Efficacy of Mineral Trioxide Aggregate and Photobiomodulation on Pulp Capping of Dogs’ Teeth
DOI:
https://doi.org/10.3889/oamjms.2022.9715Keywords:
Photobiomodulation, Dentinal bridge, Direct pulp capping, Mineral trioxide aggregateAbstract
AIM: The present study assessed the effect of mineral trioxide aggregate (MTA) and photobiomodulation (PBM) on pulp capping of exposed pulp of dogs’ teeth.
METHODS: Forty-eight teeth in three mongrel dogs were randomly divided into two major study groups; Group I where MTA was used as a pulp capping agent and Group II in which both MTA+PBM were used. The groups were equally subdivided according to the observation period following completion of pulp capping into Subgroup (A) 1 week, Subgroup (B) 2, and Subgroup (C) 16 weeks. The teeth were examined for histological inflammatory response as well as dentine bridge formation.
RESULTS: With regard to inflammatory response at 1 week significantly, less intense inflammation was observed in MTA+PBM (Group II) compared to the MTA (Group I) for the same time period with no significant difference for between Group I and Group II for other time intervals. As for dentin bridge formation, PBM+MTA groups showed statistically significant thicker dentine bridge formation at 16 weeks than MTA alone group for the same time period with no significant difference for between Group I and Group II for other time intervals.
CONCLUSIONS: Under the conditions of this study, PBM appeared to be a beneficial adjunct in dental pulp capping procedures in which MTA was the pulp capping material.Downloads
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Cushley S, Duncan HF, Lappin MJ, Chua P, Elamin AD, Clarke M, et al. Efficacy of direct pulp capping for management of cariously exposed pulps in permanent teeth: A systematic review and meta-analysis. Int Endod J. 2021;54(4):556-71. https://doi.org/10.1111/iej.13449 PMid:33222178 DOI: https://doi.org/10.1111/iej.13449
El-Din AM, Hamama HH, El-Elaa MA, Grawish ME, Mahmoud SH, Neelakantan P. The effect of four materials on direct pulp capping: An animal study. Aust Endod J. 2020;46(2):249-56. https://doi.org/10.1111/aej.12400 PMid:32129919 DOI: https://doi.org/10.1111/aej.12400
Fisher FJ, McCabe JF. Calcium hydroxide base materials. An investigation into the relationship between chemical structure and antibacterial properties. Br Dent J. 1978;144(11):341-4. https://doi.org/10.1038/sj.bdj.4804093 PMid:276363 DOI: https://doi.org/10.1038/sj.bdj.4804093
Brizuela C, Ormeño A, Cabrera C, Cabezas R, Silva CI, Ramírez V, et al. Direct pulp capping with calcium hydroxide, mineral trioxide aggregate, and biodentine in permanent young teeth with caries: A randomized clinical trial. J Endod. 2017;43(11):1776-80. https://doi.org/10.1016/j.joen.2017.06.031 PMid:28917577 DOI: https://doi.org/10.1016/j.joen.2017.06.031
Paula AB, Laranjo M, Marto CM, Paulo S, Abrantes AM, Casalta-Lopes J, et al. Direct pulp capping: What is the most effective therapy? Systematic review and meta-analysis. J Evid Based Dent Pract. 2018;18(4):298-314. https://doi.org/10.1016/j.jebdp.2018.02.002 PMid:30514444 DOI: https://doi.org/10.1016/j.jebdp.2018.02.002
Tu MG, Sun KT, Wang TH, He YZ, Hsia SM, Tsai BH, et al. Effects of mineral trioxide aggregate and bioceramics on macrophage differentiation and polarization in vitro. J Formos Med Assoc. 2019;118(10):1458-65. https://doi.org/10.1016/j.jfma.2019.07.010 PMid:31358435 DOI: https://doi.org/10.1016/j.jfma.2019.07.010
