Cytotoxicity, cytoprotection and morphological analysis of MTA, MTA Repair HP and Biodentine
DOI:
https://doi.org/10.33448/rsd-v11i3.26639Keywords:
Cell culture techniques; Microscopy; In vitro Techniques.Abstract
The aim of the present study was to evaluate the in vitro cytotoxicity, cytoprotection and morphological changes by SEM technique of MTA, MTA-HP and Biodentine, on fibroblast 3T3 cell line. MTA, MTA-HP, and Biodentine were disposed into teflon sterile discs and incubated in culture media for 24 hours to obtain elutes. Fibroblast 3T3 cells were cultured with the respective elutes and control group with culture medium. Cytotoxicity and cytoprotection assays were determined by MTT method. The results were statistically processed by Mann-Whitney (α=0.05) and Kruskal-Wallis analysis. Cells cultured in coverslips and treated with the elutes were submitted to fixation and dehydration process to evaluate morphological alterations by SEM technique. In cytotoxicity assay, cells treated with MTA, MTA HP and Biodentine showed viability above 95%, like control cells. In cytoprotection to the 3T3 cells, materials promoted at the same magnitude (p>0.05), with improved cell growth and were considered statistically different from the obtained for cells only treated with peroxide solution (positive control) (p=0.046). Also, viability results of the tested root canal materials were close to that of the negative control (cells treated only with culture medium) (p=0.05). No morphologic cell changes of 3T3 cells in contact with the endodontic materials were revealed by SEM technique. The bioceramic materials has demonstrated high bioactivity and biocompatibility, as presented in cytoprotection and morphological trials.
References
Angelus®(2015). [homepage]. Londrina: Produtos Angelus. http://angelus.ind.br/MTA-REPAIR-HP-292.html
Aravind A., Rechithra R., Sharma R., Rana A., Sharma S., Kumar V., Chawla A., & Logani A. (2021). Response to Pulp Sensibility Tests after Full
Pulpotomy in Permanent Mandibular Teeth with Symptomatic Irreversible Pulpitis: A Retrospective Data Analysis. Journal of Endodontics, 48 (1), 80-86.
Attik, G., Villat, C., Hallay, F., Pradelle-Plasse, N., Bonnet, H., Moreau, K., Colon, P., & Grosgogeat, B. (2014). In vitro biocompatibility of a dentine substitute cement on human MG63 osteoblasts cells: Biodentine versus MTA. International Endodontic Journal, 47 (12), 1133-1141.
Baino, F., Novajra, G., & Vitale-Brovarone, C. (2015). Bioceramics and scaffolds: a winning combination for tissue engineering. Frontiers in Bioengineering Biotechnology, 3 (202), 1-17.
Bertin, L. D., Poli-Frederico, R. C., Oliveira, D. A. A. P., Oliveira, P. D., Pires, F. B., Silva, A. F. S., & Oliveira, R. F. (2019) Analysis of cell viability and gene expression after continuous ultrasound therapy in L929 fibroblast cells. American Journal of Physical Medicine & Rehabilitation, 98 (5), 369-372.
Best, S. M., Porter, A. E., Thian, E. S., & Huang, J. (2008). Bioceramics: past, present and for the future. Journal of the European Ceramic Society, 28 (7), 1319-1327.
Bortoluzzi, E. A., Araujo, G. S., Tanomaru, J. M. G., & Tanomaru-Filho, M. (2007) Marginal gingiva discoloration by gray MTA: a case report. Journal of Endodontics, 33 (3), 325-327.
Bozeman T. B., Lemon R. R., & Eleazer P.D. (2006) Elemental analysis of crystal precipitate from gray and white MTA. Journal of Endodontics, 32 (5), 425-428.
Burattini, S., & Falcieri, E. (2013). Analysis of cell death by electron microscopy. Methods in molecular biology (Clifton, N.J.), 1004, 77–89.
Camilleri, J. (2008). The chemical composition of mineral trioxide aggregate. Journal of Conservative Dentistry, 11 (4), 141–143.
Chang S. W., Lee S. Y., Ann H. J., Kum K. Y., & Kim E. C. (2014) Effects of calcium silicate endodontic cements on biocompatibility and mineralization-inducing potentials in human dental pulp cells. Journal of Endodontics, 40 (8), 1194-1200.
