DOI QR코드

DOI QR Code

COMPARISON OF BIOCOMPATIBILITY OF FOUR ROOT PERFORATION REPAIR MATERIALS

치근 천공 치료 재료의 생체친화성의 비교

  • Kang, Min-Kyung (Dept. of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Bae, In-Ho (Dept. of Pharmacology and Dental Therapeutics, School of Dentistry, Chonnam National University) ;
  • Koh, Jeong-Tae (Dept. of Pharmacology and Dental Therapeutics, School of Dentistry, Chonnam National University) ;
  • Hwang, Yun-Chan (Dept. of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Hwang, In-Nam (Dept. of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Oh, Won-Mann (Dept. of Conservative Dentistry, School of Dentistry, Chonnam National University)
  • 강민경 (전남대학교 치의학 전문대학원 보존학교실) ;
  • 배인호 (전남대학교 치의학 전문대학원 약리학 교실) ;
  • 고정태 (전남대학교 치의학 전문대학원 약리학 교실) ;
  • 황윤찬 (전남대학교 치의학 전문대학원 보존학교실) ;
  • 황인남 (전남대학교 치의학 전문대학원 보존학교실) ;
  • 오원만 (전남대학교 치의학 전문대학원 보존학교실)
  • Published : 2009.05.31

Abstract

This study was carried out in order to determine in vitro biocompatibility of white mineral trioxide aggregate (MTA), and to compare it with that of the commonly used materials, i. e. calcium hydroxide liner (Dycal), glass ionomer cement (GIC), and Portland cement which has a similar composition of MTA. To assess the biocompatibility of each material, cytotoxicity was examined using MG-63 cells. The degree of cytotoxicity was evaluated by scanning electron microscopy (SEM) and a colorimetric method, based on reduction of the tetrazolium salt 2,3 bis {2methoxy 4nitro 5[(sulfenylamino) carbonyl] 2H tetrazolium hydroxide} (XTT) assay. The results of SEM revealed the cells in contact with GIC, MTA. and Portland cement at 1 and 3 days were apparently healthy. In contrast, cells in the presence of Dycal appeared rounded and detached. In XTT assay, the cellular activities of the cells incubated with all the test materials except Dycal were similar, which corresponded with the SEM observation. The present study supports the view that MTA is a very biocompatible root perforation repair material. It also suggests that cellular response of Portland cement and GIC are very similar to that of MTA.

이번 연구는 치근 천공의 치료 재료인 white mineral trioxide aggregate (MTA)를 흔히 사용되는 calcium hydroxide liner ($Dycal^{(R)}$), glass ionomer cement (GIC), 그리고 MTA와 유사한 성분을 가진 Portland cement와 세포독성 실험으로 생체 친화성을 평가하는 것이다. 세포독성의 정도는 MG-63 세포를 이용해 주사전자 현미경적 관찰과 수용성 tetrazolium salt를 이용한 흡광도를 측정 (XTT assay)하여 평가하였다. SEM 관찰에서, 1일과 3일째 모두에서 GIC와 MTA, Portland cement 표면에서는 잘 부착된 세포를 보여주었다. 반면에, Dycal 표면의 세포들은 둥글고 부착되지 않은 양상을 보여 주었다. XTT assay에서는 Dycal을 제외한 모든 재료에서 유사하게 높은 세포 활성도를 보여주었으며, 이는 SEM 관찰 소견과 일치하였다. 이번 연구는 MTA가 생체친화적인 재료라는 견해를 뒷받침한다. 또한 Portland cement와 GIC에서도 MTA와 유사한 세포반응을 보여주었다.

