dental Sciences & Research (Dental College & Hospital), Latur, Maharashtra, India
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Alhindi OH, Atmeh AR, Alhawaj H, Omar O. Inflammatory response to epoxy resin and calcium silicate sealers preheated with different temperatures: an in vivo study. Clin Oral Investig 2023; 27:2235-2243. [PMID: 36977762 DOI: 10.1007/s00784-023-04960-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 03/17/2023] [Indexed: 03/29/2023]
Abstract
OBJECTIVE To determine the impact of heat exposure of different sealers on inflammatory cytokine secretions and tissue response in vivo. MATERIALS AND METHODS Silicone tubes were prefilled with epoxy resin (ER) or calcium silicate (CS) sealers, preheated at 37, 60, or 120 °C, and implanted in rat subcutaneous site. Peri-implant exudate and tissue were analyzed after 1 and 4 weeks for cytokine secretions and tissue organization. RESULTS At 1 week, 120 °C-preheated CS and ER induced higher secretions of tumor necrosis factor alpha (TNF-α) and interleukin 6 (IL-6), respectively, as compared to sham/empty tube groups. At 4 weeks, whereas TNF-α secretion was reduced in CS, it increased in ER group, particularly for 120 °C. Both sealers revealed high IL-6 after 4 weeks as compared to sham/empty tube, and generally, higher IL-6 secretions were associated with ER. Histology at 1 week revealed lower degree of inflammatory infiltrate in the groups of the highest preheating temperature (120 °C). Nonetheless, at 4 weeks, whereas fibrous capsule area and inflammatory infiltrate remained low in the CS120 group, they were high in ER120. CONCLUSION Preheating ER sealer to 120 °C induced high and prolonged secretion of proinflammatory cytokines (TNF-α and IL-6), whereas this effect was transient for the CS sealer. This was associated with increased fibrous capsule and inflammatory infiltrate in response to 120 °C-preheated ER. CLINICAL RELEVANCE Heat-induced changes in sealer properties alter the inflammatory response in vivo, which may affect the clinical outcome. This will not only help appropriate selection of obturation technique for different sealers, but also for optimizing the properties of new generation of sealers.
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Kim S, Lyu JH, Yang B, Kim S, Kim JH, Kim H, Cho S. The Related Mechanisms Predicted through Network-Based Pharmacological Analysis and the Anti-Inflammatory Effects of Fraxinus rhynchophylla Hance Bark on Contact Dermatitis in Mice. Int J Mol Sci 2023; 24:ijms24076091. [PMID: 37047066 PMCID: PMC10094049 DOI: 10.3390/ijms24076091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 03/21/2023] [Accepted: 03/22/2023] [Indexed: 04/14/2023] Open
Abstract
Fraxinus rhynchophylla Hance bark has been used to treat patients with inflammatory or purulent skin diseases in China, Japan, and Korea. This study was undertaken to determine the mechanism responsible for the effects of F. rhynchophylla and whether it has a therapeutic effect in mice with contact dermatitis (CD). In this study, the active compounds in F. rhynchophylla, their targets, and target gene information for inflammatory dermatosis were investigated using network-based pharmacological analysis. Docking analysis was conducted using AutoDock Vina. In addition, the therapeutic effect of an ethanolic extract of F. rhynchophylla (EEFR) on skin lesions and its inhibitory effects on histopathological abnormalities, inflammatory cytokines, and chemokines were evaluated. Finally, its inhibitory effects on the nuclear factor-kappa B (NF-κB) and mitogen-activated protein kinase (MAPK) signalling pathways were observed in RAW 264.7 cells. In our results, seven active compounds were identified in F. rhynchophylla, and six were associated with seven genes associated with inflammatory dermatosis and exhibited a strong binding affinity (<-6 kcal/mol) to prostaglandin G/H synthase 2 (PTGS2). In a murine 1-fluoro-2,4-dinitrobenzene (DNFB) model, topical EEFR ameliorated the surface symptoms of CD and histopathological abnormalities. EEFR also reduced the levels of tumour necrosis factor (TNF)-α, interferon (IFN)-γ, interleukin (IL)-6, and monocyte chemotactic protein (MCP)-1 in inflamed tissues and inhibited PTGS2, the nuclear translocation of NF-κB (p65), and the activation of c-Jun N-terminal kinases (JNK) in RAW 264.7 cells. In conclusion, the bark of F. rhynchophylla has potential use as a therapeutic or cosmetic agent, and the mechanism responsible for its effects involves the suppression of inflammatory mediators, nuclear factor of kappa light polypeptide gene enhancer in B-cells inhibitor (IκB)-α degradation, the nuclear translocation of NF-κB, and JNK phosphorylation.
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Affiliation(s)
- Sura Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
- Department of Microbiology, Medicine School of Jeonbuk National University, Jeonju 54907, Jeonbuk, Republic of Korea
| | - Ji-Hyo Lyu
- Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
- Herbal Medicine Resources Research Center, Korea Institute of Oriental Medicine, Naju 58245, Jeonnam, Republic of Korea
| | - Beodeul Yang
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
| | - Soyeon Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
| | - Jung-Hoon Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
| | - Hyungwoo Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
- Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
| | - Suin Cho
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan 50612, Gyeongnam, Republic of Korea
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Queiroz MB, Inada RNH, Jampani JLDA, Guerreiro-Tanomaru JM, Sasso-Cerri E, Tanomaru-Filho M, Cerri PS. Biocompatibility and bioactive potential of an experimental tricalcium silicate-based cement in comparison with Bio-C repair and MTA Repair HP materials. Int Endod J 2023; 56:259-277. [PMID: 36314136 DOI: 10.1111/iej.13863] [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: 11/23/2021] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 11/05/2022]
Abstract
AIM To evaluate the tissue reaction of a tricalcium silicate-based repair material associated with 30% calcium tungstate (TCS + CaWO4 ) in comparison to Bio-C Repair (Bio-C; Angelus) and to MTA Repair HP (MTA HP; Angelus). METHODOLOGY Polyethylene tubes filled with one of the materials or left empty (control group, CG) were implanted into the subcutaneous tissues of rats for 7, 15, 30 and 60 days (n = 32/group). The capsule thickness, number of inflammatory cells, collagen content, interleukin-6 (IL-6), osteocalcin (OCN), von Kossa reaction and analysis under polarized light were evaluated. The data were subjected to generalized linear models for repeated measures, except the OCN. OCN data were submitted to Kruskal-Wallis and Dunn's post hoc test and Friedman followed by Nemenyi's test at significance level of 5%. RESULTS At all time points, significant differences in the number of inflammatory cells were not observed between TCS + CaWO4 and Bio-C, whereas, at 15, 30 and 60 days, no significant difference was detected between TCS + CaWO4 and MTA HP. At all periods, significant differences were not detected in the number of fibroblasts in TCS + CaWO4 versus MTA HP, and, at 60 days, no significant difference was demonstrated between these groups and CG. Significant differences in the immunoexpression of IL-6 were not detected amongst bioceramic materials at all periods. From 7 to 60 days, significant reduction in the number of inflammatory cells, number of IL-6-immunopositive cells and in the capsule thickness was accompanied by significant increase in the collagen in all groups. OCN-immunolabelled cells, von Kossa-positive structures and amorphous calcite deposits were observed around all materials, whereas, in the CG, these structures were not seen. CONCLUSIONS These findings indicate that the experimental material (TCS + CaWO4 ) is biocompatible and has a bioactive potential, similar to the MTA HP and Bio-C Repair, and suggest its use as a root repair material.
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Affiliation(s)
| | - Rafaela N H Inada
- Department of Restorative Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - José Leandro de Abreu Jampani
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | | | - Estela Sasso-Cerri
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Mário Tanomaru-Filho
- Department of Restorative Dentistry, São Paulo State University (UNESP), Araraquara, Brazil
| | - Paulo Sérgio Cerri
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
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Queiroz MB, Inada RNH, Lopes CS, Guerreiro-Tanomaru JM, Sasso-Cerri E, Tanomaru-Filho M, Cerri PS. Bioactive potential of Bio-C Pulpo is evidenced by presence of birefringent calcite and osteocalcin immunoexpression in the rat subcutaneous tissue. J Biomed Mater Res B Appl Biomater 2022; 110:2369-2380. [PMID: 35583398 DOI: 10.1002/jbm.b.35083] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 04/27/2022] [Accepted: 05/02/2022] [Indexed: 11/11/2022]
Abstract
As the biocompatibility and bioactive potential of repair materials are desired characteristics in dentistry, the tissue response of Bio-C Pulpo, a bioceramic material launched on the marked by Angelus (Brazil), was compared with Biodentine (Septodont, France) and White MTA (WMTA; Angelus, Brazil). In 32 rats, 148 polyethylene tubes filled with Bio-C Pulpo, Biodentine or WMTA, and empty (CG, control group) were implanted into subcutaneous tissues for 7, 15, 30, and 60 days. The capsule thickness, numerical density of inflammatory cells (IC) and fibroblasts (Fb), amount of collagen, immunohistochemistry detection of interleukin-6 (IL-6) and osteocalcin (OCN), von Kossa and analysis under polarized light were performed. Data were subjected to two-way ANOVA followed by Tukey's test (p ≤ 0.05). At 7 and 15 days, the capsules around Bio-C Pulpo were thicker than in WMTA while, at 30 and 60 days, significant differences were not observed among the groups. Although at 7, 15, and 30 days, a greater number of IL-6-immunostained cells was found in Bio-C Pulpo and Biodentine than in WMTA, no significant difference was detected among the groups at 60 days. In all groups, the number of Fb and collagen content increased significantly over time. The capsules around materials exhibited von Kossa-positive and birefringent structures, and OCN-immunostained cells whereas, in the CG, these structures were not observed. Bio-C Pulpo, similarly to Biodentine and WMTA, is biocompatible, allows the connective tissue repair and presents bioactive potential in connective tissue of rats.
