DOI QR코드

DOI QR Code

Cytotoxicity and biocompatibility of Zirconia (Y-TZP) posts with various dental cements

  • Shin, Hyeongsoon (Department of Conservative Dentistry, Asan Medical Center, Ulsan University) ;
  • Ko, Hyunjung (Department of Conservative Dentistry, Asan Medical Center, Ulsan University) ;
  • Kim, Miri (Department of Conservative Dentistry, Asan Medical Center, Ulsan University)
  • Received : 2016.01.13
  • Accepted : 2016.04.22
  • Published : 2016.08.31

Abstract

Objectives: Endodontically treated teeth with insufficient tooth structure are often restored with esthetic restorations. This study evaluated the cytotoxicity and biological effects of yttria partially stabilized zirconia (Y-TZP) blocks in combination with several dental cements. Materials and Methods: Pairs of zirconia cylinders with medium alone or cemented with three types of dental cement including RelyX U200 (3M ESPE), FujiCEM 2 (GC), and Panavia F 2.0 (Kuraray) were incubated in medium for 14 days. The cytotoxicity of each supernatant was determined using 3-(4,5-dimethylthiazole- 2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays on L929 fibroblasts and MC3T3-E1 osteoblasts. The levels of interleukin-6 (IL-6) mRNA were evaluated by reverse transcription polymerase chain reaction (RT-PCR), and IL-6 protein was evaluated by enzyme-linked immunosorbent assays (ELISA). The data were analyzed using one-way ANOVA and Tukey post-hoc tests. A p < 0.05 was considered statistically significant. Results: The MTT assays showed that MC3T3-E1 osteoblasts were more susceptible to dental cements than L929 fibroblasts. The resin based dental cements increased IL-6 expression in L929 cells, but reduced IL-6 expression in MC3T3-E1 cells. Conclusions: Zirconia alone or blocks cemented with dental cement showed acceptable biocompatibilities. The results showed resin-modified glass-ionomer based cement less produced inflammatory cytokines than other self-adhesive resin-based cements. Furthermore, osteoblasts were more susceptible than fibroblasts to the biological effects of dental cement.

