Effects of a novel calcium aluminate cement on the early events of the progression of osteogenic cell cultures

The present study evaluated the progression of osteogenic cell cultures exposed to a novel calcium aluminate cement (CAC+) in comparison with the gold standard mineral trioxide aggregate (MTA). Cells were enzimatically isolated from newborn rat calvarial bone, plated on glass coverslips containing either CAC+ or a control MTA samples in the center, and grown under standard osteogenic conditions. Over the 10-day culture period, roundening of sample edges was clearly noticed only for MTA group. Although both cements supported osteogenic cell adhesion, spreading, and proliferation, CAC+-exposed cultures showed significantly higher values in terms of total cell number at days 3 and 7, and total protein content and alkaline phosphatase activity at day 10. The present in vitro results indicate that the exposure to CAC+ supports a higher differentiation of osteogenic cells compared with the ones exposed to MTA. Further experimental studies should consider CAC+ as a potential alternative to MTA when the repair of mineralized tissues is one of the desired outcomes in endodontic therapy.O objetivo do presente estudo foi avaliar a progressão de cultura de células osteogênicas expostas a um novo cimento de aluminato de cálcio (CAC+) em comparação ao agregado de trióxido mineral (MTA). As células foram obtidas por digestão enzimática de calvária de ratos recém-nascidos, plaqueadas sobre lamínulas de vidro contendo em sua área central discos de CAC+ ou MTA e crescidas em condições osteogênicas por até 10 dias. Durante a cultura primária, observou-se o arredondamento das bordas das amostras de cimento apenas para MTA. Embora ambos os cimentos tenham permitido a adesão, o espraiamento e a proliferação celulares, as culturas crescidas em contato com CAC+ exibiram valores maiores de número total de células em 3 e 7 dias, e de conteúdo de proteína total e atividade de fosfatase alcalina em 10 dias. Os resultados indicam que a exposição ao CAC+ permite o desenvolvimento de uma proporção maior de células em estágios mais avançados da diferenciação osteoblástica, quando comparado ao MTA. Deve-se considerar em futuros estudos experimentais a utilização do CAC+ como um material alternativo ao MTA especialmente quando um dos objetivos do tratamento endodôntico é o de reparação dos tecidos mineralizados da região periapical.(FAPESP) São Paulo Research Foundation(CNPq) National Council of Scientific and Technological Developmen

Impact of calcium aluminate cement with additives on dental pulp-derived cells

Calcium aluminate cement (CAC) has been highlighted as a promising alternative for endodontic use aiming at periapical tissue repair. However, its effects on dental pulp cells have been poorly explored. Objective: This study assessed the impact of calcium chloride (CaCl2) and bismuth oxide (Bi2O3) or zinc oxide (ZnO) additives on odontoblast cell response to CAC. Methodology: MDPC-23 cells were exposed for up to 14 d: 1) CAC with 2.8% CaCl2 and 25% ZnO (CACz); 2) CAC with 2.8% CaCl2 and 25% Bi2O3 (CACb); 3) CAC with 10% CaCl2 and 25% Bi2O3 (CACb+); or 4) mineral trioxide aggregate (MTA), placed on inserts. Non-exposed cultures served as control. Cell morphology, cell viability, gene expression of alkaline phosphatase (ALP), bone sialoprotein (BSP), and dentin matrix protein 1 (DMP-1), ALP activity, and extracellular matrix mineralization were evaluated. Data were compared using ANOVA (α=5%). Results: Lower cell density was detected only for MTA and CACb+ compared with Control, with areas showing reduced cell spreading. Cell viability was similar among groups at days one and three (p>0.05). CACb+ and MTA showed the lowest cell viability values at day seven (p>0.05). CACb and CACb+ promoted higher ALP and BSP expression compared with CACz (p<0.05); despite that, all cements supported ALP activity. Matrix mineralization were enhanced in CACb+ and MTA. Conclusion: In conclusion, CAC with Bi2O3, but not with ZnO, supported the expression of odontoblastic phenotype, but only the composition with 10% CaCl2 promoted mineralized matrix formation, rendering it suitable for dentin-pulp complex repair

In vitro osteogenesis on a highly bioactive glass ceramic (Biosilicate®): effects of surface conditioning and of its ionic dissolution products

