CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(02): 161-165
DOI: 10.1055/s-0039-1688733
Original Article
Dental Investigation Society

Number of Dental Stem Cells on Root Canal Dentin after Application of Triple Antibiotic Paste or Calcium Hydroxide: An In Vitro Study

Konstantinos Gougousis
1   Department of Endodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
,
Dimitrios G. Giannakoulas
1   Department of Endodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
,
Vasiliki Taraslia
2   Department of Genetics and Gene Therapy, Biomedical Research Foundation of the Academy of Athens, Athens, Greece
,
Anastasia Agrafioti
1   Department of Endodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
,
Ema Anastasiadou
2   Department of Genetics and Gene Therapy, Biomedical Research Foundation of the Academy of Athens, Athens, Greece
,
Evangelos G. Kontakiotis
1   Department of Endodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
› Author Affiliations
Funding None.
Further Information

Publication History

Publication Date:
03 September 2019 (online)

Abstract

Objective The aim of this study was to evaluate the viability of stem cells from exfoliated and deciduous teeth (SHED) on dentin surface treated with triple antibiotic paste or calcium hydroxide.

Materials and Methods Nine single-rooted extracted premolars were prepared appropriately and divided into three groups. In group A, the root canals were left empty, a triple antibiotic paste was placed in the root canals of group B, and calcium hydroxide was placed in the root canals of group C. After 1 week, the intracanal medicaments were removed, and stem cells were seeded on the treated surface of the specimens for 1 more week. The cells were stained and then observed under confocal microscope over the entire surface of each test material. Counting of the cells was made by Image J (3D) software, as well as manually.

Statistical Analysis To investigate any statistically significant differences between the experimental groups, statistical tests including Kruskal–Wallis and Mann–Whitney U-test were performed. Significance level was set to P < 0.05, and all analyses were performed with SPSS IBM program, v. 21.

Results Groups B and C showed statistically significantly higher number of cells compared to Group A, whereas cells developed in a substrate of calcium hydroxide residues appeared in majority with distinct cores and widened unlike other groups.

Conclusions The effect of calcium hydroxide manifested better results regarding the number of stems cells on root canal surfaces.