Keywords

References

  1. Hargreaves KM, Cohen S, Berman LH. Cohen's pathways of the pulp. 10th ed. St. Louis, MO: Mosby Elsevier; 2011. p781-787.
  2. Tholey MJ, Swain MV, Thiel N. SEM observations of porcelain Y-TZP interface. Dent Mater 2009;25:857-862. https://doi.org/10.1016/j.dental.2009.01.006
  3. Bitter K, Kielbassa AM. Post-endodontic restorations with adhesively luted fiber-reinforced composite post systems: a review. Am J Dent 2007;20:353-360.
  4. Oblak C, Jevnikar P, Kosmac T, Funduk N, Marion L. Fracture resistance and reliability of new zirconia posts. J Prosthet Dent 2004;91:342-348. https://doi.org/10.1016/j.prosdent.2004.01.009
  5. Ozkurt Z, Iseri U, Kazazoglu E. Zirconia ceramic post systems: a literature review and a case report. Dent Mater J 2010;29:233-245. https://doi.org/10.4012/dmj.2009-128
  6. McLaren EA, White SN. Glass-infiltrated zirconia/alumina-based ceramic for crowns and fixed partial dentures. Pract Periodontics Aesthet Dent 1999;11:985-994.
  7. Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent 2007;35:819-826. https://doi.org/10.1016/j.jdent.2007.07.008
  8. Rasimick BJ, Wan J, Musikant BL, Deutsch AS. A review of failure modes in teeth restored with adhesively luted endodontic dowels. J Prosthodont 2010;19:639-646. https://doi.org/10.1111/j.1532-849X.2010.00647.x
  9. Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater 2011;27:71-82. https://doi.org/10.1016/j.dental.2010.10.022
  10. Ali Z, Eliyas S, Vere JW. Choosing the right dental material and making sense of the options: evidence and clinical recommendations. Eur J Prosthodont Restor Dent 2015;23:150-162.
  11. Shiozawa M, Takahashi H, Asakawa Y, Iwasaki N. Color stability of adhesive resin cements after immersion in coffee. Clin Oral Investig 2015;19:309-317. https://doi.org/10.1007/s00784-014-1272-8
  12. Yesilsoy C, Feigal RJ. Effects of endodontic materials on cell viability across standard pore size filters. J Endod 1985;11:401-407. https://doi.org/10.1016/S0099-2399(85)80029-7
  13. Uematsu S, Mogi M, Deguchi T. Interleukin (IL)-1 beta, IL-6, tumor necrosis factor-alpha, epidermal growth factor, and beta 2-microglobulin levels are elevated in gingival crevicular fluid during human orthodontic tooth movement. J Dent Res 1996;75:562-567. https://doi.org/10.1177/00220345960750010801
  14. Azuma MM, Samuel RO, Gomes-Filho JE, Dezan-Junior E, Cintra LT. The role of IL-6 on apical periodontitis: a systematic review. Int Endod J 2014;47:615-621. https://doi.org/10.1111/iej.12196
  15. Uo M, Sjogren G, Sundh A, Watari F, Bergman M, Lerner U. Cytotoxicity and bonding property of dental ceramics. Dent Mater 2003;19:487-492. https://doi.org/10.1016/S0109-5641(02)00094-5
  16. Gong SH, Lee H, Pae A, Noh K, Shin YM, Lee JH, Woo YH. Gene expression of MC3T3-E1 osteoblastic cells on titanium and zirconia surface. J Adv Prosthodont 2013;5:416-422. https://doi.org/10.4047/jap.2013.5.4.416
  17. Heydecke G, Butz F, Strub JR. Fracture strength and survival rate of endodontically treated maxillary incisors with approximal cavities after restoration with different post and core systems: an in-vitro study. J Dent 2001;29:427-433. https://doi.org/10.1016/S0300-5712(01)00038-0
  18. Meyenberg KH, Luthy H, Scharer P. Zirconia posts: a new all-ceramic concept for nonvital abutment teeth. J Esthetic Dent 1995;7:73-80. https://doi.org/10.1111/j.1708-8240.1995.tb00565.x
  19. Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the literature. J Prosthet Dent 2003;89:268-274. https://doi.org/10.1067/mpr.2003.50
  20. Houck KA, Kavlock RJ. Understanding mechanisms of toxicity: insights from drug discovery research. Toxicol Appl Pharmacol 2008;227:163-178. https://doi.org/10.1016/j.taap.2007.10.022
  21. Wang MO, Etheridge JM, Thompson JA, Vorwald CE, Dean D, Fisher JP. Evaluation of the in vitro cytotoxicity of cross-linked biomaterials. Biomacromolecules 2013;14:1321-1329. https://doi.org/10.1021/bm301962f
  22. Brackett MG, Messer RL, Lockwood PE, Bryan TE, Lewis JB, Bouillaguet S, Wataha JC. Cytotoxic response of three cell lines exposed in vitro to dental endodontic sealers. J Biomed Mater Res B Appl Biomater 2010;95:380-386.