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Affiliation(s)
- Marcela Borsatto Queiroz
- Department of Restorative Dentistry, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Odontologia Campus de Araraquara, Araraquara, Brazil.,Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Rafaela Nanami Handa Inada
- Department of Restorative Dentistry, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Odontologia Campus de Araraquara, Araraquara, Brazil.,Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Camila Soares Lopes
- Department of Restorative Dentistry, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Odontologia Campus de Araraquara, Araraquara, Brazil.,Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Juliane Maria Guerreiro-Tanomaru
- Department of Restorative Dentistry, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Odontologia Campus de Araraquara, Araraquara, Brazil
| | - Estela Sasso-Cerri
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
| | - Mário Tanomaru-Filho
- Department of Restorative Dentistry, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Odontologia Campus de Araraquara, Araraquara, Brazil
| | - Paulo Sérgio Cerri
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, Brazil
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Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model. MATERIALS 2022; 15:ma15051962. [PMID: 35269193 PMCID: PMC8911908 DOI: 10.3390/ma15051962] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 02/18/2022] [Accepted: 02/28/2022] [Indexed: 12/16/2022]
Abstract
(1) Background: The EndoSequence BC Sealer HiFlow (Brasseler, Savannah, GA, USA) has recently been introduced in clinical applications. Thus, the aims of the present study are to determine its biocompatibility in vivo and to examine its ability to drive macrophage polarization in vitro and in vivo. (2) Methods: HiFlow was implanted into rat connective tissue for 7, 30 and 150 days. The microstructures and elemental compositions were determined by scanning electron microscopy-energy-dispersive X-ray spectroscopy (SEM-EDX). Hematoxylin–eosin, immunofluorescence, RT–qPCR and flow cytometry were used to elucidate the effects on inflammatory responses and macrophage polarization. (3) Results: SEM-EDX revealed the formation of surface hydroxyapatite crystal layers. Histological evaluation showed that HiFlow exhibited long-term biocompatibility because it decreased inflammatory responses and reduced the number of macrophages over time; however, tissue necrosis was observed in all the groups. RT–qPCR verified that HiFlow regulated the expression of inflammatory factors to inhibit the inflammatory response. Immunofluorescence analysis performed on in vivo samples revealed that HiFlow promoted M2-like macrophage polarization, and these results were confirmed by flow cytometry in vitro. (4) Conclusion: After 150 days of investigation, HiFlow was considered biologically acceptable, and the formation of apatite crystal layers and the promotion of M2-like macrophage polarization may contribute to its favorable biocompatibility.
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Comparison of Rat Connective Tissue Response to BioMTA, Angelus MTA, and Root MTA. Int J Biomater 2021; 2021:7415302. [PMID: 34512762 PMCID: PMC8424238 DOI: 10.1155/2021/7415302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 07/30/2021] [Accepted: 08/17/2021] [Indexed: 11/17/2022] Open
Abstract
Due to the widespread use of MTA in dentistry and various brands of this product, we decided to compare the three brands available in the country market by their biocompatibility. We divided 20 male Wistar rats into four groups. After local anesthesia and washing, we made two incisions on both sides (4 incisions in total). The experimental groups were Angelus MTA (Angelus, Brazil), BioMTA (CERKAMED, Poland), Root MTA (Dr. Lotfi, Tabriz, Iran), and the control group. The resulting paste was placed in a tube and implanted subcutaneously into male Wistar rats. Wistar rats were sacrificed 7, 15, 30, and 60 days later, with high anesthetic doses. The sample implanted in 10% formalin was stabilized after tissue processing and H&E staining under a microscope. The inflammatory reaction in the tissues received different scores at the beginning of the tube opening. BioMTA had the highest inflammatory response among the groups, but the difference was not statistically significant (p > 0.05). Also, there was no significant difference between the groups' granulation and calcification (p < 0.05). There was a significant difference between BioMTA, Angelus MTA, Root MTA, and control groups in fibrous capsule formation (p < 0.05). Angelus MTA showed the lowest mean fibrous capsule formation in all periods. The effects of Angelus MTA, Root MTA, and BioMTA on connective tissue were investigated and compared. According to this study, these materials have good biocompatibility. According to the findings and statistical analysis, Angelus MTA has the most biocompatibility.
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Bakir EP, Yildirim ZS, Bakir Ş, Ketani A. Are resin-containing pulp capping materials as reliable as traditional ones in terms of local and systemic biological effects? Dent Mater J 2021; 41:78-86. [PMID: 34483201 DOI: 10.4012/dmj.2021-065] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The aim of this study was to compare the local and systemic effects of current pulp capping materials containing resin with those of traditional materials in an animal study. A total of 48 rats were used: a control group (n=12) (sub-control and negative control), a resin-containing group (n=18) (Calcimol LC, Theracal LC, Activa-BioActive Base/Liner), and a traditional group (n=18) (Biodentine, ProRoot MTA, Dycal). The materials which had been placed in polyethylene tubes were implanted in subcutaneous pockets. The rats were sacrificed at 1, 2, or 4 weeks. Evaluations were made of subcutaneous connective tissue, the left kidney, liver, and blood samples. Of all the study groups, MTA demonstrated biocompatibility at a level close to that of the control groups. Inflammation was observed to be more severe in resin-containing materials, but Activa Base/Liner showed a more successful local and systemic tissue response.
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Affiliation(s)
- Elif Pinar Bakir
- Dicle University, Faculty of Dentistry, Restorative Dentistry Department
| | | | - Şeyhmus Bakir
- Dicle University, Faculty of Dentistry, Restorative Dentistry Department
| | - Aydin Ketani
- Dicle University, Faculty of Veterinary Medicine, Histology and Embryology Department
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Delfino MM, de Abreu Jampani JL, Lopes CS, Guerreiro-Tanomaru JM, Tanomaru-Filho M, Sasso-Cerri E, Cerri PS. Comparison of Bio-C Pulpo and MTA Repair HP with White MTA: effect on liver parameters and evaluation of biocompatibility and bioactivity in rats. Int Endod J 2021; 54:1597-1613. [PMID: 33999424 DOI: 10.1111/iej.13567] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 05/10/2021] [Accepted: 05/11/2021] [Indexed: 12/31/2022]
Abstract
AIM To evaluate the tissue response promoted by Bio-C Pulpo (Bio), MTA Repair HP (MTA-HP) and White MTA (WMTA) and whether these materials cause liver changes in a rat experimental model. METHODOLOGY Polyethylene tubes filled with Bio, MTA-HP and WMTA, and empty tubes (control group, CG) were implanted into the subcutaneous tissues of rats for 7, 15, 30 and 60 days. Inflammatory reaction score (IRS), capsule thickness, number of inflammatory cells (IC), von Kossa reaction, interleukin-6 (IL-6) and alkaline phosphatase (ALP) immunohistochemistry reactions were performed. Combined methods, von Kossa followed by immunohistochemistry for detection of ALP, were performed. At 60 days, the serum glutamic-oxaloacetic transaminase (GOT) and glutamic-pyruvic transaminase (GPT) levels were measured and liver fragments were collected for histological analysis; the data were assessed by one-way ANOVA analysis followed by Sidak's post-test. The biocompatibility and bioactivity data were subjected to the two-way ANOVA analysis followed by Tukey post hoc test, except the IRS. The IRS data were subjected to the Kruskal-Wallis ANOVA non-parametric test followed by Dunn's test (p ≤ .05). RESULTS No significant difference was detected in serum GOT and GPT concentrations and in the number of hepatocytes among the experimental and CG samples. Although Bio-C Pulpo had the highest IC and IL-6-immunolabelled cells (p < 0.0001) at all periods, no significant difference was observed in the IRS among the materials, except at 60 days. In this period, the WMTA had lower IRS. All groups had a significant reduction in the capsule thickness and in the number of IC and IL-6-immunolabelled cells over time. Bio-C Pulpo, MTA-HP and WMTA specimens had greater immunoexpression of ALP than CG (p < .0001). At all periods, von Kossa-positive and birefringent structures were observed in the capsules around the materials. ALP-immunolabelled cells were also seen near von Kossa-positive structures. CONCLUSIONS Bio-C Pulpo, MTA-HP and WMTA materials did not cause morphological changes in the liver and no significant alteration in the serum GOT and GPT levels. Moreover, these bioceramic materials were biocompatible and exhibited bioactive potential. However, Bio-C Pulpo induced greater inflammatory infiltrate than MTA-HP and WMTA at all periods.
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Affiliation(s)
- Mateus Machado Delfino
- Department of Restorative Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - José Leandro de Abreu Jampani
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Camila Soares Lopes
- Department of Restorative Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | | | - Mário Tanomaru-Filho
- Department of Restorative Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Estela Sasso-Cerri
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Paulo S Cerri
- Laboratory of Histology and Embryology, Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
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Mena-Álvarez J, Rico-Romano C, Gutiérrez-Ortega C, Arias-Sanz P, Castro-Urda J. A Comparative Study of Biocompatibility in Rat Connective Tissue of a New Mineral Trioxide Compound (Theracal) versus MTA and a Bioactive G3 Glass. J Clin Med 2021; 10:jcm10122536. [PMID: 34201005 PMCID: PMC8226538 DOI: 10.3390/jcm10122536] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 05/25/2021] [Accepted: 06/03/2021] [Indexed: 11/20/2022] Open
Abstract
The aim of this paper was to assess the differences in tissue response to implantation during 15, 30 and 45 days in the subcutaneous connective tissue of Wistar rats from three biomaterials: Angelus MTA®, Theracal LC®, and Angelus MTA® to which 25% bioglass G3 was added. Twenty-four Wistar rats were used, the materials were inserted into the rat’s dorsal area in silicone tubes 5 mm long by 1.5 mm diameter. Histological reaction was assessed at 15, 30, and 45 days after implantation. They were then stained with hematoxylin eosin and evaluated by two observers. Data were analyzed using Fisher’s exact test and Mann–Whitney’s U test was used to determine the association between variables. Angelus MTA induced the formation of dystrophic calcifications twice as much as Theracal LC (p < 0.05). The addition of G3 did not affect the greater or lesser occurrence of calcifications (p > 0.05). Theracal LC and MTA plus G3 caused an inflammatory reaction, which was chronic at 15 days and decreased in intensity, almost disappearing after 45 days. Theracal LC, as well as Angelus MTA plus G3, were well tolerated when implanted in the subcutaneous connective tissue of rat. Histologically, no inconvenience was found for the use by direct contact of Theracal LC, and the mixture of MTA with 25% bioactive glass G3, in the tissue of Wistar rats.
