Glycerol salicylate-based containing α-tricalcium phosphate as a bioactive root canal sealer
Fernando F. Portella
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorCorresponding Author
Fabrício M. Collares
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Correspondence to: F. M. Collares; e-mail: [email protected]Search for more papers by this authorLuís A. dos Santos
Biomaterials Laboratory, Department of Materials, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorBruno P. dos Santos
Laboratory of Stem Cells and Tissue Engineering, Universidade Luterana do Brasil, Canoas, RS, Brazil
Search for more papers by this authorMelissa Camassola
Laboratory of Stem Cells and Tissue Engineering, Universidade Luterana do Brasil, Canoas, RS, Brazil
Search for more papers by this authorVicente C. B. Leitune
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorSusana M. W. Samuel
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorFernando F. Portella
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorCorresponding Author
Fabrício M. Collares
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Correspondence to: F. M. Collares; e-mail: [email protected]Search for more papers by this authorLuís A. dos Santos
Biomaterials Laboratory, Department of Materials, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorBruno P. dos Santos
Laboratory of Stem Cells and Tissue Engineering, Universidade Luterana do Brasil, Canoas, RS, Brazil
Search for more papers by this authorMelissa Camassola
Laboratory of Stem Cells and Tissue Engineering, Universidade Luterana do Brasil, Canoas, RS, Brazil
Search for more papers by this authorVicente C. B. Leitune
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorSusana M. W. Samuel
Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
Search for more papers by this authorAbstract
The use of bioactive materials instead of inert materials to fill the root canal space could be an effective approach to achieve a hermetic seal and stimulate the healing of periapical tissues. The purpose of this study was to develop and characterize an endodontic sealer based on a glycerol salicylate resin and α-tricalcium phosphate (αTCP) at physical and chemical properties. Different sealers were formulated using 70% of a glycerol salicylate resin and 30% of a mixture of calcium hydroxide and αTCP (0, 5, 10, or 15%, in weight). Sealers formulated were characterized based on setting time, in vitro degradation over time, pH, cytotoxicity, and mineral deposition. Sealers presented setting time ranging from 240 to 405 min, and basic pH over 8.21 after 28 days. Higher αTCP concentration leads to sealers with low solubility. Cell viability after 48 h in direct contact with sealers was similar to a commercial sealer used as reference. The 10% and 15% αTCP sealers exhibited a calcium–phosphate layer on the surface after immersion in water and SBF for 7 days. Glycerol salicylate sealers with 10% and 15% α-tricalcium phosphate showed reliable physical–chemical properties and apatite-forming ability. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 103B: 1663–1669, 2015.
REFERENCES
- 1Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment. Part 1: Periapical health. Int Endod J 2011; 44: 583–609.
- 2Tyagi S, Mishra P, Tyagi P. Evolution of root canal sealers: An insight story. Eur J Gen Dent 2013; 2: 199–218.
10.4103/2278-9626.115976 Google Scholar
- 3Waltimo TM, Boiesen J, Eriksen HM, Orstavik D. Clinical performance of 3 endodontic sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 89–92.
- 4Amann R, Peskar BA. Anti-inflammatory effects of aspirin and sodium salicylate. Eur J Pharmacol 2002; 447: 1–9.
- 5Leonardo MR, Silva LA, Utrilla LS, Assed S, Ether SS. Calcium hydroxide root canal sealers-histopathologic evaluation of apical and periapical repair after endodontic treatment. J Endod 1997; 23: 428–432.
- 6Faria-Junior NB, Tanomaru-Filho M, Berbert FL, Guerreiro-Tanomaru JM. Antibiofilm activity, pH and solubility of endodontic sealers. Int Endod J 2013; 46: 755–762.
- 7Portella FF, Santos PD, Lima GB, Leitune VC, Petzhold CL, Collares FM, Samuel SM. Synthesis and characterization of a glycerol salicylate resin for bioactive root canal sealers. Int Endod J 2014; 47: 339–345.
- 8Bae WJ, Chang SW, Lee SI, Kum KY, Bae KS, Kim EC. Human periodontal ligament cell response to a newly developed calcium phosphate-based root canal sealer. J Endod 2010; 36: 1658–1663.
- 9Bae KH, Chang SW, Bae KS, Park DS. Evaluation of pH and calcium ion release in capseal I and II and in two other root canal sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112: e23–e28.
- 10Shokouhinejad N, Nekoofar MH, Razmi H, Sajadi S, Davies TE, Saghiri MA, Gorjestani H, Dummer PM. Bioactivity of EndoSequence root repair material and bioaggregate. Int Endod J 2012; 45: 1127–1134.
- 11Yang SE, Baek SH, Lee W, Kum KY, Bae KS. In vitro evaluation of the sealing ability of newly developed calcium phosphate-based root canal sealer. J Endod 2007; 33: 978–981.