 
  • References

  • 1 Murray PE, Garcia-Godoy F, Hargreaves KM. Regenerative endodontics: a review of current status and a call for action. J Endod 2007; 33 (04) 377-390
  • 2 Banchs F, Trope M. Revascularization of immature permanent teeth with apical periodontitis: new treatment protocol?. J Endod 2004; 30 (04) 196-200
  • 3 Kontakiotis EG, Filippatos CG, Tzanetakis GN, Agrafioti A. Regenerative endodontic therapy: a data analysis of clinical protocols. J Endod 2015; 41 (02) 146-154
  • 4 Yanpiset K, Trope M. Pulp revascularization of replanted immature dog teeth after different treatment methods. Endod Dent Traumatol 2000; 16 (05) 211-217
  • 5 Hoshino E, Kurihara-Ando N, Sato I. et al. In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996; 29 (02) 125-130
  • 6 Iwaya SI, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent Traumatol 2001; 17 (04) 185-187
  • 7 Cehreli ZC, Isbitiren B, Sara S, Erbas G. Regenerative endodontic treatment (revascularization) of immature necrotic molars medicated with calcium hydroxide: a case series. J Endod 2011; 37 (09) 1327-1330
  • 8 Trevino EG, Patwardhan AN, Henry MA. et al. Effect of irrigants on the survival of human stem cells of the apical papilla in a platelet-rich plasma scaffold in human root tips. J Endod 2011; 37 (08) 1109-1115
  • 9 Ruparel NB, Teixeira FB, Ferraz CC, Diogenes A. Direct effect of intracanal medicaments on survival of stem cells of the apical papilla. J Endod 2012; 38 (10) 1372-1375
  • 10 Althumairy RI, Teixeira FB, Diogenes A. Effect of dentin conditioning with intracanal medicaments on survival of stem cells of apical papilla. J Endod 2014; 40 (04) 521-525
  • 11 Martin DE, De Almeida JF, Henry MA. et al. Concentration-dependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. J Endod 2014; 40 (01) 51-55
  • 12 Kim KW, Yassen GH, Ehrlich Y, Spolnik K, Platt JA, Windsor LJ. The effects of radicular dentine treated with double antibiotic paste and ethylenediaminetetraacetic acid on the attachment and proliferation of dental pulp stem cells. Dent Traumatol 2015; 31 (05) 374-379
  • 13 Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M. Removal efficacy of various calcium hydroxide/chlorhexidine medicaments from the root canal. Int Endod J 2006; 39 (01) 55-61
  • 14 Kitikuson P, Srisuwan T. Attachment ability of human apical papilla cells to root dentin surfaces treated with either 3Mix or calcium hydroxide. J Endod 2016; 42 (01) 89-94
  • 15 Diogenes A, Henry MA, Teixeira FB, Hargreaves KM. An update on clinical regenerative endodontics. Endod Topics 2013; 28 (01) 2-23
  • 16 Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010; 36 (06) 1086-1091
  • 17 Hargreaves KM, Diogenes A, Teixeira FB. Treatment options: biological basis of regenerative endodontic procedures. J Endod 2013; 39 (03) , Suppl): S30-S43
  • 18 Latham J, Fong H, Jewett A, Johnson JD, Paranjpe A. Disinfection efficacy of current regenerative endodontic protocols in simulated necrotic immature permanent teeth. J Endod 2016; 42 (08) 1218-1225
  • 19 Rödig T, Vogel S, Zapf A, Hülsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J 2010; 43 (06) 519-527
  • 20 Taşdemir T, Celik D, Er K, Yildirim T, Ceyhanli KT, Yeşilyurt C. Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod J 2011; 44 (06) 505-509
  • 21 Berkhoff JA, Chen PB, Teixeira FB, Diogenes A. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod 2014; 40 (08) 1172-1177
  • 22 Pang NS, Lee SJ, Kim E. et al. Effect of EDTA on attachment and differentiation of dental pulp stem cells. J Endod 2014; 40 (06) 811-817
  • 23 Galler KM, Widbiller M, Buchalla W. et al. EDTA conditioning of dentine promotes adhesion, migration and differentiation of dental pulp stem cells. Int Endod J 2016; 49 (06) 581-590
  • 24 Alghilan MA, Windsor LJ, Palasuk J, Yassen GH. Attachment and proliferation of dental pulp stem cells on dentine treated with different regenerative endodontic protocols. Int Endod J 2017; 50 (07) 667-675
  • 25 Miura M, Gronthos S, Zhao M. et al. SHED: stem cells from human exfoliated deciduous teeth. Proc Natl Acad Sci U S A 2003; 100 (10) 5807-5812
  • 26 Cordeiro MM, Dong Z, Kaneko T. et al. Dental pulp tissue engineering with stem cells from exfoliated deciduous teeth. J Endod 2008; 34 (08) 962-969
  • 27 Sakai VT, Zhang Z, Dong Z. et al. SHED differentiate into functional odontoblasts and endothelium. J Dent Res 2010; 89 (08) 791-796
  • 28 Rosa V, Zhang Z, Grande RH, Nör JE. Dental pulp tissue engineering in full-length human root canals. J Dent Res 2013; 92 (11) 970-975
  • 29 Wigler R, Kaufman AY, Lin S, Steinbock N, Hazan-Molina H, Torneck CD. Revascularization: a treatment for permanent teeth with necrotic pulp and incomplete root development. J Endod 2013; 39 (03) 319-326
  • 30 Ballal NV, Shavi GV, Kumar R, Kundabala M, Bhat KS. In vitro sustained release of calcium ions and pH maintenance from different vehicles containing calcium hydroxide. J Endod 2010; 36 (05) 862-866
  • 31 Graham L, Cooper PR, Cassidy N, Nor JE, Sloan AJ, Smith AJ. The effect of calcium hydroxide on solubilisation of bio-active dentine matrix components. Biomaterials 2006; 27 (14) 2865-2873
  • 32 Tomson PL, Grover LM, Lumley PJ, Sloan AJ, Smith AJ, Cooper PR. Dissolution of bio-active dentine matrix components by mineral trioxide aggregate. J Dent 2007; 35 (08) 636-642
  • 33 Galler KM, Buchalla W, Hiller KA. et al. Influence of root canal disinfectants on growth factor release from dentin. J Endod 2015; 41 (03) 363-368