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CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(01): 047-053
DOI: 10.1055/s-0043-1768594
Review Article

Potential Combination of Acemannan Sponge and Calcium Phosphate Cement-Calcium Sulfate Hemihydrate (CPC-CSH) as Direct Pulp Capping Alternative Materials for Reparative Dentin Formation

Authors

  • Anis Irmawati 

    1   Department of Oral Biology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

  • Annisa Indah Pratiwi

    2   Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

  • Muh Rizki Aqsanu Azizi

    2   Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

  • Nurul Annisa Apriliyanti

    2   Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

  • Ayu Annafi

    2   Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

  • Yassir Ahmad Azzaim 

    3   Magister Program, Dental Health Sciences, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia

  • Ala'a Saif Alqhtani 

    4   Depertment of Dental Medicine, Faculty of Medicine, Ibb University, Ibb, Yemen

Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

Background Health problem that affects hard tissues of the teeth is dental caries, which is experienced by around 2.3 billion people in the world, with prevalence in Indonesia reaching 88.8. Direct pulp capping (DPC) is a vital pulp therapy used to maintain pulp vitality. Calcium hydroxide (Ca(OH)2) is the gold standard pulp capping material, but has poor adhesion to dentin and mechanical properties, bacterial infiltration, formation of tunnel defects in the pulp resorption, and dentin bridge. Therefore, it is necessary to develop alternative therapy, namely, a combination of acemannan sponge and calcium phosphate cement (CPC)-calcium sulfate hemihydrate (CSH) for reparative dentin formation.

Purpose This article describes the potential combination of acemannan sponge and CPC-CSH as DPC alternative materials for reparative dentin formation.

Reviews Acemannan extracted from aloe vera exhibits anti-inflammatory, antimicrobial, and cytocompatibility properties. As DPC material, acemannan induces pulp proliferation and differentiation to osteoblast-like, growth factor synthesis, and promotes reparative dentin formation. However, acemannan sponge is radiolucent, allowing misinterpretation between pulp and acemannan sponge. CPC can be combined with CSH to shorten the setting time. CPC-CSH is radiopaque, has good compressive strength, and biocompatibility. CPC-CSH is a calcium-based material with neutral pH that can induce the dentin bridge formation. CPC-CSH showed good bioactivity because it induces the formation of apatite which plays a significant part in dentin and pulp regeneration.

Conclusion The combination of acemannan sponge and CPC-CSH has the potential as DPC alternative materials for reparative dentin formation.

Keywords

acemannan sponge - calcium phosphate cement-calcium sulfate hemihydrate - direct pulp capping - dental caries - reparative dentine - human and health

Authors' Contributions

A.I.: research concept and design, data analysis and interpretation, writing the article, critical revision of the article, final approval of article. A.I.P.: research concept and design, collection and/or assembly of data, data analysis and interpretation, writing the article, critical revision of the article, final approval of article. M.R.A.A.: collection and/or assembly of data, writing the article, critical revision of the article, final approval of article. N.A.A.: research concept and design, collection and/or assembly of data, data analysis and interpretation, writing the article. A.A.: research concept and design, collection and/or assembly of data, data analysis and interpretation, writing the article. Y.A.A.: writing the article, critical revision of the article, final approval of article. A.S.A.: critical revision of the article, final approval of article.




Publikationsverlauf

Artikel online veröffentlicht:
16. Mai 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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