Abstract

Objective To compare the cytotoxicity of commercial reparative endodontic cements on human periodontal ligament stem cells (hPDLSCs). Material and Methods The culture of hPDLSCs was established. Cell density was set at 2 × 104 cells/well in 96-well plates. Extracts of Biodentine, Bio-C Repair, Cimmo HD, MTA Repair HP and White MTA were prepared. Then, the extracts were diluted (pure, 1:4 and 1:16) and inserted into cell-seeded wells for 24, 48, and 72 h to assess cell viability through MTT assay. hPDLSCs incubated with culture medium alone served as a negative control group. Data were analyzed by Two-Way ANOVA and Tukey’s test (α=0.05). Results At 24 h, pure extract of MTA Repair HP and Biodentine 1:16 presented higher cell viability compared to control. Lower cell viability was found for pure extract of Cimmo HD, MTA Repair HP 1:4 and 1:16, and White MTA 1:16. At 48 h, pure extract of Bio-C Repair and MTA Repair HP presented higher cell viability compared to control. At 72 h, only the pure extract of MTA Repair HP led to higher cell proliferation compared to control. Conclusion Biodentine, Bio-C Repair and MTA Repair HP were able to induce hPDLSCs proliferation. Cimmo HD and White MTA were found to be mostly cytotoxic in hPDLSCs.

Highlights

  • Calcium silicate-based cements (CBSC) have received a lot of interest from endodontists due to their biocompatibility and bioactivity

  • Lower cell viability was found for pure extract of Cimmo HD, Mineral trioxide aggregate (MTA) Repair HP 1:4 and 1:16, and White MTA 1:16

  • Cimmo HD and White MTA were found to be mostly cytotoxic in human periodontal ligament stem cells (hPDLSCs)

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Summary

Introduction

Calcium silicate-based cements (CBSC) have received a lot of interest from endodontists due to their biocompatibility and bioactivity. Several new bioactive endodontic cements have been introduced to the market Among these materials are Biodentine (Septodont, Saint-Maur-des-Fossés, France), Bio-C Repair (Angelus Indústria de Produtos Odontológicos S/A, Londrina, PR, and Brazil), Cimmo HD (PBS Cimmo Soluções em Saúde, Pouso Alegre, MG, Brazil) and MTA Repair (Angelus Indústria de Produtos Odontológicos S/A, Londrina, PR, Brazil). MTA Repair HP is based on the chemical formulation of conventional MTA but with improved physical properties related [12] It is composed of a powder and a mixing liquid with a plasticizer agent. The null hypothesis tested was that the calcium silicate-based cements would present a similar effect on the cell viability

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