Avaliação in vitro da citotoxicidade e atividade antimicrobiana em biofilme de diferentes cimentos endodônticos obturadores

Autores

DOI:

https://doi.org/10.33448/rsd-v11i10.32842

Palavras-chave:

Biofilmes; Endodontia; Sobrevivência Celular; Osteoblastos; Técnicas In Vitro.

Resumo

Objetivo: Avaliar a citotoxicidade em células osteoblásticas humanas e a atividade antimicrobiana em diferentes cimentos endodônticos in vitro. Métodos: BioRoot RCS, TotalFill BC Sealer e Bio-C Sealer foram usados nos grupos experimentais e o AH Plus foi usado como controle. Células semelhantes a osteoblastos humanos e ensaio colorimétrico quantitativo de MTT foram usados para avaliar a citotoxicidade. As células Saos-2 foram expostas a extratos de cimento não diluídos por 24 h. O sobrenadante foi então recolhido e os cristais de formazan resultantes da redução do MTT foram dissolvidos em dimetilsulfóxido puro. A absorbância foi medida em um espectrofotômetro automatizado em um comprimento de onda de 540 nm. A atividade antimicrobiana foi analisada pelo teste de contato direto utilizando um biofilme polimicrobiano composto por Enterococcus faecalis, Candida albicans e Streptococcus mutans. Em 24, 48 e 72 h, as unidades formadoras de colônias foram contadas em placas de ágar. O teste não paramétrico de Kruskal-Wallis foi utilizado para a análise estatística. O nível de significância foi estabelecido em 5%. Resultados: AH Plus apresentou a menor citotoxicidade após 24 h, com diferença significativa em relação ao BioRoot RCS e Bio-C Sealer (p ≤ 0,01). Não houve diferença significativa na citotoxicidade entre TotalFill BC Sealer e Bio-C Sealer (p > 0,05). Às 24 h, TotalFill BC Sealer e AH Plus apresentaram o menor crescimento microbiano em comparação com Bio-C Sealer (p < 0,05). Em 48 e 72 h, não houve diferenças significativas entre os cimentos (p > 0,05). Conclusões: AH Plus apresentou a menor citotoxicidade. TotalFill BC Sealer e AH Plus produziram maiores reduções na contagem microbiana nas primeiras 24 h em comparação com o Bio-C Sealer. Relevância Clínica: 2c.

Referências

Baumgartner, G., Zehnder, M., & Paque, F. (2007). Enterococcus faecalis type strain leakage through root canals filled with Gutta-Percha/AH plus or Resilon/Epiphany. J Endod, 33(1), 45-47. https://doi.org/10.1016/j.joen.2006.08.002.

Bienek, D. R., Frukhtbeyn, S. A., Giuseppetti, A. A., Okeke, U. C., & Skrtic, D. (2018). Antimicrobial monomers for polymeric dental restoratives: cytotoxicity and physicochemical properties. J Funct Biomater, 9(1), https://doi.org/10.3390/jfb9010020.

Bortoluzzi, E. A., Niu, L. N., Palani, C. D., El-Awady, A. R., Hammond, B. D., Pei, D. D., Tian, F. C., Cutler, C. W., Pashley, D. H., & Tay, F. R. (2015). Cytotoxicity and osteogenic potential of silicate calcium cements as potential protective materials for pulpal revascularization. Dent Mater, 31(12), 1510-1522. https://doi.org/10.1016/j.dental.2015.09.020.

Brackett, M. G., Marshall, A., Lockwood, P. E., Lewis, J. B., Messer, R. L., Bouillaguet, S., & Wataha, J. C. (2008). Cytotoxicity of endodontic materials over 6-weeks ex vivo. Int Endod J, 41(12), 1072-1078. https://doi.org/10.1111/j.1365-2591.2008.01471.x.

Camargo, C. H., Camargo, S. E., Valera, M. C., Hiller, K. A., Schmalz, G., & Schweikl, H. (2009). The induction of cytotoxicity, oxidative stress, and genotoxicity by root canal sealers in mammalian cells. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 108(6), 952-960. https://doi.org/10.1016/j.tripleo.2009.07.015.

