1
|
de Freitas SAA, Ferreira PVC, Carvalho EM, Aldaz MAN, Loguercio AD, Grazziotin-Soares R, Carvalho CN, Pereira ADFV, Bauer J. Experimental pastes containing niobophosphate and 45S5 bioactive glasses for treatment of dentin hypersensitivity: dentin permeability and tubule obliteration. Clin Oral Investig 2022; 26:6397-6407. [PMID: 35767044 DOI: 10.1007/s00784-022-04595-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 06/21/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVES This study tested the ability of bioactive pastes containing niobophosphate and 45S5 glasses to reduce dentin permeability and to obliterate dentinal tubules, as a mean of reducing human dentin hypersensitivity. MATERIALS AND METHODS Experimental pastes with concentrations of 10, 20, and 30 wt% of two bioactive glasses (45S5 or niobophosphate [NbG]) were formulated. A paste without bioactive glass (placebo) and a commercial paste (Nano P, FGM) were used as controls. Forty dentin disc specimens were obtained from caries-free extracted third human molars and divided in 8 groups (n = 5). Percentage of permeability (%Lp) was assessed in a dental permeability machine considering hydraulic conductance, immediately after pastes application and at day 7, day 14, and day 21. The precipitates formed on the surface of the dentin discs (and dentinal tubules) were analyzed by SEM/EDS and micro-Raman spectra. Data of dentin permeability (%) 2-way repeated-measures (ANOVA) and Holm-Sidak post-tests (α = 0.05). Dentinal tubule obliteration was visually (and elemental) evaluated and descriptively reported. RESULTS The experimental bioactive glass pastes containing NbG and 45S5, regardless of the concentration, reduced dentin permeability in comparison with pastes without bioactive glasses (P < 0.05). The formulated placebo and commercial paste did not reduce permeability over time (P < 0.05). SEM/EDS and micro-Raman analyses showed that both type of bioactive pastes (NbG or 45S5-based) presented mineral precipitates obliterating the dentinal tubules at day 21. NbG seems to offer a better initial effect than 45S5, while at 21 days there is no difference between both glasses. CONCLUSION Experimental bioactive pastes containing NbG and 45S5 (at concentrations of 10%, 20%, or 30%) have potential to reduce dentin permeability (over time) in comparison with pastes without bioactive glasses; and this occurs on behalf of obliteration of dentinal tubules by microparticle and precipitate formation. CLINICAL RELEVANCE Bioactive pastes containing NbG and 45S5 may benefit patients presenting dentin hypersensitivity, because these pastes can start acting fast after application and maintain their action up to 21 days.
Collapse
Affiliation(s)
- Samantha Ariadne Alves de Freitas
- Dentistry Biomaterials Laboratory (Biomma), School of Dentistry, Federal University of Maranhão (UFMA), Av. dos Portugueses, 1966, São Luís, Maranhão, 65080-805, Brazil
| | - Paulo Vitor Campos Ferreira
- Department of Restorative Dentistry, Dental Materials Division, School of Dentistry, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, São Paulo, 13414-903, Brazil
| | - Edilausson Moreno Carvalho
- University Ceuma (UNICEUMA), School of Dentistry, R. Josué Montello, 1, Renascença II, São Luis, , MA, 65075-120, Brazil
| | - Mayra Alejandra Nuñez Aldaz
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa (UEPG), Rua Carlos Cavalcanti, 4748, Campus Uvaranas, Ponta GrossaParaná, 84030-900, Brazil
| | - Alessandro Dourado Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa (UEPG), Rua Carlos Cavalcanti, 4748, Campus Uvaranas, Ponta GrossaParaná, 84030-900, Brazil
| | - Renata Grazziotin-Soares
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, Saskatchewan, S7N 5E4, Canada
| | - Ceci Nunes Carvalho
- University Ceuma (UNICEUMA), School of Dentistry, R. Josué Montello, 1, Renascença II, São Luis, , MA, 65075-120, Brazil
| | - Adriana de Fátima Vasconcelos Pereira
- Dentistry Biomaterials Laboratory (Biomma), School of Dentistry, Federal University of Maranhão (UFMA), Av. dos Portugueses, 1966, São Luís, Maranhão, 65080-805, Brazil
| | - José Bauer
- Dentistry Biomaterials Laboratory (Biomma), School of Dentistry, Federal University of Maranhão (UFMA), Av. dos Portugueses, 1966, São Luís, Maranhão, 65080-805, Brazil.
