Estudo in vitro da influência de diferentes plugs coronários sobre o remanescente da obturação, após preparo para pino, na retenção de pinos metálicos fundidos / In vitro assessment of the influence of different protection plugs over obturation remnant space, after post preparation, on the retention of cast metal posts

Objetivo: Avaliar a influência de diferentes plugs de proteção, acomodados sobre o remanescente da obturação após preparo para pino, na retenção de pinos metálicos fundidos. Métodos: Cinquenta dentes bovinos foram decoronados, manualmente instrumentados até a lima manual Kerr #80 e obturados. A desobturação parcial de 10mm do conduto foi realizada com uma broca Largo e os grupos foram divididos de acordo com os diferentes materiais utilizados como plugs (n=10): Grupo I (Controle, sem plug); Grupo II (plug de Coltosol®); Grupo III (plug, em consistência de massa, de Sealapex® + óxido de zinco); Grupo IV (plug de etil-cianoacrilato); e Grupo V (plug de fosfato de zinco). Uma camada de 1mm de espessura dos diferentes plugs (Grupos II, III, IV ou V) foi acomodada sobre a obturação remanescente. Os espécimes foram selados e armazenados em 100% de umidade, por 7 dias. Após moldagem do conduto, foram confeccionados pinos metálicos fundidos e cimentados com fosfato de zinco. Os espécimes permaneceram em câmara úmida por 45 dias antes do teste de tração, realizado em uma máquina universal de ensaios. Os valores foram expressos em Mega pascal (MPa) e submetidos aos testes ANOVA e Tukey (p<0,05). Resultados: O etilcianoacrilato diminuiu a retenção dos pinos metálicos fundidos (p<0,01). Não houve diferença entre os outros grupos (p>0,05), semelhante- mente ao controle. Conclusão: A proteção da obturação com plugs confeccionados com etil-cianoacrilato prejudica a retenção de pinos metálicos fundidos cimentados com fosfato de zinco, enquanto Sealapex® acrescido de óxido de zinco, fosfato de zinco endurecido ou Coltosol® não interferem na adesividade (AU).

Biocompatibility and biomineralization assessment of mineral trioxide aggregate flow.

OBJECTIVE: Evaluate, in vivo, the biocompatibility via subcutaneous inflammatory tissue response and mineralization ability of the new MTA Flow compared to MTA Angelus and ProRoot MTA. MATERIALS AND METHODS: Forty male Wistar rats were assigned and received subcutaneous polyethylene tube implants containing the test materials and a control group with empty tube (n = 10 animals/group). After days 7, 15, 30, and 60, the animals were euthanized and the polyethylene tubes were removed with the surrounding tissues. Inflammatory infiltrate and thickness of the fibrous capsule were histologically evaluated. Mineralization was analyzed by Von Kossa staining and under polarized light. Data were analyzed via Kruskal-Wallis and Dunn's test with a significance level of 5%. RESULTS: MTA Angelus induced the mildest reaction after 7 (P > .05) and 15 days (P < .05) followed by MTA Flow, both cements achieving mild inflammatory reaction after 15 days. ProRoot MTA induced a severe inflammation on day 7 and was reducing after day 15 (P > .05). No difference was observed after days 30 or 60 (P > .05). Von Kossa staining and birefringent structures were positive to all materials. CONCLUSIONS: At the end of the experiment, the novel MTA Flow showed biocompatibility and induced biomineralization in all time periods. CLINICAL RELEVANCE: The final consistence obtained in MTA Flow may facilitate several procedures, indicating that the MTA Flow has a promising application in endodontics.

Biocompatibility and biomineralization assessment of bioceramic-, epoxy-, and calcium hydroxide-based sealers.

Obturation of the root canal system aims to fill empty spaces, promoting hermetic sealing and preventing bacterial activity in periapical tissues. This should provide optimal conditions for repair, stimulating the process of biomineralization. An endodontic sealer should be biocompatible once it is in direct contact with periapical tissues. The aim of this study was to evaluate the rat subcutaneous tissue response to implanted polyethylene tubes filled with Smartpaste Bio, Acroseal, and Sealapex and investigate mineralization ability of these endodontic sealers. Forty Wistar rats were assigned to the three sealers groups and control group, (n = 10 animals/group) and received subcutaneous implants containing the test sealers, and the control group were implanted with empty tubes. After days 7, 15, 30, and 60, animals were euthanized and polyethylene tubes were removed with the surrounding tissues. Inflammatory infiltrate and thickness of the fibrous capsule were histologically evaluated. Mineralization was analyzed by Von Kossa staining and polarized light. Data were tabulated and analyzed via Kruskal-Wallis and Dunn's test. All tested materials induced a moderate inflammatory reaction in the initial periods. Smartpaste Bio induced the mildest inflammatory reactions after day 15. No difference was observed among groups after days 30 or 60. Von Kossa-positive staining and birefringent structures observed under polarized light revealed a larger mineralization area in Sealapex-treated animals followed by Smartpaste Bio-treated animals. At the end of the experiment, all tested sealers were found to be biocompatible. All sealers induced biomineralization, except Acroseal, which induced a mild tissue reaction.