O objetivo deste estudo foi avaliar o efeito do condicionamento de superfície de uma vitrocerâmica 100% cristalina e altamente bioativa (Biosilicato®) e de seus produtos de dissolução iônica sobre diferentes parâmetros do desenvolvimento do fenótipo osteogênico in vitro. Previamente ao plaqueamento de células osteogênicas de calvárias de ratos, discos de Biosilicato® foram condicionados, por 3 dias, em meio de cultura suplementado, com ou sem soro fetal bovino a 10%. Células osteogênicas expostas aos produtos de dissolução iônica do Biosilicato® foram também cultivadas sobre lamínulas de vidro bioinerte. Discos de Biosilicato e lamínulas de vidro foram utilizados como controles. Os resultados mostraram que o tratamento de superfície de Biosilicato® aumenta expressivamente a concentração de silício e cálcio no meio de cultura. Em 1, 3 e 7 dias, foram determinados os maiores valores de viabilidade celular em superfícies de Biosilicato® condicionado, enquanto que entre os grupos de lamínulas de vidro, observou-se menor viabilidade em culturas expostas aos produtos de dissolução iônica do Biosilicato®. Em 3 dias, células sobre todas as superfícies de Biosilicato® apresentavam-se menos espraiadas quando comparadas àquelas sobre lamínulas de vidro; neste período, a topografia das superfícies dos grupos de Biosilicato® caracterizava-se por rede de cavidades na submicro e nanoescala, enquanto que a lamínula apresentava superfície plana. Alterações no padrão de marcação das proteínas citoesqueléticas actina, vimentina, tubulina e vinculina, da subunidade de integrina α5 e da fibronectina eram observadas apenas em células crescidas sobre as superfícies de Biosilicato®. Ao final da fase proliferativa (7 dias), foram observados maiores níveis relativos de expressão de RNA mensageiro para Runx2, sialoproteína óssea (BSP) e fosfatase alcalina (ALP) em culturas crescidas sobre superfícies condicionadas de Biosilicato®; a exposição aos produtos de dissolução iônica aumentou a expressão de Runx2 e ALP nos grupos de lamínula de vidro. Em 14 dias, culturas sobre Biosilicato® condicionado em meio de cultura com soro exibiam áreas mais extensas de mineralização. Os resultados deste estudo mostraram que o condicionamento de superfícies de Biosilicato® previamente ao plaqueamento celular favorece aspectos da interação célula-substrato, promovendo maior viabilidade celular e aumentando e/ou acelerando o desenvolvimento do fenótipo osteogênico in vitro. A exposição aos produtos de dissolução iônica do Biosilicato® inibe a progressão de culturas osteogênicas sobre lamínulas de vidro bioinerte, apesar de aumentar a expressão de marcadores osteoblásticos.The aim of the present study was to evaluate the effect of surface conditioning of a highly bioactive, fully crystalline glass-ceramic in the Na2O-CaO-SiO2-P2O5 system (Biosilicate®) and of its ionic dissolution products on key parameters of the development of the osteogenic phenotype in vitro. Rat calvaria-derived osteogenic cells were plated on Biosilicate® discs that were pre-conditioned either with supplemented culture medium or serum-free medium for 3 days. In addition, osteogenic cells grown on bioinert glass coverslips were exposed to the ionic dissolution products of the Biosilicate®. The results showed that the supplemented culture medium used for the Biosilicate® surface conditioning exhibited a high concentration silicium and calcium. At 1, 3, and 7 days, cell viability was significantly higher for the conditioned Biosilicate® sufaces, whereas reduced cell viability was observed for cultures grown on glass coverslips and exposed to the ionic dissolution products of Biosilicate®. At day 3, cells grown on Biosilicate® groups were less spread compared with those on glass coverslips. At the same time point, whereas the surface topography of glass coverslips was smooth, Biosilicate® discs exhibited a network of submicron and nanoscale pits. Changes in the labeling pattern of the cytoskeleton proteins actin, vimentin, tubulin and vinculin, and of α5 integrin and fibronectin were only observed for cells grown on Biosilicate® surfaces. At the end of the proliferative phase (day 7), expression levels of Runx2, alkaline phosphatase (ALP) and bone sialoprotein (BSP) mRNAs were significantly higher for cultures grown on conditioned Biosilicate® surfaces; the exposure of cells to the ionic dissolution products increased Runx2 and ALP mRNA levels. At day 14, significantly more extensive areas of matrix mineralization were detected for cultures grown on Biosilicate® discs that were pre-conditioned with supplemented culture medium. The results showed that the conditioning of Biosilicate® surfaces with culture medium prior to cell plating supports key aspects of cell-substrate interactions, increasing and/or accelerating expression of the osteoblastic cell phenotype. Furthermore, the exposure of cells to the ionic dissolution products of Biosilicate® inhibits the progression of osteogenic cell cultures on bioinert glass coverslips, despite its positive effect on expression of osteoblastic markers

Effects of different preparations of calcium aluminate cement on osteogenic cells and dental pulp-derived undifferentiated cells