| |
Collapse
|
2
|
Cardoso OS, Meier MM, Carvalho EM, Ferreira PVC, Gavini G, Zago PMW, Grazziotin-Soares R, Menezes ASD, Carvalho CN, Bauer J. Synthesis and characterization of experimental endodontic sealers containing bioactive glasses particles of NbG or 45S5. J Mech Behav Biomed Mater 2021; 125:104971. [PMID: 34798534 DOI: 10.1016/j.jmbbm.2021.104971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 11/03/2021] [Accepted: 11/08/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE This study evaluated the influence of adding bioactive glasses particles [Niobophosphate (NbG) or bioglass (45S5)] into endodontic cements in relation to physical, chemical and biological properties. METHODS The following commercial cements were used as comparison: AH Plus (Dentsply), Endofill (Dentsply), MTA Fillapex (Angelus) and EndoSequence (BC Sealer, Brasseler). Setting time, radiopacity, flow rate, weight loss/variation, alkaline capacity (pH) at different time-intervals (24h/48h/7d/14d/28d), bioactivity (assessed under SEM/EDS, FTIR/ATR and XDR) and cell viability were measured. Data were analyzed by One-way ANOVA/Holm-Sidak post-test (α = 5%) (normal distribution) and Kruskal-Wallis/Students-Newman-Keuls post-test (α = 5%) (non-normal distribution). RESULTS Bioactive endodontic experimental cements (containing NbG or 45S5) had high alkalinization capacity. The experimental cements presented high weight loss/variation (p < 0.001). 45S5 experimental cement did not present radiopacity (p < 0.001). AH Plus had the lowest cell cytotoxicity when compared to the other tested cements (p < 0.001). Regarding bioactivity, SEM/EDS analyses showed precipitates with high concentrations of Ca/P for 45S5 and NbG, as well as for MTA Fillapex and BC Sealer. AH plus and Endofill did not present bioactive precipitates. FTIR/ATR and XDR analyses found hydroxyapatite precursors for NbG, 45S5, MTA Fillapex and BC Sealer. SIGNIFICANCE The incorporation of bioactive particles (NbG or 45S5) into endodontic cements had potential to neutralize acidic environments and induced formation of hydroxyapatite precursors. Clinically, these would produce a cement that is bactericidal and have the potential to improve tissue healing. The improved radiopacity and flowability would facilitate the visualization of the material in the radiograph and the filling of anatomical complexities during root canal obturation. As drawbacks, the excessive weight loss and post-setting cytotoxicity could result in clinical degradation of the cement and adjacent tissue irritation for the patient.
Collapse
Affiliation(s)
- Olinto Santos Cardoso
- Discipline of Dental Materials, School of Dentistry, Federal University of Maranhão (UFMA), Av. dos Portugueses, 1966, Zip Code 65080-805, São Luis, Maranhão, Brazil
| | - Marcia Margarete Meier
- Department of Chemistry, State University of Santa Catarina (UDESC), Rua Paulo Malschitzki, 200, Zip Code: 89219-710, Joinville, Santa Catarina, Brazil
| | - Edilausson Moreno Carvalho
- University Ceuma (UNICEUMA), School of Dentistry, Rua Josué Montello, 1, Renascença II, Zip Code 65075-120, São Luis, Maranhão, MA, Brazil
| | - Paulo Vitor Campos Ferreira
- Department of Restorative Dentistry, School of Dentistry, Universidade de São Paulo (FOUSP), Av. Prof Lineu Prestes, 2227, Zip Code: 05508-000, São Paulo, Brazil
| | - Giulio Gavini
- Department of Restorative Dentistry, Dental Materials Division, School of Dentistry, University of Campinas (UNICAMP), Av. Limeira, 901, Zip Code 13414-903, Piracicaba, São Paulo, Brazil
| | - Patrícia Maria Wiziack Zago
- São Leopoldo Mandic Dental School and Research Center, Av. Dona Renata, 71, Zip Code: 13606-134, Araras, São Paulo, Brazil
| | - Renata Grazziotin-Soares
- College of Dentistry, University of Saskatchewan, 105 Wiggins Road, Saskatoon, Saskatchewan, S7N 5E4, Canada
| | - Alan Silva de Menezes
- Department of Physics, Federal University of Maranhão (UFMA), Av. dos Portugueses, 1966, Zip Code 65080-805, São Luis, Maranhão, Brazil
| | - Ceci Nunes Carvalho
- University Ceuma (UNICEUMA), School of Dentistry, Rua Josué Montello, 1, Renascença II, Zip Code 65075-120, São Luis, Maranhão, MA, Brazil
| | - Jose Bauer
- Discipline of Dental Materials, School of Dentistry, Federal University of Maranhão (UFMA), Av. dos Portugueses, 1966, Zip Code 65080-805, São Luis, Maranhão, Brazil.