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Affiliation(s)
- Jesús Mena-Álvarez
- Department of Endodontics, Faculty of Dentistry, Alfonso X El Sabio University, 28691 Madrid, Spain;
- Correspondence: or
| | - Cristina Rico-Romano
- Department of Endodontics, Faculty of Dentistry, Alfonso X El Sabio University, 28691 Madrid, Spain;
| | | | - Pablo Arias-Sanz
- Veterinary Service, Central Defense Hospital “Gomez Ulla”, 28047 Madrid, Spain;
| | - Javier Castro-Urda
- Department of Veterinary, Faculty of Veterinary, Alfonso X El Sabio University, 28691 Madrid, Spain;
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Bortoluzzi EA, da Silveira Teixeira C, Broon NJ, Consolaro A, Pinheiro TN, da Fonseca Roberti Garcia L, Pashley DH, Bramante CM. Tissue response to white mineral aggregate-based cement containing barium sulfate as alternative radiopacifier: A randomized controlled animal study. Microsc Res Tech 2021; 84:705-711. [PMID: 33089621 DOI: 10.1002/jemt.23629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 10/05/2020] [Accepted: 10/10/2020] [Indexed: 11/07/2022]
Abstract
The purpose of this study was to investigate the tissue reaction stimulated by BaSO4 - and Bi2 O3 -containing White MTA Angelus, in comparison with Bi2 O3 -containing white Portland cement, and white ProRoot MTA. Thirty-six adult male Wistar rats (Rattus norvegicus), weighing between 250 and 300 g, were distributed into three groups (n = 12) in accordance with the period of sacrifice (15, 30, and 60 days). Four polyethylene tubes filled with the tested cements were implanted into the dorsum of each rat. Lateral wall of the tubes served as the negative control. After the experimental periods, the animals were euthanized by overdose of pentobarbital anesthetic solution, and the specimens were prepared for microscopic analysis under ×50, ×100, and ×400 magnifications. Inflammatory scores (0-3) were used to grade the tissue reaction. Data were analyzed by the Kruskal-Wallis test and Dunn's test for individual comparisons (p < .05). A mild to moderate inflammatory tissue reaction was observed at the 15-day period, which decreased over the course of the periods for all cements, except for Portland cement. There was no significant difference among the tissue responses for ProRoot MTA, BaSO4 - and Bi2 O3 -containing White MTA Angelus at the 60-day period (p > .05). The Portland group had moderate inflammatory reaction at the final period of analysis, which was statistically different when compared to the other groups (p < .05). The microscopic findings of this animal study suggest that the addition of BaSO4 to White MTA Angelus does not hampers the biocompatibility of the cement.
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Affiliation(s)
- Eduardo Antunes Bortoluzzi
- Department of Dentistry - Endodontics Division, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Cleonice da Silveira Teixeira
- Department of Dentistry - Endodontics Division, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Norberto J Broon
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Mexico City, Mexico
| | - Alberto Consolaro
- Department of Surgery, Stomatology, Pathology and Radiology, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil
| | - Tiago Novaes Pinheiro
- Superior School of Health Sciences, State University of Amazonas, Manaus, Amazonas, Brazil
| | - Lucas da Fonseca Roberti Garcia
- Department of Dentistry - Endodontics Division, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - David H Pashley
- Department of Oral Biology and Diagnostic Sciences, The Dental College of Georgia, Augusta University, 1120 15th Street, Augusta, Georgia, USA
| | - Clovis Monteiro Bramante
- Department of Dentistry, Endodontics and Dental Materials, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil
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Hoshino RA, Delfino MM, da Silva GF, Guerreiro-Tanomaru JM, Tanomaru-Filho M, Sasso-Cerri E, Cerri PS. Biocompatibility and bioactive potential of the NeoMTA Plus endodontic bioceramic-based sealer. Restor Dent Endod 2021; 46:e4. [PMID: 33680893 PMCID: PMC7906839 DOI: 10.5395/rde.2021.46.e4] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Revised: 05/09/2020] [Accepted: 05/11/2020] [Indexed: 11/11/2022] Open
Abstract
Objectives This study evaluated the biocompatibility and bioactive potential of NeoMTA Plus mixed as a root canal sealer in comparison with MTA Fillapex. Materials and Methods Polyethylene tubes filled with NeoMTA Plus (n = 20), MTA Fillapex (n = 20), or nothing (control group, CG; n = 20) were inserted into the connective tissue in the dorsal subcutaneous layer of rats. After 7, 15, 30 and 60 days, the specimens were processed for paraffin embedding. The capsule thickness, collagen content, and number of inflammatory cells (ICs) and interleukin-6 (IL-6) immunolabeled cells were measured. von Kossa-positive structures were evaluated and unstained sections were analyzed under polarized light. Two-way analysis of variance was performed, followed by the post hoc Tukey test (p ≤ 0.05). Results At 7 days, the capsules around NeoMTA Plus and MTA Fillapex had more ICs and IL-6-immunostained cells than the CG. However, at 60 days, there was no significant difference in the IC number between NeoMTA Plus and the CG (p = 0.1137) or the MTA Fillapex group (p = 0.4062), although a greater number of IL-6-immunostained cells was observed in the MTA Fillapex group (p = 0.0353). From 7 to 60 days, the capsule thickness of the NeoMTA Plus and MTA Fillapex specimens significantly decreased, concomitantly with an increase in the collagen content. The capsules around root canal sealers showed positivity to the von Kossa stain and birefringent structures. Conclusions The NeoMTA Plus root canal sealer is biocompatible and exhibits bioactive potential.
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Affiliation(s)
- Roberto Alameda Hoshino
- Department of Restorative Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Mateus Machado Delfino
- Department of Restorative Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Guilherme Ferreira da Silva
- Pro-Rectory of Research and Post-graduation, School of Dentistry, Universidade Sagrado Coração (USC), Bauru, SP, Brazil
| | | | - Mário Tanomaru-Filho
- Department of Restorative Dentistry, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Estela Sasso-Cerri
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Laboratory of Histology and Embryology, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
| | - Paulo Sérgio Cerri
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, Laboratory of Histology and Embryology, Dental School, São Paulo State University (UNESP), Araraquara, SP, Brazil
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Talabani RM, Garib BT, Masaeli R, Zandsalimi K, Ketabat F. Biomineralization of three calcium silicate-based cements after implantation in rat subcutaneous tissue. Restor Dent Endod 2021; 46:e1. [PMID: 33680890 PMCID: PMC7906840 DOI: 10.5395/rde.2021.46.e1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Revised: 07/22/2020] [Accepted: 08/07/2020] [Indexed: 01/07/2023] Open
Abstract
Objectives The aim of this study was to evaluate the dystrophic mineralization deposits from 3 calcium silicate-based cements (Micro-Mega mineral trioxide aggregate [MM-MTA], Biodentine [BD], and EndoSequence Root Repair Material [ESRRM] putty) over time after subcutaneous implantation into rats. Materials and Methods Forty-five silicon tubes containing the tested materials and 15 empty tubes (serving as a control group) were subcutaneously implanted into the backs of 15 Wistar rats. At 1, 4, and 8 weeks after implantation, the animals were euthanized (n = 5 animals/group), and the silicon tubes were removed with the surrounding tissues. Histopathological tissue sections were stained with von Kossa stain to assess mineralization. Scanning electron microscopy and energy-dispersive X-ray spectroscopy (SEM/EDX) were also used to assess the chemical components of the surface precipitates deposited on the implant and the pattern of calcium and phosphorus distribution at the material-tissue interface. The calcium-to-phosphorus ratios were compared using the non-parametric Kruskal-Wallis test at a significance level of 5%. Results The von Kossa staining showed that both BD and ESRRM putty induced mineralization starting at week 1; this mineralization increased further until the end of the study. In contrast, MM-MTA induced dystrophic calcification later, from 4 weeks onward. SEM/EDX showed no statistically significant differences in the calcium- and phosphorus-rich areas among the 3 materials at any time point (p > 0.05). Conclusions After subcutaneous implantation, biomineralization of the 3-calcium silicate-based cements started early and increased over time, and all 3 tested cements generated calcium- and phosphorus-containing surface precipitates.
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Affiliation(s)
| | | | - Reza Masaeli
- Department of Dental Biomaterial, Tehran University of Medical Sciences, Tehran, Iran
| | - Kavosh Zandsalimi
- Department of Life Sciences Engineering, Faculty of New Sciences and Technologies, University of Tehran, Tehran, Iran
| | - Farinaz Ketabat
- Division of Biomedical Engineering, University of Saskatchewan, Saskatoon, Canada
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Subcutaneous Implantation Assessment of New Calcium-Silicate Based Sealer for Warm Obturation. Biomedicines 2021; 9:biomedicines9010024. [PMID: 33401424 PMCID: PMC7824331 DOI: 10.3390/biomedicines9010024] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2020] [Revised: 12/23/2020] [Accepted: 12/28/2020] [Indexed: 12/22/2022] Open
Abstract
Calcium silicate-based sealers were recently introduced as a new class of endodontic sealers, with potential further benefits due to their bioactivity. The aim of this study was to evaluate the biocompatibility of two new hydraulic calcium silicate-based sealers, TotalFill BC Sealer (FKG, La Chaux-des-Fonds, Switzerland) and TotalFill BC Sealer HiFlow (FKG, La Chaux-des-Fonds, Switzerland) through subcutaneous implantation in connective tissue of rats. Subcutaneous implantation was performed in 16 young Wistar rats. Four polyethylene tubes were implanted in each animal, one empty to serve as a control, and three filled with tested sealers: AH Plus as reference (Dentsply DeTrey, Konstanz, Germany), TotalFill BC Sealer (BC) and TotalFill BC Sealer HiFlow (HiFlow). Eight rats were euthanized at 8 days and the remaining eight at 30 days. Hematoxylin-eosin staining was used to score the inflammatory reaction, macrophage infiltrate and to measure the thickness of the fibrous capsule. von Kossa staining was performed to evaluate the mineralization level. Kruskal-Wallis test followed by Dunn's post hoc test was used to analyze non-parametric data. To analyze the influence of the implantation time within each material, a Mann-Whitney U test was performed. At eight days post-implantation, AH Plus induced a more intense inflammatory reaction when compared both with the control (p ≤ 0.001) and BC (p ≤ 0.01). HiFlow presented a higher score of macrophage infiltrate than control (p ≤ 0.01) and BC (p ≤ 0.05). The fibrous capsule thickness in this period was significantly higher for the BC group when compared to control (p ≤ 0.01) and AH Plus (p ≤ 0.05). The mineralization potential was higher for the HiFlow group when compared with the control (p ≤ 0.001) and AH Plus (p ≤ 0.001). At 30 days post-implantation, the score for the inflammatory reaction remained higher for the AH Plus group when compared both to control (p ≤ 0.01) and BC (p ≤ 0.001). The macrophage infiltrate of the HiFlow was significantly higher than control (p ≤ 0.001) and AH Plus groups (p ≤ 0.01), additionally, the fibrous capsule of the BC (p ≤ 0.001) and HiFlow (p ≤ 0.01) groups were both thicker than control. Mineralization potential was observed only on BC (p ≤ 0.05) and HiFlow groups (p ≤ 0.001), when compared to control). BC exhibited the best biocompatibility performance of all tested sealers and HiFlow provided the greatest induction of mineralized tissues. Both TotalFill BC Sealer and TotalFill BC Sealer HiFlow are biocompatible and show potential bioactivity when implanted in the subcutaneous tissue. Bioactivity was not found in AH Plus.