Candeiro, G. T. M., Moura-Netto, C., D'Almeida-Couto, R. S., Azambuja-Junior, N., Marques, M. M., Cai, S., & Gavini, G. (2016). Cytotoxicity, genotoxicity and antibacterial effectiveness of a bioceramic endodontic sealer. Int Endod J, 49(9), 858-864. https://doi.org/10.1111/iej.12523.

Candeiro, G. T., Correia, F. C., Duarte, M. A., Ribeiro-Siqueira, D. C., & Gavini, G. (2012). Evaluation of radiopacity, pH, release of calcium ions, and flow of a bioceramic root canal sealer. J Endod, 38(6), 842-845. https://doi.org/10.1016/j.joen.2012.02.029.

Colombo, M., Poggio, C., Dagna, A., Meravini, M. V., Riva, P., Trovati, F., & Pietrocola, G. (2018). Biological and physico-chemical properties of new root canal sealers. J Clin Exp Dent, 10(2), e120-e126. https://doi.org/10.4317/jced.54548.

Cotti, E., Petreucic, V., Re, D., & Simbula, G. (2014). Cytotoxicity evaluation of a new resin-based hybrid root canal sealer: an in vitro study. J Endod, 40(1), 124-128. https://doi.org/10.1016/j.joen.2013.09.038.

Eldeniz, A. U., Mustafa, K., Orstavik, D., & Dahl, J. E. (2007). 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, 40(5), 329-337. https://doi.org/10.1111/j.1365-2591.2007.01211.x.

Ginebra, M. P., Fernandez, E., De Maeyer, E. A., Verbeeck, R. M., Boltong, M. G., Ginebra, J., Driessens, F. C., & Planell, J. A. (1997). Setting reaction and hardening of an apatitic calcium phosphate cement. J Dent Res, 76(4), 905-912. https://doi.org/10.1177/00220345970760041201.

Gomes, B. P., Pinheiro, E. T., Sousa, E. L., Jacinto, R. C., Zaia, A. A., Ferraz, C. C., & de Souza-Filho, F. J. (2006). Enterococcus faecalis in dental root canals detected by culture and by polymerase chain reaction analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 102(2), 247-253. https://doi.org/10.1016/j.tripleo.2005.11.031.

Huang, Y., Fenech, M., & Shi, Q. (2011). Micronucleus formation detected by live-cell imaging. Mutagenesis, 26(1), 133-138. https://doi.org/10.1093/mutage/geq062.

Jafari, F., Aghazadeh, M., Jafari, S., Khaki, F., & Kabiri, F. (2017). In vitro Cytotoxicity Comparison of MTA Fillapex, AH-26 and Apatite Root Canal Sealer at Different Setting Times. Iran Endod J, 12(2), 162-167. https://doi.org/10.22037/iej.2017.32.

Jagtap, P., Shetty, R., Agarwalla, A., Wani, P., Bhargava, K., & Martande, S. (2018). Comparative evaluation of cytotoxicity of root canal sealers on cultured human periodontal fibroblasts: in vitro study. J Contemp Dent Pract, 19(7), 847-852. https://doi.org/10.5005/jp-journals-10024-2346.

Kayaoglu, G., Erten, H., Alacam, T., & Orstavik, D. (2005). Short-term antibacterial activity of root canal sealers towards Enterococcus faecalis. Int Endod J, 38(7), 483-488. https://doi.org/10.1111/j.1365-2591.2005.00981.x.

Khashaba, R. M., Chutkan, N. B., & Borke, J. L. (2009). Comparative study of biocompatibility of newly developed calcium phosphate-based root canal sealers on fibroblasts derived from primary human gingiva and a mouse L929 cell line. Int Endod J, 42(8), 711-718. https://doi.org/10.1111/j.1365-2591.2009.01572.x.

Kishen, A., Shi, Z., Shrestha, A., & Neoh, K. G. (2008). An investigation on the antibacterial and antibiofilm efficacy of cationic nanoparticulates for root canal disinfection. J Endod, 34(12), 1515-1520. https://doi.org/10.1016/j.joen.2008.08.035.