Lopes MB, Soares VC, Fagundes FH, Gonini-Junior A, Kaneshima RH, Guiraldo RD, et al. Analysis of molecular changes induced by mineral trioxide aggregate on sPLA2. Braz Dent J. 2019;30(5):453-8. https://doi.org/10.1590/0103-6440201902463 PMid:31596329 DOI: https://doi.org/10.1590/0103-6440201902463
Ahrari F, Madani AS, Ghafouri ZS, Tunér J. The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci. 2014;29(2):551-7. https://doi.org/10.1007/s10103-012-1253-6 PMid:23318917 DOI: https://doi.org/10.1007/s10103-012-1253-6
Sleep SL, Skelly D, Love RM, George R. Bioenergetics of photobiomodulated osteoblast mitochondrial cells derived from human pulp stem cells: Systematic review. Lasers Med Sci. 2022;37(3):1843-53. https://doi.org/10.1007/s10103-021-03439-2 PMid:34806122 DOI: https://doi.org/10.1007/s10103-021-03439-2
Kulkarni S, Meer M, George R. The effect of photobiomodulation on human dental pulp-derived stem cells: Systematic review. Lasers Med Sci. 2020;35(9):1889-7. https://doi.org/10.1007/s10103-020-03071-6 PMid:32572661 DOI: https://doi.org/10.1007/s10103-020-03071-6
Hilton TJ. Keys to clinical success with pulp capping: A review of the literature. Oper Dent. 2009;34(5):615-25. https://doi.org/10.2341/09-132-0 PMid:19830978 DOI: https://doi.org/10.2341/09-132-0
Yazdanfar I, Barekatain M, Jahromi MZ. Combination effects of diode laser and resin-modified tricalcium silicate on direct pulp capping treatment of caries exposures in permanent teeth: A randomized clinical trial. Lasers Med Sci. 2020;35(8):1849-55. https://doi.org/10.1007/s10103-020-03052-9 PMid:32529588 DOI: https://doi.org/10.1007/s10103-020-03052-9
Günaydın A, Çakıcı EB. Effect of photobiomodulation therapy following direct pulp capping on postoperative sensitivity by thermal stimulus: A retrospective study. Med Princ Pract. 2021;30(4):347-54. https://doi.org/10.1159/000516342 PMid:33827095 DOI: https://doi.org/10.1159/000516342
De Santana DA, Fonseca GF, Ramalho LM, Rodriguez TT, Aguiar MC. Effect of low-level laser therapy (λ780 nm) on the mechanically damaged dentin-pulp complex in a model of extrusive luxation in rat incisors. Lasers Med Sci. 20 17;32(9):1995-2004. https://doi.org/10.1007/s10103-017-2295-6 PMid:28823073 DOI: https://doi.org/10.1007/s10103-017-2295-6
Terayama AM, Benetti F, Lopes JM, Barbosa JG, Silva IJP, Sivieri-Araújo G, et al. Influence of low-level laser therapy on inflammation, collagen fiber maturation, and tertiary dentin deposition in the pulp of bleached teeth. Clin Oral Investig. 2020;24(11):3911-21. https://doi.org/10.1007/s00784-020-03258-9 PMid:32198660 DOI: https://doi.org/10.1007/s00784-020-03258-9
Abdelgawad LM, Salah N, Sabry D, Abdelgwad M. Efficacy of photobiomodulation and Vitamin D on odontogenic activity of human dental pulp stem cells. J Lasers Med Sci. 2021;12:e30. https://doi.org/10.34172/jlms.2021.30 PMid:34733753 DOI: https://doi.org/10.34172/jlms.2021.30
De Oliveira VT, Ferrara-Jr JI, Matielo HA, Alves AD, Britto LR, Aranha AC, et al. Involvement of substance P, osteopontin and satellite glial cells on photobiomodulation-induced antinociceptive effect in an experimental model of dentin hypersensitivity. Lasers Med Sci. 2021;36(6):1297-305. https://doi.org/10.1007/s10103-021-03246-9 PMid:33452567 DOI: https://doi.org/10.1007/s10103-021-03246-9
Dominguez MS, Witherspoon DE, Gutmann JL, Opperman LA. Histological and scanning electron microscopy assessment of various vital pulp-therapy materials. J Endod. 2003;29(5):324-33. https://doi.org/10.1097/00004770-200305000-00003 PMid:12775004 DOI: https://doi.org/10.1097/00004770-200305000-00003
