1
|
Evaluation of the Interfaces between Restorative and Regenerative Biomaterials Used in Vital Pulp Therapy. MATERIALS 2021; 14:ma14175055. [PMID: 34501145 PMCID: PMC8434275 DOI: 10.3390/ma14175055] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/21/2021] [Accepted: 08/27/2021] [Indexed: 12/15/2022]
Abstract
BACKGROUND Calcium-silicate-based cements (CSC) have gained an increasing scientific and clinical relevance, enabling more conservative approaches, namely pulp preservation and regeneration therapies. This research aims to study the influence of four clinical variables on the interfaces between CSC and composite adhesive restoration, concerning shear bond strength (SBS) and ultra-morphological patterns. METHODS SBS tests were performed in 320 specimens divided in 16 groups (n = 20) according to: two CSC (NuSmile® NeoMTA, BiodentineTM); two adhesive systems (ClearfilTM SE Bond 2 (CSEB2), ClearfilTM Universal Bond Quick (CUBQ)); optional application of an additional hydrophobic bonding layer (HBL); two restoration times (immediate, seven days). Scanning electron microscopy (SEM) was performed to conduct the ultra-morphology interface analysis in 32 deciduous molars prepared and randomly allocated into the 16 groups. RESULTS Globally, SBS tests showed higher bond strength of CUBQ compared to CSEB2 (p < 0.001), as with an additional HBL application (p = 0.014) and delayed restoration (p < 0.001). SEM showed the interpenetration between adhesive systems and CSC forming a hybrid layer, whose depth and thickness depended on the restoration time and adhesive strategy. CONCLUSIONS The independent clinical variables adhesive system, application of an additional HBL and restoration time affected the bond performance and ultra-morphological interface between composite adhesive restoration and CSC.
Collapse
|
2
|
Yoshihara K, Nagaoka N, Okihara T, Irie M, Matsukawa A, Pedano MS, Maruo Y, Yoshida Y, Van Meerbeek B. Development of self-adhesive pulp-capping agents containing a novel hydrophilic and highly polymerizable acrylamide monomer. J Mater Chem B 2021; 8:5320-5329. [PMID: 32458954 DOI: 10.1039/d0tb00079e] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Several studies have shown the clinical success of hydraulic calcium-silicate cements (hCSCs) for direct and indirect pulp capping and root repair. However, hCSCs have various drawbacks, including long setting time, poor mechanical properties, low bond strength to dentin, and relatively poor handling characteristics. To overcome these limitations, a light-curable, resin-based hCSC (Theracal LC, Bisco) was commercially introduced; however, it did not exhibit much improvement in bond strength. We developed a light-curable self-adhesive pulp-capping material that contains the novel acrylamide monomer N,N'-{[(2-acrylamido-2-[(3-acrylamidopropoxy)methyl]propane-1,3-diyl)bis(oxy)]bis(propane-1,3-diyl)}diacrylamide (FAM-401) and the functional monomer 4-methacryloxyethyl trimellitate anhydride (4-MET). Two experimental resin-based hCSCs containing different calcium sources (portlandite: Exp_Pl; tricalcium silicate cement: Exp_TCS) were prepared, and the commercial hCSCs Theracal LC and resin-free hCSC Biodentine served as controls. The performance of each cement was evaluated based on parameters relevant for vital pulp therapy, such as curing degree on a wet surface, mechanical strength, as determined using a three-point bending test, shear bond strength to dentin, cytotoxicity, as determined using an MTT assay, and the amount of calcium released, as determined using inductively coupled plasma atomic emission spectrometry. Both experimental cements cured on wet surfaces and showed relatively low cytotoxicity. Furthermore, their flexural and shear bond strength to dentin were significantly higher than those of the commercial references. High calcium release was observed for both Exp_Pl and Biodentine. Thus, Exp_Pl as a new self-adhesive pulp-capping agent performed better than the commercial resin-based pulp-capping agent in terms of mechanical strength, bond strength, and calcium release.