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20
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Sales LS, Santos ADD, Cosme-Silva L, Queiroz IODA, Martins CM, Dal-Fabbro R, Moraes JCS, Cintra LTA, Bertoz APDM, Gomes Filho JE. Influence of the Vehicle on the Tissue Reaction and Biomineralization of Fast Endodontic Cement. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Żuk-Grajewska E, Saunders WP, Chadwick RG. Fracture resistance of human roots filled with mineral trioxide aggregate mixed with phosphate-buffered saline, with and without calcium hydroxide pre-medication. Int Endod J 2020; 54:439-453. [PMID: 33025614 DOI: 10.1111/iej.13426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 09/30/2020] [Accepted: 10/01/2020] [Indexed: 11/27/2022]
Abstract
AIM To compare the fracture strength of extracted human roots with apical plugs of mineral trioxide aggregate (MTA) mixed with either Ca- and Mg-free phosphate-buffered saline (PBS) or water, with and without calcium hydroxide (CH) canal pre-medication. METHODOLOGY A total of 180 single-rooted human teeth were prepared to resemble immature roots and divided into groups (n = 20). The negative control received canal irrigation only, and the positive control received intracanal treatment with CH for either two or twelve weeks. MTA mixed with water was used in Group 1: (i) without CH pre-medication - MTA(W); (ii) after 2 weeks CH pre-medication - 2/52CH + MTA(W); and (iii) after 12-week CH pre-medication - 12/52 CH + MTA(W). MTA mixed with PBS was used in Group 2: (i) without CH pre-medication - MTA(PBS); (ii) after 2-week CH pre-medication - 2/52CH + MTA(PBS); and (iii) after 12-week CH pre-medication - 12/52 CH + MTA(PBS). A compressive force was applied to each root until the point of fracture. The results were analysed by the Kruskal-Wallis and Dunn's multiple comparisons tests (P < 0.05). RESULTS There was no significant difference between groups MTA(W), MTA(PBS) and 2/52CH + MTA(PBS), and all three groups were significantly (P < 0.01, P < 0.05 and P < 0.05, respectively) more resistant to fracture than the negative control. Within Group 1, the samples that received two- (P < 0.01) and twelve-week (P < 0.001) CH pre-treatment were more prone to fracture than those which did not. No difference was found amongst the control groups. The roots of the MTA(PBS) group had a higher dependability (P < 0.05) than the MTA(W) group when compared by the Weibull modulus. The difference was also present when a 2-week CH pre-medication was used. CONCLUSIONS Mineral trioxide aggregate mixed with Ca- and Mg-free phosphate-buffered saline had a significant strengthening effect on the fracture resistance of structurally weak roots, even when short-term calcium hydroxide pre-medication had been used. MTA mixed with water lost its strengthening effect on human roots when 2- or 12-week CH pre-treatment had been used. Use of CH dressing for up to 12 weeks had no negative effect on fracture resistance of human roots.
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Affiliation(s)
- E Żuk-Grajewska
- Restorative Department, School of Dentistry, University of Dundee, Dundee, UK
| | - W P Saunders
- Restorative Department, School of Dentistry, University of Dundee, Dundee, UK
| | - R G Chadwick
- Restorative Department, School of Dentistry, University of Dundee, Dundee, UK
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22
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Song W, Sun W, Chen L, Yuan Z. In vivo Biocompatibility and Bioactivity of Calcium Silicate-Based Bioceramics in Endodontics. Front Bioeng Biotechnol 2020; 8:580954. [PMID: 33195142 PMCID: PMC7658386 DOI: 10.3389/fbioe.2020.580954] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 08/31/2020] [Indexed: 12/14/2022] Open
Abstract
Endodontic therapy aims to preserve or repair the activity and function of pulp and periapical tissues. Due to their excellent biological features, a substantial number of calcium silicate-based bioceramics have been introduced into endodontics and simultaneously increased the success rate of endodontic treatment. The present manuscript describes the in vivo biocompatibility and bioactivity of four types of calcium silicate-based bioceramics in endodontics.
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Affiliation(s)
- Wencheng Song
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.,Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, China
| | - Wei Sun
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.,Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, China
| | - Lili Chen
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.,Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, China
| | - Zhenglin Yuan
- Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.,Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, Wuhan, China
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23
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Souza TA, Bezerra MM, Silva PGB, Costa JJN, Carneiro RFLA, Barcelos JOF, Vasconcelos BC, Chaves HV. Bone morphogenetic proteins in biomineralization of two endodontic restorative cements. J Biomed Mater Res B Appl Biomater 2020; 109:348-357. [PMID: 32830897 DOI: 10.1002/jbm.b.34704] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Revised: 07/16/2020] [Accepted: 08/04/2020] [Indexed: 01/01/2023]
Abstract
To assess the effect of biodentine (BD) and MTA-angelus (MTA) on biocompatibility, BMP2, BMP4, and osteocalcin (OC) expression. Subcutaneously implanted tubes of four groups (MTA, BD, Control, and Sham) were kept over 15, 30, and 60 days; histological analyses were performed using H&E and Von Kossa; ELISA quantified IL-1β and IL-8 expression; and qRT-PCR verified gene expression of BMPs and OC. Sham showed slight changes in profile/intensity of inflammatory infiltrate in all periods. Control had an inflammatory score significantly higher than Sham at 15 days (p < .05). BD revealed a similar inflammatory response to Sham, without significant changes over periods. MTA group exhibited an increase in chronic inflammatory profile at 30 days, with significant reduction at 60 days, when compared to Sham (p < .05). At 30/60 days, experimental groups presented birefringent areas. At 30/60 days, BD and MTA significantly increase IL-1β compared to Control, whereas an increase in IL-8 was observed only in BD. At 30/60 days, BD produces an expression of BMP2 whereas MTA influenced BMP4 and OC. Materials tested are biocompatible and they have osteoinductive activity; the materials influenced the expression of the tested mediators differently, suggesting different affinities with the substrate and the dental substrates.
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Affiliation(s)
- Tamara A Souza
- Graduate Program in Health Sciences, Federal University of Ceará-Campus Sobral, Sobral, Ceará, Brazil.,Graduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Mirna M Bezerra
- Graduate Program in Health Sciences, Federal University of Ceará-Campus Sobral, Sobral, Ceará, Brazil.,Medical School, Federal University of Ceará, Sobral, Ceará, Brazil
| | - Paulo G B Silva
- Graduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - José J N Costa
- Graduate Program in Health Sciences, Federal University of Ceará-Campus Sobral, Sobral, Ceará, Brazil
| | | | | | - Bruno C Vasconcelos
- Graduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.,Dental School, Federal University of Ceará, Sobral, Ceará, Brazil
| | - Hellíada V Chaves
- Graduate Program in Health Sciences, Federal University of Ceará-Campus Sobral, Sobral, Ceará, Brazil.,Graduate Program in Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.,Dental School, Federal University of Ceará, Sobral, Ceará, Brazil
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24
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Performance on Bone Regeneration of a Silver Nanoparticle Delivery System Based on Natural Rubber Membrane NRL-AgNP. COATINGS 2020. [DOI: 10.3390/coatings10040323] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
NRL-AgNP was developed bringing important properties of natural rubber as occlusive membrane with antimicrobial activity of silver nanoparticles. Biological aspects, such as cell viability, tissue reaction, and occlusive membrane performance of NRL-AgNP, are presented. In addition, in vivo degradation was investigated by Fourier Transform Infrared Spectroscopy (FTIR). The cell viability test was performed in mesenchymal stem cells of human deciduous dental pulp seeded with the new material. Tissue reaction was tested through subcutaneous implant of NRL-AgNP and compared to Polytetrafluoroethylene (PTFE) at the dorsum of rats. The performance of the NRL-AgNP as an occlusive membrane in Guided Bone Regeneration (GBR) was tested in full thickness critical size bone defects (8 mm) in rat calvaria. Cell viability was 98.8% for NRL-AgNP and did not result in statistically significant differences compared to negative control (p > 0.05 Kruskal–Wallis). All materials presented similar tissue reaction (p > 0.05). In the GBR experiment, the defects covered with NRL-AgNP presented a more advanced stage of bone regeneration in comparison with non-treated defects. The FTIR spectra of NRL-AgNP before and after implantation showed no degradation of NRL-AgNP membranes. These results are in favor of the NRL-AgNP use as an occlusive membrane for GBR.
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25
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Abaszadeh M, Mohammadi M, Mohammadzadeh I. Biocompatibility of a New Antibacterial Compound and its Effect on the Mechanical Properties of Flowable Dental Composites (Animal Study). JOURNAL OF DENTISTRY (SHIRAZ, IRAN) 2020; 21:56-62. [PMID: 32158785 PMCID: PMC7036352 DOI: 10.30476/dentjods.2019.77826.0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Revised: 05/21/2019] [Accepted: 06/24/2019] [Indexed: 11/30/2022]
Abstract
STATEMENT OF THE PROBLEM Recently, new compound of 3, 5-dimethyl-1-thiocarboxamide pyrazole has been composed with excellent antibacterial property. Biocompatibility and its effects on mechanical properties of dental composites should be considered before clinical use. PURPOSE The purpose of this study was to evaluate the biocompatibility of 3, 5-dimethyl-1-thiocarboxamide pyrazole as a new antibacterial compound and its effect on the mechanical properties of dental composites. MATERIALS AND METHOD In this experimental study, a new antibacterial compound was synthesis by reaction between Thiosemicarbazide and 2, 4-Pentandione and tested on thirty male albino Wistar rats weighting 200-250gr. Rats were randomly divided into 3 groups of 10, each rat received 3 implants of 3,5-dimethyl-1-thiocarboxamide pyrazole, penicillin v and empty polyethylene tube. A pathologist, who was unaware of types of tested materials and timing, performed the examination of specimens. The depth of cure and flexural strength of resin composite was measured using Iso4049 standard technique. Compressive strength was determined according to Iso9917 standard. RESULTS This compound was biocompatible and there was no significant difference in flexural strength and compressive strength of the composites containing 1% of this compound with the control group (p> 0.05). CONCLUSION The 3, 5-dimethyl-1-thiocarboxamide pyrazole with a concentration of 1% in flowable composites can be very effective in preventing secondary caries.