Toomarian L, Fekrazad R, Tadayon N, Ramezani J, Tunér J. Stimulatory effect of low-level laser therapy on root development of rat molars: A preliminary study. Lasers Med Sci. 2012;27(3):537-42. https://doi.org/10.1007/s10103-011-0935-9 PMid:21614480 DOI: https://doi.org/10.1007/s10103-011-0935-9
Asgary S, Eghbal MJ, Parirokh M, Ghanavati F, Rahimi H. A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(4):609-14. https://doi.org/10.1016/j.tripleo.2008.06.006 PMid:18718783 DOI: https://doi.org/10.1016/j.tripleo.2008.06.006
Adıgüzel M, Ahmetoğlu F, Eldeniz AÜ, Tekin MG, Göğebakan B. Comparison of cytotoxic effects of calcium silicate-based materials on human pulp fibroblasts Mehmet. J Dent Res Dent Clin Dent Prospects. 2019;13(4):241-6. https://doi.org/10.15171/joddd.2019.037 PMid:32190206 DOI: https://doi.org/10.15171/joddd.2019.037
Nair PN, Duncan HF, Ford TR, Luder HU. Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: A randomized controlled trial. Int Endod J. 2008;41(2):128-50. https://doi.org/10.1111/j.1365-2591.2007.01329.x PMid:17956562 DOI: https://doi.org/10.1111/j.1365-2591.2007.01329.x
Murray PE, Hafez AA, Windsor LJ, Smith AJ, Cox CF. Comparison of pulp responses following restoration of exposed and non-exposed cavities. J Dent. 2002;30(5-6):213-22. https://doi.org/10.1016/s0300-5712(02)00021-0 PMid:12450712 DOI: https://doi.org/10.1016/S0300-5712(02)00021-0
Murray PE, Hafez AA, Smith AJ, Windsor LJ, Cox CF. Histomorphometric analysis of odontoblast-like cell numbers and dentine bridge secretory activity following pulp exposure. Int Endod J. 2003;36(2):106-16. https://doi.org/10.1046/j.1365-2591.2003.00632.x PMid:12657154 DOI: https://doi.org/10.1046/j.1365-2591.2003.00632.x
Komabayashi T, Zhu Q, Eberhart R, Imai Y. Current status of direct pulp-capping materials for permanent teeth. Dent Mater J. 2016;35(1):1-12. https://doi.org/10.4012/dmj.2015-013 PMid:26830819 DOI: https://doi.org/10.4012/dmj.2015-013
Ward J. Vital pulp therapy in cariously exposed permanent teeth and its limitations. Aust Endod J. 2002;28(1):29-37. https://doi.org/10.1111/j.1747-4477.2002.tb00364.x PMid:12360679 DOI: https://doi.org/10.1111/j.1747-4477.2002.tb00364.x
Nowicka A, Wilk G, Lipski M, Kołecki J, Buczkowska-Radlińska J. Tomographic evaluation of reparative dentin formation after direct pulp capping with Ca(OH)2, MTA, biodentine, and dentin bonding system in human teeth. J Endod. 2015;41(8):1234-40. https://doi.org/10.1016/j.joen.2015.03.017 PMid:26031301 DOI: https://doi.org/10.1016/j.joen.2015.03.017
Mestrener SR, Holland R, Dezan E Jr. Influence of age on the behavior of dental pulp of dog teeth after capping with an adhesive system or calcium hydroxide. Dent Traumatol. 2003;19(5):255-61. https://doi.org/10.1034/j.1600-9657.2003.00167.x PMid:14708649 DOI: https://doi.org/10.1034/j.1600-9657.2003.00167.x
Lu Y, Liu T, Li X, Li H, Pi G. Histologic evaluation of direct pulp capping with a self-etching adhesive and calcium hydroxide in beagles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(4):e78-84. https://doi.org/10.1016/j.tripleo.2006.02.020 PMid:16997099 DOI: https://doi.org/10.1016/j.tripleo.2006.02.020
Bidar M, Moushekhian S, Gharechahi M, Talati A, Ahrari F, Bojarpour M. The effect of low level laser therapy on direct pulp capping in dogs. J Lasers Med Sci. 2016;7(3):177-83. https://doi.org/10.15171/jlms.2016.31 PMid:28144439 DOI: https://doi.org/10.15171/jlms.2016.31
Neiburger EJ. Rapid healing of gingival incisions by the heliumneon diode laser. J Mass Dent Soc. 1999;48(1):8-13, 40. PMid:10740521