| |
Collapse
|
3
|
Wanitwisutchai T, Monmaturapoj N, Srisatjaluk R, Subannajui K, Dechkunakorn S, Anuwongnukroh N, Pongprueksa P. Buffering capacity and antibacterial properties among bioactive glass-containing orthodontic adhesives. Dent Mater J 2021; 40:1169-1176. [PMID: 34078777 DOI: 10.4012/dmj.2020-375] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study was to evaluate the acid-buffering capacity and antibacterial properties of orthodontic adhesives containing bioactive glasses (BAGs) (45S5, 45S5F, S53P4), Hydroxyapatite, beta-tricalcium phosphate, and Canasite. Fillers comprising 15 wt% bioactive glasses, HAp, β-TCP, and Canasite incorporated with 55 wt% silanated glass were added to a mixture of UDMA/TEGDMA. Acid-buffering capacity was tested by exposing disc-shaped samples of each adhesive to medium of bacteria-produced acids, and pH changes were recorded at 24 and 48 h. Antibacterial properties were assessed by indirect testing by exposing polymerized adhesive samples to a medium and direct testing by immersing the specimens in solutions containing S. mutans and S. sanguinis. A significant buffering capacity was shown by the 45S5, 45S5F and S53P4 BAG adhesives. The antibacterial properties were not significant in all experimental adhesives. Therefore, the experimental orthodontic adhesives containing BAGs demonstrated a significant buffering capacity but did not show significant antibacterial properties against S. mutans and S. sanguinis.
Collapse
Affiliation(s)
| | - Naruporn Monmaturapoj
- Assistive Technology and Medical Devices Research Center, National Science and Technology Development Agency
| | | | - Kittitat Subannajui
- Material Science and Engineering Program, Multi-Disciplinary Unit, Faculty of Science, Mahidol University
| | | | | | - Pong Pongprueksa
- Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University
| |
Collapse
|
4
|
Al Tamami N, Bawazeer N, Fieux M, Zaouche S, Tringali S. Tolerance and safety of 45S5 bioactive glass used in obliteration procedures during middle ear surgery: Preliminary results. Am J Otolaryngol 2020; 41:102542. [PMID: 32620365 DOI: 10.1016/j.amjoto.2020.102542] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 04/29/2020] [Accepted: 05/03/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVE Otologists face many disadvantages after extensive mastoid drilling and canal wall down technique in cholesteatoma surgery. Mastoid and epitympanic cavity obliterations or reconstructions after canal wall down procedure using bioactive glass seem to be an interesting solution to overcome some of these disadvantages. Bioactive glass offers many benefits including the availability when there are no sufficient autologous materials for obliteration, its antibacterial activity in chronic infected ear and decreasing the recidivism of cholesteatoma. The objective of this study is to evaluate the tolerance and safety of 45S5 bioactive glass as a filing bone-synthetic material by clinical, audiological and radiological examinations. METHODOLOGY A retrospective study of 42 patients who had undergone obliteration of mastoid or/and epitympanic cavity with 45S5 bioactive glass between, November 2017 to January 2019. Data from clinical follow-ups, audiological assessment, CT-scan and MRI were analyzed. RESULT The patients' mean age was 49.8 years old. Microscopic examinations showed dry well-healed tympanic membranes and external auditory canals for 95.2% of the patients after 1 year. Inner ear injuries after obliteration were not observed by comparing pre and post-operative bone conduction audiometry (p value 0.457). No facial palsy was reported post-operatively. One-year postoperative radiological assessments did not reveal any silent implantation of cholesteatoma or residual disease. CONCLUSION Mastoid and epitympanic obliterations with 45S5 bioactive glass seem to be a tolerable and safe option in cholesteatoma surgery with favorable outcomes similar to other member of bioactive glass especially the S53P4.
