Skip to main content
Top
Published in: BMC Oral Health 1/2014

Open Access 01-12-2014 | Research article

In vitro-activity of oily calcium hydroxide suspension on microorganisms as well as on human alveolar osteoblasts and periodontal ligament fibroblasts

Authors: Sigrun Eick, Tatjana Strugar, Richard J Miron, Anton Sculean

Published in: BMC Oral Health | Issue 1/2014

Login to get access

Abstract

Background

Findings from animal and human studies have indicated that an oily calcium hydroxide suspension (OCHS) may improve early wound healing in the treatment of periodontitis. Calcium hydroxide as the main component is well known for its antimicrobial activity, however at present the effect of OCHS on the influence of periodontal wound healing/regeneration is still very limited. The purpose of this in vitro study was to investigate the effect of OCHS on periodontopathogenic bacteria as well as on the attachment and proliferation of osteoblasts and periodontal ligament fibroblasts.

Methods

Human alveolar osteoblasts (HAO) and periodontal ligament (PDL) fibroblasts were cultured on 3 concentrations of OCHS (2.5, 5 and 7.5 mg). Adhesion and proliferation were counted up to 48 h and mineralization was assayed after 1 and 2 weeks. Furthermore potential growth inhibitory activity on microorganisms associated with periodontal disease (e.g. Porphyromonas gingivalis, Tannerella forsythia, Aggregatibacter actinomycetemcomitans) as well as the influence of periodontopathogens and OCHS on the HAO and PDL fibroblasts counts were determined.

Results

More than a 2-fold increase in adherent HAO cells was observed at 4 h following application of OCHS when compared to the control group (p = 0.007 for 2.5 mg). Proliferation of HAO cells at 48 h was stimulated by moderate concentrations (2.5 mg; 5 mg) of OCHS (each p < 0.001), whereas a high concentration (7.5 mg) of OCHS was inhibitory (p = 0.009). Mineralization was observed only for HAO cells treated with OCHS. OCHS did not exert any positive effect on attachment or proliferation of PDL fibroblasts. Although OCHS did not have an antibacterial effect, it did positively influence attachment and proliferation of HAO cells and PDL fibroblasts in the presence of periodontopathogens.

