Biocompatibility and biomineralization ability of Bio-C Pulpecto. A histological and immunohistochemical study.

AIM To evaluate the inflammatory response, biomineralization and production of osteocalcin (OCN), osteopontin (OPN), and bone sialoprotein (BSP) of a new root filling material for primary teeth (Bio-C Pulpecto) compared to MTA. DESIGN Polyethylene tubes containing Bio-C Pulpecto, MTA, and empty tubes were implanted into the dorsal connective tissue. After 7, 15, 30, 60, and 90 days, the tubes with surrounding tissue were removed and histologically processed to be analysed using haematoxylin and eosin, von Kossa staining, or no staining for observation under polarized light and immunohistochemistry for the detection of OCN, OPN, and BSP. The Kruskal-Wallis test was used followed by Dunn's test. The significance level was set at 5%. RESULTS The inflammatory response observed with MTA and Bio-C Pulpecto was more exacerbated until the 15th day and decreased from 30 days on. No significant difference was found between control, MTA, and Bio-C Pulpecto (P > 0.05). Bio-C Pulpecto and MTA showed positivity for von Kossa and birefringent to polarized light. The immunolabelling for OCN, OPN, and BSP was more intense for MTA and Bio-C Pulpecto on days 60 and 90 (P > 0.05). CONCLUSION Bio-C Pulpecto was biocompatible, induced biomineralization and was immunopositive for osteogenic markers such as OCN, OPN, and BSP, similarly to MTA.

[1]  E. Ervolino,et al.  RUNX‐2, OPN and OCN expression induced by grey and white mineral trioxide aggregate in normal and hypertensive rats , 2018, International endodontic journal.

[2]  T. Oliveira,et al.  Clinical, Radiographic and Histological Evaluation of Primary Teeth Pulpotomy Using MTA And Ferric Sulfate. , 2018, Brazilian dental journal.

[3]  P. Dummer,et al.  Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II other clinical applications and complications , 2018, International endodontic journal.

[4]  L. Cosme-Silva,et al.  Effects of mineral trioxide aggregate, BiodentineTM and calcium hydroxide on viability, proliferation, migration and differentiation of stem cells from human exfoliated deciduous teeth , 2018, Journal of applied oral science : revista FOB.

[5]  T. Okiji,et al.  Bioactivity and biomineralization ability of calcium silicate‐based pulp‐capping materials after subcutaneous implantation , 2017, International endodontic journal.

[6]  L. Â. Cintra,et al.  Cytotoxicity, Biocompatibility, and Biomineralization of the New High‐plasticity MTA Material , 2017, Journal of endodontics.

[7]  M. Sagrillo,et al.  Induction of cytotoxicity, oxidative stress and genotoxicity by root filling pastes used in primary teeth. , 2016, International endodontic journal.

[8]  M. Muthu,et al.  Pulpectomies in primary mandibular molars: a comparison of outcomes using three root filling materials. , 2016, International endodontic journal.

[9]  P. Cerri,et al.  In vivo evaluation of the inflammatory response and IL-6 immunoexpression promoted by Biodentine and MTA Angelus. , 2016, International endodontic journal.

[10]  C. Lima,et al.  Biocompatibility of root filling pastes used in primary teeth. , 2015, International endodontic journal.

[11]  M. Duarte,et al.  Assessment of color stability of white mineral trioxide aggregate angelus and bismuth oxide in contact with tooth structure. , 2014, Journal of endodontics.

[12]  Ya Shen,et al.  Physical properties of 5 root canal sealers. , 2013, Journal of endodontics.

[13]  L. Â. Cintra,et al.  Rat tissue reaction to MTA FILLAPEX®. , 2012, Dental traumatology : official publication of International Association for Dental Traumatology.

[14]  P. Cerri,et al.  Biocompatibility of an experimental MTA sealer implanted in the rat subcutaneous: quantitative and immunohistochemical evaluation. , 2012, Journal of biomedical materials research. Part B, Applied biomaterials.

[15]  C. Bramante,et al.  Effect of different radiopacifying agents on the physicochemical properties of white Portland cement and white mineral trioxide aggregate. , 2012, Journal of endodontics.

[16]  M. Swain,et al.  Titanium dioxide nanoparticles addition to a conventional glass-ionomer restorative: influence on physical and antibacterial properties. , 2011, Journal of dentistry.

[17]  N. Kawazoe,et al.  Osteogenic differentiation and immune response of human bone-marrow-derived mesenchymal stem cells on injectable calcium-silicate-based bone grafts. , 2010, Tissue engineering. Part A.

[18]  Mahmoud Torabinejad,et al.  Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. , 2010, Journal of endodontics.

[19]  J. C. Silos Moraes,et al.  Evaluation of the tissue reaction to fast endodontic cement (CER) and Angelus MTA. , 2009, Journal of endodontics.

[20]  A. Reis,et al.  Evaluation of Mineral Trioxide Aggregate and Calcium Hydroxide Cement as Pulp-capping Agents in Human Teeth Materials and Methods , 2007 .

[21]  T. Umemoto,et al.  Expression of bone extracellular matrix proteins on osteoblast cells in the presence of mineral trioxide. , 2007, Journal of endodontics.

[22]  M. Torabinejad Clinical applications of mineral trioxide aggregate. , 1999, The Alpha omegan.

[23]  P. Novaes,et al.  Glycol methacrylate: an alternative method for embedding subcutaneous implants. , 2001, Journal of endodontics.

[24]  A. Fuks Pulp therapy for the primary and young permanent dentitions. , 2000, Dental clinics of North America.

[25]  R. Holland,et al.  Reaction of rat connective tissue to implanted dentin tubes filled with mineral trioxide aggregate or calcium hydroxide. , 1999, Journal of endodontics.

[26]  M. McKee,et al.  Osteopontin at mineralized tissue interfaces in bone, teeth, and osseointegrated implants: Ultrastructural distribution and implications for mineralized tissue formation, turnover, and repair , 1996, Microscopy research and technique.

[27]  R. Browne Animal tests for biocompatibility of dental materials--relevance, advantages and limitations. , 1994, Journal of dentistry.

[28]  B. Penugonda,et al.  Root canal filling materials for primary teeth: a review of the literature. , 1992, ASDC journal of dentistry for children.

[29]  F. García-Godoy Evaluation of an iodoform paste in root canal therapy for infected primary teeth. , 1987, ASDC journal of dentistry for children.