DOI QR코드

DOI QR Code

Biological assessment of a new ready-to-use hydraulic sealer

  • Francine Benetti (Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry) ;
  • Joao Eduardo Gomes-Filho (Department of Preventive and Restorative Dentistry, Sao Paulo State University (UNESP), School of Dentistry) ;
  • India Olinta de Azevedo-Queiroz (Department of Preventive and Restorative Dentistry, Sao Paulo State University (UNESP), School of Dentistry) ;
  • Marina Carminatti (Department of Preventive and Restorative Dentistry, Sao Paulo State University (UNESP), School of Dentistry) ;
  • Leticia Citelli Conti (Department of Preventive and Restorative Dentistry, Sao Paulo State University (UNESP), School of Dentistry) ;
  • Alexandre Henrique dos Reis-Prado (Department of Restorative Dentistry, Universidade Federal de Minas Gerais (UFMG), School of Dentistry) ;
  • Sandra Helena Penha de Oliveira (Department of Basic Science, Sao Paulo State University (UNESP), School of Dentistry) ;
  • Edilson Ervolino (Department of Basic Science, Sao Paulo State University (UNESP), School of Dentistry) ;
  • Eloi Dezan-Junior (Department of Preventive and Restorative Dentistry, Sao Paulo State University (UNESP), School of Dentistry) ;
  • Luciano Tavares Angelo Cintra (Department of Preventive and Restorative Dentistry, Sao Paulo State University (UNESP), School of Dentistry)
  • Received : 2020.04.01
  • Accepted : 2020.05.29
  • Published : 2021.05.31

Abstract

Objectives: This study compared the cytotoxicity, biocompatibility, and tenascin immunolabeling of a new ready-to-use hydraulic sealer (Bio-C Sealer) with MTA-Fillapex and white MTA-Angelus. Materials and Methods: L929 fibroblasts were cultivated and exposed to undiluted and diluted material extracts. Polyethylene tubes with or without (the control) the materials were implanted into the dorsa of rats. At 7 days and 30 days, the rats were euthanized, and the specimens were prepared for analysis; inflammation and immunolabeling were measured, and statistical analysis was performed (p < 0.05). Results: MTA-Fillapex exhibited greater cytotoxicity than the other materials at all time points (p < 0.05). The undiluted Bio-C Sealer exhibited greater cytocompatibility at 6 and 48 hours than white MTA-Angelus, with higher cell viability than in the control (p < 0.05). White MTA-Angelus displayed higher cell viability than the control at 24 hours, and the one-half dilution displayed similar results at both 6 and 48 hours (p < 0.05). At 7 days and 30 days, the groups exhibited moderate inflammation with thick fibrous capsules and mild inflammation with thin fibrous capsules, respectively (p > 0.05). At 7 days, moderate to strong immunolabeling was observed (p > 0.05). After 30 days, the control and MTA-Fillapex groups exhibited strong immunolabeling, the white MTA-Angelus group exhibited moderate immunolabeling (p > 0.05), and the Bio-C Sealer group exhibited low-to-moderate immunolabeling, differing significantly from the control (p < 0.05). Conclusions: Bio-C Sealer and white MTA-Angelus exhibited greater cytocompatibility than MTA-Fillapex; all materials displayed adequate biocompatibility and induced tenascin immunolabeling.

Keywords

Acknowledgement

This research received support from the Conselho Nacional de Desenvolvimento Cientifico e Tecnologico - CNPq (305969/2015-3), Sao Paulo, SP, Brazil.