Collapse
Affiliation(s)
- Kumiko Yoshihara
- National Institute of Advanced Industrial Science and Technology (AIST), Health Research Institute, 2217-14 Hayashi-cho, Takamatsu, Kagawa 761-0395, Japan. and Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Pathology and Experimental Medicine, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.
| | - Noriyuki Nagaoka
- Okayama University Dental School, Advanced Research Center for Oral and Craniofacial Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan
| | - Takumi Okihara
- Okayama University, Graduate School of Natural Science and Technology, Division of Applied Chemistry, 3-1-1 Tsushima-Naka, Kita-ku, Okayama 700-8530, Japan
| | - Masao Irie
- Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Department of Biomaterials, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan
| | - Akihiro Matsukawa
- Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Pathology and Experimental Medicine, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.
| | - Mariano Simón Pedano
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a - bus 7001, B-3000 Leuven, Belgium
| | - Yukinori Maruo
- Okayama University Hospital, Department of Occlusion and Removable Prosthodontics, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan
| | - Yasuhiro Yoshida
- Hokkaido University, Graduate School of Dental Medicine, Department of Biomaterials and Bioengineering, Kita 13, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8586, Japan
| | - Bart Van Meerbeek
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a - bus 7001, B-3000 Leuven, Belgium
| |
Collapse
|
3
|
Primus CM, Tay FR, Niu LN. Bioactive tri/dicalcium silicate cements for treatment of pulpal and periapical tissues. Acta Biomater 2019; 96:35-54. [PMID: 31146033 PMCID: PMC6717675 DOI: 10.1016/j.actbio.2019.05.050] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Revised: 05/15/2019] [Accepted: 05/19/2019] [Indexed: 12/11/2022]
Abstract
Over 2500 articles and 200 reviews have been published on the bioactive tri/dicalcium silicate dental materials. The indications have expanded since their introduction in the 1990s from endodontic restorative and pulpal treatments to endodontic sealing and obturation. Bioactive ceramics, based on tri/dicalcium silicate cements, are now an indispensable part of the contemporary dental armamentarium for specialists including endodontists, pediatric dentists, oral surgeons andfor general dentists. This review emphasizes research on how these materials have conformed to international standards for dental materials ranging from biocompatibility (ISO 7405) to conformance as root canal sealers (ISO 6876). Potential future developments of alternative hydraulic materials were included. This review provides accurate materials science information on these important materials. STATEMENT OF SIGNIFICANCE: The broadening indications and the proliferation of tri/dicalcium silicate-based products make this relatively new dental material important for all dentists and biomaterials scientists. Presenting the variations in compositions, properties, indications and clinical performance enable clinicians to choose the material most suitable for their cases. Researchers may expand their bioactive investigations to further validate and improve materials and outcomes.
Collapse
Affiliation(s)
- Carolyn M Primus
- Department of Endodontics, The Dental College of Georgia, Augusta University, USA.
| | - Franklin R Tay
- Department of Endodontics, The Dental College of Georgia, Augusta University, USA
| | - Li-Na Niu
- Department of Endodontics, The Dental College of Georgia, Augusta University, USA; State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi'an, Shaanxi, China; The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, Hena, China
| |
Collapse
|
4
|
Drukteinis S, Peciuliene V, Shemesh H, Tusas P, Bendinskaite R. Porosity Distribution in Apically Perforated Curved Root Canals Filled with Two Different Calcium Silicate Based Materials and Techniques: A Micro-Computed Tomography Study. MATERIALS (BASEL, SWITZERLAND) 2019; 12:E1729. [PMID: 31141936 PMCID: PMC6600724 DOI: 10.3390/ma12111729] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Revised: 05/21/2019] [Accepted: 05/27/2019] [Indexed: 11/24/2022]
Abstract
The present study evaluated the porosity distribution of BioRoot RCS/single gutta-percha point (BR/SC) and MTA flow (MF) fillings, which were used as plugs for the apical perforation repair in curved canals of extracted mandibular molars using micro-computed tomography (μCT). Forty mesial root canals of mandibular first molars were shaped with ProTaper NEXT X1-X5 files 2 mm beyond the apex to simulate apical perforations that were randomly divided into two groups (n = 20) according to the material and technique used for the apical plug: BR/SC or MF. The specimens were scanned before and after canal filling at an isotropic resolution of 9.9 μm. The volumetric analysis of voids in the apical 5 mm of the fillings was performed. Data were analyzed using one-way ANOVA with Bonferroni correction (p < 0.05). Micro-computed tomography (µCT) evaluation revealed significant differences between the groups in terms of porosity: the total volume and percentage volume of voids was lower in the BR/SC group in comparison with the MF group (p < 0.05), with the predominance of open pores in both groups. Neither of the materials and/or application techniques were able to produce void-free root fillings in the apical region of artificially perforated curved roots of mandibular molars.
