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Published in: Odontology 1/2019

01-01-2019 | Original Article

Evaluation of the biocompatibility of root canal sealers on human periodontal ligament cells ex vivo

Authors: Susanne Jung, Viktor Libricht, Sonja Sielker, Marcel R. Hanisch, Edgar Schäfer, Till Dammaschke

Published in: Odontology | Issue 1/2019

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Abstract

The aim of this study was to evaluate the biocompatibility of two comparatively new calcium silicate containing sealers (MTA-Fillapex and BioRoot-RCS) with that of two established sealers (AH-Plus, epoxy resin-based; Pulp-Canal-Sealer, zinc oxide eugenol containing). Human periodontal ligament cells (PDL-cells) were brought in contact with eluates from freshly mixed and set sealer. The sealers were mixed strictly according to the manufacturers’ instructions and identically samples were produced. 1:1, 1:2, and 1:10 dilutions of sealers extract were used. Extracts from freshly mixed sealer were added to the PDL-cells on day one to simulate a clinical scenario. Subsequently, at 24 h, 7, 14, and 21 days extracts form set sealers were used for PDL-cell culturing. PDL-cell viability was analyzed by living-cell-count, MTT-assay, and living/dead-staining, cytotoxicity by LDH-assay, and changes by Richardson-staining. All data were statistically evaluated by one way ANOVA and a posthoc analysis with Bonferroni-Holm testing (p < 0.05). In contact with BioRoot-RCS a regeneration of the PDL-cells were observed over time. This sealer showed the lowest toxicity in a freshly mixed and set state (p < 0.05). MTA-Fillapex and Pulp-Canal-Sealer were cytotoxic in a fresh as well as in a set state, whereas AH-Plus was cytotoxic in a freshly mixed state, but not when the sealer was set. BioRoot-RCS is biocompatible and bioactive because it seems to have a positive influence on the PDL-cell metabolism. Pulp Canal Sealer and MTA-Fillapex showed no biocompatibility in contact with PDL-cells at all. Freshly mixed AH Plus is less biocompatible on PDL than in a set state.
Literature
1.
go back to reference Suresh Chandra B, Gopikrishna V. Obturation of the radicular space. In: Suresh Chandra B, Gopikrishna V, editors. Grossman’s Endodntic Practice. 13th ed. New Dehli: Wolters Kluwer Health; 2014. pp. 343–73. Suresh Chandra B, Gopikrishna V. Obturation of the radicular space. In: Suresh Chandra B, Gopikrishna V, editors. Grossman’s Endodntic Practice. 13th ed. New Dehli: Wolters Kluwer Health; 2014. pp. 343–73.
2.
go back to reference Johnson W, Kulild JC, Tay F. Obturation of the cleaned and shaped root canal system. In: Hargreaves KH, Berman LH, editors. Cohen’s Pathway of the Pulp. 11th ed. St. Louis: Elsevier; 2016. pp. 280–323. Johnson W, Kulild JC, Tay F. Obturation of the cleaned and shaped root canal system. In: Hargreaves KH, Berman LH, editors. Cohen’s Pathway of the Pulp. 11th ed. St. Louis: Elsevier; 2016. pp. 280–323.
3.
go back to reference Granchi D, Stea S, Ciapetti G, Cavedagna D, Stea S, Pizzoferrato A. Endodontic cements induce alterations in the cell cycle of in vitro cultured osteoblasts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:359–66.CrossRefPubMed Granchi D, Stea S, Ciapetti G, Cavedagna D, Stea S, Pizzoferrato A. Endodontic cements induce alterations in the cell cycle of in vitro cultured osteoblasts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:359–66.CrossRefPubMed
4.
go back to reference Dammaschke T, Witt M, Ott K, Schäfer E. Scanning electron microscopic investigation of incidence, location, and size of accessory foramina in primary and permanent molars. Quintessence Int. 2004;35:699–705.PubMed Dammaschke T, Witt M, Ott K, Schäfer E. Scanning electron microscopic investigation of incidence, location, and size of accessory foramina in primary and permanent molars. Quintessence Int. 2004;35:699–705.PubMed
5.
