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Rady D, Albar N, Khayat W, Khalil M, Raafat S, Ramadan M, Saber S, Shamel M. Evaluation of dental pulp stem cells response to flowable nano-hybrid dental composites: A comparative analysis. PLoS One 2024; 19:e0303154. [PMID: 38739591 PMCID: PMC11090312 DOI: 10.1371/journal.pone.0303154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 04/20/2024] [Indexed: 05/16/2024] Open
Abstract
BACKGROUND Flowable resin composites (FRC) are tooth-colored restorative materials that contain a lower filler particle content, and lower viscosity than their bulk counterparts, making them useful for specific clinical applications. Yet, their chemical makeup may impact the cellular population of the tooth pulp. This in-vitro study assessed the cytocompatibility and odontogenic differentiation capacity of dental pulp stem cells (DPSCs) in response to two recent FRC material extracts. METHODS Extracts of the FRC Aura easyflow (AEF) and Polofil NHT Flow (PNF) were applied to DPSCs isolated from extracted human teeth. Cell viability of DPSCs was assessed using MTT assay on days 1, 3 and 7. Cell migration was assessed using the wound healing assay. DPSCs' capacity for osteo/odontogenic differentiation was assessed by measuring the degree of mineralization by Alizarin Red S staining, alkaline phosphatase enzyme (ALP) activity, and monitoring the expression of osteoprotegerin (OPG), RUNX Family Transcription Factor 2 (RUNX2), and the odontogenic marker dentin sialophosphoprotein (DSPP) by RT-PCR. Monomer release from the FRC was also assessed by High-performance liquid chromatography analysis (HPLC). RESULTS DPSCs exposed to PNF extracts showed significantly higher cell viability, faster wound closure, and superior odontogenic differentiation. This was apparent through Alizarin Red staining of calcified nodules, elevated alkaline phosphatase activity, and increased expression of osteo/odontogenic markers. Moreover, HPLC analysis revealed a higher release of TEDGMA, UDMA, and BISGMA from AEF. CONCLUSIONS PNF showed better cytocompatibility and enhancement of odontogenic differentiation than AEF.
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Affiliation(s)
- Dina Rady
- Faculty of Dentistry, Oral Biology Department, Cairo University, Cairo, Egypt
- Faculty of Dentistry, Stem Cells and Tissue Engineering Research Group, Cairo University, Cairo, Egypt
| | - Nassreen Albar
- Restorative Department/ Operative, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Waad Khayat
- Department of Restorative Dentistry, College of Dentistry, Umm Al-Qura University, Mecca, Saudi Arabia
| | - Mennatullah Khalil
- Hamdan Bin Mohamed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab Emirates
- Faculty of Dentistry, Dental Biomaterials Department, Fayoum University, Fayoum, Egypt
| | - Shereen Raafat
- Faculty of Dentistry, Pharmacology Department, The British University in Egypt (BUE), El Sherouk City, Egypt
- Dental Science Research Group, Health Research Centre of Excellence, The British University in Egypt (BUE), El Sherouk City, Egypt
| | - Mohamed Ramadan
- Specialized Dental Hospital, Armed Forces Medical Complex, Cairo, Egypt
| | - Shehabeldin Saber
- Dental Science Research Group, Health Research Centre of Excellence, The British University in Egypt (BUE), El Sherouk City, Egypt
- Faculty of Dentistry, Department of Endodontics, The British University in Egypt (BUE), El Sherouk City, Egypt
- Faculty of Dentistry, Department of Endodontics, Ain Shams University, Cairo, Egypt
| | - Mohamed Shamel
- Faculty of Dentistry, Oral Biology Department, The British University in Egypt, El Sherouk City, Egypt
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Costăchel BC, Bechir A, Târcolea M, Mihai LL, Burcea A, Bechir ES. The Stresses and Deformations in the Abfraction Lesions of the Lower Premolars Studied by the Finite Element Analyses: Case Report and Review of Literature. Diagnostics (Basel) 2024; 14:788. [PMID: 38667434 PMCID: PMC11048859 DOI: 10.3390/diagnostics14080788] [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: 02/17/2024] [Revised: 03/28/2024] [Accepted: 03/30/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND The purpose of the study was to investigate the behavior of hard dental structures of the teeth with abfraction lesions when experimental occlusal loads were applied. METHODS A 65-year-old patient came to the dentist because she had painful sensitivity in the temporomandibular joints and the lower right premolars. The patient was examined, and cone-beam computed tomography (CBCT) of the orofacial area was indicated. The data provided from the CBCT were processed with Mimics Innovation Suite 17 software to create the desired anatomical area in 3D format. Then, the structural calculation module was used in order to perform a finite element analysis of the lower right premolar teeth. A focused review of articles published between 2014 and 2023 from specialty literature regarding the FEA of premolars with abfraction lesions was also conducted. RESULTS The parcel area and the cervical third of the analyzed premolars proved to be the most vulnerable areas under the inclined direction of occlusal loads. The inclined application of experimental loads induced 3-4 times higher maximum shears, stresses, and deformations than the axial application of the same forces. CONCLUSIONS FEA can be used to identify structural deficiencies in teeth with abfractions, a fact that is particularly important during dental treatments to correct occlusal imbalances.