Conclusions

The present data suggests that OCHS promotes osteoblast attachment, proliferation and mineralization in a concentration-dependent manner and results are maintained in the presence of periodontal pathogens.
Appendix
Available only for authorised users
Literature
1.
go back to reference Darveau RP: Periodontitis: a polymicrobial disruption of host homeostasis. Nat Rev Microbiol. 2010, 8 (7): 481-490.CrossRefPubMed Darveau RP: Periodontitis: a polymicrobial disruption of host homeostasis. Nat Rev Microbiol. 2010, 8 (7): 481-490.CrossRefPubMed
2.
go back to reference Report C: Periodontal diseases: pathogenesis and microbial factors. Ann Periodontol. 1996, 1: 926-932.CrossRef Report C: Periodontal diseases: pathogenesis and microbial factors. Ann Periodontol. 1996, 1: 926-932.CrossRef
3.
go back to reference Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL: Microbial complexes in subgingival plaque. J Clin Periodontol. 1998, 25 (2): 134-144.CrossRefPubMed Socransky SS, Haffajee AD, Cugini MA, Smith C, Kent RL: Microbial complexes in subgingival plaque. J Clin Periodontol. 1998, 25 (2): 134-144.CrossRefPubMed
4.
go back to reference Hernandez M, Dutzan N, Garcia-Sesnich J, Abusleme L, Dezerega A, Silva N, Gonzalez FE, Vernal R, Sorsa T, Gamonal J: Host-pathogen interactions in progressive chronic periodontitis. J Dent Res. 2011, 90 (10): 1164-1170.CrossRefPubMed Hernandez M, Dutzan N, Garcia-Sesnich J, Abusleme L, Dezerega A, Silva N, Gonzalez FE, Vernal R, Sorsa T, Gamonal J: Host-pathogen interactions in progressive chronic periodontitis. J Dent Res. 2011, 90 (10): 1164-1170.CrossRefPubMed
5.
go back to reference Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD: Long-term effect of surgical/non-surgical treatment of periodontal disease. J Clin Periodontol. 1984, 11 (7): 448-458.CrossRefPubMed Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD: Long-term effect of surgical/non-surgical treatment of periodontal disease. J Clin Periodontol. 1984, 11 (7): 448-458.CrossRefPubMed
6.
go back to reference Wikesjo UM, Selvig KA: Periodontal wound healing and regeneration. Periodontol 2000. 1999, 19: 21-39.CrossRefPubMed Wikesjo UM, Selvig KA: Periodontal wound healing and regeneration. Periodontol 2000. 1999, 19: 21-39.CrossRefPubMed
7.
go back to reference Tu YK, Needleman I, Chambrone L, Lu HK, Faggion CM: A Bayesian network meta-analysis on comparisons of enamel matrix derivatives, guided tissue regeneration and their combination therapies. J Clin Periodontol. 2012, 39 (3): 303-314.CrossRefPubMed Tu YK, Needleman I, Chambrone L, Lu HK, Faggion CM: A Bayesian network meta-analysis on comparisons of enamel matrix derivatives, guided tissue regeneration and their combination therapies. J Clin Periodontol. 2012, 39 (3): 303-314.CrossRefPubMed
8.
go back to reference Newman SA, Coscia SA, Jotwani R, Iacono VJ, Cutler CW: Effects of enamel matrix derivative on Porphyromonas gingivalis. J Periodontol. 2003, 74 (8): 1191-1195.CrossRefPubMed Newman SA, Coscia SA, Jotwani R, Iacono VJ, Cutler CW: Effects of enamel matrix derivative on Porphyromonas gingivalis. J Periodontol. 2003, 74 (8): 1191-1195.CrossRefPubMed
9.
go back to reference Kasaj A, Willershausen B, Junker R, Callaway A, Krahn U, Kraft B, Pietsch M: Influence of different biomaterials on the viability of Aggregatibacter actinomycetemcomitans. Arch Oral Biol. 2011, 56 (9): 917-923.CrossRefPubMed Kasaj A, Willershausen B, Junker R, Callaway A, Krahn U, Kraft B, Pietsch M: Influence of different biomaterials on the viability of Aggregatibacter actinomycetemcomitans. Arch Oral Biol. 2011, 56 (9): 917-923.CrossRefPubMed
10.
go back to reference Polat HB, Yeler H, Gumus C, Bulut HE, Kucuk D: Effect of oil-based calcium hydroxide (Osteoinductal) on distraction osteogenesis in rabbit mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009, 107 (6): e30-e36.CrossRefPubMed Polat HB, Yeler H, Gumus C, Bulut HE, Kucuk D: Effect of oil-based calcium hydroxide (Osteoinductal) on distraction osteogenesis in rabbit mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009, 107 (6): e30-e36.CrossRefPubMed
11.
go back to reference Schwarz F, Stratul SI, Herten M, Beck B, Becker J, Sculean A: Effect of an oily calcium hydroxide suspension (Osteoinductal) on healing of intrabony periodontal defects. A pilot study in dogs. Clin Oral Investig. 2006, 10 (1): 29-34.CrossRefPubMed Schwarz F, Stratul SI, Herten M, Beck B, Becker J, Sculean A: Effect of an oily calcium hydroxide suspension (Osteoinductal) on healing of intrabony periodontal defects. A pilot study in dogs. Clin Oral Investig. 2006, 10 (1): 29-34.CrossRefPubMed