6.
go back to reference Braga JM, Oliveira RR, de Castro Mantins R, Vieira LQ, Sobrinho AP. Assessment of the cytotoxicity of a mineral trioxide aggregate-based sealer with respect to macrophage activity. Dent Traumatol. 2015;31:390–5.CrossRefPubMed Braga JM, Oliveira RR, de Castro Mantins R, Vieira LQ, Sobrinho AP. Assessment of the cytotoxicity of a mineral trioxide aggregate-based sealer with respect to macrophage activity. Dent Traumatol. 2015;31:390–5.CrossRefPubMed
7.
go back to reference Tepel J, Darwisch el Sawaf M, Hoppe W. Reaction of inflamed periapical tissue to intracanal medicaments and root canal sealers. Endod Dent Traumatol. 1994;10:233–8.CrossRefPubMed Tepel J, Darwisch el Sawaf M, Hoppe W. Reaction of inflamed periapical tissue to intracanal medicaments and root canal sealers. Endod Dent Traumatol. 1994;10:233–8.CrossRefPubMed
8.
go back to reference Costa F, Sousa Gomes P, Fernandes MH. Osteogenic and angiogenic response to calcium silicate-based endodontic sealers. J Endod. 2016;42:113–9.CrossRefPubMed Costa F, Sousa Gomes P, Fernandes MH. Osteogenic and angiogenic response to calcium silicate-based endodontic sealers. J Endod. 2016;42:113–9.CrossRefPubMed
9.
go back to reference Spångberg L. Biological effects of root canal filling materials. 7. Reaction of bony tissue to implanted root canal filling material in guinea pigs. Odontol Tidskr. 1969;77:133–59.PubMed Spångberg L. Biological effects of root canal filling materials. 7. Reaction of bony tissue to implanted root canal filling material in guinea pigs. Odontol Tidskr. 1969;77:133–59.PubMed
10.
go back to reference Parirokh M, Torabinejad M. Calcium silicate-based cements. In: Torabinejad M, editor. Mineral Trioxide Aggregate. Properties and clinical applications. Ames: Wiley Blackwell; 2014. pp. 281–332. Parirokh M, Torabinejad M. Calcium silicate-based cements. In: Torabinejad M, editor. Mineral Trioxide Aggregate. Properties and clinical applications. Ames: Wiley Blackwell; 2014. pp. 281–332.
11.
go back to reference Xuereb M, Vella P, Damidot D, Sammut CV, Camilleri J. In situ assessment of the setting of tricalcium silicate-based sealers using a dentin pressure model. J Endod. 2015;41:111–24.CrossRefPubMed Xuereb M, Vella P, Damidot D, Sammut CV, Camilleri J. In situ assessment of the setting of tricalcium silicate-based sealers using a dentin pressure model. J Endod. 2015;41:111–24.CrossRefPubMed
12.
go back to reference Szczurko G, Pawińska M, Łuczaj-Cepowicz KA, Marczuk-Kolada G, Hołownia A. Effect of root canal sealers on human periodontal ligament fibroblast viability: ex vivo study. Odontology. 2018;106:245–56.CrossRefPubMed Szczurko G, Pawińska M, Łuczaj-Cepowicz KA, Marczuk-Kolada G, Hołownia A. Effect of root canal sealers on human periodontal ligament fibroblast viability: ex vivo study. Odontology. 2018;106:245–56.CrossRefPubMed
13.
go back to reference Huang FM, Chang YC. Cytotoxicity of resin-based restorative materials on human pulp cell cultures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:361–5.CrossRefPubMed Huang FM, Chang YC. Cytotoxicity of resin-based restorative materials on human pulp cell cultures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:361–5.CrossRefPubMed
17.
go back to reference Camps J, Jeanneau C, El Ayachi I, Laurent P, About I. Bioactivity of a calcium silicate-based endodontic cement (BioRoot RCS): interaction with human periodontal ligament cells in vitro. J Endod. 2015;41:1469–73.CrossRefPubMed Camps J, Jeanneau C, El Ayachi I, Laurent P, About I. Bioactivity of a calcium silicate-based endodontic cement (BioRoot RCS): interaction with human periodontal ligament cells in vitro. J Endod. 2015;41:1469–73.CrossRefPubMed
18.
go back to reference Collado-González M, García-Bernal D, Oñate-Sánchez RE, Ortolani-Seltenerich PS, Lozano A, Forner L, Llena C, Rodríguez-Lozano FJ. Biocompatibility of three new calcium silicate-based endodontic sealers on human periodontal ligament stem cells. Int Endod J. 2017;50:875–84.CrossRefPubMed Collado-González M, García-Bernal D, Oñate-Sánchez RE, Ortolani-Seltenerich PS, Lozano A, Forner L, Llena C, Rodríguez-Lozano FJ. Biocompatibility of three new calcium silicate-based endodontic sealers on human periodontal ligament stem cells. Int Endod J. 2017;50:875–84.CrossRefPubMed
19.
