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Effects of four novel root-end filling materials on the viability of periodontal ligament fibroblasts

Restorative Dentistry & Endodontics 2018³â 43±Ç 3È£ p.24 ~ 24
Akbulut Makbule Bilge, Arpaci Pembegul Uyar, Eldeniz Ayce Unverdi,
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 ( Akbulut Makbule Bilge ) - Necmettin Erbakan University Faculty of Dentistry Department of Endodontics
 ( Arpaci Pembegul Uyar ) - Selcuk University Faculty of Science Department of Biotechnology
 ( Eldeniz Ayce Unverdi ) - Selcuk University Faculty of Dentistry Department of Endodontics

Abstract


Objectives: The aim of this in vitro study was to evaluate the biocompatibility of newly proposed root-end filling materials, Biodentine, Micro-Mega mineral trioxide aggregate (MM-MTA), polymethylmethacrylate (PMMA) bone cement, and Smart Dentin Replacement (SDR), in comparison with contemporary root-end filling materials, intermediate restorative material (IRM), Dyract compomer, ProRoot MTA (PMTA), and Vitrebond, using human periodontal ligament (hPDL) fibroblasts.

Materials and Methods: Ten discs from each material were fabricated in sterile Teflon molds and 24-hour eluates were obtained from each root-end filling material in cell culture media after 1- or 3-day setting. hPDL fibroblasts were plated at a density of 5 ¡¿ 103/well, and were incubated for 24 hours with 1:1, 1:2, 1:4, and 1:8 dilutions of eluates. Cell viability was evaluated by XTT assay. Data was statistically analysed. Apoptotic/necrotic activity of PDL cells exposed to material eluates was established by flow cytometry.

Results: The Vitrebond and IRM were significantly more cytotoxic than the other root-end filling materials (p < 0.05). Those cells exposed to the Biodentine and Dyract compomer eluates showed the highest survival rates (p < 0.05), while the PMTA, MM-MTA, SDR, and PMMA groups exhibited similar cell viabilities. Three-day samples were more cytotoxic than 1-day samples (p < 0.05). Eluates from the cements at 1:1 dilution were significantly more cytotoxic (p < 0.05). Vitrebond induced cell necrosis as indicated by flow cytometry.

Conclusions: This in vitro study demonstrated that Biodentine and Compomer were more biocompatible than the other root-end filling materials. Vitrebond eluate caused necrotic cell death.

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Apicoectomy; Apoptosis; Cytotoxicity; Endodontics; Fibroblast

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