Corral Nuñez C. M., Bosomworth H. J., Field C., Whitworth J. M., & Valentine R. A. (2014) Biodentine and mineral trioxide aggregate induce similar cellular responses in a fibroblast cell line. Journal of Endodontics, 40 (3), 406-411.
Cushley S., Duncan H. F., Lappin M. J., Chua P., Elamin A. D., Clarke M., & El-Karim I. A. (2021) Efficacy of direct pulp capping for management of cariously exposed pulps in permanent teeth: a systematic review and meta-analysis. International Endodontic Journal, 54 (4), 556-571.
Dal-Fabro R., Cosme-Silva L., Queiroz I. O. A., Duarte P. C. T., Capalbo L. C., Santos A. D., Moraes J. C. S., & Gomes Filho J. E. (2021) Biocompatibility and biomineralization of the experimental nanoparticulate mineral trioxide aggregate (MTA) Research, Society and Development, 10 (5), 1-8.
Debelian G., & Trope M. (2016) The use of premixed bioceramic materials in endodontics. Giornale Italiano di Endodonzia, 30 (2), 70-80.
Duarte M. A. H., Marciano M. A., Vivan R. R., Tanomaru Filho M., Tanomaru J. M. G., & Camilleri J. (2018) Tricalcium silicate-based cements: properties and modifications. Brazilian Oral Research, 32(suppl) (e70), 111-118.
Espaladori M. C., Maciel K. F., Brito L. C. N., Kawai T., Vieira L. Q., & Ribeiro Sobrinho A. P. (2018) Experimental furcal perforation treated with mineral trioxide aggregate plus selenium: immune response. Brazilian Oral Research, 32 (e103), 1-8.
Gandolfi M. G., Iacono F., Agee K., Siboni F., Tay F., Pashley D. H., & Prati C. (2009) Setting time and expansion in diferente soaking media of experimental accelerated calcium-silicate cements and ProRoot MTA. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 108 (6), 39-45.
Juan-García, A., Agahi, F., Drakonaki, M., Tedeschi, P., Font, G., & Juan, C. (2021). Cytoprotection assessment against mycotoxins on HepG2 cells by extracts from Allium sativum L. Food and Chemical Toxicology, 151, 112129.
Grech L., Mallia B., & Camilleri J. (2013) Characterization of set Intermediate Restorative Material, Biodentine, Bioaggregate and a prototype calcium silicate cement for use as root-end filling materials. International Endodontic Journal, 46 (7), 632-641.
Gomes-Filho J. E., Watanabe S., Gomes A. C., Faria M. D., Lodi C. S., & Oliveira S. H. P. (2009) Evaluation of the effects of endodontic materials on fibroblast viability and cytokine production. Journal of Endodontics, 35 (11), 1577-1579.
Han L, & Okiji T. (2013) Bioactivity evaluation of three calcium silicate-based endodontic materials. International Endodontic Journal, 46 (9), 808-814.
Hasweh N., Awidi A., Rajab L., Hiyasat A., Jafar H., Islam N., Hasan M., & Abuarqoub D. (2018) Characterization of the biological effect of BiodentineTM on primary dental pulp stem cells. Indian Journal of Dental Research, 29 (6), 787-93.
Jefferies S. R. (2014) Bioactive and biomimetic restorative materials: a comprehensive review. Part I. Journal of Esthetic and Restorative Dentistry, 26 (1), 14-26.
Laurent P., Camps J., De Meo M., Dejou J., & About I. (2008) Induction of specific cell responses to a Ca(3)SiO(5)-based posterior restorative material. Dental Materials, 24 (11), 1486-1494.
Laurent P., Camps J., & About I. (2012) Biodentine(TM) induces TGF-beta1 release from human pulp cells and early dental pulp mineralization. International Endodontic Journal, 45 (5), 439-448.
Maluf, D. F., Gonçalves, M. M., D’Angelo, R. W., Girassol, A. B., Tulio, A. P., Pupo, Y. M., & Farago, P. V. (2018). Cytoprotection of antioxidant biocompounds from grape pomace: Further exfoliant phytoactive ingredients for cosmetic products. Cosmetics, 5(3), 46.
Marciano M. A., Costa R. M., Camilleri J., Mondelli R. F., Guimarães B. M., & Duarte M. A. (2014) Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. Journal of Endodontics, 40 (8), 1235-1240.