- 12dos Santos LA, Carrodeguas RG, Rogero SO, Higa OZ, Boschi AO, de Arruda AC. Alpha-tricalcium phosphate cement: "in vitro" cytotoxicity. Biomaterials 2002; 23: 2035–2042.
- 13 ISO 6876: Dental root canal sealing materials. Geneva, Switzerland: International Organization for Standardization; 2001.
- 14Kokubo T, Takadama H. How useful is SBF in predicting in vivo bone bioactivity? Biomaterials 2006; 27: 2907–2915.
- 15Morejon-Alonso L, Ferreira OJ, Carrodeguas RG, dos Santos LA. Bioactive composite bone cement based on alpha-tricalcium phosphate/tricalcium silicate. J Biomed Mater Res B Appl Biomater 2012; 100: 94–102.
- 16Szubert M, Adamska K, Szybowicz M, Jesionowski T, Buchwald T, Voelkel A. The increase of apatite layer formation by the poly(3-hydroxybutyrate) surface modification of hydroxyapatite and beta-tricalcium phosphate. Mater Sci Eng C Mater Biol Appl 2014; 34: 236–244.
- 17Dain RP, Gresham G, Groenewold GS, Steill JD, Oomens J, van Stipdonk MJ. Infrared multiple-photon dissociation spectroscopy of group II metal complexes with salicylate. Rapid Commun Mass Spectrom 2011; 25: 1837–1846.
- 18 ISO 10993-5: Biological evaluation of medical devices: Tests for in vitro cytotoxicity. Geneva, Switzerland: International Organization for Standardization; 2009.
- 19Gatewood RS. Endodontic materials. Dent Clin North Am 2007; 51: 695–712.
- 20Alani A, Knowles JC, Chrzanowski W, Ng YL, Gulabivala K. Ion release characteristics, precipitate formation and sealing ability of a phosphate glass-polycaprolactone-based composite for use as a root canal obturation material. Dent Mater 2009; 25: 400–410.
- 21Li GH, Niu LN, Zhang W, Olsen M, De-Deus G, Eid AA, Chen JH, Pashley DH, Tay FR. Ability of new obturation materials to improve the seal of the root canal system: A review. Acta Biomater 2014; 10: 1050–1063.
- 22Zhou HM, Shen Y, Zheng W, Li L, Zheng YF, Haapasalo M. Physical properties of 5 root canal sealers. J Endod 2013; 39: 1281–1286.
- 23Ginebra MP, Fernandez E, De Maeyer EA, Verbeeck RM, Boltong MG, Ginebra J, Driessens FC, Planell JA. Setting reaction and hardening of an apatitic calcium phosphate cement. J Dent Res 1997; 76: 905–912.
- 24Orimo H. The mechanism of mineralization and the role of alkaline phosphatase in health and disease. J Nippon Med Sch 2010; 77: 4–12.
- 25Harada M, Udagawa N, Fukasawa K, Hiraoka BY, Mogi M. Inorganic pyrophosphatase activity of purified bovine pulp alkaline phosphatase at physiological pH. J Dent Res 1986; 65: 125–127.
- 26Brackett MG, Messer RL, Lockwood PE, Bryan TE, Lewis JB, Bouillaguet S, Wataha JC. Cytotoxic response of three cell lines exposed in vitro to dental endodontic sealers. J Biomed Mater Res B Appl Biomater 2010; 95: 380–386.
- 27Brackett MG, Marshall A, Lockwood PE, Lewis JB, Messer RL, Bouillaguet S, Wataha JC. Cytotoxicity of endodontic materials over 6-weeks ex vivo. Int Endod J 2008; 41: 1072–1078.
- 28Dorozhkin SV. Calcium orthophosphates in dentistry. J Mater Sci Mater Med 2013; 24: 1335–1363.
- 29Kokubo T. Bioactive glass ceramics: Properties and applications. Biomaterials 1991; 12: 155–163.
- 30Akashi A, Matsuya Y, Nagasawa H. Erosion process of calcium hydroxide cements in water. Biomaterials 1991; 12: 795–800.
- 31Gandolfi MG, Parrilli AP, Fini M, Prati C, Dummer PM. 3D micro-CT analysis of the interface voids associated with Thermafil root fillings used with AH Plus or a flowable MTA sealer. Int Endod J 2013; 46: 253–263.
- 32LeGeros RZ. Calcium phosphate-based osteoinductive materials. Chem Rev 2008; 108: 4742–4753.
- 33Samavedi S, Whittington AR, Goldstein AS. Calcium phosphate ceramics in bone tissue engineering: A review of properties and their influence on cell behavior. Acta Biomater 2013; 9: 8037–8045.