References

  1. Vouzara T, Dimosiari G, Koulaouzidou EA, Economides N. Cytotoxicity of a new calcium silicate endodontic sealer. J Endod 2018;44:849-852. https://doi.org/10.1016/j.joen.2018.01.015
  2. Shie MY, Chang HC, Ding SJ. Effects of altering the Si/Ca molar ratio of a calcium silicate cement on in vitro cell attachment. Int Endod J 2012;45:337-345. https://doi.org/10.1111/j.1365-2591.2011.01981.x
  3. Saghiri MA, Orangi J, Asatourian A, Gutmann JL, Garcia-Godoy F, Lotfi M, Sheibani N. Calcium silicate-based cements and functional impacts of various constituents. Dent Mater J 2017;36:8-18. https://doi.org/10.4012/dmj.2015-425
  4. Han L, Okiji T. Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J 2011;44:1081-1087. https://doi.org/10.1111/j.1365-2591.2011.01924.x
  5. Reyes-Carmona JF, Felippe MS, Felippe WT. The biomineralization ability of mineral trioxide aggregate and Portland cement on dentin enhances the push-out strength. J Endod 2010;36:286-291. https://doi.org/10.1016/j.joen.2009.10.009
  6. Vitti RP, Prati C, Silva EJ, Sinhoreti MA, Zanchi CH, de Souza e Silva MG, Ogliari FA, Piva E, Gandolfi MG. Physical properties of MTA Fillapex sealer. J Endod 2013;39:915-918. https://doi.org/10.1016/j.joen.2013.04.015
  7. Zhou HM, Du TF, Shen Y, Wang ZJ, Zheng YF, Haapasalo M. In vitro cytotoxicity of calcium silicate-containing endodontic sealers. J Endod 2015;41:56-61. https://doi.org/10.1016/j.joen.2014.09.012
  8. Collado-Gonzalez M, Tomas-Catala CJ, Onate-Sanchez RE, Moraleda JM, Rodriguez-Lozano FJ. Cytotoxicity of GuttaFlow Bioseal, GuttaFlow2, Mta Fillapex, and Ah Plus on human periodontal ligament stem cells. J Endod 2017;43:816-822. https://doi.org/10.1016/j.joen.2017.01.001
  9. Gomes-Filho JE, Watanabe S, Lodi CS, Cintra LT, Nery MJ, Filho JA, Dezan E Jr, Bernabe PF. Rat tissue reaction to MTA Fillapex®. Dent Traumatol 2012;28:452-456. https://doi.org/10.1111/j.1600-9657.2011.01096.x
  10. Salles LP, Gomes-Cornelio AL, Guimaraes FC, Herrera BS, Bao SN, Rossa-Junior C, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Mineral trioxide aggregate-based endodontic sealer stimulates hydroxyapatite nucleation in human osteoblast-like cell culture. J Endod 2012;38:971-976. https://doi.org/10.1016/j.joen.2012.02.018
  11. Costa F, Sousa Gomes P, Fernandes MH. Osteogenic and angiogenic response to calcium silicate-based endodontic sealers. J Endod 2016;42:113-119. https://doi.org/10.1016/j.joen.2015.09.020
  12. Grossman LI. Endodontic practice. 10th ed. Philadelphia, PA: Lea & Febiger; 1982. 
  13. Cintra LTA, Benetti F, de Azevedo Queiroz IO, Ferreira LL, Massunari L, Bueno CRE, de Oliveira SHP, Gomes-Filho JE. Evaluation of the cytotoxicity and biocompatibility of new resin epoxy-based endodontic sealer containing calcium hydroxide. J Endod 2017;43:2088-2092. https://doi.org/10.1016/j.joen.2017.07.016
  14. Andrade AS, Silva GF, Camilleri J, Cerri ES, Guerreiro-Tanomaru JM, Cerri PS, Tanomaru-Filho M. Tissue response and immunoexpression of interleukin 6 promoted by tricalcium silicate-based repair materials after subcutaneous implantation in rats. J Endod 2018;44:458-463. https://doi.org/10.1016/j.joen.2017.12.006
  15. Cosme-Silva L, Benetti F, Dal-Fabbro R, Gomes Filho JE, Sakai VT, Cintra LTA, Alvarez N, Ervolino E, Viola NV. Biocompatibility and biomineralization ability of Bio-C Pulpecto. A histological and immunohistochemical study. Int J Paediatr Dent 2019;29:352-360. https://doi.org/10.1111/ipd.12464