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Affiliation(s)
- Bogdan Constantin Costăchel
- Doctoral School in Dental Medicine, “Titu Maiorescu” University of Bucharest, 189 Calea Văcăreşti, 040056 Bucharest, Romania;
| | - Anamaria Bechir
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (A.B.)
| | - Mihail Târcolea
- Faculty of Materials Science and Engineering, University Politehnica of Bucharest, 313 Splaiul Independenţei, 060042 Bucharest, Romania
| | - Lelia Laurența Mihai
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (A.B.)
| | - Alexandru Burcea
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (A.B.)
| | - Edwin Sever Bechir
- Faculty of Dental Medicine, “George Emil Palade” University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Street, 540142 Targu Mures, Romania;
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Costăchel BC, Bechir A, Burcea A, Mihai LL, Ionescu T, Marcu OA, Bechir ES. Evaluation of Abfraction Lesions Restored with Three Dental Materials: A Comparative Study. Clin Pract 2023; 13:1043-1058. [PMID: 37736929 PMCID: PMC10514784 DOI: 10.3390/clinpract13050093] [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: 07/20/2023] [Revised: 08/18/2023] [Accepted: 08/23/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND Abfraction lesions are manifested as damage to hard tissues in the cervical area of dental crowns. The study aimed to assess the direct restoration of abfraction lesions according to the modified United States Public Health Service (USPHS) criteria for 24 months. The restorations were accomplished with Fuji Bulk-GC, Omnichroma Flow-Tokuyama, and Beautifil® II-Shofu dental materials, and the therapy was or was not associated with wearing thermoformed mouthguards. METHODS From the 53 selected and analyzed patients (n = 53), 28 patients (with restorations of abfraction lesions) belonged to the 1st group and 25 patients (with 105 restorations, who also wore mouthguards) belonged to the 2nd group. Blind determination assessments were effectuated at baseline and after 2, 6, 12, 18, and 24 months. Results showed that, regardless of the rating score, there are no significant statistical differences in the evaluation criteria between the two groups of patients Conclusions: For each material, the scores of USPHS criterion presented good clinical performances after 24 months, with no significant statistical differences between the fillings and the applied therapy in the two groups of patients.
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Affiliation(s)
- Bogdan Constantin Costăchel
- Doctoral School in Dental Medicine, “Titu Maiorescu” University of Bucharest, 189 Calea Văcăreşti, 040056 Bucharest, Romania;
| | - Anamaria Bechir
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (T.I.)
| | - Alexandru Burcea
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (T.I.)
| | - Laurența Lelia Mihai
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (T.I.)
| | - Tudor Ionescu
- Faculty of Dental Medicine, “Titu Maiorescu” University of Bucharest, 67A Gh. Petrascu Street, 031592 Bucharest, Romania; (L.L.M.); (T.I.)
