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Taghvaei N, Ghavami-Lahiji M, Evazalipour M, Tayefeh Davalloo R, Zamani E. Ion release, biocompatibility, and bioactivity of resin-modified calcium hydroxide cavity liners. BMC Oral Health 2023; 23:1034. [PMID: 38129851 PMCID: PMC10740215 DOI: 10.1186/s12903-023-03723-3] [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: 04/02/2023] [Accepted: 11/28/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND The placement of liners near the pulp area is essential for therapeutic effects and maintaining pulp health while stimulating the formation of tertiary dentin. This in vitro study aimed to evaluate the calcium release, pH, biocompatibility, solubility, and bioactivity of three resin-modified calcium hydroxide cavity liners. METHODS The disc specimens of each cavity liner were prepared using polyethylene molds of 7 mm in diameter and 2 mm in height (n = 10). Three light-cure liners evaluated include Ultra-Blend Plus (UB), Base-it (BI), and Master Dent (MD). The samples were then immersed in flasks containing 10 mL of distilled water. Calcium ion release, pH, and solubility were evaluated in two weeks of incubation. The cytotoxicity of extracts adjacent to the specimens was evaluated by MTT assay using NIH/3T3 cells after 1, 3, and 7 days of incubation. The ability to induce the nucleation of calcium phosphates (CaPs) after 28-day immersion in a simulated body fluid was investigated by SEM-EDX analysis. Statistical analysis was performed using ANOVA, Kruskal-Wallis, and repeated measures tests at the significant level of 0.05. RESULTS There was a significant difference in the release of calcium ions among the three liners investigated on days 1, 7, and 14 (p < 0.05). UB liners exhibited a significantly higher amount of calcium release than the other two liners, followed by BI, and MD. On day 1, there was no significant difference in the average pH among the three liners. However, after day 7, the MD liner showed a significant decrease in pH compared to the other two liners. BI liner demonstrated the highest level of biocompatibility, followed by the MD and UB liners. UB showed a high calcium release, solubility with no alkalizing activity, and the formation of more mature Ca-rich apatite deposits than the other two liners. CONCLUSION Based on the results of this study, the cavity liner material's performance is material dependent. It can impact ion release, biocompatibility, and bioactivity which are important factors to consider in clinical practice. Further studies are needed to investigate the long-term effects of different liner materials on oral tissues.
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Affiliation(s)
- Nastaran Taghvaei
- Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Mehrsima Ghavami-Lahiji
- Department of Restorative Dentistry, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
| | - Mehdi Evazalipour
- Department of Pharmaceutical Biotechnology, School of Pharmacy, Guilan University of Medical Sciences, Rasht, Iran
| | - Reza Tayefeh Davalloo
- Department of Restorative Dentistry, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Ehsan Zamani
- Department of Pharmacology and Toxicology, School of Pharmacy, Guilan University of Medical Sciences, Rasht, Iran
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Comparative chemical properties, bioactivity, and cytotoxicity of resin-modified calcium silicate-based pulp capping materials on human dental pulp stem cells. Clin Oral Investig 2022; 26:6839-6853. [PMID: 36104606 DOI: 10.1007/s00784-022-04713-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 09/07/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVES This study investigated the cytotoxicity, the residual monomer release, degree of conversion (DC), calcium ion (Ca2+) release, and crystal structure of TheraCal PT (ThPT) by comparison with TheraCal LC (ThLC) and mineral trioxide aggregate (MTA). MATERIALS AND METHODS The cytotoxicity of the cured materials was evaluated on human dental pulp stem cells (hDPSCs) isolated from third molars by the water-soluble tetrazolium salt (WST-1) method. The monomer release and DC of the resin-containing materials were analyzed by high-performance liquid chromatography (HPLC) and Fourier transform infrared (FTIR), respectively. The chemical composition and Ca2+ release of the materials were determined by scanning electronic microscopy-energy-dispersive spectroscopy (SEM-EDS), X-ray diffractometry (XRD), and inductively coupled plasma-optical emission spectroscopy (ICP-OES), respectively. Statistical differences were evaluated with one-way ANOVA, repeated measure ANOVA, and the Tukey test (p < 0.05). RESULTS MTA showed significantly lower cytotoxicity than either ThLC or ThPT after 1, 3, and 7 days (p < 0.05). TEGDMA release of ThPT is significantly higher than ThLC (p < 0.05). All materials showed calcium Ca2+ release, with MTA significantly higher than the others (p < 0.05). CONCLUSIONS MTA showed low cytotoxicity and high Ca2+ release compared to ThLC and ThPT. CLINICAL RELEVANCE The cytotoxicity and residual monomer release of ThLC and ThPT may raise concerns about the viability of hDPSCs. Further investigations with the use of in vivo research models are required to validate in vitro bioactivity properties and the potential adverse biological effects of ThLC and ThPT on hDPSCs.
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Klein-Junior CA, Zimmer R, Dobler T, Oliveira V, Marinowic DR, Özkömür A, Reston EG. Cytotoxicity assessment of Bio-C Repair Íon+: A new calcium silicate-based cement. J Dent Res Dent Clin Dent Prospects 2021; 15:152-156. [PMID: 34712404 PMCID: PMC8538145 DOI: 10.34172/joddd.2021.026] [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] [Received: 12/26/2020] [Accepted: 04/18/2021] [Indexed: 11/29/2022] Open
Abstract
Background. Direct pulp capping is a method designed to preserve the exposed dental pulp. Due to good biological, physical, and mechanical properties, new versions of calcium silicate-based materials have been developed as pulp capping materials. The present study aimed to evaluate the cytotoxic effects of four calcium silicate-based pulp capping materials, of which the Bio-C Repair Íon+ is still in an experimental phase.