go back to reference Schäfer E, Olthoff G. Effect of three different sealers on the sealing ability of both Thermafil obturators and cold laterally compacted gutta-percha. J Endod. 2002;28:638–42.CrossRefPubMed Schäfer E, Olthoff G. Effect of three different sealers on the sealing ability of both Thermafil obturators and cold laterally compacted gutta-percha. J Endod. 2002;28:638–42.CrossRefPubMed
20.
go back to reference Schäfer E, Zandbiglari T. Solubility of root canal sealers in water and artificial saliva. Int Endod J. 2003;36:660–9.CrossRefPubMed Schäfer E, Zandbiglari T. Solubility of root canal sealers in water and artificial saliva. Int Endod J. 2003;36:660–9.CrossRefPubMed
21.
go back to reference Schäfer E, Bering N, Bürklein S. Selected physicochemical properties of AH-Plus, EndoREZ and RealSeal SE root canal sealers. Odontology. 2015;103:61–5.CrossRefPubMed Schäfer E, Bering N, Bürklein S. Selected physicochemical properties of AH-Plus, EndoREZ and RealSeal SE root canal sealers. Odontology. 2015;103:61–5.CrossRefPubMed
22.
go back to reference Collado-González M, Tomás-Catalá CJ, Oñate-Sánchez RE, Moraleda JM, Rodríguez-Lozano J. Cytotoxicity of GuttaFlow Bioseal, GuttaFlow 2, MTA Fillapex, and AH Plus on human periodontal ligament stem cells. J Endod. 2017;43:816–22.CrossRefPubMed Collado-González M, Tomás-Catalá CJ, Oñate-Sánchez RE, Moraleda JM, Rodríguez-Lozano J. Cytotoxicity of GuttaFlow Bioseal, GuttaFlow 2, MTA Fillapex, and AH Plus on human periodontal ligament stem cells. J Endod. 2017;43:816–22.CrossRefPubMed
23.
go back to reference Schweikl H, Schmalz G, Federlin M. Mutagenicity of the root canal sealer AH Plus in the Ames test. Clin Oral Investig. 1998;2:125–9.CrossRefPubMed Schweikl H, Schmalz G, Federlin M. Mutagenicity of the root canal sealer AH Plus in the Ames test. Clin Oral Investig. 1998;2:125–9.CrossRefPubMed
24.
go back to reference Azar NG, Heidari M, Bahrami ZS, Shokri F. In vitro cytotoxicity of a new epoxy resin root canal sealer. J Endod. 2000;26:462–6.CrossRefPubMed Azar NG, Heidari M, Bahrami ZS, Shokri F. In vitro cytotoxicity of a new epoxy resin root canal sealer. J Endod. 2000;26:462–6.CrossRefPubMed
25.
go back to reference Sousa CJA, Montes CRM, Pasco EA, Loyola AM, Versiami MA. Comparison of the intraosseous biocompatibility of AH Plus, Endo REZ, and Epiphany root canal sealer. J Endod. 2006;32:656–62.CrossRefPubMed Sousa CJA, Montes CRM, Pasco EA, Loyola AM, Versiami MA. Comparison of the intraosseous biocompatibility of AH Plus, Endo REZ, and Epiphany root canal sealer. J Endod. 2006;32:656–62.CrossRefPubMed
26.
go back to reference Zatloukal K, Roth J, Denk H. Zell- und Gewebereaktionen. In: Böcker W, Denk H, Heitz PU, editors. Pathologie. 3rd ed. München: Urban & Fischer; 2004. pp. 39–76. Zatloukal K, Roth J, Denk H. Zell- und Gewebereaktionen. In: Böcker W, Denk H, Heitz PU, editors. Pathologie. 3rd ed. München: Urban & Fischer; 2004. pp. 39–76.