12.
go back to reference Kasaj A, Willershausen B, Berakdar M, Tekyatan H, Sculean A: Effect of an oily calcium hydroxide suspension on early wound healing after nonsurgical periodontal therapy. Clin Oral Investig. 2006, 10 (1): 72-76.CrossRefPubMed Kasaj A, Willershausen B, Berakdar M, Tekyatan H, Sculean A: Effect of an oily calcium hydroxide suspension on early wound healing after nonsurgical periodontal therapy. Clin Oral Investig. 2006, 10 (1): 72-76.CrossRefPubMed
13.
go back to reference Stratul SI, Schwarz F, Becker J, Willershausen B, Sculean A: Healing of intrabony defects following treatment with an oily calcium hydroxide suspension (Osteoinductal). A controlled clinical study. Clin Oral Investig. 2006, 10 (1): 55-60.CrossRefPubMed Stratul SI, Schwarz F, Becker J, Willershausen B, Sculean A: Healing of intrabony defects following treatment with an oily calcium hydroxide suspension (Osteoinductal). A controlled clinical study. Clin Oral Investig. 2006, 10 (1): 55-60.CrossRefPubMed
14.
go back to reference Kasaj A, Klein MO, Dupont J, Willershausen B, Krahn U, Gotz H, Zeiler J, Brullmann D, Duschner H: Early root surface colonization by human periodontal ligament fibroblasts following treatment with different biomaterials. Acta Odontol Scand. 2013, 71 (6): 1579-1587.CrossRefPubMed Kasaj A, Klein MO, Dupont J, Willershausen B, Krahn U, Gotz H, Zeiler J, Brullmann D, Duschner H: Early root surface colonization by human periodontal ligament fibroblasts following treatment with different biomaterials. Acta Odontol Scand. 2013, 71 (6): 1579-1587.CrossRefPubMed
15.
go back to reference Mohammadi Z, Dummer PM: Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J. 2011, 44 (8): 697-730.CrossRefPubMed Mohammadi Z, Dummer PM: Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J. 2011, 44 (8): 697-730.CrossRefPubMed
16.
go back to reference Willershausen B, Willershausen I, Ross A, Velikonja S, Kasaj A, Blettner M: Retrospective study on direct pulp capping with calcium hydroxide. Quintessence Int. 2011, 42 (2): 165-171.PubMed Willershausen B, Willershausen I, Ross A, Velikonja S, Kasaj A, Blettner M: Retrospective study on direct pulp capping with calcium hydroxide. Quintessence Int. 2011, 42 (2): 165-171.PubMed
17.
go back to reference Palmer NO, Ahmed M, Grieveson B: An investigation of current endodontic practice and training needs in primary care in the north west of England. Br Dent J. 2009, 206 (11): E22-discussion 584–585CrossRefPubMed Palmer NO, Ahmed M, Grieveson B: An investigation of current endodontic practice and training needs in primary care in the north west of England. Br Dent J. 2009, 206 (11): E22-discussion 584–585CrossRefPubMed
18.
go back to reference Chala S, Abouqal R, Rida S: Apexification of immature teeth with calcium hydroxide or mineral trioxide aggregate: systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011, 112 (4): e36-e42.CrossRefPubMed Chala S, Abouqal R, Rida S: Apexification of immature teeth with calcium hydroxide or mineral trioxide aggregate: systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011, 112 (4): e36-e42.CrossRefPubMed
19.
go back to reference Higashi T, Okamoto H: Characteristics and effects of calcified degenerative zones on the formation of hard tissue barriers in amputated canine dental pulp. J Endod. 1996, 22 (4): 168-172.CrossRefPubMed Higashi T, Okamoto H: Characteristics and effects of calcified degenerative zones on the formation of hard tissue barriers in amputated canine dental pulp. J Endod. 1996, 22 (4): 168-172.CrossRefPubMed
20.
go back to reference Stavropoulos A, Geenen C, Nyengaard JR, Karring T, Sculean A: Oily calcium hydroxide suspension (Osteoinductal) used as an adjunct to guided bone regeneration: an experimental study in rats. Clin Oral Implants Res. 2007, 18 (6): 761-767.CrossRefPubMed Stavropoulos A, Geenen C, Nyengaard JR, Karring T, Sculean A: Oily calcium hydroxide suspension (Osteoinductal) used as an adjunct to guided bone regeneration: an experimental study in rats. Clin Oral Implants Res. 2007, 18 (6): 761-767.CrossRefPubMed
21.
