Guedes Fernanda-Rodrigues, Bonvicini Jéssica-Fernanda-Sena, de Souza Gabriela-Leite, da Silva Washington-Henrique-Themoteo, Moura Camilla-Christian-Gomes, Paranhos Luiz-Renato, Turrioni Ana-Paula
Department of Pediatric Dentistry, School of Dentistry, Federal University of Uberlandia, Uberlandia, MG, Brazil.
Department of Endodontics, School of Dentistry, Federal University of Uberlandia, Uberlandia, MG, Brazil.
J Clin Exp Dent. 2021 Aug 1;13(8):e826-e834. doi: 10.4317/jced.58208. eCollection 2021 Aug.
BACKGROUND: The use of chemomechanical agents for caries removal has been indicated as a non-invasive treatment option; however, their possible deleterious effects on the dental-pulp complex have been insufficiently studied. This study assessed the direct cytotoxicity of two chemomechanical caries removal agents (Brix 3000™ - BX and Papacarie Duo™ - PD) on pulp cells from deciduous teeth, as well as to assess the morphology and chemical compositions of the dentin surface after the application of these materials. MATERIAL AND METHODS: The cells were seeded (50,000 cells/cm²) in a culture medium (DMEM with 10% fetal bovine serum - FBS). After 24 hours, the BX and PD materials were added to 1:20, 1:100, and 1:1000 dilutions. Non-exposed cells were considered as the control group. The viability test (MTT), Trypan Blue assay (TB), and cell morphology (Scanning Electron Microscopy - SEM) were performed after 24 hours of agent application. For the SEM and chemical (energy-dispersive X-ray spectrometry - EDS) dentin evaluation, 0.3-mm-thick dentin discs were obtained and divided into control group (no treatment) and surfaces covered with 37% phosphoric acid, BX, or PD. Data were compared by one-way ANOVA and Tukey's test (<0.05). RESULTS: Decreases in cell viability and numbers of viable cells were observed for both materials, at all dilutions, when compared with the control group (<0.05). The BX and PD materials did not cause visually perceptible changes, according to SEM, on the surfaces of dentin discs. The EDS analysis did not indicate a statistically significant difference in the levels of calcium (Ca) and phosphorus (P) between the materials and the control group (>0.05). CONCLUSIONS: Both materials showed cytotoxicity when in direct contact with the pulp cells from deciduous teeth, and the BX material presented lower cytotoxicity than the PD material. Moreover, both materials did not significantly change the dentin composition. Cell culture, cytotoxicity, dental pulp, papacarie, primary teeth.
背景:使用化学机械剂去除龋齿已被视为一种非侵入性治疗选择;然而,它们对牙髓复合体可能产生的有害影响尚未得到充分研究。本研究评估了两种化学机械去龋剂(Brix 3000™ - BX和Papacarie Duo™ - PD)对乳牙牙髓细胞的直接细胞毒性,并评估了应用这些材料后牙本质表面的形态和化学成分。 材料与方法:将细胞(50,000个细胞/cm²)接种于培养基(含10%胎牛血清 - FBS的DMEM)中。24小时后,将BX和PD材料分别以1:20、1:100和1:1000的稀释度加入。未接触材料的细胞作为对照组。在应用试剂24小时后进行活力测试(MTT)、台盼蓝试验(TB)和细胞形态学观察(扫描电子显微镜 - SEM)。对于SEM和化学(能量色散X射线光谱 - EDS)牙本质评估,制备0.3毫米厚的牙本质片,并分为对照组(未处理)以及覆盖有37%磷酸、BX或PD的表面。数据通过单因素方差分析和Tukey检验进行比较(<0.05)。 结果:与对照组相比,两种材料在所有稀释度下均观察到细胞活力和活细胞数量下降(<0.05)。根据SEM观察,BX和PD材料在牙本质片表面未引起肉眼可见的变化。EDS分析表明,材料与对照组之间钙(Ca)和磷(P)水平无统计学显著差异(>0.05)。 结论:两种材料与乳牙牙髓细胞直接接触时均表现出细胞毒性,且BX材料的细胞毒性低于PD材料。此外,两种材料均未显著改变牙本质成分。细胞培养、细胞毒性、牙髓、Papacarie、乳牙
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