27.
go back to reference Schweikl H, Schmalz G, Spruss T. The induction of micronuclei in vitro by unpolymerized resin monomers. J Dent Res. 2001;80:1615–20.CrossRefPubMed Schweikl H, Schmalz G, Spruss T. The induction of micronuclei in vitro by unpolymerized resin monomers. J Dent Res. 2001;80:1615–20.CrossRefPubMed
28.
go back to reference Cohen BI, Pagnillo MK, Musikant BL, Deutsch AS. Formaldehyde from endodontic materials. Oral Health. 1998;88:37–9.PubMed Cohen BI, Pagnillo MK, Musikant BL, Deutsch AS. Formaldehyde from endodontic materials. Oral Health. 1998;88:37–9.PubMed
29.
go back to reference Eldeniz AU, Mustafa K, Ørstavik D, Dahl JE. Cytotoxicity of new resin-, calcium hydroxide- and silicone-based root canal sealers on fibroblasts derived from human gingiva and L929 cell lines. Int Endod J. 2007;40:329–37.CrossRefPubMed Eldeniz AU, Mustafa K, Ørstavik D, Dahl JE. Cytotoxicity of new resin-, calcium hydroxide- and silicone-based root canal sealers on fibroblasts derived from human gingiva and L929 cell lines. Int Endod J. 2007;40:329–37.CrossRefPubMed
30.
go back to reference Zhou H-M, Du T-F, Shen Y, Wang Z-J, Zheng Y-F, Haapasalo M. In vitro cytotoxicity of calcium silicate-containing endodontic sealers. J Endod. 2015;41:56–61.CrossRefPubMed Zhou H-M, Du T-F, Shen Y, Wang Z-J, Zheng Y-F, Haapasalo M. In vitro cytotoxicity of calcium silicate-containing endodontic sealers. J Endod. 2015;41:56–61.CrossRefPubMed
31.
go back to reference Silva EJ, Accorsi-Mendonça T, Pedrosa AC, Granjeiro JM, Zaia AA. Long-term cytotoxicity, pH and dissolution rate of AH Plus and MTA Fillapex. Braz Dent J. 2016;27:419–23.CrossRefPubMed Silva EJ, Accorsi-Mendonça T, Pedrosa AC, Granjeiro JM, Zaia AA. Long-term cytotoxicity, pH and dissolution rate of AH Plus and MTA Fillapex. Braz Dent J. 2016;27:419–23.CrossRefPubMed
32.
go back to reference Silva EJ, Rosa TP, Herrera DR, Jacinto RC, Gomes BP, Zaia AA. Evaluation of cytotoxicity and physicochemical properties of calcium silicate-based endodontic sealer MTA Fillapex. J Endod. 2013;39:274–7.CrossRefPubMed Silva EJ, Rosa TP, Herrera DR, Jacinto RC, Gomes BP, Zaia AA. Evaluation of cytotoxicity and physicochemical properties of calcium silicate-based endodontic sealer MTA Fillapex. J Endod. 2013;39:274–7.CrossRefPubMed
33.
go back to reference Al-Hiyasat AS, Tayyar M, Darmani H. Cytotoxicity evaluation of various resin based root canal sealers. Int Endod J. 2010;43:148–53.CrossRefPubMed Al-Hiyasat AS, Tayyar M, Darmani H. Cytotoxicity evaluation of various resin based root canal sealers. Int Endod J. 2010;43:148–53.CrossRefPubMed
34.
go back to reference Eldeniz AU, Shehata M, Högg C, Reichl FX. DNA double-strand breaks caused by new and contemporary endodontic sealers. Int Endod J. 2016;49:1141–51.CrossRefPubMed Eldeniz AU, Shehata M, Högg C, Reichl FX. DNA double-strand breaks caused by new and contemporary endodontic sealers. Int Endod J. 2016;49:1141–51.CrossRefPubMed
35.
go back to reference Dammaschke T, Schneider U, Stratmann U, Yoo J-M, Schäfer E. Reaction of inflamed periapical tissue to three different root canal sealers. Dtsch Zahnärztl Z. 2006;61:15–26. Dammaschke T, Schneider U, Stratmann U, Yoo J-M, Schäfer E. Reaction of inflamed periapical tissue to three different root canal sealers. Dtsch Zahnärztl Z. 2006;61:15–26.