go back to reference Kohal RJ, Hurzeler MB, Schneider SR, Riede UN, Caffesse RG: The effect of a calcium hydroxide paste on wound healing and osseointegration of dental implants. A pilot study in beagle dogs. Clin Oral Implants Res. 1997, 8 (5): 375-385.CrossRefPubMed Kohal RJ, Hurzeler MB, Schneider SR, Riede UN, Caffesse RG: The effect of a calcium hydroxide paste on wound healing and osseointegration of dental implants. A pilot study in beagle dogs. Clin Oral Implants Res. 1997, 8 (5): 375-385.CrossRefPubMed
22.
go back to reference Busenlechner D, Tangl S, Mair B, Fugger G, Gruber R, Redl H, Watzek G: Simultaneous in vivo comparison of bone substitutes in a guided bone regeneration model. Biomaterials. 2008, 29 (22): 3195-3200.CrossRefPubMed Busenlechner D, Tangl S, Mair B, Fugger G, Gruber R, Redl H, Watzek G: Simultaneous in vivo comparison of bone substitutes in a guided bone regeneration model. Biomaterials. 2008, 29 (22): 3195-3200.CrossRefPubMed
23.
go back to reference Aparna S, Setty S, Thakur S: Oily calcium hydroxide suspension in the treatment of infrabony periodontal defects: a randomized controlled clinical trial. Quintessence Int. 2011, 42 (10): 835-842.PubMed Aparna S, Setty S, Thakur S: Oily calcium hydroxide suspension in the treatment of infrabony periodontal defects: a randomized controlled clinical trial. Quintessence Int. 2011, 42 (10): 835-842.PubMed
24.
go back to reference Feres M, Haffajee AD, Allard K, Som S, Goodson JM, Socransky SS: Antibiotic resistance of subgingival species during and after antibiotic therapy. J Clin Periodontol. 2002, 29 (8): 724-735.CrossRefPubMed Feres M, Haffajee AD, Allard K, Som S, Goodson JM, Socransky SS: Antibiotic resistance of subgingival species during and after antibiotic therapy. J Clin Periodontol. 2002, 29 (8): 724-735.CrossRefPubMed
25.
go back to reference Bennett JH, Carter DH, Alavi AL, Beresford JN, Walsh S: Patterns of integrin expression in a human mandibular explant model of osteoblast differentiation. Arch Oral Biol. 2001, 46 (3): 229-238.CrossRefPubMed Bennett JH, Carter DH, Alavi AL, Beresford JN, Walsh S: Patterns of integrin expression in a human mandibular explant model of osteoblast differentiation. Arch Oral Biol. 2001, 46 (3): 229-238.CrossRefPubMed
26.
go back to reference Miron RJ, Bosshardt DD, Zhang Y, Buser D, Sculean A: Gene array of primary human osteoblasts exposed to enamel matrix derivative in combination with a natural bone mineral. Clin Oral Investig. 2012, 17 (2): 405-410.CrossRefPubMed Miron RJ, Bosshardt DD, Zhang Y, Buser D, Sculean A: Gene array of primary human osteoblasts exposed to enamel matrix derivative in combination with a natural bone mineral. Clin Oral Investig. 2012, 17 (2): 405-410.CrossRefPubMed
27.
go back to reference Miron RJ, Bosshardt DD, Hedbom E, Zhang Y, Haenni B, Buser D, Sculean A: Adsorption of enamel matrix proteins to a bovine-derived bone grafting material and its regulation of cell adhesion, proliferation, and differentiation. J Periodontol. 2012, 83 (7): 936-947.CrossRefPubMed Miron RJ, Bosshardt DD, Hedbom E, Zhang Y, Haenni B, Buser D, Sculean A: Adsorption of enamel matrix proteins to a bovine-derived bone grafting material and its regulation of cell adhesion, proliferation, and differentiation. J Periodontol. 2012, 83 (7): 936-947.CrossRefPubMed
28.
go back to reference Ferguson JW, Hatton JF, Gillespie MJ: Effectiveness of intracanal irrigants and medications against the yeast Candida albicans. J Endod. 2002, 28 (2): 68-71.CrossRefPubMed Ferguson JW, Hatton JF, Gillespie MJ: Effectiveness of intracanal irrigants and medications against the yeast Candida albicans. J Endod. 2002, 28 (2): 68-71.CrossRefPubMed
29.
go back to reference Rosa OP, Torres SA, Ferreira CM, Ferreira FB: In vitro effect of intracanal medicaments on strict anaerobes by means of the broth dilution method. Pesqui Odontol Bras. 2002, 16 (1): 31-36.CrossRefPubMed Rosa OP, Torres SA, Ferreira CM, Ferreira FB: In vitro effect of intracanal medicaments on strict anaerobes by means of the broth dilution method. Pesqui Odontol Bras. 2002, 16 (1): 31-36.CrossRefPubMed
30.
go back to reference de Souza CA, Teles RP, Souto R, Chaves MA, Colombo AP: Endodontic therapy associated with calcium hydroxide as an intracanal dressing: microbiologic evaluation by the checkerboard DNA-DNA hybridization technique. J Endod. 2005, 31 (2): 79-83.CrossRefPubMed de Souza CA, Teles RP, Souto R, Chaves MA, Colombo AP: Endodontic therapy associated with calcium hydroxide as an intracanal dressing: microbiologic evaluation by the checkerboard DNA-DNA hybridization technique. J Endod. 2005, 31 (2): 79-83.CrossRefPubMed
31.
