CC BY-NC-ND 4.0 · Eur J Dent 2021; 15(01): 101-108
DOI: 10.1055/s-0040-1715986
Original Article

Effect of Tricalcium Silicate on Direct Pulp Capping: Experimental Study in Rats

Lúcio P.G. Chicarelli
1   Dental School, State University of Western Paraná, Cascavel, Paraná, Brazil
,
Mariana B.F. Webber
1   Dental School, State University of Western Paraná, Cascavel, Paraná, Brazil
,
João P.A. Amorim
1   Dental School, State University of Western Paraná, Cascavel, Paraná, Brazil
,
Ana L.C.A. Rangel
1   Dental School, State University of Western Paraná, Cascavel, Paraná, Brazil
,
Veridiana Camilotti
1   Dental School, State University of Western Paraná, Cascavel, Paraná, Brazil
,
Mario A.C. Sinhoreti
2   Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil
,
Marcio J. Mendonça
1   Dental School, State University of Western Paraná, Cascavel, Paraná, Brazil
› Author Affiliations

Abstract

Objectives Conduct a histological comparison of the pulp response to different materials, with a focus on the continuity and morphology of the mineralized barrier after direct pulp capping.

Materials and Methods One hundred and eight maxillary first molars of 54 Wistar rats were subject to direct pulp capping and divided into three groups according to the materials used: calcium hydroxide (CH), mineral trioxide aggregate (MTA), and Biodentine. All cavities were sealed, and the animals were euthanized at 7, 14, and 21 days. Descriptive histological evaluation of the inflammation and formation of the mineralized barrier was performed.

Statistical Analysis Statistical analyses were performed using the Kruskal–Wallis test, which was complemented by the Dunn test; differences with p < 0.05 were considered statistically significant.

Results The results showed that MTA and Biodentine elicited less intense inflammatory reactions than CH. With respect to the formation and quality of the dentin barrier formed, differences were observed at 21 days between the analyzed groups; the best results being obtained following treatment with MTA and Biodentine.

Conclusion MTA and Biodentine induced formation of a more continuous and uniform mineralized barrier with less intense pulp response than CH.