Biocompatibility and biomineralization assessment of bioceramic-, epoxy-, and calcium hydroxide-based sealers

Abstract Obturation of the root canal system aims to fill empty spaces, promoting hermetic sealing and preventing bacterial activity in periapical tissues. This should provide optimal conditions for repair, stimulating the process of biomineralization. An endodontic sealer should be biocompatible once it is in direct contact with periapical tissues. The aim of this study was to evaluate the rat subcutaneous tissue response to implanted polyethylene tubes filled with Smartpaste Bio, Acroseal, and Sealapex and investigate mineralization ability of these endodontic sealers. Forty Wistar rats were assigned to the three sealers groups and control group, (n = 10 animals/group) and received subcutaneous implants containing the test sealers, and the control group were implanted with empty tubes. After days 7, 15, 30, and 60, animals were euthanized and polyethylene tubes were removed with the surrounding tissues. Inflammatory infiltrate and thickness of the fibrous capsule were histologically evaluated. Mineralization was analyzed by Von Kossa staining and polarized light. Data were tabulated and analyzed via Kruskal-Wallis and Dunn's test. All tested materials induced a moderate inflammatory reaction in the initial periods. Smartpaste Bio induced the mildest inflammatory reactions after day 15. No difference was observed among groups after days 30 or 60. Von Kossa-positive staining and birefringent structures observed under polarized light revealed a larger mineralization area in Sealapex-treated animals followed by Smartpaste Bio-treated animals. At the end of the experiment, all tested sealers were found to be biocompatible. All sealers induced biomineralization, except Acroseal, which induced a mild tissue reaction.

Avaliação da resposta tecidual e capacidade de mineralização de cimentos que contém compostos biocerâmicos, resinosos e com hidróxido de cálcio / Biocompatibility and biomineralization assessment of bioceramic, epoxy- resin based and calcium hydroxide root canal sealers

A obturação ideal é uma combinação de um cimento com um material sólido, geralmente guta percha, que corrobora com o escoamento do cimento fluido, espalhando-o e preenchendo possíveis espaços vazios. Em virtude da possibilidade de contato direto com os tecidos periapicais, estes cimentos devem ser biocompatíveis e, se possível, estimular a mineralização para proporcionar selamento apical. Com o objetivo de avaliar, in vivo, a resposta tecidual e a capacidade de mineralização dos cimentos endodônticos Smartpaste® Bio, Sealapex® e Acroseal®, foi realizado implante subcutâneo em 40 ratos Wistar e adotados os períodos experimentais de 7, 15, 30 e 60 dias (10 animais por período de tempo). Cada animal recebeu quatro implantes, três tubos de polietileno com os cimentos a serem testados e um tubo vazio como controle. Após cada período pós-operatório, os animais foram eutanasiados e os tubos de polietileno, juntamente com o tecido circunjacente foram removidos e fixados. Para a análise histológica da espessura da cápsula fibrosa, infiltrado inflamatório e mineralização as peças foram incluídas em historresina, e coradas em HE, Von Kossa ou permaneceram sem coloração para a luz polarizada. Os resultados foram submetidos ao teste de Kruskal Wallis e Dunn (p<0,05). Resultados: Todos os cimentos produziram reação inflamatória moderada nos períodos iniciais. O Smartpaste Bio® apresentou a menor reação inflamatória aos 15 dias (p<0,05). O Sealapex® induziu maior mineralização, seguido do Smartpaste Bio®. O Acroseal® não apresentou indução de mineralização. Conclusão: Ao final do experimento, todos os cimentos testados apresentaram compatibilidade tecidual. Com exceção do Acroseal, todos induziram mineralização.

The cleaning and shaping of root canals is essential to achieve biological and mechanical goals in the endodontic treatment, providing the appropriate conical shape for subsequent obturation. The optimal obturation is a combination of a sealer with a central core, usually gutta percha, spreading and filling possible gaps. Once there is a direct contact with periapical tissue, the sealer should be biocompatible and, if possible, stimulate mineralization to perform an apical sealing. In order to evaluate in vivo biological response and tissue mineralization capacity of the endodontic sealers Smartpaste Bio® Sealapex® and Acroseal®, subcutaneous implants in 40 Wistar rats were performed. Analisys were at 7, 15, 30 and 60 days experimental periods (10 animals for each time period). Each animal received four implants, three polyethylene tubes with the sealers in test and one empty tube as control. After each post-operative period animals were euthanized and the polyethylene tubes, along with surrounding tissue were removed and fixed. In order to histologically analysis fibrous capsule thickness, inflammatory infiltrate and mineralization, the pieces were included in historesin and stained in HE, Von Kossa or remained without staining for observation under polarized light. The results were statistically analyzed by Kruskal-Wallis and Dunn (p<0,05). Results: All sealers promoted moderate inflammatory reaction at initial periods. Smartpaste Bio® presented the lowest inflammatory reaction at 15 days period (p<0.05). Sealapex® induced higher mineralization, followed by Smartpaste Bio®. Acroseal® showed no mineralization areas. Conclusion: At the end of the experiment, all tested sealers presented biocompatibility. With exception of Acroseal, all induced biomineralization.