Koch, K. & Brave, D. (2009). A new day has dawned: the increased use of bioceramics in endodontics. Dentaltown, 10, 39-43.

Koch, K. A. & Brave, D. G. (2012). Bioceramics, Part 2: The clinician's viewpoint. Dent Today, 31(2), 118, 120, 122-115.

Leonardo, M. R., Bezerra da Silva, L. A., Filho, M. T., & Santana da Silva, R. (1999). Release of formaldehyde by 4 endodontic sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 88(2), 221-225. https://doi.org/10.1016/s1079-2104(99)70119-8.

Loushine, B. A., Bryan, T. E., Looney, S. W., Gillen, B. M., Loushine, R. J., Weller, R. N., Pashley, D. H., & Tay, F. R. (2011). Setting properties and cytotoxicity evaluation of a premixed bioceramic root canal sealer. J Endod, 37(5), 673-677. https://doi.org/10.1016/j.joen.2011.01.003.

Mann, A., Zeng, Y., Kirkpatrick, T., van der Hoeven, R., Silva, R., Letra, A., & Chaves de Souza, L. (2022). Evaluation of the Physicochemical and Biological Properties of EndoSequence BC Sealer HiFlow. J Endod, 48(1), 123-131. https://doi.org/10.1016/j.joen.2021.10.001.

Nair, A. V., Nayak, M., Prasada, L. K., Shetty, V., Kumar, C. N. V., & Nair, R. R. (2018). Comparative evaluation of cytotoxicity and genotoxicity of two bioceramic sealers on fibroblast cell line: an in vitro study. J Contemp Dent Pract, 19(6), 656-661. https://doi.org/10.5005/jp-journals-10024-2315.

Oztan, M. D., Yilmaz, S., Kalayci, A., & Zaimoglu, L. (2003). A comparison of the in vitro cytotoxicity of two root canal sealers. J Oral Rehabil, 30(4), 426-429. https://doi.org/10.1046/j.1365-2842.2003.01053.x.

Peters, O. A. (2013). Research that matters - biocompatibility and cytotoxicity screening. Int Endod J, 46(3), 195-197. https://doi.org/10.1111/iej.12047.

Pizzo, G., Giammanco, G. M., Cumbo, E., Nicolosi, G., & Gallina, G. (2006). In vitro antibacterial activity of endodontic sealers. J Dent, 34(1), 35-40. https://doi.org/10.1016/j.jdent.2005.03.001.

Poggio, C., Arciola, C. R., Beltrami, R., Monaco, A., Dagna, A., Lombardini, M., & Visai, L. (2014). Cytocompatibility and antibacterial properties of capping materials. ScientificWorldJournal, 2014:181945. https://doi.org/10.1155/2014/181945.

Poggio, C., Riva, P., Chiesa, M., Colombo, M., & Pietrocola, G. (2017). Comparative cytotoxicity evaluation of eight root canal sealers. J Clin Exp Dent, 9(4), e574-e578. https://doi.org/10.4317/jced.53724.

Poggio, C., Trovati, F., Ceci, M., Colombo, M., & Pietrocola, G. (2017). Antibacterial activity of different root canal sealers against Enterococcus faecalis. J Clin Exp Dent, 9(6), e743-e748. https://doi.org/10.4317/jced.53753.

Prati, C., & Gandolfi, M. G. (2015). Calcium silicate bioactive cements: Biological perspectives and clinical applications. Dent Mater, 31(4), 351-370. https://doi.org/10.1016/j.dental.2015.01.004.

Rodriguez-Lozano, F. J., Garcia-Bernal, D., Onate-Sanchez, R. E., Ortolani-Seltenerich, P. S., Forner, L., & Moraleda, J. M. (2017). Evaluation of cytocompatibility of calcium silicate-based endodontic sealers and their effects on the biological responses of mesenchymal dental stem cells. Int Endod J, 50(1), 67-76. https://doi.org/10.1111/iej.12596.