Collapse
Affiliation(s)
- Saulius Drukteinis
- Institute of Dentistry Faculty of Medicine Vilnius University; Zalgirio 115, LT-08217 Vilnius, Lithuania.
| | - Vytaute Peciuliene
- Institute of Dentistry Faculty of Medicine Vilnius University; Zalgirio 115, LT-08217 Vilnius, Lithuania.
| | - Hagay Shemesh
- Academic Centre for Dentistry Amsterdam (ACTA); Gustav Mahlerlaan 3004, 1081 LA Amsterdam, The Netherlands.
| | - Paulius Tusas
- Institute of Dentistry Faculty of Medicine Vilnius University; Zalgirio 115, LT-08217 Vilnius, Lithuania.
| | - Ruta Bendinskaite
- Institute of Dentistry Faculty of Medicine Vilnius University; Zalgirio 115, LT-08217 Vilnius, Lithuania.
| |
Collapse
|
5
|
Chu JHR, Chia KY, Qui AL, Moule A, Ha WN. The effects of sodium hypochlorite and ethylenediaminetetraacetic acid on the microhardness of Mineral Trioxide Aggregate and TotalFill Bioceramic Putty. AUST ENDOD J 2019; 46:33-39. [PMID: 31054191 DOI: 10.1111/aej.12352] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2019] [Indexed: 12/12/2022]
Abstract
This study aimed to evaluate the effects of 5% NaOCl and 17% EDTA on the Vickers microhardness of Mineral Trioxide Aggregate, MTA Angelus (MTAA), and TotalFill Bioceramic Putty (BCP) after 24 h and 8 days. Twenty-four samples of MTAA and BCP were tested for baseline microhardness at 24 h. They were divided into four subgroups (5% NaOCl or 17% EDTA, 24 h, 5% NaOCl or 17% EDTA at 8 days) and microhardness was evaluated at different time-points. Results were recorded and analysed statistically via one-way anova Kruskal-Wallis test and post hoc uncorrected Dunn's multiple comparison test. MTAA had a higher baseline microhardness than BCP. NaOCl reduced the microhardness of MTAA but increased that of BCP. EDTA reduced the microhardness for both materials at 24 h. At 8 days, EDTA reduced the microhardness of MTAA, while BCP exhibited an increase in microhardness. Enabling these materials to set for a week prior to exposure to irrigants improves their microhardness.
Collapse
Affiliation(s)
- Jacklyn H R Chu
- Oral Health Centre, School of Dentistry, The University of Queensland, Brisbane, Queensland, Australia
| | - Kalie Y Chia
- Oral Health Centre, School of Dentistry, The University of Queensland, Brisbane, Queensland, Australia
| | - Alexander L Qui
- Oral Health Centre, School of Dentistry, The University of Queensland, Brisbane, Queensland, Australia
| | - Alex Moule
- Oral Health Centre, School of Dentistry, The University of Queensland, Brisbane, Queensland, Australia
| | - William N Ha
- Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
| |
Collapse
|
6
|
TheraCal LC: From Biochemical and Bioactive Properties to Clinical Applications. Int J Dent 2018; 2018:3484653. [PMID: 29785184 PMCID: PMC5892295 DOI: 10.1155/2018/3484653] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 02/07/2018] [Accepted: 02/14/2018] [Indexed: 12/11/2022] Open
Abstract
Background Direct pulp capping is a popular treatment modality among dentists. TheraCal LC is a calcium silicate-based material that is designed as a direct/indirect pulp capping material. The material might be very attractive for clinicians because of its ease of handling. Unlike other calcium silicate-based materials, TheraCal LC is resin-based and does not require any conditioning of the dentine surface. The material can be bonded with different types of adhesives directly after application. There has been considerable research performed on this material since its launching; however, there are no review articles that collates information and data obtained from these studies. This review discusses the various characteristics of the material with the aim of establishing a better understanding for its clinical use. Methods A search was conducted using search engines (PubMed and Cochrane databases) in addition to reference mining of the articles that was used to locate other papers. The process of searching for the relevant studies was performed using the keywords pulp protection, pulp capping, TheraCal, and calcium silicates. Only articles in English published in peer-reviewed journals were included in the review. Conclusion This review underlines the fact that further in vitro and in vivo studies are required before TheraCal LC can be used as a direct pulp capping material.
Collapse
|