Publication History

Article published online:
08 September 2020

© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Bergenholtz G. Advances since the paper by Zander and Glass (1949) on the pursuit of healing methods for pulpal exposures: historical perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100 (Suppl. 02) S102-S108
  • 2 Komabayashi T, Zhu Q, Eberhart R, Imai Y. Current status of direct pulp-capping materials for permanent teeth. Dent Mater J 2016; 35 (01) 1-12
  • 3 Reston EG, de Souza Costa CA. Scanning electron microscopy evaluation of the hard tissue barrier after pulp capping with calcium hydroxide, mineral trioxide aggregate (MTA) or ProRoot MTA. Aust Endod J 2009; 35 (02) 78-84
  • 4 Cohenca N, Paranjpe A, Berg J. Vital pulp therapy. Dent Clin North Am 2013; 57 (01) 59-73
  • 5 Ford TR, Torabinejad M, Abedi HR, Bakland LK, Kariyawasam SP. Using mineral trioxide aggregate as a pulp-capping material. J Am Dent Assoc 1996; 127 (10) 1491-1494
  • 6 Min K-S, Park H-J, Lee S-K. et al. Effect of mineral trioxide aggregate on dentin bridge formation and expression of dentin sialoprotein and heme oxygenase-1 in human dental pulp. J Endod 2008; 34 (06) 666-670
  • 7 Zhao W, Wang J, Zhai W, Wang Z, Chang J. The self-setting properties and in vitro bioactivity of tricalcium silicate. Biomaterials 2005; 26 (31) 6113-6121
  • 8 Paranjpe A, Smoot T, Zhang H, Johnson JD. Direct contact with mineral trioxide aggregate activates and differentiates human dental pulp cells. J Endod 2011; 37 (12) 1691-1695
  • 9 Kunert M, Lukomska-Szymanska M. Bio-Inductive Materials in Direct and Indirect Pulp Capping-A Review Article. Materials (Basel) 2020; 13 (05) 1204
  • 10 Laurent P, Camps J, About I. Biodentine(TM) induces TGF-1 release from human pulp cells and early dental pulp mineralization. Int Endod J 2012; 45 (05) 439-448
  • 11 Gandolfi MG, Siboni F, Polimeni A. et al. In vitro screening of the apatite-formation ability, biointeractivity and physical proprieties of a tricalcium silicate material for Endodontics and restorative dentistry. Dent J 2013; 1: 41-60
  • 12 Tziafa C, Koliniotou-Koumpia E, Papadimitriou S, Tziafas D. Dentinogenic responses after direct pulp capping of miniature swine teeth with Biodentine. J Endod 2014; 40 (12) 1967-1971
  • 13 Mori GG, Teixeira LM, de Oliveira DL, Jacomini LM, da Silva SR. Biocompatibility evaluation of biodentine in subcutaneous tissue of rats. J Endod 2014; 40 (09) 1485-1488
  • 14 Bossù M, Iaculli F, Di Giorgio G, Salucci A, Polimeni A, Di Carlo S. Different pulp dressing materials for the pulpotomy of primary teeth: A systematic review of the literature. J Clin Med 2020; 9 (03) E838
  • 15 Pérard M, Le Clerc J, Watrin T. et al. Spheroid model study comparing the biocompatibility of Biodentine and MTA. J Mater Sci Mater Med 2013; 24 (06) 1527-1534
  • 16 Saghiri MA, Orangi J, Asatourian A. et al. Calcium silicate-based cements and functional impacts of various constituents. Dent Mater J 2017; 36 (01) 8-18
  • 17 Dammaschke T. Rat molar teeth as a study model for direct pulp capping research in dentistry. Lab Anim 2010; 44 (01) 1-6
  • 18 Dammaschke T, Stratmann U, Wolff P, Sagheri D, Schäfer E. Direct pulp capping with mineral trioxide aggregate: an immunohistologic comparison with calcium hydroxide in rodents. J Endod 2010; 36 (05) 814-819
  • 19 Bowen WH. Rodent model in caries research. Odontology 2013; 101 (01) 9-14
  • 20 Kirschneck C, Proff P, Fanghaenel J, Behr M, Wahlmann U, Roemer P. Differentiated analysis of orthodontic tooth movement in rats with an improved rat model and three-dimensional imaging. Ann Anat 2013; 195 (06) 539-553
  • 21 Simon S, Cooper P, Smith A, Picard B, Ifi CN, Berdal A. Evaluation of a new laboratory model for pulp healing: Preliminary study. Int Endod J 2008; 41 (09) 781-790
  • 22 Nowicka A, Lipski M, Parafiniuk M. et al. Response of human dental pulp capped with biodentine and mineral trioxide aggregate. J Endod 2013; 39 (06) 743-747
  • 23 Gronthos S, Mankani M, Brahim J, Robey PG, Shi S. Postnatal human dental pulp stem cells (DPSCs) in vitro and in vivo. Proc Natl Acad Sci USA 2000; 97 (25) 13625-13630