Collapse
Affiliation(s)
- Nasser Al Tamami
- Department of Otolaryngology, and Otoneurosurgery, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310 Lyon, Pierre-Bénite, France
| | - Naif Bawazeer
- Department of Otolaryngology-Head & Neck Surgery, Umm Al-Qura University, Makkah, Saudi Arabia.
| | - Maxime Fieux
- Department of Otolaryngology, and Otoneurosurgery, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310 Lyon, Pierre-Bénite, France
| | - Sandra Zaouche
- Department of Otolaryngology, and Otoneurosurgery, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310 Lyon, Pierre-Bénite, France
| | - Stéphane Tringali
- Department of Otolaryngology, and Otoneurosurgery, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69310 Lyon, Pierre-Bénite, France
| |
Collapse
|
5
|
Bakry AS, Abbassy MA. The efficacy of a bioglass ( 45S5) paste temporary filling used to remineralize enamel surfaces prior to bonding procedures. J Dent 2019; 85:33-38. [PMID: 31039386 DOI: 10.1016/j.jdent.2019.04.010] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Revised: 04/22/2019] [Accepted: 04/23/2019] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVES The efficacy of using a 45S5 Bioglass paste as a remineralizing temporary filling material was compared to fluoride gel (1.23% acidulated-phosphate-fluoride, Gelato Gel, NJ, USA) applied for 24 h and for 4 min and to a temporary filling material (Caviton; GC, Tokyo, Japan). METHODS 66 extracted human premolars were used. All specimens were sectioned mesio-distally. All specimens were challenged by a demineralization solution (pH4.5) for 4 days. The specimens were divided into 4 groups: (Bioglass), (Fluoride 4-minutes), (Fluoride 24-Hours), and (Temp) (n = 33). 10 specimens were examined by TMR (Transversal Microradiography)to test remineralization capacity of each agent. 8 specimens were assigned to determine the acid resistance of a bonded resin-enamel interface after the various treatment methods. 15 samples were assigned to determine the effect of each agent on the shear bond strength of a single bottle self-etch adhesive system. One way ANOVA was used to compare the obtained results (p < 0.05). RESULTS Specimens treated with 45S5 bioglass showed statistically significant reductions in (delta z) values when compared to the other three groups (p < 0.05). Treatment of demineralized enamel by fluoride prior to bonding significantly decreased shear bond strength values, however 45S5 bioglass treatment did not affect the shear bond strength of adhesive system to enamel (p < 0.05). The acid-resistance of the interface between resin-enamel was significantly improved when fluoride or bioglass were applied onto the enamel surface prior to demineralization. CONCLUSIONS 45S5 bioglass paste has high potential to be used as a remineralizing temporary filling material.
Collapse
Affiliation(s)
- Ahmed S Bakry
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Mona A Abbassy
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Alexandria University, Alexandria, Egypt
| |
Collapse
|
6
|
Hassan U, Farooq I, Moheet IA, AlShwaimi E. Cutting efficiency of different dental materials utilized in an air abrasion system. Int J Health Sci (Qassim) 2017; 11:23-7. [PMID: 29085264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES The aim of the present study was to test cutting efficiency of different materials against conventional alumina in an air abrasion system. MATERIALS AND METHODS The powder samples were divided into three groups: Group 1 - alumina (control), Group 2 - 45S5 bioactive glass, and Group 3 - hydroxyapatite. 30 microscope glass slides of 0.5 mm thickness were used as an alternative of human enamel and were also divided randomly into these three groups. The time taken by the abrasive particles to cut a hole through the microscope glass slide was recorded with a stop watch. In addition, morphology of the particles was observed through scanning electron microscopy (SEM). A t-test was used to compare the times taken to cut a hole through the microscope glass slides, and the level of significance was set at P < 0.05. RESULTS The mean time taken to cut a hole through the microscope glass slide was 2.96 s and 23.01s for Groups 1 and 2, respectively, whereas powder of Group 3 did not cut after 120 s. The differences between cutting times of Groups 1 and 2 were statistically significant (P < 0.05). The SEM micrographs revealed coarse angular shape for particles of Groups 1 and 2 but Group 3 particles were with round ends and presence of smaller particles was also observed in Groups 2 and 3. CONCLUSION The alumina particles demonstrated excellent cutting efficiency followed by 45S5 particles. The use of bioactive glass particles should be encouraged for cutting purposes whenever a shortage of time for practitioners is not a concern.
Collapse
|