biocompatibility of edc cross-linked demineralized dentin collagen matrix

1
dental materials 30S (2014) e1–e180 e151 307 Effects of light-cured MTA like material on direct pulp capping F. Petrolo , A. Comba, M. Scansetti, M. Alovisi, D. Pasqualini, E. Berutti, N. Scotti University of Turin, Department of Surgical Sciences, Turin, Italy Purpose: To evaluate the effects and the success of Ther- aCal, a new light-cured MTA as a pulp capping material composed of calcium silicate (Portland cement) and resin, compared to reference pulp capping material (self-etching adhesive system and glass ionomer cement). Methods and materials: 60 teeth were involved in this in vivo study, 20 for each pulp capping material. The expo- sure of pulp, that occurred during deep caries excavation, was randomly with: (G1) self-etching adhesive system (Protect- Bond, Kuraray), (G2) CVI (Fuji IX, GC) and (G3) TheraCal (Bisco) were applied according to the manufacturer’s instructions. Direct composite restoration was then performed. Patients were recalled at one week, six months, one and two years follow-up. Results: After 2 years, in Group 1 teeth were vital at 83.3%, in Group 2 at 66.6% and in Group 3 at 93.3%. Conclusion: Teeth with pulp exposure may be capped successfully with a light-cured MTA-like material. Further follow-up controls and an increased number of patients are necessary to confirm the results. http://dx.doi.org/10.1016/j.dental.2014.08.308 308 Biocompatibility of EDC cross-linked demineralized dentin collagen matrix G. Turco 1,, E. Marsich 1 , A. Mazzoni 1 , R. Di Lenarda 1 , M. Cadenaro 1 , F.R. Tay 2 , D. Pashley 2 , L. Breschi 3 1 University of Trieste, Trieste, Italy 2 Georgia Regents University, College of Dental Medicine, Augusta, GA, USA 3 University of Bologna, Bologna, Italy Purpose: The dentin organic matrix has a specific nanos- tructural organization characterized by a complex network of type I collagen fibrils representing approximately 90 wt% of the dentin organic phase. Collagen fibrils can be cross-linked to become more resistant to collagenolysis. In particular, 1- ethyl-3-[3-dimethylaminopropyl] carbodiimide hydrochloride (EDC), an imide-based zero-length cross-linking agent, has been shown to be effective for cross-linking dentin collagen and altering the three-dimensional structure of endogenous dentin proteases. The purpose of this study was to investigate in vitro biocompatibility (cell adhesion and proliferation) of EDC cross-linked collagen matrix. Methods and materials: Dentin slabs (1.0 ± 0.1 mm thick) were obtained from the mid-coronal portion of noncarious human molars using a slow-speed diamond saw (Isomet 5000, Fig. 1 – Cellular viability as a function of time. MTS assay was performed at days 0, 1 and 7 after initial seeding. Data are normalized on the initial signal (day 0). Buehler Ltd.) under continuous water-cooling. Dentin slabs were completely demineralized in 10 wt% phosphoric acid (pH = 1) at 25 C for 24 h. Demineralized dentin slabs were thor- oughly rinsed in deionized water under constant stirring at 4 C for 72 h. Collagen slabs were then cut into circular disks (diameter 4.0 ± 0.2 mm; thickness 1 mm) by means of a surgi- cal biopsy punch. Collagen disks were then treated with 0.5 M EDC solution (pH = 6.3) for 60 s and rinsed with distilled water for 10 min. Dry collagen specimens were then reconditioned in complete medium (DMEM) for 24 h. A cell suspension of 3000 osteosarcoma cells (MG63) was loaded over the whole upper surface of collagen disks. After 4 h, the scaffolds were placed into fresh, sterile 24-well culture plates and 1 mL of complete medium was added. Viability and growth rate of MG63 cell were assessed as a function of time using the MTS assay according to the protocol provided by the manufacturer. Results: The preliminary results of the viability and growth rate of MG63 cells are shown in Fig. 1. Proliferation up to one week clearly shows that cells remained viable on the EDC cross-linked collagen matrix. Cell number increased on EDC- treated disks more than on control disks. Conclusion: Collagen treatment using an EDC solution did not alter the cellular proliferation rate. Further studies are needed to prove the biocompatibility of EDC treated collagen with culture times longer than one week. Keywords: Collagen; Cross-linkers; EDC http://dx.doi.org/10.1016/j.dental.2014.08.309

Upload: l

Post on 20-Feb-2017

216 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: Biocompatibility of EDC cross-linked demineralized dentin collagen matrix

d e n t a l m a t e r i a l s 3 0 S ( 2 0 1 4 ) e1–e180 e151

307

Effects of light-cured MTA like material ondirect pulp capping

F. Petrolo ∗, A. Comba, M. Scansetti, M.Alovisi, D. Pasqualini, E. Berutti, N. Scotti

University of Turin, Department of SurgicalSciences, Turin, Italy

Purpose: To evaluate the effects and the success of Ther-aCal, a new light-cured MTA as a pulp capping materialcomposed of calcium silicate (Portland cement) and resin,compared to reference pulp capping material (self-etchingadhesive system and glass ionomer cement).

