Moazzami Fariborz, Ghahramani Yasmin, Tamaddon Ali Mohammad, Dehghani Nazhavani Ali, Adl Alireza
Department of Endodontics, Dental school, Shiraz University of Medical Sciences, Shiraz, Iran;
Postgraduate Student, Department of Endodontics, Dental School Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;
Iran Endod J. 2014 Winter;9(1):50-5. Epub 2013 Dec 24.
Recent investigations have attempted to improve regenerative endodontics with the help of stem cell therapy. In vitro studies have shown the ability of different agents to stimulate the differentiation of dental pulp stem cells (DPSC) into odontoblast-like cells. A combination of dexamethasone, β-glycerophosphate and Vitamin D has been proven to induce a successful differentiation. The aim of this animal study was to evaluate the effect of this combination, named odontoblastic differentiating material (ODM), on pulp tissue when used as a capping material.
Sixty maxillary right and left molars of 30 Sprague-dawley rats were selected for this study. The teeth were exposed under sterile condition. Half of the teeth were capped with mineral trioxide aggregate (MTA) and the other half with ODM. All cavities were restored with glass ionomer. The rats were sacrificed at post-operative intervals of 2 weeks and 2 months. Samples were histologically evaluated for the degree of inflammation and reparative dentin formation. Finally the data was analyzed with Mann-Whitney and Chi-Square tests.
Reparative dentin formed in all groups within both time periods and there was no statistically significant difference between the groups in the mentioned time periods. The MTA group, however, showed a statistically significant reduction in inflammation at both time intervals (P<0.05). Compared to MTA, ODM samples showed a greater amount of inflammation in the pulp tissue.
ODM, as a pulp capping material, can induce dentinal bridge formation.
最近的研究试图借助干细胞疗法改善再生牙髓治疗。体外研究表明,不同药物有能力刺激牙髓干细胞(DPSC)分化为成牙本质细胞样细胞。已证实地塞米松、β-甘油磷酸酯和维生素D的组合可诱导成功分化。本动物研究的目的是评估这种名为成牙本质细胞分化材料(ODM)的组合作为盖髓材料时对牙髓组织的影响。
本研究选用30只Sprague-Dawley大鼠的60颗上颌左右磨牙。在无菌条件下暴露牙齿。一半牙齿用三氧化矿物凝聚体(MTA)覆盖,另一半用ODM覆盖。所有窝洞均用玻璃离子体修复。在术后2周和2个月的时间间隔处死大鼠。对样本进行组织学评估,观察炎症程度和修复性牙本质形成情况。最后,用Mann-Whitney检验和卡方检验分析数据。
在两个时间段内所有组均形成了修复性牙本质,且在上述时间段内各组之间无统计学显著差异。然而,MTA组在两个时间间隔的炎症均有统计学显著降低(P<0.05)。与MTA相比,ODM样本在牙髓组织中显示出更多的炎症。
ODM作为一种盖髓材料,可诱导牙本质桥形成。