O agregado de trióxido mineral (MTA) tem-se demonstrado aplicável em diversas situações que exigem reparação dos tecidos dentais e periapicais. Contudo, desvantagens relacionadas ao seu elevado custo, propriedades físico-químicas e dificuldade de manuseio têm limitado sua utilização. Neste sentido, um novo cimento de aluminato de cálcio e aditivos (CAC+) foi desenvolvido para superar algumas características negativas do MTA, mantendo, no entanto, suas propriedades satisfatórias. O objetivo deste estudo foi avaliar a progressão de culturas de células osteogênicas e de células indiferenciadas da polpa dental (linhagem OD-21) expostas ao CAC+, utilizando MTA como controle, ou a preparações alternativas do CAC+, com maior conteúdo de cloreto de cálcio (CaCl2) e/ou com substituição do óxido de zinco por óxido de bismuto como radiopacificador. Para isso, células osteogênicas derivadas de calvárias de ratos ou células da linhagem OD-21 foram crescidas sobre Thermanox® por 24 h e expostas, por períodos de até 14 dias, a amostras dos diferentes materiais, posicionadas sobre Transwell®. Em células osteogênicas, apesar de a proximidade com as amostras de CAC+ e MTA inibir o crescimento celular, nas áreas periféricas das lamínulas, foram observados proliferação, viabilidade celular e expressão de marcadores-chave da diferenciação osteoblástica, que precederam a mineralização da matriz extracelular. Culturas expostas ao CAC+, comparativamente ao MTA, exibiram aumentos na viabilidade celular, atividade de fosfatase alcalina e na expressão de marcadores de diferenciação, o que não se repetiu para células OD-21. Além disso, demonstrou-se que os efeitos destes cimentos sobre a osteogênese in vitro variaram de acordo com o período de exposição das culturas, sendo mais favoráveis durante sua fase proliferativa. Entre as preparações de CAC+, verificou-se que o aumento no teor de CaCl2 promoveu maior disponibilização de Ca2+ no meio de cultura, o que correspondeu a maior diferenciação celular e formação de matriz mineralizada em culturas de células osteogênicas e OD-21, e à redução de efeitos negativos da adição de óxido de bismuto sobre osteoblastos. Conclui-se que o CAC+ favorece o desenvolvimento do fenótipo osteogênico, atuando principalmente em células em estágios iniciais de diferenciação e que a adição de CaCl2, independentemente do agente radiopacificador, potencializa os efeitos benéficos sobre células osteogênicas e favorece o desenvolvimento e diferenciação de células indiferenciadas derivadas do tecido pulpar, podendo ser considerado como material alternativo ao MTA.Mineral trioxide aggregate (MTA) has been successfully applied in endodontic procedures in which dental and periapical tissue repair are required. However, some drawbacks of MTA as high cost, physicochemical properties and difficulty in handling have limited its use. In this context, a novel calcium aluminate cement plus additives (CAC+) has been developed to overcome some negative features of MTA. The aim of this study was to evaluate the progression of either osteogenic cell cultures or undifferentiated dental pulp-derived ones (OD-21 cell line) exposed to CAC+ or to alternative formulations of CAC+ with a higher content of calcium chloride (CaCl2) and/or replacement of zinc oxide by bismuth oxide as radiopacifier agent. Rat calvaria-derived cells or OD-21 cells were grown on Thermanox® coverslips for 24 h and exposed to samples of CAC+ or MTA (control) placed on Transwell® for periods of up to 14 days. In osteogenic cell cultures, the proximity to MTA or CAC+ samples inhibited cell growth, whereas at distance it was observed cell proliferation, cell viability and expression of differentition markers prior to mineralization of the extracellular matrix. Comparatively to MTA, osteogenic cell cultures exposed to CAC+ exhibited higher cell viability, alkaline phosphatase activity and expression of key osteoblast markers, contrary to what was observed for OD-21 cells. Furthermore, it was demonstrated that the effects of these cements on in vitro osteogenesis varied according to the timing of exposure, with a more favorable impact during the proliferative phase of cultures. Among the diverse formulations of CAC+, it was found that the increase in the CaCl2 content promoted greater availability of Ca2+ in the culture medium, which corresponded to higher cell differentiation and mineralized matrix formation in osteoblastic cell cultures and OD-21 cells, while reducing the negative effects of bismuth oxide on osteoblasts. In conclusion, CAC+ supported the acquisition of the osteogenic cell phenotype, mostly for cells in early stages of differentiation. Additionaly, the increase in the CaCl2 content, regardless of the radiopacifier agent, potentiates the beneficial effects on osteogenic cells and promotes the growth and differentiation of OD-21 cells, rendering CAC+ a potential alternative material to replace MTA in endodontic procedures

Chlorhexidine and proanthocyanidin enhance the long-term bond strength of resin-based endodontic sealer