Keywords

References

  1. Vajrabhaya LO, Korsuwannawong S, Jantarat J, Korre S. Biocompatibility of furcal perforation repair material using cell culture technique: Ketac Molar versus ProRoot MTA. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 102: e48-50, 2006 https://doi.org/10.1016/j.tripleo.2006.05.015
  2. Souza NJ, Justo GZ, Oliveira CR, Haun M, Bincoletto C. Cytotoxicity of materials used in perforation repair tested using the V79 fibroblast cell line and the granulocyte-macrophage progenitor cells. Int Endod J 39:40-47, 2006 https://doi.org/10.1111/j.1365-2591.2005.01045.x
  3. Tziafas D, Economides N. Formation of crystals on the surface of calcium hydroxide-containing materials In vitro. J Endod 25: 539-542, 1999 https://doi.org/10.1016/S0099-2399(99)80375-6
  4. Makkawy HA, Koka S, Lavin MT, Ewoldsen NO. Cytotoxicity of root perforation repair materials. J Endod 24:477-479, 1998 https://doi.org/10.1016/S0099-2399(98)80050-2
  5. Costa CA, Hebling J, Garcia-Godoy F, Hanks CT. In vitro cytotoxicity of glass-ionomer cements. Biomater 24:3853-3858, 2003 https://doi.org/10.1016/S0142-9612(03)00253-9
  6. Yun YR, Yang IS, Hwang YC, Hwang IN, Choi HR, Yoon SJ, Kim SH, Oh WM. Pulp response of Mineral trioxide aggregate, calcium sulfate or calcium hydroxide. J Kor Acad Cons Dent 32:95-101, 2007 https://doi.org/10.5395/JKACD.2007.32.2.095
  7. Gorduysus M, Avcu N, Gorduysus O, Pekel A, Baran Y, Avcu F, Ural AU. Cytotoxic effects of four different endodontic materials in human periodontal ligament fibroblasts. J Endod 33:1450-1454, 2007 https://doi.org/10.1016/j.joen.2007.08.017
  8. Chang SW, Yoo HM, Park DS, Oh TS, Bae KS. Ingredients and cytotoxicity of MTA and 3 kinds of Portland cements. J Kor Acad Cons Dent 33:369-376, 2008 https://doi.org/10.5395/JKACD.2008.33.4.369
  9. AL-Rabeah E, Perinpanayagam H, MacFarland D. Human alveolar bone cells interact with ProRoot and tooth-colored MTA. J Endod 32:872-875, 2006 https://doi.org/10.1016/j.joen.2006.03.019
  10. Min KS, Kim HI, Park HJ, Pi SH, Hong CU, Kim EC. Human pulp cells response to Portland cement in Vitro. J Endod 33:163-166, 2007 https://doi.org/10.1016/j.joen.2006.07.022
  11. Funteas UR, Wallace JA, Fochtman EW. A comparative analysis of mineral trioxide aggregate and Portland cement. Aust Endod J 29:43-44, 2003 https://doi.org/10.1111/j.1747-4477.2003.tb00498.x
  12. Saidon J, He J, Zhu Q, Safavi K, Spangberg LS. Cell and tissue reactions to mineral trioxide aggregate and Portland cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:483-489, 2003 https://doi.org/10.1067/moe.2003.20
  13. Camilleri J, Montesin FE, Di Silvio L, Pitt Ford TR. The chemical constitution and biocompatibility of accelerated Portland cement for endodontic use. Int Endod J 38:834-842, 2005 https://doi.org/10.1111/j.1365-2591.2005.01028.x
  14. Kim HJ, Baek SH, Bae KS. Cytotoxicity and genotoxicity of newly developed calcium phosphate-based root canal sealers. J Kor Acad Cons Dent 31:36-49,2006 https://doi.org/10.5395/JKACD.2006.31.1.036
  15. Saw TY, Cao T, Yap AU, Lee Ng MM. Tooth slice organ culture and established cell line culture models for cytotoxicity assessment of dental materials. Toxicol in Vitro 19:145-154, 2005 https://doi.org/10.1016/j.tiv.2004.08.006
  16. Koh ET, McDonald F, Pitt Ford TR, Torabinejad M. Cellular response to Mineral Trioxide Aggregate. J Endod 24:543-547, 1998 https://doi.org/10.1016/S0099-2399(98)80074-5
  17. Zhu Q, Haglund R, Safavi KE, Spangberg LS. Adhesion of human osteoblasts on root-end filling materials. J Endod 26:404-406, 2000 https://doi.org/10.1097/00004770-200007000-00006
  18. Mitchell PJ, Pitt Ford TR, Torabinejad M, McDonald F. Osteoblast biocompatibility of mineral trioxide aggregate. Biomater 20:167-173, 1999 https://doi.org/10.1016/S0142-9612(98)00157-4
  19. Balto HA. Attachment and morphological behavior of human periodontal ligament fibroblasts to mineral trioxide aggregate: a scanning electron microscope study. J Endod 30:25-29, 2004 https://doi.org/10.1097/00004770-200401000-00005
  20. Torabinejad M, Hong CU, Pitt Ford TR, Kettering JD. Cytotoxicity of four root end filling materials. J Endod 21:489-492, 1995 https://doi.org/10.1016/S0099-2399(06)80518-2
  21. Camilleri J, Montesin FE, Papaioannou S, McDonald F, Pitt Ford TR. Biocompatibility of two commercial forms of mineral trioxide aggregate. Int Endod J 37:699-704, 2004 https://doi.org/10.1111/j.1365-2591.2004.00859.x
  22. Camilleri J, Montesin FE, Brady K, Sweeney R, Curtis RV, Ford TR. The constitution of mineral trioxide aggregate. Dent Mater 21:297-303, 2005 https://doi.org/10.1016/j.dental.2004.05.010
  23. Scudiero DA, Shoemaker RH, Paull KD, Monks A, Tierney S, Nofziger TH, Currens MJ, Seniff D, Boyd MR. Evaluation of a soluble tetrazolium/formazan assay for cell growth and drug sensitivity in culture using human and other tumor cell lines. Cancer Res 48:4827-4833, 1988
  24. Leonardo RT, Consolaro A, Carlos IZ, Leonardo MR. Evaluation of cell culture cytotoxicity of five root canal sealers. J Endod 26:328-330, 2000 https://doi.org/10.1097/00004770-200006000-00005
  25. Scarano A, Manzon L, Di Giorgio R, Orsini G, Tripodi D, Piattelli A. Direct capping with four different materials in humans: histological analysis of odontoblast activity. J Endod 29:729-734, 2003 https://doi.org/10.1097/00004770-200311000-00011
  26. Abdullah D, Ford TR, Papaioannou S, Nicholson J, McDonald F. An evaluation of accelerated Portland cement as a restorative material. Biomater 23:4001-4010, 2002 https://doi.org/10.1016/S0142-9612(02)00147-3

Cited by

  1. The effect of several root-end filling materials on MG63 osteoblast-like cells vol.35, pp.3, 2010, https://doi.org/10.5395/JKACD.2010.35.3.222
  2. Physical and chemical properties of experimental mixture of mineral trioxide aggregate and glass ionomer cement vol.35, pp.5, 2010, https://doi.org/10.5395/JKACD.2010.35.5.344
  3. Biocompatibility of experimental mixture of mineral trioxide aggregate and glass ionomer cement vol.35, pp.5, 2010, https://doi.org/10.5395/JKACD.2010.35.5.359