Sanz, J. L., Guerrero-Girones, J., Pecci-Lloret, M. P., Pecci-Lloret, M. R., & Melo, M. (2021). Biological interactions between calcium silicate-based endodontic biomaterials and periodontal ligament stem cells: A systematic review of in vitro studies. Int Endod J, 54(11), 2025-2043. https://doi.org/10.1111/iej.13600.

Schilder, H. (2006). Filling root canals in three dimensions. 1967. J Endod, 32(4), 281-290. https://doi.org/10.1016/j.joen.2006.02.007.

Singh, G., Gupta, I., Elshamy, F. M. M., Boreak, N., & Homeida, H. E. (2016). In vitro comparison of antibacterial properties of bioceramic-based sealer, resin-based sealer and zinc oxide eugenol based sealer and two mineral trioxide aggregates. Eur J Dent, 10(3), 366-369. https://doi.org/10.4103/1305-7456.184145.

Sundqvist, G., Figdor, D., Persson, S., & Sjogren, U. (1998). Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 85(1), 86-93. https://doi.org/10.1016/s1079-2104(98)90404-8.

Vouzara, T., Dimosiari, G., Koulaouzidou, E. A., & Economides, N. (2018). Cytotoxicity of a new calcium silicate endodontic sealer. J Endod, 44(5), 849-852. https://doi.org/10.1016/j.joen.2018.01.015.

Weiss, E. I., Shalhav, M., & Fuss, Z. (1996). Assessment of antibacterial activity of endodontic sealers by a direct contact test. Endod Dent Traumatol, 12(4), 179-184. https://doi.org/10.1111/j.1600-9657.1996.tb00511.x.

Willershausen, I., Wolf, T., Kasaj, A., Weyer, V., Willershausen, B., & Marroquin, B. B. (2013). Influence of a bioceramic root end material and mineral trioxide aggregates on fibroblasts and osteoblasts. Arch Oral Biol, 58(9), 1232-1237. https://doi.org/10.1016/j.archoralbio.2013.04.002.

Zhang, H., Shen, Y., Ruse, N. D., & Haapasalo, M. (2009). Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis. J Endod, 35(7), 1051-1055. https://doi.org/10.1016/j.joen.2009.04.022.

Zordan-Bronzel, C. L., Esteves Torres, F. F., Tanomaru-Filho, M., Chavez-Andrade, G. M., Bosso-Martelo, R., & Guerreiro-Tanomaru, J. M. (2019a). Evaluation of physicochemical properties of a new calcium silicate-based sealer, Bio-C sealer. J Endod, 45(10), 1248-1252. https://doi.org/10.1016/j.joen.2019.07.006.

Zordan-Bronzel, C. L., Tanomaru-Filho, M., Rodrigues, E. M., Chavez-Andrade, G. M., Faria, G., & Guerreiro-Tanomaru, J. M. (2019b). Cytocompatibility, bioactive potential and antimicrobial activity of an experimental calcium silicate-based endodontic sealer. Int Endod J, 52(7), 979-986. https://doi.org/10.1111/iej.13086.

Zordan-Bronzel, C. L., Tanomaru-Filho, M., Torres, F. F. E., Chavez-Andrade, G. M., Rodrigues, E. M., & Guerreiro-Tanomaru, J. M. (2021). Physicochemical Properties, Cytocompatibility and Antibiofilm Activity of a New Calcium Silicate Sealer. Braz Dent J, 32(4), 8-18. https://doi.org/10.1590/0103-6440202103314.

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06/08/2022

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JANINI, A. C. P. .; BUENO, C. E. da S. .; DE MARTIN, A. S. de .; PELEGRINE, R. A.; FONTANA, C. E.; HUSSNE, R. P. .; ACCORSI-MENDONÇA, T.; PINHEIRO, S. L. Avaliação in vitro da citotoxicidade e atividade antimicrobiana em biofilme de diferentes cimentos endodônticos obturadores. Research, Society and Development, [S. l.], v. 11, n. 10, p. e430111032842, 2022. DOI: 10.33448/rsd-v11i10.32842. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32842. Acesso em: 5 jan. 2025.

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