Abstract The aim of this study was to evaluate the effects of proanthocyanidin (PA) and chlorhexidine (CHX) on the bond strength (BS), failure pattern, and resin-dentin interface morphology of the endodontic sealers EndoREZ and AH Plus after 24 h and 6 months of water storage. A total of 120 prepared bovine roots were divided into six groups: AH Plus, CHX+AH Plus, PA+AH Plus, EndoREZ, CHX+EndoREZ, and PA+EndoREZ. Dentin was treated for 1 or 5 min with 2% CHX or 15% PA, respectively. Roots were filled and stored in water for 24 h or 6 months (n = 10). Root slices were subjected to push-out test and scanning electron microscopy (SEM). Data were compared using two-way ANOVA and student's t-test (α = 5%). BS decreased over time for AH Plus and untreated EndoREZ (p 0.05). At 6 months, EndoREZ had higher BS values for CHX and PA than control (p 0.05). Cohesive and mixed failures were observed in all groups. SEM revealed sealer tags in the root dentin. In conclusion, BS decreased with time and AH Plus had higher BS than EndoREZ in untreated dentin; however, CHX or PA enhanced long-term BS of EndoREZ. Overall, dentin treatment affected failure pattern and resin-dentin interface morphology, particularly for EndoREZ

Aging behavior of Y-TZP with bioglass addition and its impact on the flexural strength and osteoblastic cell response

Y-TZP containing Ca2P2O7 are promising bioceramics with potential applications in dental implants and dentistry. These ceramics were developed by the introduction of a refractory sol-gel derived CaO-P2O5-SiO2 bioglass into Y-TZP; Ca2P2O7, and ZrSiO4 phases were formed in situ after sintering. The aging process of Y-TZP with different glass additions was studied. The effect of glass addition on the flexural strength and osteoblastic cell response of non-aged and aged Y-TZP was investigated. Y-TZP exhibited the most pronounced tetragonal (t) to monoclinic (m) transformation of zirconia (ZrO2) during aging; the addition of glass contents between 5 and 20 vol% improved the aging resistant of Y-TZP. Y-TZP flexural strength markedly decreased with increasing aging time; in contrast, the ceramics with glass did not alter their flexural strength upon aging. An increase in the Ca2P2O7 content with increasing glass up to 10 vol%, promoted both the cell viability and the osteogenic differentiation of UMR-106 cells on non-aged and aged samples. The high micro-roughness of Y-TZP with 20 vol% glass after aging, limited the proliferation and the osteogenic potential of the cultures. Y-TZP with 10 vol% glass had the best combination of properties in terms of flexural strength and osteoblast cell response.Fil: Soubelet, Clara Gabriela. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; ArgentinaFil: Albano, Maria Patricia. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Centro de Tecnología de Recursos Minerales y Cerámica. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Centro de Tecnología de Recursos Minerales y Cerámica; ArgentinaFil: Zuardi, Leonardo Raphael. Universidade de Sao Paulo; BrasilFil: Secco Martorano, Antonio. Universidade de Ribeirão Preto; BrasilFil: de Castro Raucci, Larissa Moreira Spinola. Universidade de Ribeirão Preto; BrasilFil: Oliveira, PauloTambasco de. Universidade de Sao Paulo; Brasi

Chlorhexidine and proanthocyanidin enhance the long-term bond strength of resin-based endodontic sealer

<div><p>Abstract The aim of this study was to evaluate the effects of proanthocyanidin (PA) and chlorhexidine (CHX) on the bond strength (BS), failure pattern, and resin-dentin interface morphology of the endodontic sealers EndoREZ and AH Plus after 24 h and 6 months of water storage. A total of 120 prepared bovine roots were divided into six groups: AH Plus, CHX+AH Plus, PA+AH Plus, EndoREZ, CHX+EndoREZ, and PA+EndoREZ. Dentin was treated for 1 or 5 min with 2% CHX or 15% PA, respectively. Roots were filled and stored in water for 24 h or 6 months (n = 10). Root slices were subjected to push-out test and scanning electron microscopy (SEM). Data were compared using two-way ANOVA and student's t-test (α = 5%). BS decreased over time for AH Plus and untreated EndoREZ (p < 0.05). At 24 h, AH Plus had higher BS than EndoREZ (p < 0.001), with no differences among treatments for both sealers (p > 0.05). At 6 months, EndoREZ had higher BS values for CHX and PA than control (p < 0.05). AH Plus had higher BS than EndoREZ (p < 0.001), while with CHX or PA, similar BS was observed in both sealers (p > 0.05). Cohesive and mixed failures were observed in all groups. SEM revealed sealer tags in the root dentin. In conclusion, BS decreased with time and AH Plus had higher BS than EndoREZ in untreated dentin; however, CHX or PA enhanced long-term BS of EndoREZ. Overall, dentin treatment affected failure pattern and resin-dentin interface morphology, particularly for EndoREZ.</p></div