Kaup M, Dammann CH, Schäfer E, Dammaschke T. Shear bond strength of biodentine, ProRoot MTA, glass ionomer cement and composite resin on human dentine ex vivo. Head Face Med. 2015;11:14. 10.1186/s13005-015-0071-z PMid:25908430 DOI: https://doi.org/10.1186/s13005-015-0071-z
Marques NC, Neto NL, Rodini CD, Fernandes AP, Sakai VT, Machado MA, et al. Low-level laser therapy as an alternative for pulpotomy in human primary teeth. Lasers Med Sci. 2015;30(7):1815-22. https://doi.org/10.1007/s10103-014-1656-7 PMid:25240388 DOI: https://doi.org/10.1007/s10103-014-1656-7
Tziafa C, Koliniotou-Koumpia E, Papadimitriou S, Tziafas D. Dentinogenic responses after direct pulp capping of miniature swine teeth with Biodentine. J Endod. 2014;40(12):1967-71. https://doi.org/10.1016/j.joen.2014.07.021 PMid:25308154 DOI: https://doi.org/10.1016/j.joen.2014.07.021
Camilleri J, Montesin FE, Di Silvio L, Ford TR. The chemical constitution and biocompatibility of accelerated Portland cement for endodontic use. Int Endod J. 2005;38(11):834-42. https://doi.org/10.1111/j.1365-2591.2005.01028.x PMid:16218977 DOI: https://doi.org/10.1111/j.1365-2591.2005.01028.x
Tomson PL, Lumley PJ, Smith AJ, Cooper PR. Growth factor release from dentine matrix by pulp-capping agents promotes pulp tissue repair-associated events. Int Endod J. 2017;50(3):281-92. https://doi.org/10.1111/iej.12624 PMid:26913698 DOI: https://doi.org/10.1111/iej.12624
Dou L, Yan Q, Yang D. Effect of five dental pulp capping agents on cell proliferation, viability, apoptosis and mineralization of human dental pulp cells. Exp Ther Med. 2020;19(3):2377-83. https://doi.org/10.3892/etm.2020.8444 PMid:32104306 DOI: https://doi.org/10.3892/etm.2020.8444
Pedano MS, Li X, Li S, Sun Z, Cokic SM, Putzeys E, et al. Freshly-mixed and setting calcium-silicate cements stimulate human dental pulp cells. Dent Mater. 2018;34(5):797-808. https://doi.org/10.1016/j.dental.2018.02.005 PMid:29525357 DOI: https://doi.org/10.1016/j.dental.2018.02.005
El Nawam H, El Backly R, Zaky A, Abdallah A. Low-level laser therapy affects dentinogenesis and angiogenesis of in vitro 3D cultures of dentin-pulp complex. Lasers Med Sci. 2019;34(8):1689-98. https://doi.org/10.1007/s10103-019-02804-6 PMid:31134436 DOI: https://doi.org/10.1007/s10103-019-02804-6
Paschalidou M, Athanasiadou E, Arapostathis K, Kotsanos N, Koidis PT, Bakopoulou A, et al. Biological effects of low-level laser irradiation (LLLI) on stem cells from human exfoliated deciduous teeth (SHED). Clin Oral Investig. 2020;24(1):167-80. https://doi.org/10.1007/s00784-019-02874-4 PMid:31069538 DOI: https://doi.org/10.1007/s00784-019-02874-4
Ohbayashi E, Matsushima K, Hosoya S, Abiko Y, Yamazaki M. Stimulatory effect of laser irradiation on calcified nodule formation in human dental pulp fibroblasts. J Endod. 1999;25(1):30-3. https://doi.org/10.1016/S0099-2399(99)80395-1 PMid:10196840 DOI: https://doi.org/10.1016/S0099-2399(99)80395-1
Utsunomiya T. A histopathological study of the effects of lowpower laser irradiation on wound healing of exposed dental pulp tissues in dogs, with special reference to lectins and collagens. J Endod. 1998;24(3):187-93. https://doi.org/10.1016/S0099-2399(98)80181-7 PMid:9558585 DOI: https://doi.org/10.1016/S0099-2399(98)80181-7
Bronckers AL, Lyaruu DM, Wöltgens JH. Immunohistochemistry of extracellular matrix proteins during various stages of dentinogenesis. Connect Tissue Res. 1989;22(1-4):65-70 PMid:2689085 DOI: https://doi.org/10.3109/03008208909114121
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