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Affiliation(s)
- Mehdi Abaszadeh
- Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
| | - Meisam Mohammadi
- Dept. of Mechanical Engineering, Vali-e-Asr University of Rafsanjan, Rafsanjan, Iran
| | - Iman Mohammadzadeh
- Oral and Dental Disease Research Center, Kerman University of Medical Sciences, Kerman, Iran
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26
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Mohammadzadeh I, Eskandarizadeh A, Shahravan A, Bavafa M, Kakooei S, Torabi M. Prevention of secondary caries by a new antibacterial compound. Dent Res J (Isfahan) 2020. [DOI: 10.4103/1735-3327.276234] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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27
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Karabulut B, Dönmez N, Göret CC, Ataş C, Kuzu Ö. Reactions of Subcutaneous Connective Tissue to Mineral Trioxide Aggregate, Biodentine®, and a Newly Developed BioACTIVE Base/Liner. SCANNING 2020; 2020:6570159. [PMID: 32518612 PMCID: PMC7254077 DOI: 10.1155/2020/6570159] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 05/06/2020] [Accepted: 05/07/2020] [Indexed: 05/12/2023]
Abstract
AIM There is an increasing interest in the application of BioACTIVE materials to achieve hard tissue formation and maintain pulp vitality. Mineral trioxide aggregate (MTA) and Biodentine® are BioACTIVE materials used for pulp capping. Recently, dental researchers have produced BioACTIVE glass-incorporated light-curable pulp capping material. The study is aimed at evaluating the subcutaneous connective tissue reactions to MTA, Biodentine®, ACTIVA BioACTIVE Base/Liner. These materials were placed in polyethylene tubes and implanted into the dorsal connective tissue of Sprague Dawley rats. The presence of inflammation, predominant cell type, calcification, and thickness of fibrous connective tissue was recorded by histological examination 7, 30, and 60 days after the implantation procedure. Scores were defined as follows: 0 = none or few inflammatory cells, no reaction; 1 = <25 cells, mild reaction; 2 = 25 to 125 cells, moderate reaction; and 3 = ≥125 cells, severe reaction. Fibrous capsule thickness, necrosis, and formation of calcification were recorded. ANOVA and post hoc Dunnett's tests were used for statistically analyses (p < 0.05). RESULTS In terms of oedema, inflammation, fibrous capsule, and necrosis, no significant differences were found in any time period for any material. MTA and Biodentine® showed higher calcification than in the ACTIVA BioACTIVE on day 30, and the difference was statistically significant (p < 0.05). After 60 days, while calcification was not seen in the control group, it was observed in the test groups. There was a statistically significant difference between the control and the others. CONCLUSION All materials were well tolerated by the tissues in the 60-day evaluation period. One notable finding is the presence of dystrophic calcification in the connective tissue adjacent to the newly developed BioACTIVE Base/Liner material. Therefore, this new BioACTIVE Base/Liner material may be safely recommended to clinicians as a pulp capping material.
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Affiliation(s)
- Barış Karabulut
- Health Sciences University Faculty of Dentistry Department of Pedodontics, Istanbul, Turkey
| | - Nazmiye Dönmez
- Bezmialem Vakif University Faculty of Dentistry Department of Restorative Dentistry, Istanbul, Turkey
| | - Ceren Canbey Göret
- Health Sciences University Department of Surgical Pathology, Bagcilar Research and Education Hospital, Istanbul, Turkey
| | - Cafer Ataş
- Health Sciences University Faculty of Dentistry Department of Pedodontics, Istanbul, Turkey
| | - Özlem Kuzu
- Health Sciences University Faculty of Dentistry Department of Pedodontics, Istanbul, Turkey
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28
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Abou ElReash A, Hamama H, Abdo W, Wu Q, Zaen El-Din A, Xiaoli X. Biocompatibility of new bioactive resin composite versus calcium silicate cements: an animal study. BMC Oral Health 2019; 19:194. [PMID: 31438924 PMCID: PMC6704669 DOI: 10.1186/s12903-019-0887-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2019] [Accepted: 08/14/2019] [Indexed: 12/21/2022] Open
Abstract
Background The purpose of this study was to compare the biocompatibility of three bioactive materials, namely ACTIVA bioactive restorative resin composite, iRoot BP plus and Mineral Trioxide Aggregate (MTA) Angelus-HP. Methods Seventy-five Wistar male rats were subjected to subcutaneous implantation of four polyethylene tubes; one empty tube was used as control (Group 1), and the other tubes were filled with ACTIVA (Group 2), iRoot BP (Group 3) and MTA-HP (Group 4). Then, the rats were subdivided into 3 groups according to the sacrification time into one, two and 4 weeks (n = 25 rats). Tissue specimens were submitted to histopathological and immunohistochemical analysis of α-SMA and caspase 3. Results The one-way Anova test revealed that ACTIVA group exhibited minimal inflammation in comparison to calcium silicate cements (iRoot BP and MTA-HP groups). iRoot BP group significantly revealed a more severe degree of chronic inflammation in comparison to other groups (P < 0.05). ACTIVA group showed marked regression of inflammation and fibrosis comparable to the control, while iRoot BP group revealed remarkable fibrosis and calcification, with less degrees in MTA-HP group (P < 0.05). Immunostaining of both α-SMA and caspase 3 revealed lower indexes in ACTIVA group consistent with the control (P < 0.05). Conclusions ACTIVA showed a higher degree of biocompatibility to subcutaneous tissues in comparison to both iRoot BP and MTA-HP cements in regard to decrease the intensity of inflammation, with subsequent fibrous connective tissue remodeling and better healing patterns. Clinical significance Preliminary data suggests that the application of ACTIVA in retrograde fillings.
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Affiliation(s)
- Ashraf Abou ElReash
- Department of Endodontic, Xiangya School of stomatology, Central South University, Xiangya Road No 72. Kaifu, Changsha, 410078, Hunan province, China
| | - Hamdi Hamama
- Department of Operative Dentistry, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Walied Abdo
- Department of Pathology, Faculty of Veterinary Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt
| | - Qiqi Wu
- Department of Endodontic, Xiangya School of stomatology, Central South University, Xiangya Road No 72. Kaifu, Changsha, 410078, Hunan province, China
| | - Ahmed Zaen El-Din
- Department of Conservative Dentistry. Faculty of Oral and Dental Medicine, Delta University for Science and Technology, International Coastal Road, Gamasa City, Mansoura, Dakhliya, Egypt
| | - Xie Xiaoli
- Department of Endodontic, Xiangya School of stomatology, Central South University, Xiangya Road No 72. Kaifu, Changsha, 410078, Hunan province, China.
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29
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Santos JM, Pereira S, Sequeira DB, Messias AL, Martins JB, Cunha H, Palma PJ, Santos AC. Biocompatibility of a bioceramic silicone-based sealer in subcutaneous tissue. J Oral Sci 2019; 61:171-177. [PMID: 30918214 DOI: 10.2334/josnusd.18-0145] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
This study evaluated the biocompatibility of a new silicone-based sealer (GuttaFlow Bioseal) in rat subcutaneous tissue and compared the results with those for GuttaFlow2 and AH Plus. Each of 16 Wistar rats received four subcutaneous tissue implants, namely, GuttaFlow Bioseal, GuttaFlow2, AH Plus, and one empty polyethylene tube. Eight rats were euthanized at day 8 and the remaining eight at day 30. Histological sections were stained with haematoxylin and eosin and analysed with a light microscope. Scores were established for inflammatory reaction, macrophage infiltrate, thickness of the fibrous capsule, and vascular changes. Differences between groups were assessed by using the Friedman test with Bonferroni correction. Histological analysis showed that GuttaFlow Bioseal had the lowest inflammatory reaction of all tested sealers at day 8. At day 30, the silicone-based sealers had similar inflammation profiles, but inflammation scores were nonsignificantly higher for AH Plus than for the negative control. The inflammatory reaction decreased from day 8 to day 30 in all sealers. GuttaFlow Bioseal had the most macrophage infiltrate. Under the present experimental conditions, GuttaFlow Bioseal induced limited inflammatory reactions at days 8 and 30, and initial inflammatory reactions to GuttaFlow2 and AH Plus subsided within 30 days. All tested sealers exhibited satisfactory biocompatibility at day 30 after subcutaneous implantation.
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Affiliation(s)
- João M Santos
- Institute of Endodontics, Faculty of Medicine, University of Coimbra
| | - Sara Pereira
- Institute of Biophysics, Faculty of Medicine, University of Coimbra.,Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra
| | - Diana B Sequeira
- Institute of Endodontics, Faculty of Medicine, University of Coimbra
| | - Ana L Messias
- Institute of Oral Implantology and Prosthodontics, Faculty of Medicine, University of Coimbra
| | - João B Martins
- Dentistry Department, Faculty of Medicine, University of Coimbra
| | - Henrique Cunha
- Institute of Biophysics, Faculty of Medicine, University of Coimbra.,Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra
| | - Paulo J Palma
- Institute of Endodontics, Faculty of Medicine, University of Coimbra
| | - Ana C Santos
- Institute of Biophysics, Faculty of Medicine, University of Coimbra.,Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra
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Yang B, Kim S, Kim JH, Lim C, Kim H, Cho S. Gentiana scabra Bunge roots alleviates skin lesions of contact dermatitis in mice. JOURNAL OF ETHNOPHARMACOLOGY 2019; 233:141-147. [PMID: 30630090 DOI: 10.1016/j.jep.2018.12.046] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Revised: 06/20/2018] [Accepted: 12/29/2018] [Indexed: 06/09/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE The roots and rhizomes of Gentiana scabra Bunge in the family Gentianaceae comprise a major herbal medicine for skin diseases caused by wind-heat or dampness-heat in China, Japan and Korea. This treatment can clear away heat and dry dampness and purge fire from the liver and gallbladder. AIM OF THE STUDY This study was designed to investigate the therapeutic potential and anti-inflammatory effects of G. scabra, roots and rhizomes. MATERIALS AND METHODS Thin layer chromatography (TLC) and high performance liquid chromatography (HPLC) revealed the presence of gentiopicrin in the roots and rhizomes of G. scabra. We then investigated the effects of ethanol extract of G. scabra, roots and rhizomes (EEGS) on skin lesions and thickness, erythema and melanin index, histopathological abnormalities, and cytokine and chemokine production in mice with contact dermatitis (CD) induced by 1-fluoro-2,4-dinitrofluorobenzene (DNFB). Moreover, the effects of EEGS on body weights and spleen body weight ratio were evaluated. RESULTS Topical application of EEGS alleviated skin lesions such as surface roughness, excoriations and scabs on the skin of CD mice, as well as prevented skin enlargement, and lowered the erythema and melanin index. In addition, EEGS prevented hyperkeratosis, epidermal hyperplasia and immune cell infiltration, and inhibited TNF-α, IFN-γ, IL-6 and MCP-1 production in inflamed tissues. EEGS did not affect changes in body weights and spleen body weight ratio in contrast to dexamethasone. CONCLUSIONS These data indicate that the roots and rhizomes of G. scabra can be used as anti-inflammatory agents for CD with relative safety and that its therapeutic mechanisms are related to regulation of pro-inflammatory cytokines such as TNF-α and IFN-γ.