36.
go back to reference Rodríguez-Lozano FJ, García-Bernal D, Oñate-Sánchez RE, Ortolani-Seltenerich PS, Forner L, Moraleda JM. Evaluation of cytocompatibility of calcium silicate-based endodontic sealers and their effects on the biological responses of mesenchymal dental stem cells. Int Endod J. 2017;50:67–76.CrossRefPubMed Rodríguez-Lozano FJ, García-Bernal D, Oñate-Sánchez RE, Ortolani-Seltenerich PS, Forner L, Moraleda JM. Evaluation of cytocompatibility of calcium silicate-based endodontic sealers and their effects on the biological responses of mesenchymal dental stem cells. Int Endod J. 2017;50:67–76.CrossRefPubMed
37.
go back to reference Mestieri LB, Gomes-Cornélio AL, Rodrigues EM, Salles LP, Bosso-Martelo R, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Biocompatibility and bioactivity of calcium silicate-based endodontic sealers in human dental pulp cells. J Appl Oral Sci. 2015;23:467–71.CrossRefPubMedPubMedCentral Mestieri LB, Gomes-Cornélio AL, Rodrigues EM, Salles LP, Bosso-Martelo R, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Biocompatibility and bioactivity of calcium silicate-based endodontic sealers in human dental pulp cells. J Appl Oral Sci. 2015;23:467–71.CrossRefPubMedPubMedCentral
38.
go back to reference Scelza MZ, Linhares AB, da Silva LE, Granjeiro JM, Alves GG. A multiparametric assay to compare the cytotoxicity of endodontic sealers with primary human osteoblasts. Int Endod J. 2012;45:12–8.CrossRefPubMed Scelza MZ, Linhares AB, da Silva LE, Granjeiro JM, Alves GG. A multiparametric assay to compare the cytotoxicity of endodontic sealers with primary human osteoblasts. Int Endod J. 2012;45:12–8.CrossRefPubMed
39.
go back to reference Assmann E, Böttcher DE, Hoppe CB, Grecca FS, Kopper PM. Evaluation of bone tissue response to a sealer containing mineral trioxide aggregate. J Endod. 2015;41:62–6.CrossRefPubMed Assmann E, Böttcher DE, Hoppe CB, Grecca FS, Kopper PM. Evaluation of bone tissue response to a sealer containing mineral trioxide aggregate. J Endod. 2015;41:62–6.CrossRefPubMed
40.
go back to reference Yoshino P, Nishiyama CK, da Silva Modena KC, Santos CF, Sipert CR. In vitro cytotoxicity of white MTA, MTA Fillapex® and Portland cement on human periodontal ligament fibroblasts. Braz Dent J. 2013;24:111–6.CrossRefPubMed Yoshino P, Nishiyama CK, da Silva Modena KC, Santos CF, Sipert CR. In vitro cytotoxicity of white MTA, MTA Fillapex® and Portland cement on human periodontal ligament fibroblasts. Braz Dent J. 2013;24:111–6.CrossRefPubMed
41.
go back to reference Dimitrova-Nakov S, Uzunoglu E, Ardila-Osorio H, Baudry A, Richard G, Kellermann O, Goldberg M. In vitro bioactivity of BioRoot™ RCS, via A4 mouse pulp stem cells. Dent Mater. 2015;31:1290–7.CrossRefPubMed Dimitrova-Nakov S, Uzunoglu E, Ardila-Osorio H, Baudry A, Richard G, Kellermann O, Goldberg M. In vitro bioactivity of BioRoot™ RCS, via A4 mouse pulp stem cells. Dent Mater. 2015;31:1290–7.CrossRefPubMed
42.
go back to reference Prüllage R-K, Urban K, Schäfer E, Dammaschke T. Material Properties of a tricalcium silicate-containing, a mineral trioxide aggregate-containing, and an epoxy resin-based root canal sealer. J Endod. 2016;42:1784–8.CrossRefPubMed Prüllage R-K, Urban K, Schäfer E, Dammaschke T. Material Properties of a tricalcium silicate-containing, a mineral trioxide aggregate-containing, and an epoxy resin-based root canal sealer. J Endod. 2016;42:1784–8.CrossRefPubMed
Metadata
Title
Evaluation of the biocompatibility of root canal sealers on human periodontal ligament cells ex vivo
Authors
Susanne Jung
Viktor Libricht
Sonja Sielker
Marcel R. Hanisch
Edgar Schäfer
Till Dammaschke
Publication date
01-01-2019
Publisher
Springer Japan
Published in
Odontology / Issue 1/2019
Print ISSN: 1618-1247
Electronic ISSN: 1618-1255
DOI
https://doi.org/10.1007/s10266-018-0380-3

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