  16. Cosme-Silva L, Gomes-Filho JE, Benetti F, Dal-Fabbro R, Sakai VT, Cintra LTA, Ervolino E, Viola NV. Biocompatibility and immunohistochemical evaluation of a new calcium silicate-based cement, Bio-C Pulpo. Int Endod J 2019;52:689-700. https://doi.org/10.1111/iej.13052
  17. da Fonseca TS, Silva GF, Guerreiro-Tanomaru JM, Sasso-Cerri E, Tanomaru-Filho M, Cerri PS. Mast cells and immunoexpression of FGF-1 and Ki-67 in rat subcutaneous tissue following the implantation of Biodentine and MTA Angelus. Int Endod J 2019;52:54-67. https://doi.org/10.1111/iej.12981
  18. Zarrabi MH, Javidi M, Jafarian AH, Joushan B. Immunohistochemical expression of fibronectin and tenascin in human tooth pulp capped with mineral trioxide aggregate and a novel endodontic cement. J Endod 2011;37:1613-1618. https://doi.org/10.1016/j.joen.2011.08.021
  19. Moradi S, Saghravanian N, Moushekhian S, Fatemi S, Forghani M. Immunohistochemical evaluation of fibronectin and tenascin following direct pulp capping with mineral trioxide aggregate, platelet-rich plasma and propolis in dogs' teeth. Iran Endod J 2015;10:188-192.
  20. Thesleff I, Mackie E, Vainio S, Chiquet-Ehrismann R. Changes in the distribution of tenascin during tooth development. Development 1987;101:289-296. https://doi.org/10.1242/dev.101.2.289
  21. Piva E, Tarquinio SB, Demarco FF, Silva AF, de Araujo VC. Immunohistochemical expression of fibronectin and tenascin after direct pulp capping with calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e66-e71. https://doi.org/10.1016/j.tripleo.2006.01.015
  22. Cintra LTA, Benetti F, de Azevedo Queiroz IO, de Araujo Lopes JM, Penha de Oliveira SH, Sivieri Araujo G, Gomes-Filho JE. Cytotoxicity, biocompatibility, and biomineralization of the new high-plasticity MTA material. J Endod 2017;43:774-778. https://doi.org/10.1016/j.joen.2016.12.018
  23. International Organization for Standardization (ISO). ISO 10993-5: Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity. Geneva: ISO; 2009. 
  24. Benetti F, Briso ALF, Carminatti M, de Araujo Lopes JM, Barbosa JG, Ervolino E, Gomes-Filho JE, Cintra LTA. The presence of osteocalcin, osteopontin and reactive oxygen species-positive cells in pulp tissue after dental bleaching. Int Endod J 2019;52:665-675. https://doi.org/10.1111/iej.13049
  25. Jung S, Sielker S, Hanisch MR, Libricht V, Schafer E, Dammaschke T. Cytotoxic effects of four different root canal sealers on human osteoblasts. PLoS One 2018;13:e0194467.
  26. Victoria-Escandell A, Ibanez-Cabellos JS, de Cutanda SB, Berenguer-Pascual E, Beltran-Garcia J, Garcia-Lopez E, Pallardo FV, Garcia-Gimenez JL, Pallares-Sabater A, Zarzosa-Lopez I, Monterde M. Cellular responses in human dental pulp stem cells treated with three endodontic materials. Stem Cells Int 2017;2017:8920356.
  27. Benetti F, Queiroz IOA, Cosme-Silva L, Conti LC, Oliveira SHP, Cintra LTA. Cytotoxicity, biocompatibility and biomineralization of a new ready-for-use bioceramic repair material. Braz Dent J 2019;30:325-332. https://doi.org/10.1590/0103-6440201902457
  28. Titushkin I, Cho M. Modulation of cellular mechanics during osteogenic differentiation of human mesenchymal stem cells. Biophys J 2007;93:3693-3702. https://doi.org/10.1529/biophysj.107.107797
  29. Silva EJ, Carvalho NK, Ronconi CT, De-Deus G, Zuolo ML, Zaia AA. Cytotoxicity profile of endodontic sealers provided by 3D cell culture experimental model. Braz Dent J 2016;27:652-656. https://doi.org/10.1590/0103-6440201600792
  30. International Organization for Standardization (ISO). ISO 10993-6: Biological evaluation of medical devices - Part 6: Testes for local effects after implantation. Geneva: ISO; 2016. 