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Affiliation(s)
- Beodeul Yang
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan-city, Gyeongnam 50612, South Korea
| | - Sura Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan-city, Gyeongnam 50612, South Korea
| | - Jung-Hoon Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan-city, Gyeongnam 50612, South Korea
| | - Chiyeon Lim
- College of Medicine, Dongguk University, Goyang-city, Gyounggi-do 10326, South Korea
| | - Hyungwoo Kim
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan-city, Gyeongnam 50612, South Korea.
| | - Suin Cho
- Division of Pharmacology, School of Korean Medicine, Pusan National University, Yangsan-city, Gyeongnam 50612, South Korea
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31
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Ćetenović B, Čolović B, Vasilijić S, Prokić B, Pašalić S, Jokanović V, Tepavčević Z, Marković D. Nanostructured endodontic materials mixed with different radiocontrast agents-biocompatibility study. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2018; 29:190. [PMID: 30536136 DOI: 10.1007/s10856-018-6200-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 11/29/2018] [Indexed: 06/09/2023]
Abstract
The aim of this study was to investigate the biocompatibility of nanostructured materials based on highly active calcium silicates mixed with different radiocontrast agents in comparison to MTA+ using in vitro and in vivo model. Morphology of materials' samples was analyzed using SEM while the phase compositions were identified by XRD. pH values of materials' suspensions were conducted by pH-meter. The cytotoxicity of materials' solutions was tested by MTT test (100, 50, 25 and 12.5 mg/ml). LDH and 3H-thymidine assay were utilized for biocompatibility investigations of materials' eluates (24 h, 7 day and 21 day). Eighteen Guinea pigs were used for intramuscular implantation, as teflon tubes with freshly prepared materials were placed into intramuscular pockets. All samples were composed of round and needle-like particles equally distributed with Ca/Si ratio ~2.7 at%, with the presence of hydrated calcium silicate phases. The pH values of ALBO-MPCA1 and ALBO-MPCA2 were high alkaline, while in case of MTA+ they were lower and continuously declined (p < 0.05). Investigated materials didn't exhibit dose-dependent effect on metabolic activity of L929 cells (p > 0.05). Significant differences in the percentage of cytotoxicity between diluted and undiluted extracts between all tested materials after 24 h and 7 day were noticed (p < 0.05). Increase in L929 cells proliferation was noticed in case of undiluted eluates of ALBO-MPCA1 and ALBO-MPCA2 after 7 day (p < 0.05). There were no statistically significant differences in the intensity of inflammatory response between investigated materials and control group after 60 day (p > 0.05). Evaluation of biocompatibility of both ALBO-MPCA1 and ALBO-MPCA2 indicate their potential clinical use.
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Affiliation(s)
- Bojana Ćetenović
- Vinca Institute of Nuclear Sciences, Mike P. Alasa 12-14, Belgrade, 11001, Serbia.
| | - Božana Čolović
- Vinca Institute of Nuclear Sciences, Mike P. Alasa 12-14, Belgrade, 11001, Serbia
| | - Saša Vasilijić
- Institute for Medical Research, Military Medical Academy, Faculty of Medicine, University of Defense, Crnotravska 17, Belgrade, 11000, Serbia
| | - Bogomir Prokić
- Faculty of Veterinary Medicine, University of Belgrade, Bulevar oslobodjenja 18, Belgrade, 11000, Serbia
| | - Snežana Pašalić
- Vinca Institute of Nuclear Sciences, Mike P. Alasa 12-14, Belgrade, 11001, Serbia
| | - Vukoman Jokanović
- Vinca Institute of Nuclear Sciences, Mike P. Alasa 12-14, Belgrade, 11001, Serbia
| | - Zvezdana Tepavčević
- School of Dental Medicine, University of Belgrade, Dr. Subotica 11, Belgrade, 11000, Serbia
| | - Dejan Marković
- School of Dental Medicine, University of Belgrade, Dr. Subotica 11, Belgrade, 11000, Serbia
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32
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Oliadarani FK, Haghgoo R, Mashhadiabbas F, Kahvand M. Histopathological Evaluation of Dental Pulp of Primary Teeth Pulpotomized with Formocresol with/without a Capping Agent: A Randomized Clinical Trial. J Int Soc Prev Community Dent 2018; 8:420-423. [PMID: 30430069 PMCID: PMC6187875 DOI: 10.4103/jispcd.jispcd_30_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 03/07/2018] [Indexed: 11/10/2022] Open
Abstract
Objectives: This study aimed to assess the reaction of dental pulp of pulpotomized teeth with/without applying a capping agent. This study was performed as randomized clinical trial. Materials and Methods: This split-mouth clinical trial was conducted on eight pairs of primary canine teeth scheduled for extraction as part of orthodontic treatment. The teeth were randomly assigned to the intervention and control groups. In the intervention group, canine teeth were restored with amalgam after pulpotomy with formocresol. In the control group, zinc oxide eugenol paste was applied as the capping agent after pulpotomy with formocresol, and the teeth were then restored with amalgam. After 1 month, the teeth were extracted in both groups and stained with hematoxylin and eosin for histological analysis. Pulp reaction was assessed in terms of pathological parameters. Data were analyzed using the Mann–Whitney U-test and Fisher's exact test. The statistical analysis software was SPSS 16. Results: No significant difference was found between the two groups in terms of inflammation, vitality, internal resorption, bleeding, presence of osteoclasts and dentinoclasts, and internal regeneration. Dentinal bridge did not form in any group. Conclusion: According to the results of this study, formocresol pulpotomy of primary teeth can be completed without the application of a capping agent.
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Affiliation(s)
| | - Rosa Haghgoo
- Department of Pediatric Dentistry, Faculty of Dentistry, Shahed University, Tehran, Iran
| | - Fatemeh Mashhadiabbas
- Department of Pathology, Faculty of Dentistry, Shahid Beheshty University of Medical Sciences, Tehran, Iran
| | - Mehrdad Kahvand
- Department of Pediatric Dentistry, Faculty of Dentistry, Shahed University, Tehran, Iran
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Novel endodontic sealers induced satisfactory tissue response in mice. Biomed Pharmacother 2018; 106:1506-1512. [DOI: 10.1016/j.biopha.2018.07.065] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 07/10/2018] [Accepted: 07/13/2018] [Indexed: 11/22/2022] Open
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Benetti F, Gomes-Filho JE, de Araújo Lopes JM, Barbosa JG, Jacinto RC, Cintra LTA. In vivo biocompatibility and biomineralization of calcium silicate cements. Eur J Oral Sci 2018; 126:326-333. [PMID: 29961994 DOI: 10.1111/eos.12539] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/15/2018] [Indexed: 11/26/2022]
Abstract
A new mineral trioxide aggregate (MTA) material has been developed with a modified composition that requires investigations to support its clinical use. This study evaluated the biocompatibility and biomineralization of this new MTA material and compared it with that of two other MTA cements over time. Tubes containing materials (or empty tubes as controls) were inserted into the subcutaneous tissues of 40 rats. On days 7, 15, 30, 60, and 90, the tubes were removed with the surrounding tissues, which were either stained with haematoxylin and eosin or von Kossa for further analyses or unstained for observation under polarized light. On days 7 and 15, moderate inflammation was observed in most specimens, and the fibrous capsule was thick. On day 30, there was mild inflammation in all groups, and the fibrous capsule was thin. On days 60 and 90, there was mild inflammation in the material groups, while the control group showed no inflammation, although no statistically significant difference between the groups was observed and the fibrous capsule was thin. All material groups showed structures that stained with von Kossa and could be observed under polarized light; this was not found for the control. In conclusion, the new MTA material had biocompatibility and biomineralization properties similar to those of the two existing MTA materials.
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Affiliation(s)
- Francine Benetti
- Department of Restorative Dentistry, Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil
| | - João E Gomes-Filho
- Department of Restorative Dentistry, Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil
| | - Juliana M de Araújo Lopes
- Department of Restorative Dentistry, Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil
| | - Jéssica G Barbosa
- Department of Restorative Dentistry, Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil
| | - Rogério C Jacinto
- Department of Restorative Dentistry, Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil
| | - Luciano T A Cintra
- Department of Restorative Dentistry, Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, Brazil
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Pinheiro LS, Iglesias JE, Boijink D, Mestieri LB, Poli Kopper PM, Figueiredo JADP, Grecca FS. Cell Viability and Tissue Reaction of NeoMTA Plus: An In Vitro and In Vivo Study. J Endod 2018; 44:1140-1145. [PMID: 29866406 DOI: 10.1016/j.joen.2018.03.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Revised: 03/01/2018] [Accepted: 03/03/2018] [Indexed: 01/07/2023]
Abstract
INTRODUCTION The aim of this study was to evaluate the cell viability and tissue reaction of NeoMTA Plus (NMP; Avalon Biomed Inc, Houston, TX) compared with mineral trioxide aggregate (MTA; Angelus, Londrina, PR, Brazil) and Biodentine (BD; Septodont, Saint-Maur-de-Fossés, France). METHODS Fibroblasts (3T3) were plated and exposed to 1% extract from the test material before and after setting. Cytotoxicity assessment was performed using the 3-(4,5-dimethyl-thiazoyl)-2,5-diphenyl-tetrazolium bromide and sulforhodamine B assays. In vivo evaluation consisted of polyethylene tube implantation of the materials in rat subcutaneous tissue. Histologic analysis occurred at 7, 30, and 90 days, scoring inflammatory events and collagen fiber formation. Analysis of variance and the Tukey and t tests were used for cytocompatibility assays, and the Kruskal-Wallis test followed by the Dunn test were used for biocompatibility assays (P ≤ .05). RESULTS The materials in the cytotoxicity assays presented greater viability after setting (P ≤ .05). NMP and MTA presented higher viability than the control (Dulbecco modified Eagle medium) on the 3-(4,5-dimethyl-thiazoyl)-2,5-diphenyl-tetrazolium bromide assay before and after setting (P ≤ .05). The sulforhodamine B assay showed that MTA and BD presented less viability than NMP and the control, and NMP was similar to the control before setting. After setting, MTA and BD presented higher viability when compared with the control group (P ≤ .05), and NMP was similar to control. Inflammatory infiltrate reduction occurred throughout the test periods for all materials. At 7 days, neutrophils were present in BD (P ≤ .05), and granuloma and giant cells were present in BD and MTA. At 30 days, BD showed intense inflammatory infiltrates and a large number of macrophages when compared with NMP, MTA, and the control (P ≤ .05). At 90 days, BD presented a thick fiber layer compared with NMP (P ≤ .05). CONCLUSIONS NMP showed similar biocompatible behavior to MTA and BD.