  23. Dion I, Rouais F, Baquey C, Lahaye M, Salmon R, Trut L, Cazorla JP, Huong PV, Monties JR, Havlik P. Physico-chemistry and cytotoxicity of ceramics: part I: characterization of ceramic powders. J Mater Sci Mater Med 1997;8:325-332. https://doi.org/10.1023/A:1018520630500
  24. Torricelli P, Verne E, Brovarone CV, Appendino P, Rustichelli F, Krajewski A, Ravaglioli A, Pierini G, Fini M, Giavaresi G, Giardino R. Biological glass coating on ceramic materials: in vitro evaluation using primary osteoblast cultures from healthy and osteopenic rat bone. Biomaterials 2001;22:2535-2543. https://doi.org/10.1016/S0142-9612(00)00444-0
  25. Lohmann CH, Dean DD, Koster G, Casasola D, Buchhorn GH, Fink U, Schwartz Z, Boyan BD. Ceramic and PMMA particles differentially affect osteoblast phenotype. Biomaterials 2002;23:1855-1863. https://doi.org/10.1016/S0142-9612(01)00312-X
  26. Pabst AM, Walter C, Grassmann L, Weyhrauch M, Brullmann DD, Ziebart T, Scheller H, Lehmann KM. Influence of CAD/CAM all-ceramic materials on cell viability, migration ability and adenylate kinase release of human gingival fibroblasts and oral keratinocytes. Clin Oral Investig 2014;18:1111-1118. https://doi.org/10.1007/s00784-013-1098-9
  27. Ozcan M, Bernasconi M. Adhesion to zirconia used for dental restorations: a systematic review and metaanalysis. J Adhes Dent 2015;17:7-26.
  28. Kim MJ, Kim YK, Kim KH, Kwon TY. Shear bond strengths of various luting cements to zirconia ceramic: surface chemical aspects. J Dent 2011;39:795-803. https://doi.org/10.1016/j.jdent.2011.08.012
  29. Mahasti S, Sattari M, Romoozi E, Akbar-Zadeh Baghban A. Cytotoxicity comparison of Harvard zinc phosphate cement versus Panavia F2 and Rely X Plus resin cements on rat L929-fibroblasts. Cell J 2011;13:163-168.
  30. Huang FM, Tsai CH, Yang SF, Chang YC. Induction of interleukin-6 and interleukin-8 gene expression by root canal sealers in human osteoblastic cells. J Endod 2005;31:679-683. https://doi.org/10.1097/01.don.0000155227.86046.a2
  31. Schindler R, Mancilla J, Endres S, Ghorbani R, Clark SC, Dinarello CA. Correlations and interactions in the production of interleukin-6 (IL-6), IL-1, and tumor necrosis factor (TNF) in human blood mononuclear cells: IL-6 suppresses IL-1 and TNF. Blood 1990;75:40-47.
  32. Colotta F, Re F, Polentarutti N, Sozzani S, Mantovani A. Modulation of granulocyte survival and programmed cell death by cytokines and bacterial products. Blood 1992;80:2012-2020.
  33. Chang SW, Bae WJ, Yi JK, Lee S, Lee DW, Kum KY, Kim EC. Odontoblastic differentiation, inflammatory response, and angiogenic potential of 4 calcium silicate-based cements: Micromega MTA, ProRoot MTA, RetroMTA, and Experimental Calcium Silicate Cement. J Endod 2015;41:1524-1529. https://doi.org/10.1016/j.joen.2015.04.018
  34. Lee SJ, Chung J, Na HS, Park EJ, Jeon HJ, Kim HC. Characteristics of novel root-end filling material using epoxy resin and Portland cement. Clin Oral Investig 2013;17:1009-1015. https://doi.org/10.1007/s00784-012-0782-5
  35. Van Cruchten S, Van Den Broeck W. Morphological and biochemical aspects of apoptosis, oncosis and necrosis. Anat Histol Embryol 2002;31:214-223. https://doi.org/10.1046/j.1439-0264.2002.00398.x
  36. Stan MS, Memet I, Fratila C, Krasicka-Cydzik E, Roman I, Dinischiotu A. Effects of titanium-based nanotube films on osteoblast behavior in vitro. J Biomed Mater Res A 2015;103:48-56. https://doi.org/10.1002/jbm.a.35148

Cited by

  1. In Vitro Cytotoxicity of Self-Adhesive Dual-Cured Resin Cement Polymerized Beneath Three Different Cusp Inclinations of Zirconia vol.2019, pp.None, 2016, https://doi.org/10.1155/2019/7404038
  2. Investigations on the corrosion behaviour and biocompatibility of magnesium alloy surface composites AZ91D-ZrO2 fabricated by friction stir processing vol.97, pp.5, 2019, https://doi.org/10.1080/00202967.2019.1648005
  3. Effect of APTES- or MPTS-Conditioned Nanozirconia Fillers on Mechanical Properties of Bis-GMA-Based Resin Composites vol.5, pp.50, 2020, https://doi.org/10.1021/acsomega.0c04762