Methods and materials: 60 teeth were involved in thisin vivo study, 20 for each pulp capping material. The expo-sure of pulp, that occurred during deep caries excavation, wasrandomly with: (G1) self-etching adhesive system (Protect-Bond, Kuraray), (G2) CVI (Fuji IX, GC) and (G3) TheraCal (Bisco)were applied according to the manufacturer’s instructions.Direct composite restoration was then performed. Patientswere recalled at one week, six months, one and two yearsfollow-up.

Results: After 2 years, in Group 1 teeth were vital at 83.3%,in Group 2 at 66.6% and in Group 3 at 93.3%.

Conclusion: Teeth with pulp exposure may be cappedsuccessfully with a light-cured MTA-like material. Furtherfollow-up controls and an increased number of patients arenecessary to confirm the results.

http://dx.doi.org/10.1016/j.dental.2014.08.308

308

Biocompatibility of EDC cross-linkeddemineralized dentin collagen matrix

G. Turco 1,∗, E. Marsich 1, A. Mazzoni 1, R. DiLenarda 1, M. Cadenaro 1, F.R. Tay 2, D.Pashley 2, L. Breschi 3

1 University of Trieste, Trieste, Italy2 Georgia Regents University, College of DentalMedicine, Augusta, GA, USA3 University of Bologna, Bologna, Italy

Purpose: The dentin organic matrix has a specific nanos-tructural organization characterized by a complex network oftype I collagen fibrils representing approximately 90 wt% ofthe dentin organic phase. Collagen fibrils can be cross-linkedto become more resistant to collagenolysis. In particular, 1-ethyl-3-[3-dimethylaminopropyl] carbodiimide hydrochloride(EDC), an imide-based zero-length cross-linking agent, hasbeen shown to be effective for cross-linking dentin collagenand altering the three-dimensional structure of endogenousdentin proteases. The purpose of this study was to investigatein vitro biocompatibility (cell adhesion and proliferation) ofEDC cross-linked collagen matrix.

Methods and materials: Dentin slabs (1.0 ± 0.1 mm thick)were obtained from the mid-coronal portion of noncarioushuman molars using a slow-speed diamond saw (Isomet 5000,

Fig. 1 – Cellular viability as a function of time. MTS assaywas performed at days 0, 1 and 7 after initial seeding. Dataare normalized on the initial signal (day 0).

Buehler Ltd.) under continuous water-cooling. Dentin slabswere completely demineralized in 10 wt% phosphoric acid(pH = 1) at 25 ◦C for 24 h. Demineralized dentin slabs were thor-oughly rinsed in deionized water under constant stirring at4 ◦C for 72 h. Collagen slabs were then cut into circular disks(diameter 4.0 ± 0.2 mm; thickness 1 mm) by means of a surgi-cal biopsy punch. Collagen disks were then treated with 0.5 MEDC solution (pH = 6.3) for 60 s and rinsed with distilled waterfor 10 min. Dry collagen specimens were then reconditionedin complete medium (DMEM) for 24 h. A cell suspension of3000 osteosarcoma cells (MG63) was loaded over the wholeupper surface of collagen disks. After 4 h, the scaffolds wereplaced into fresh, sterile 24-well culture plates and 1 mL ofcomplete medium was added. Viability and growth rate ofMG63 cell were assessed as a function of time using the MTSassay according to the protocol provided by the manufacturer.

Results: The preliminary results of the viability and growthrate of MG63 cells are shown in Fig. 1. Proliferation up to oneweek clearly shows that cells remained viable on the EDCcross-linked collagen matrix. Cell number increased on EDC-treated disks more than on control disks.

Conclusion: Collagen treatment using an EDC solution didnot alter the cellular proliferation rate. Further studies areneeded to prove the biocompatibility of EDC treated collagenwith culture times longer than one week.

Keywords: Collagen; Cross-linkers; EDC

http://dx.doi.org/10.1016/j.dental.2014.08.309