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Affiliation(s)
- Lucas Siqueira Pinheiro
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Júlia Eick Iglesias
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Daiana Boijink
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Letícia Boldrin Mestieri
- Postgraduate Program in Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Patrícia Maria Poli Kopper
- Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - José Antônio de Poli Figueiredo
- Department of Morphology, Institute of Basic Health Sciences, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Fabiana Soares Grecca
- Department of Conservative Dentistry, Dental School, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
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Garcia LDFR, Huck C, Magalhães FAC, Souza PPCD, Souza Costa CAD. Systemic effect of mineral aggregate-based cements: histopathological analysis in rats. J Appl Oral Sci 2018; 25:620-630. [PMID: 29211283 PMCID: PMC5701532 DOI: 10.1590/1678-7757-2016-0634] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2016] [Accepted: 04/19/2017] [Indexed: 11/29/2022] Open
Abstract
Objective: Several studies reported the local tissue reaction caused by mineral aggregate-based cements. However, few studies have investigated the systemic effects promoted by these cements on liver and kidney when directly applied to connective tissue. The purpose of this in vivo study was to investigate the systemic effect of mineral aggregate-based cements on the livers and kidneys of rats. Material and Methods: Samples of Mineral Trioxide Aggregate (MTA) and a calcium aluminate-based cement (EndoBinder) containing different radiopacifiers were implanted into the dorsum of 40 rats. After 7 and 30 d, samples of subcutaneous, liver and kidney tissues were submitted to histopathological analysis. A score (0-3) was used to grade the inflammatory reaction. Blood samples were collected to evaluate changes in hepatic and renal functions of animals. Results: The moderate inflammatory reaction (2) observed for 7 d in the subcutaneous tissue decreased with time for all cements. The thickness of inflammatory capsules also presented a significant decrease with time (P<.05). Systemically, all cements caused adverse inflammatory reactions in the liver and kidney, being more evident for MTA, persisting until the end of the analysis. Liver functions increased significantly for MTA during 30 d (P<.05). Conclusion: The different cements induced to a locally limited inflammatory reaction. However, from the systemic point of view, the cements promoted significant inflammatory reactions in the liver and kidney. For MTA, the reactions were more accentuated.
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Affiliation(s)
- Lucas da Fonseca Roberti Garcia
- Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Departamento de Odontologia, Área de Endodontia, Florianópolis, SC, Brasil
| | - Claudia Huck
- Univ. Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Odontologia Restauradora, Araraquara, SP, Brasil
| | | | - Pedro Paulo Chaves de Souza
- Univ. Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Fisiologia e Patologia, Araraquara, SP, Brasil
| | - Carlos Alberto de Souza Costa
- Univ. Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Fisiologia e Patologia, Araraquara, SP, Brasil
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Anti-inflammation performance of curcumin-loaded mesoporous calcium silicate cement. J Formos Med Assoc 2017; 116:679-688. [DOI: 10.1016/j.jfma.2017.06.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 05/26/2017] [Accepted: 06/07/2017] [Indexed: 12/18/2022] Open
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Healing response of rat pulp treated with an injectable keratin hydrogel. J Appl Biomater Funct Mater 2017; 15:e244-e250. [PMID: 28430345 PMCID: PMC6379890 DOI: 10.5301/jabfm.5000346] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/06/2017] [Indexed: 11/29/2022] Open
Abstract
Background Keratin has shown promising outcomes as a biomaterial due to its inherent
bioactivity, biocompatibility and regenerative effects. The effect of
keratin on repair and regeneration of dental tissues has never been studied
before. Current therapies to treat pulp tissues involve its replacement with
inert, synthetic materials that do not have a proper biological function,
leading to failure and tooth loss. This study aimed to develop a
biocompatible keratin hydrogel (KH) suitable for pulp therapies. Methods Keratins extracted from sheep wool were isolated, quantified and
reconstituted to form KH. Different concentrations of keratin gel suitable
for dental application were characterized by rheological analysis. The
optimized gel based on flow characteristics was studied further for
microstructure including porosity, percentage swelling ratio and contact
angle measurements, using analytical tools such as scanning electron
microscopy (SEM), micro-computed tomography and goniometer. To assess both
biocompatibility and pulpal response, KH was implanted into rat upper molar
teeth following partial pulpotomy. After 28 days, the tissue sections were
analyzed by histological and immunohistochemical methods to identify dentin
matrix protein 1 (DMP-1) formation and compared with control
(Ca(OH)2-treated) teeth. Results The results of the study demonstrated a viscous and injectable, porous,
dimensionally stable, hydrophilic and biocompatible gel that allowed pulp
healing to occur by a reparative response, with widespread DMP-1
expression. Conclusions The findings of this study indicate that keratins can be developed as a
biomaterial source for alternate biological treatment options for pulp
therapies.
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Akhavan A, Parashos P, Razavi SM, Davoudi A, Shadmehr E. Hard tissue reaction to mineral trioxide aggregate and experimental root-end filling material in guinea pig mandibles. J Dent Sci 2017; 12:107-111. [PMID: 30895034 PMCID: PMC6395253 DOI: 10.1016/j.jds.2016.11.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2015] [Revised: 08/31/2016] [Indexed: 11/20/2022] Open
Abstract
Background/purpose Root-end filling materials are used to fill and seal the root apex during periradicular surgery. Mineral trioxide aggregate (MTA) is a widely-used material because of its particular characteristics. Cold ceramic (CC) is an experimental material that has been recently introduced. The purpose of this study was to compare bone tissue response to CC and MTA in an animal model. Materials and methods Forty-five male guinea pigs (weighing 750–850 g) were anesthetized with 10 mg/kg ketamine HCL and 12 mg/kg xylazine. A triangular incision of around 15 mm was prepared in the posterior site along the symphysis in both right and left sides of the mandible. A 3 mm × 3 mm diameter cylindrical hole was prepared in each side using a trephine. Two Teflon cylindrical tube applicators were filled with white MTA and CC and inserted into the defects separately. Histopathological evaluation of the specimens was completed after 2 weeks and 12 weeks. The extent of inflammation was recorded and analyzed using the Mann–Whitney U test and SPSS software version 12 at a significance level of 0.05. Results MTA and CC produced moderate and mild hard tissue responses respectively after 2 weeks and 12 weeks. No significant differences were found in the distribution of the responses between the two groups at either time point. Conclusion Both CC and MTA demonstrated biocompatibility with minor adverse impact on hard tissue and healing recovery after 12 weeks.
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Affiliation(s)
- Ali Akhavan
- Torabinejad Dental Materials Research Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Peter Parashos
- Melbourne Dental School, University of Melbourne, Melbourne, VIC, Australia
| | - Sayed Mohammad Razavi
- Dental Implants Research Center and Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Amin Davoudi
- Dental Implants Research Center and Resident of Prosthodontics, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
- Corresponding author. Hezarjarib Street, School of Dentistry, Isfahan University of Medical Sciences, Isfahan 8169743493, Iran.
| | - Elham Shadmehr
- Torabinejad Dental Materials Research Center and Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
- Postgraduate Endodontic Resident, UB Dental School, Buffalo, NY, USA
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Cavenago BC, del Carpio-Perochena AE, Ordinola-Zapata R, Estrela C, Garlet GP, Tanomaru-Filho M, Weckwerth PH, de Andrade FB, Duarte MAH. Effect of Using Different Vehicles on the Physicochemical, Antimicrobial, and Biological Properties of White Mineral Trioxide Aggregate. J Endod 2017; 43:779-786. [DOI: 10.1016/j.joen.2016.12.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2016] [Revised: 12/14/2016] [Accepted: 12/19/2016] [Indexed: 10/19/2022]
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Aminabadi NA, Parto M, Emamverdizadeh P, Jamali Z, Shirazi S. Pulp bleeding color is an indicator of clinical and histohematologic status of primary teeth. Clin Oral Investig 2017; 21:1831-1841. [PMID: 28332168 DOI: 10.1007/s00784-017-2098-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Accepted: 03/06/2017] [Indexed: 12/19/2022]
Abstract
OBJECTIVES This study was carried out to investigate whether the changes in hematologic characteristic and color of pulpal bleeding is associated with clinical and histologic status of the pulp in primary teeth. MATERIALS AND METHODS A total of 211 primary molars in 103 patients, 3-6 years old, were treated. One hundred eight teeth had pulpectomy, 57 teeth had pulpotomy after pulp exposure during caries excavation, and 46 teeth had pulpotomy after accidental pulp exposure in sound dentin. After pulpal exposure, pulpal blood was collected in capillary tubes for blood color and hematologic assessment. Coronal and radicular pulp tissues were amputated for histologic assessment. RESULTS Blood color was significantly darker in pulpectomy cases and samples with severe inflammation. The differences were clinically perceptible by the human eye. A significant negative correlation was detected between white blood cell (WBC) count and blood color. The counts of neutrophils and lymphocytes were significantly different between treatment groups. In addition, WBC, eosinophil, monocyte, neutrophil, and basophils counts were significantly different between degrees of inflammation in coronal pulp. Moreover, severe inflammation was higher in pulpectomy group versus pulpotomy groups. Pulp tissue calcification was also significantly higher in the pulpectomy cases. CONCLUSIONS Considering the significant difference in pulpal blood color between the pulpectomy and pulpotomy cases, and between the different levels of pulpal inflammation; blood color can be a valid clinical diagnostic criterion of pulpal status and can be used for the selection of appropriate pulp treatment strategy. CLINICAL RELEVANCE This study shows that pulp bleeding color can be used for selection of an appropriate pulp treatment method in primary teeth.