  31. Saraiva JA, da Fonseca TS, da Silva GF, Sasso-Cerri E, Guerreiro-Tanomaru JM, Tanomaru-Filho M, Cerri PS. Reduced interleukin-6 immunoexpression and birefringent collagen formation indicate that MTA Plus and MTA Fillapex are biocompatible. Biomed Mater 2018;13:035002.
  32. Monteiro Bramante C, Demarchi AC, de Moraes IG, Bernadineli N, Garcia RB, Spangberg LS, Duarte MA. Presence of arsenic in different types of MTA and white and gray Portland cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:909-913. https://doi.org/10.1016/j.tripleo.2008.07.018
  33. Demirkaya K, Can Demirdogen B, Oncel Torun Z, Erdem O, Cetinkaya S, Akay C. In vivo evaluation of the effects of hydraulic calcium silicate dental cements on plasma and liver aluminium levels in rats. Eur J Oral Sci 2016;124:75-81. https://doi.org/10.1111/eos.12238
  34. Demirkaya K, Demirdogen BC, Torun ZO, Erdem O, Cirak E, Tunca YM. Brain aluminium accumulation and oxidative stress in the presence of calcium silicate dental cements. Hum Exp Toxicol 2017;36:1071-1080. https://doi.org/10.1177/0960327116679713
  35. Hirschman WR, Wheater MA, Bringas JS, Hoen MM. Cytotoxicity comparison of three current direct pulp-capping agents with a new bioceramic root repair putty. J Endod 2012;38:385-388. https://doi.org/10.1016/j.joen.2011.11.012
  36. Lessa FC, Aranha AM, Hebling J, Costa CA. Cytotoxic effects of White-MTA and MTA-Bio cements on odontoblast-like cells (MDPC-23). Braz Dent J 2010;21:24-31. https://doi.org/10.1590/S0103-64402010000100004
  37. Zordan-Bronzel CL, Esteves Torres FF, Tanomaru-Filho M, Chavez-Andrade GM, Bosso-Martelo R, Guerreiro-Tanomaru JM. Evaluation of physicochemical properties of a new calcium silicate-based sealer, Bio-C Sealer. J Endod 2019;45:1248-1252. https://doi.org/10.1016/j.joen.2019.07.006
  38. Castro-Raucci LMS, Teixeira LN, Oliveira IR, Raucci-Neto W, Jacobovitz M, Rosa AL, de Oliveira PT. Osteogenic cell response to calcium aluminate-based cement. Int Endod J 2017;50:771-779. https://doi.org/10.1111/iej.12682
  39. Garcia Lda F, Huck C, Menezes de Oliveira L, de Souza PP, de Souza Costa CA. Biocompatibility of new calcium aluminate cement: tissue reaction and expression of inflammatory mediators and cytokines. J Endod 2014;40:2024-2029. https://doi.org/10.1016/j.joen.2014.08.015
  40. Bernabe PF, Gomes-Filho JE, Rocha WC, Nery MJ, Otoboni-Filho JA, Dezan-Junior E. Histological evaluation of MTA as a root-end filling material. Int Endod J 2007;40:758-765. https://doi.org/10.1111/j.1365-2591.2007.01282.x
  41. Silva GF, Guerreiro-Tanomaru JM, da Fonseca TS, Bernardi MIB, Sasso-Cerri E, Tanomaru-Filho M, Cerri PS. Zirconium oxide and niobium oxide used as radiopacifiers in a calcium silicate-based material stimulate fibroblast proliferation and collagen formation. Int Endod J 2017;50(Supplement 2):e95-e108.
  42. Chiang TY, Ding SJ. Comparative physicochemical and biocompatible properties of radiopaque dicalcium silicate cement and mineral trioxide aggregate. J Endod 2010;36:1683-1687. https://doi.org/10.1016/j.joen.2010.07.003
  43. Min KS, Chang HS, Bae JM, Park SH, Hong CU, Kim EC. The induction of heme oxygenase-1 modulates bismuth oxide-induced cytotoxicity in human dental pulp cells. J Endod 2007;33:1342-1346. https://doi.org/10.1016/j.joen.2007.07.012
  44. Kebudi Benezra M, Schembri Wismayer P, Camilleri J. Interfacial characteristics and cytocompatibility of hydraulic sealer cements. J Endod 2018;44:1007-1017. https://doi.org/10.1016/j.joen.2017.11.011