  • 24 Wang X, He H, Wu X, Hu J, Tan Y. Promotion of dentin regeneration via CCN3 modulation on Notch and BMP signaling pathways. Biomaterials 2014; 35 (09) 2720-2729
  • 25 Murray PE, Hafez AA, Smith AJ, Windsor LJ, Cox CF. Histomorphometric analysis of odontoblast-like cell numbers and dentine bridge secretory activity following pulp exposure. Int Endod J 2003; 36 (02) 106-116
  • 26 Goldberg M, Lacerda-Pinheiro S, Jegat N. et al. The impact of bioactive molecules to stimulate tooth repair and regeneration as part of restorative dentistry. Dent Clin North Am 2006; 50 (02) 277-298, x
  • 27 Miura M, Gronthos S, Zhao M. et al. SHED: stem cells from human exfoliated deciduous teeth. Proc Natl Acad Sci USA 2003; 100 (10) 5807-5812
  • 28 Seo BM, Miura M, Gronthos S. et al. Investigation of multipotent postnatal stem cells from human periodontal ligament. Lancet 2004; 364 (9429) 149-155
  • 29 Matsubara T, Suardita K, Ishii M. et al. Alveolar bone marrow as a cell source for regenerative medicine: differences between alveolar and iliac bone marrow stromal cells. J Bone Miner Res 2005; 20 (03) 399-409
  • 30 Morsczeck C, Götz W, Schierholz J. et al. Isolation of precursor cells (PCs) from human dental follicle of wisdom teeth. Matrix Biol 2005; 24 (02) 155-165
  • 31 Zhang Q, Shi S, Liu Y. et al. Mesenchymal stem cells derived from human gingiva are capable of immunomodulatory functions and ameliorate inflammation-related tissue destruction in experimental colitis. J Immunol 2009; 183 (12) 7787-7798
  • 32 Sonoyama W, Liu Y, Fang D. et al. Mesenchymal stem cell-mediated functional tooth regeneration in swine. PLoS One 2006; 1: e79
  • 33 Hilkens P, Gervois P, Fanton Y. et al. Effect of isolation methodology on stem cell properties and multilineage differentiation potential of human dental pulp stem cells. Cell Tissue Res 2013; 353 (01) 65-78
  • 34 Sharpe PT. Dental mesenchymal stem cells. Development 2016; 143 (13) 2273-2280
  • 35 Chalisserry EP, Nam SY, Park SH, Anil S. Therapeutic potential of dental stem cells. J Tissue Eng 2017; 8: 2041731417702531
  • 36 Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev 2018; 5: CD003220
  • 37 Niinuma A. Newly developed resinous direct pulp capping agent containing calcium hydroxide (MTYA1-Ca). Int Endod J 1999; 32 (06) 475-483
  • 38 Gandolfi MG, Ciapetti G, Taddei P. et al. Apatite formation on bioactive calcium-silicate cements for dentistry affects surface topography and human marrow stromal cells proliferation. Dent Mater 2010; 26 (10) 974-992
  • 39 Zanini M, Sautier JM, Berdal A, Simon S. Biodentine induces immortalized murine pulp cell differentiation into odontoblast-like cells and stimulates biomineralization. J Endod 2012; 38 (09) 1220-1226
  • 40 Goldberg M, Farges JC, Lacerda-Pinheiro S. et al. Inflammatory and immunological aspects of dental pulp repair. Pharmacol Res 2008; 58 (02) 137-147
  • 41 Nair PNR, Duncan HF, Pitt Ford TR, Luder HU. Histological, ultrastructural on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial. Int Endod J 2008; 41: 422-444
  • 42 Accorinte MLR, Loguercio AD, Reis A. et al. Response of human dental pulp capped with MTA and calcium hydroxide powder. Oper Dent 2008; 33 (05) 488-495
  • 43 Tran XV, Gorin C, Willig C. et al. Effect of a calcium-silicate-based restorative cement on pulp repair. J Dent Res 2012; 91 (12) 1166-1171
  • 44 Mente J, Geletneky B, Ohle M. et al. Mineral trioxide aggregate or calcium hydroxide direct pulp capping: an analysis of the clinical treatment outcome. J Endod 2010; 36 (05) 806-813
  • 45 Schröder U. Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, proliferation, and differentiation. J Dent Res 1985; 64 (Spec No) 541-548
  • 46 Paranjpe A, Zhang H, Johnson JD. Effects of mineral trioxide aggregate on human dental pulp cells after pulp-capping procedures. J Endod 2010; 36 (06) 1042-1047
  • 47 Al-Hezaimi K, Salameh Z, Al-Fouzan K, Al Rejaie M, Tay FR. Histomorphometric and micro-computed tomography analysis of pulpal response to three different pulp capping materials. J Endod 2011; 37 (04) 507-512
  • 48 Natale LC, Rodrigues MC, Xavier TA, Simões A, de Souza DN, Braga RR. Ion release and mechanical properties of calcium silicate and calcium hydroxide materials used for pulp capping. Int Endod J 2015; 48 (01) 89-94