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Affiliation(s)
- Naser Asl Aminabadi
- Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Marziyeh Parto
- Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Parya Emamverdizadeh
- Department of Oral Pathology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Zahra Jamali
- Department of Oral Sciences, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sajjad Shirazi
- Dental and Periodental Research Centre, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. .,Stem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
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VALENTIM D, BUENO CRE, MARQUES VAS, VASQUES AMV, CURY MTS, CINTRA LTA, DEZAN JUNIOR E. Calcium hydroxide associated with a new vehicle: Psidium cattleianum leaf extracts. Tissue response evaluation. Braz Oral Res 2017; 31:e43. [DOI: 10.1590/1807-3107bor-2017.vol31.0043] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 04/17/2017] [Indexed: 12/18/2022] Open
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Taha NA, Safadi RA, Alwedaie MS. Biocompatibility Evaluation of EndoSequence Root Repair Paste in the Connective Tissue of Rats. J Endod 2016; 42:1523-8. [DOI: 10.1016/j.joen.2016.07.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Revised: 06/18/2016] [Accepted: 07/21/2016] [Indexed: 10/21/2022]
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Assessment of the interaction of Portland cement-based materials with blood and tissue fluids using an animal model. Sci Rep 2016; 6:34547. [PMID: 27683067 PMCID: PMC5041115 DOI: 10.1038/srep34547] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2016] [Accepted: 09/15/2016] [Indexed: 12/03/2022] Open
Abstract
Portland cement used in the construction industry improves its properties when wet. Since most dental materials are used in a moist environment, Portland cement has been developed for use in dentistry. The first generation material is mineral trioxide aggregate (MTA), used in surgical procedures, thus in contact with blood. The aim of this study was to compare the setting of MTA in vitro and in vivo in contact with blood by subcutaneous implantation in rats. The tissue reaction to the material was also investigated. ProRoot MTA (Dentsply) was implanted in the subcutaneous tissues of Sprague-Dawley rats in opposite flanks and left in situ for 3 months. Furthermore the material was also stored in physiological solution in vitro. At the end of the incubation time, tissue histology and material characterization were performed. Surface assessment showed the formation of calcium carbonate for both environments. The bismuth was evident in the tissues thus showing heavy element contamination of the animal specimen. The tissue histology showed a chronic inflammatory cell infiltrate associated with the MTA. MTA interacts with the host tissues and causes a chronic inflammatory reaction when implanted subcutaneously. Hydration in vivo proceeds similarly to the in vitro model with some differences particularly in the bismuth oxide leaching patterns.
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Zarei M, Javidi M, Gharechahi M, Kateb M, Zare R, Kelagari ZS. Tissue Reaction to Different Types of Calcium Hydroxide Paste in Rat. THE BULLETIN OF TOKYO DENTAL COLLEGE 2016; 57:57-64. [PMID: 27320294 DOI: 10.2209/tdcpublication.2015-0031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The purpose of this study was to compare the biocompatibility of two types of calcium hydroxide paste in subcutaneous tissue in rat. Twenty-two Wistar rats were divided into 4 experimental (n=5 each) and one control (n=2) group. A polyethylene tube filled with either Dentsply or Sure-Paste was implanted in each rat in the experimental groups, while an empty polyethylene tube was used in the control group. After 15 or 60 days, the animals were sacrificed and histopathological examination carried out. Tissue reaction was assessed by inflammatory cell infiltration using a 4-point scoring system, ranging from 0 to 3. Data were analyzed with the Kruskal-Wallis, Wilcoxon, and McNemar tests. Both types of paste induced an inflammatory response at each time point, although the intensity varied. A significant reduction in the number of inflammatory cells was observed at 60 days. Dentsply appeared to induce a more marked inflammatory response at both time points, although the difference was not significant. These results suggest that both types of paste are biocompatible with subcutaneous tissue in rat.
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Affiliation(s)
- Mina Zarei
- Dental Research Center, Department of Endodontics, Mashhad Dental School, Mashhad University of Medical Sciences
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Hoshyari N, Labbaf H, Jalayer Naderi N, Kazemi A, Bastami F, Koopaei M. Biocompatibility of Portland Cement Modified with Titanium Oxide and Calcium Chloride in a Rat Model. IRANIAN ENDODONTIC JOURNAL 2016; 11:124-8. [PMID: 27141221 PMCID: PMC4841348 DOI: 10.7508/iej.2016.02.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Revised: 01/11/2016] [Accepted: 02/01/2016] [Indexed: 11/30/2022]
Abstract
Introduction: The aim of the present study was to evaluate the biocompatibility of two modified formulations of Portland cement (PC) mixed with either titanium oxide or both titanium oxide and calcium chloride. Methods and Materials: Polyethylene tubes were filled with modified PCs or Angelus MTA as the control; the tubes were then implanted in 28 Wistar rats subcutaneously. One tube was left empty as a negative control in each rat. Histologic samples were taken after 7, 15, 30 and 60 days. Sections were assessed histologically for inflammatory responses and presence of fibrous capsule and granulation tissue formation. Data were analyzed using the Fisher’s exact and Kruskal-Wallis tests. Result: PC mixed with titanium oxide showed the highest mean scores of inflammation compared with others. There was no statistically significant difference in the mean inflammatory grades between all groups in each of the understudy time intervals. Conclusion: The results showed favorable biocompatibility of these modified PC mixed with calcium chloride and titanium oxide.
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Affiliation(s)
- Narjes Hoshyari
- Endodontic Department, Dental School, Mazandaran University of Medical Sciences, Sari, Iran
| | - Hossein Labbaf
- Endodontic Department, Dental School, Shahed University, Tehran, Iran
| | | | - Ali Kazemi
- Endodontic Department, Dental School, Shahed University, Tehran, Iran
| | - Farshid Bastami
- Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Koopaei
- Oral Medicine Department, Dental School, Tehran University of Medical Sciences, Tehran, Iran
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Indenes and tetralenes analogues attenuates lipopolysaccharide-induced inflammation: An in-vitro and in-vivo study. Chem Biol Interact 2016; 245:12-9. [DOI: 10.1016/j.cbi.2015.12.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Revised: 11/27/2015] [Accepted: 12/11/2015] [Indexed: 02/06/2023]
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BUENO CRE, VALENTIM D, MARQUES VAS, GOMES-FILHO JE, CINTRA LTA, JACINTO RC, DEZAN-JUNIOR E. Biocompatibility and biomineralization assessment of bioceramic-, epoxy-, and calcium hydroxide-based sealers. Braz Oral Res 2016; 30:S1806-83242016000100267. [DOI: 10.1590/1807-3107bor-2016.vol30.0081] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Accepted: 03/06/2016] [Indexed: 11/21/2022] Open
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Zand V, Lotfi M, Aghbali A, Mesgariabbasi M, Janani M, Mokhtari H, Tehranchi P, Pakdel SMV. Tissue Reaction and Biocompatibility of Implanted Mineral Trioxide Aggregate with Silver Nanoparticles in a Rat Model. IRANIAN ENDODONTIC JOURNAL 2015; 11:13-6. [PMID: 26843871 PMCID: PMC4731527 DOI: 10.7508/iej.2016.01.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 09/16/2015] [Accepted: 10/04/2015] [Indexed: 11/30/2022]
Abstract
Introduction: Biocompatibility and antimicrobial activity of endodontic materials are of utmost importance. Considering the extensive applications of mineral trioxide aggregate (MTA) in dentistry and antimicrobial properties of silver nanoparticles, this study aimed to evaluate the subcutaneous inflammatory reaction of rat connective tissues to white MTA with and without nanosilver (NS) particles. Methods and Materials: Polyethylene tubes (1.1×8 mm) containing experimental materials (MTA and MTA+NS and empty control tubes) were implanted in subcutaneous tissues of seventy-five male rats. Animals were divided into five groups (n=15) according to the time of evaluation: group 1; after 7 days, group 2; after 15 days, group 3; after 30 days, group 4; after 60 days and group 5; after 90 days. The inflammatory reaction was graded and data was analyzed using the Kruskal-Wallis and Mann-Whitney U tests. Statistical significance was defined at 0.05. Results: Comparison of cumulative inflammatory reaction at all intervals revealed that the mean grade of inflammatory reaction to MTA, MTA+NS and control samples were 3, 2 and 2, respectively. According to the Mann-Whitney analysis there were no significant differences between MTA+NS and MTA (P=0.42). Conclusion: Incorporation of 1% nanosilver to MTA does not affect the inflammatory reaction of subcutaneous tissue in rat models.
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Affiliation(s)
- Vahid Zand
- Dental and Periodontal Research Center, Department of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehrdad Lotfi
- Research Center for Pharmaceutical Nano-Technology, Department of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Amirala Aghbali
- Department of Oral and Maxillofacial Pathology, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehran Mesgariabbasi
- Researcher, Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Maryam Janani
- Department of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hadi Mokhtari
- Department of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Pardis Tehranchi
- Department of Restorative Dentistry, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Seyyed Mahdi Vahid Pakdel
- Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
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Lim ES, Park YB, Kwon YS, Shon WJ, Lee KW, Min KS. Physical properties and biocompatibility of an injectable calcium-silicate-based root canal sealer: in vitro and in vivo study. BMC Oral Health 2015; 15:129. [PMID: 26490372 PMCID: PMC4618726 DOI: 10.1186/s12903-015-0112-9] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 10/08/2015] [Indexed: 11/30/2022] Open
Abstract
Background The aim of this study was to investigate the physical properties and biological effects of an experimentally developed injectable premixed calcium-silicate root canal sealer (Endoseal) in comparison with mineral trioxide aggregate (MTA) and a resin-based sealer (AHplus). Methods The pH, solubility, dimensional change, flow, and radiopacity of the materials were evaluated. Biocompatibility was evaluated on the basis of cell morphology and a viability test using MC3T3-E1 cells. For evaluate inflammatory reaction, the tested sealers were implanted into dorsal subcutaneous connective tissue of Sprague Dawley rats. After 7 days, the implants with the surrounding tissue were retrieved, and histological evaluation was performed. Results Endoseal showed high alkalinity similar to that of MTA. The solubility of the tested materials was similar. The dimensional change and flow of Endoseal was significantly higher than that of other materials (P < 0.05). The radiopacity of Endoseal was lower than that of AHplus (P < 0.05). The biocompatibility was similar to those of MTA. Inflammatory reaction of Endoseal was similar with that of MTA, but lower than that of AHplus (P < 0.05). Conclusions The present study indicates that Endoseal has favorable physical properties and biocompatibility. Therefore, we suggest that Endoseal has the potential to be used as a predictable root canal sealer.
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Affiliation(s)
- Eun-Su Lim
- Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University, 567 Baekje-daero, Jeonju-si, 54896, Korea.,Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, 20 Geonji-ro, 54907, Jeonju-si, Korea
| | - Young-Bae Park
- Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University, 567 Baekje-daero, Jeonju-si, 54896, Korea
| | - Young-Sun Kwon
- Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University, 567 Baekje-daero, Jeonju-si, 54896, Korea
| | - Won-Jun Shon
- Department of Conservative Dentistry, Dental Research Institute and School of Dentistry, Seoul National University, 101 Daehak-ro, 03080, Seoul, Korea.
| | - Kwang-Won Lee
- Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University, 567 Baekje-daero, Jeonju-si, 54896, Korea.,Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, 20 Geonji-ro, 54907, Jeonju-si, Korea
| | - Kyung-San Min
- Department of Conservative Dentistry, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University, 567 Baekje-daero, Jeonju-si, 54896, Korea. .,Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, 20 Geonji-ro, 54907, Jeonju-si, Korea.
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