go back to reference Sathorn C, Parashos P, Messer H: Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J. 2007, 40 (1): 2-10.CrossRefPubMed Sathorn C, Parashos P, Messer H: Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J. 2007, 40 (1): 2-10.CrossRefPubMed
32.
go back to reference da Silva RA, Leonardo MR, da Silva LA, de Castro LM, Rosa AL, de Oliveira PT: Effects of the association between a calcium hydroxide paste and 0.4% chlorhexidine on the development of the osteogenic phenotype in vitro. J Endod. 2008, 34 (12): 1485-1489.CrossRefPubMed da Silva RA, Leonardo MR, da Silva LA, de Castro LM, Rosa AL, de Oliveira PT: Effects of the association between a calcium hydroxide paste and 0.4% chlorhexidine on the development of the osteogenic phenotype in vitro. J Endod. 2008, 34 (12): 1485-1489.CrossRefPubMed
33.
go back to reference Wang S, Sasaki Y, Ogata Y: Calcium hydroxide regulates bone sialoprotein gene transcription in human osteoblast-like Saos2 cells. J Oral Sci. 2011, 53 (1): 77-86.CrossRefPubMed Wang S, Sasaki Y, Ogata Y: Calcium hydroxide regulates bone sialoprotein gene transcription in human osteoblast-like Saos2 cells. J Oral Sci. 2011, 53 (1): 77-86.CrossRefPubMed
34.
go back to reference Franceschi RT, Ge C, Xiao G, Roca H, Jiang D: Transcriptional regulation of osteoblasts. Ann N Y Acad Sci. 2007, 1116: 196-207.CrossRefPubMed Franceschi RT, Ge C, Xiao G, Roca H, Jiang D: Transcriptional regulation of osteoblasts. Ann N Y Acad Sci. 2007, 1116: 196-207.CrossRefPubMed
35.
36.
go back to reference Kasaj A, Willershausen B, Jewszyk N, Schmidt M: Effect of an oily calcium hydroxide suspension (Osteoinductal) on human periodontal fibroblasts. An in vitro study. Eur J Med Res. 2007, 12 (6): 268-272.PubMed Kasaj A, Willershausen B, Jewszyk N, Schmidt M: Effect of an oily calcium hydroxide suspension (Osteoinductal) on human periodontal fibroblasts. An in vitro study. Eur J Med Res. 2007, 12 (6): 268-272.PubMed
37.
go back to reference Potempa J, Pike R, Travis J: Titration and mapping of the active site of cysteine proteinases from Porphyromonas gingivalis (gingipains) using peptidyl chloromethanes. Biol Chem. 1997, 378 (3–4): 223-230.PubMed Potempa J, Pike R, Travis J: Titration and mapping of the active site of cysteine proteinases from Porphyromonas gingivalis (gingipains) using peptidyl chloromethanes. Biol Chem. 1997, 378 (3–4): 223-230.PubMed
38.
go back to reference Kato T, Tsuda T, Inaba H, Kawai S, Okahashi N, Shibata Y, Abiko Y, Amano A: Porphyromonas gingivalis gingipains cause G(1) arrest in osteoblastic/stromal cells. Oral Microbiol Immunol. 2008, 23 (2): 158-164.CrossRefPubMed Kato T, Tsuda T, Inaba H, Kawai S, Okahashi N, Shibata Y, Abiko Y, Amano A: Porphyromonas gingivalis gingipains cause G(1) arrest in osteoblastic/stromal cells. Oral Microbiol Immunol. 2008, 23 (2): 158-164.CrossRefPubMed
39.
go back to reference Yamamoto S, Mogi M, Kinpara K, Ishihara Y, Ueda N, Amano K, Nishihara T, Noguchi T, Togari A: Anti-proliferative capsular-like polysaccharide antigen from Actinobacillus actinomycetemcomitans induces apoptotic cell death in mouse osteoblastic MC3T3-E1 cells. J Dent Res. 1999, 78 (6): 1230-1237.CrossRefPubMed Yamamoto S, Mogi M, Kinpara K, Ishihara Y, Ueda N, Amano K, Nishihara T, Noguchi T, Togari A: Anti-proliferative capsular-like polysaccharide antigen from Actinobacillus actinomycetemcomitans induces apoptotic cell death in mouse osteoblastic MC3T3-E1 cells. J Dent Res. 1999, 78 (6): 1230-1237.CrossRefPubMed
40.
go back to reference Li X, Zhou L, Takai H, Sasaki Y, Mezawa M, Li Z, Wang Z, Yang L, Wang S, Matsumura H, et al: Aggregatibacter actinomycetemcomitans lipopolysaccharide regulates bone sialoprotein gene transcription. J Cell Biochem. 2012, 113 (9): 2822-2834.CrossRefPubMed Li X, Zhou L, Takai H, Sasaki Y, Mezawa M, Li Z, Wang Z, Yang L, Wang S, Matsumura H, et al: Aggregatibacter actinomycetemcomitans lipopolysaccharide regulates bone sialoprotein gene transcription. J Cell Biochem. 2012, 113 (9): 2822-2834.CrossRefPubMed
Metadata
Title
In vitro-activity of oily calcium hydroxide suspension on microorganisms as well as on human alveolar osteoblasts and periodontal ligament fibroblasts
Authors
Sigrun Eick
Tatjana Strugar
Richard J Miron
Anton Sculean
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2014
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-14-9

Other articles of this Issue 1/2014

BMC Oral Health 1/2014 Go to the issue