| | - Olivia Andreea Marcu
- Faculty of Medicine and Pharmacy, University of Oradea, 10 P-ta 1 Decembrie, 410073 Oradea, Romania;
| | - Edwin Sever Bechir
- Faculty of Dental Medicine, “George Emil Palade” University of Medicine, Pharmacy, Science and Technology of Targu Mures, 38 Gh. Marinescu Street, 540142 Targu Mures, Romania;
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Jacob G, Goud KM. A comparative study on microleakage of two low shrinkage composite materials in Class II cavities: A stereomicroscopic analysis. J Conserv Dent 2023; 26:83-87. [PMID: 36908736 PMCID: PMC10003287 DOI: 10.4103/jcd.jcd_444_22] [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: 08/05/2022] [Revised: 09/11/2022] [Accepted: 10/03/2022] [Indexed: 12/12/2022] Open
Abstract
Aim To compare the microleakage of Filtek bulk fill posterior and Beautifil II LS composites in Class II cavities using stereomicroscope. Materials and Methods A total of 34 extracted teeth were randomly divided into two groups. Teeth were prepared and mounted on a plaster block. In each tooth, Class II cavities were prepared, following which the cavities were etched and bonded. In Group I, 17 teeth were restored with Filtek bulk fill posterior composite in bulk fill technique and in Group II, 17 teeth were restored with Beautifil II LS following manufacture's instructions. The samples were then thermocycled and then the tooth were immersed in 1% methylene blue for 24 h and were divided into two halves mesiodistally using a diamond disc at low speed. Then, all the sections were observed under a stereomicroscope at ×10 magnification. Results Mann-Whitney U-test displayed a statistically significant higher mean rank among Filtek bulk fill group (mean rank = 23.09) when compared to Beautifil II LS composite group (mean rank = 11.91). Conclusion The study concluded that in Class II restorations, Beautifil II LS showed significantly less microleakage than Filtek bulk fill posterior.
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Affiliation(s)
- Gifty Jacob
- Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India
| | - K. Mallikarjun Goud
- Department of Conservative Dentistry and Endodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India
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Kamenskikh AA, Sakhabutdinova L, Astashina N, Petrachev A, Nosov Y. Numerical Modeling of a New Type of Prosthetic Restoration for Non-Carious Cervical Lesions. MATERIALS 2022; 15:ma15155102. [PMID: 35897535 PMCID: PMC9330095 DOI: 10.3390/ma15155102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 07/14/2022] [Accepted: 07/19/2022] [Indexed: 11/29/2022]
Abstract
The paper considers a new technology for the treatment of non-carious cervical lesions (NCCLs). The three parameterized numerical models of teeth are constructed: without defect, with a V-shaped defect, and after treatment. A new treatment for NCCL has been proposed. Tooth tissues near the NCCLs are subject to degradation. The main idea of the technology is to increase the cavity for the restoration of NCCLs with removal of the affected tissues. The new treatment method also allows the creation of a playground for attaching the gingival margin. The impact of three biomaterials as restorations is studied: CEREC Blocs; Herculite XRV; and Charisma. The models are deformed by a vertical load from the antagonist tooth from 100 to 1000 N. The tooth-inlay system is considered, taking into account the contact interaction. Qualitative patterns of tooth deformation before and after restoration were established for three variants of the inlay material.
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Affiliation(s)
- Anna A. Kamenskikh
- Department of Computational Mathematics, Mechanics and Biomechanics, Perm National Research Polytechnic University, 614990 Perm, Russia; (L.S.); (Y.N.)
- Correspondence: ; Tel.: +7-(342)-239-15-64
| | - Lyaysan Sakhabutdinova
- Department of Computational Mathematics, Mechanics and Biomechanics, Perm National Research Polytechnic University, 614990 Perm, Russia; (L.S.); (Y.N.)
| | - Nataliya Astashina
- Department of Orthopedic Dentistry, Perm State Medical University Named after Academician E.A. Wagner, 26 Petropavlovskaya St., 614990 Perm, Russia; (N.A.); (A.P.)
| | - Artem Petrachev
- Department of Orthopedic Dentistry, Perm State Medical University Named after Academician E.A. Wagner, 26 Petropavlovskaya St., 614990 Perm, Russia; (N.A.); (A.P.)
| | - Yuriy Nosov
- Department of Computational Mathematics, Mechanics and Biomechanics, Perm National Research Polytechnic University, 614990 Perm, Russia; (L.S.); (Y.N.)
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