Mori G. G., Teixeira L. M., Oliveira D. L., Jacomini L. M., & Silva S. R. (2014) Biocompatibility evaluation of Biodentine in subcutaneous tissue of rats. Journal of Endodontics, 40 (9), 1485-1488.
Nekoofar M. H., Stone D. F., & Dummer P. M. (2010) The effect of blood contamination on the compressive strength and surface microstructure of mineral trioxide aggregate. International Endodontic Journal, 43 (9), 782-791.
Palczewska-Komsa M, Kaczor-Wiankowska K, & Nowicka A. (2021) New Bioactive Calcium Silicate Cement Mineral Trioxide Aggregate Repair High Plasticity (MTA HP)-A Systematic Review. Materials (Basel), 14 (16), 1-21.
Parirokh M., & Torabinejad M. (2010) Mineral trioxide aggregate: a comprehensive literature review—part I: chemical, physical, and antibacterial properties. Journal of Endodontics, 36 (1), 16–27.
Parirokh M., & Torabinejad M. (2010) Mineral trioxide aggregate: a comprehensive literature review—part III: clinical applications, drawbacks, and mechanism of action. Journal of Endodontics, 36 (3), 400-413.
Pupo, Y. M., Bernardo, C. F. D. F., de Souza, F. F. D. F. A., Michél, M. D., Ribeiro, C. N. D. M., Germano, S., & Maluf, D. F. (2017). Cytotoxicity of etch-and-rinse, self-etch, and universal dental adhesive systems in fibroblast cell line 3T3. Scanning, 2017.
Rajasekharan S., Martens L. C., Cauwels R. G., Anthonappa R. P., & Verbeeck R. M. H. (2018) Biodentine™ material characteristics and clinical applications: a 3-year literature review and update. European Archives Paediatric Dentistry, 19, 1-22.
Richardson I. G. (2008) The calcium silicate hydrates. Cement and Concrete Research, 38 (2), 137-158.
Stockert, J. C., Horobin, R. W., Colombo, L. L., & Blázquez-Castro, A. (2018). Tetrazolium salts and formazan products in Cell Biology: Viability assessment, fluorescence imaging, and labeling perspectives. Acta histochemica, 120 (3), 159-167.
Tomás-Catalá C. J., Collado-González M., García-Bernal D., Oñate-Sánchez R. E., Forner L., Llena C., Lozano A., Moraleda J. M., & Rodriguez-Lozano F. J. (2018) Biocompatibility of new pulp-capping materials NeoMTA Plus, MTA Repair HP, and Biodentine on human dental pulp stem cells. Journal of Endodontics, 44 (1), 126-132.
Torabinejad M., Parirokh M., & Dummer P. M. H. (2018) Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview - part II: other clinical applications and complications. International Endodontic Journal, 51 (3), 284-317.
Tran X. V., Gorin C., Willig C., Baroukh B., Pellat B., Decup. F, Vital S. O., Chaussain C., & Boukpessi T. (2012) Effect of a calcium-silicate-based restorative cement on pulp repair. Journal of Dental Research, 91 (12), 1166-1171.
Valentim D., Bueno C. R. E., Marques V. A. S., Benetti F., Vasques A. M. V., Cury M. T. S., Silva A. C. R., Jacinto R. C., Sivieri-Araujo G., Cintra L. T. A., & Dezan-Junior, E. (2021) Biocompatibility assessment of bioceramic repair cements: An in vivo study in wistar rats. Research, Society and Development, 10 (7), 1-10.
Waltimo T. M., Boiesen J., Eriksen H. M, & Ørstavik D. (2001) Clinical performance of three endodontic sealers. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 92 (1), 89–92.
Zhang H., Shen Y., Ruse N. D., & Haapasalo M. (2009) Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis. Journal of Endodontics, 35 (7), 1051-1055.
Zhang W., Li Z., & Peng B. (2010) Ex vivo cytotoxicity of a new calcium silicate-based canal filling material. International Endodontic Journal, 43 (9), 769-774.
Zbou H., Shen Y., Wang Z. J., Li L., Zheng Y. F., Hakkinen L., & Haapasalo M. (2013) In vitro cytotoxicity evaluation of a novel root repair material. Journal of Endodontics, 39 (4), 478-483.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 André Luiz da Costa Michelotto; Yasmine Mendes Pupo; Stephanie Tiemi Kian Oshiro; Ângela Toshie Araki Yamamoto; Carolina Camargo de Oliveira; Antonio Batista; Daniela Florencio Maluf
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.