Methods. Biodentine, MTA Repair HP, Bio-C Repair, and Bio-C Repair Íon+ cements were dispensed in a metallic matrix to produce 125-mm3 specimens, which were immersed in Dulbecco’s Modified Eagle Medium (DMEM) to obtain extracts. NIH 3T3 cells were cultured and exposed to the extracts for 24 hours and seven days. Cell viability was assessed by the methyl tetrazolium test (MTT). The mean values for the experimental and control groups (without treatment) were compared by analysis of variance (ANOVA) and post hoc Tukey tests, considering a significance level of 5%.
Results. All the tested materials demonstrated a reduction in cell viability (P < 0.05). According to ISO 10993-5: 2009 (E), Bio-C Repair Íon+ exhibited mild and moderate cytotoxicity in the 24- hour and 7-day analyses, respectively. Bio-C Repair and Biodentine showed mild cytotoxicity, and MTA Repair HP exhibited moderate cytotoxicity at both intervals.
Conclusion. The highest cell viability was demonstrated by Biodentine, MTA, and Repair HP, in descending order. Bio-C Repair and Bio-C Repair Íon+ showed moderate cytotoxicity, similar to MTA Repair HP in the 7-day analysis.
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Affiliation(s)
- Celso Afonso Klein-Junior
- Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Canoas, RS, Brazil.,Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Cachoeira do Sul, RS, Brazil
| | - Roberto Zimmer
- Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Canoas, RS, Brazil
| | - Tãnyre Dobler
- Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Cachoeira do Sul, RS, Brazil
| | - Vanessa Oliveira
- Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Cachoeira do Sul, RS, Brazil
| | - Daniel Rodrigo Marinowic
- Brain Institute, Neuroscience laboratory, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Ahmet Özkömür
- Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Canoas, RS, Brazil
| | - Eduardo Galia Reston
- Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil, Canoas, RS, Brazil
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Zimmer R, Leite ML, de Souza Costa CA, Hebling J, Anovazzi G, Klein CA, Hosaka K, Reston ED. Effect of Time and Temperature of Air Jet on the Mechanical and Biological Behavior of a Universal Adhesive System. Oper Dent 2021; 47:87-96. [PMID: 34624102 DOI: 10.2341/20-038-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/05/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the influence of heat application on the degree of conversion (DC) of the 3M Single Bond Universal Adhesive System, as well as its transdentinal cytotoxicity and microtensile bond strength to dentin. METHODS Experimental groups were established according to the time and temperature of the air jet: G1: 5 seconds-25°C; G2: 10 seconds-25°C; G3: 20 seconds-25°C; G4: 5 seconds-50°C; G5: 10 seconds-50°C; G6: 20 seconds-50°C. In control group (G7), no treatment was performed. The DC was assessed using the Fourier transform infrared spectroscopy-attenuated total reflectance (FTIR-ATR) technique. For the transdentinal cytotoxicity test, dentin discs fitted in artificial pulp chambers (APC) received the application of the adhesive system and the air jets. For the microtensile bond strength, healthy molars were restored and submitted to the microtensile test after 24 hours and 6 months, respectively. RESULTS Significant reduction in viability of Mouse Dental Papilla Cell-23 (MDPC-23), which exhibited morphological changes, was observed in all experimental groups compared to control (p<0.05). Although all tested protocols resulted in transdentinal diffusion of 2-hydroxyethyl methacrylate (HEMA), the group G6 presented the highest degree of monomeric conversion and the lowest cytotoxic effect, with higher dentin bond strength values in comparison to group G1 (p<0.05). CONCLUSIONS Applying an air blast at 50°C for 20 seconds increases the DC and microtensile bond strength of the 3M Single Bond Universal Adhesive System to dentin, as well as reduces the transdentinal cytotoxicity of the material to pulp cells.
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Affiliation(s)
- R Zimmer
- Roberto Zimmer, DDS, MS, Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil (Ulbra), Canoas, Brazil
| | - M L Leite
- Maria Luisa Leite, DDS, MS, PhD, Department of Physiology and Pathology, Araraquara School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil
| | - C A de Souza Costa
- Carlos Alberto de Souza Costa, DDS, MS, PhD, Department of Physiology and Pathology, Araraquara School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil
| | - J Hebling
- Josimeri Hebling, DDS, MS, PhD, Department of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil
| | - G Anovazzi
- Giovana Anovazzi, DDS, MS, PhD, Department of Orthodontics and Pediatric Dentistry, Araraquara School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil
| | - C A Klein
- Celso Afonso Klein-Junior, DDS, MS, PhD, Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil (Ulbra), Canoas, Brazil
| | - K Hosaka
- Keiichi Hosaka, DDS, MS, PhD, Department of Cariology and Operative Dentistry,Graduate School of Medical and Dental Sciences,Tokyo Medical and Dental University, Tokyo, Japan
| | - E D Reston
- *Eduardo Galia Reston, DDS, MSD, PhD, Department of Operative Dentistry, School of Dentistry, Lutheran University of Brazil (Ulbra), Canoas, Brazil
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