In Vivo Evaluation of Biocompatibility of Three Biomaterials Used in Endodontics for Prosthetic Purposes in Complex Rehabilitation Treatment
Abstract
:1. Introduction
Aim of Study
2. Materials and Methods
- MTA (Mineral Trioxide Aggregate, Dentsply, Tulsa Dental, Johnson City, TN, USA) is a material with a highly efficient antibacterial effect and is alkaline, made of calcium hydroxide, bismuth oxide (Bi2O3), calcium sulfate (CaSO4), tricalcium silicate ((CaO)3·SiO2), dicalcium silicate ((CaO)2·SiO2), tricalcium aluminate ((CaO)3·Al2O3).
- Sealapex (Kerr, Switzerland)—used for root canal sealing—has the following chemical composition: barium sulfate, titanium dioxide, zinc oxide, calcium hydroxide, butilbenzen, sulfonamide, zinc stearate.
- DiaRoot BioAggregate (Innovative BioCeramix, Inc., Vancouver, BC, Canada) is a material similar in structure to MTA that additionally contains ceramic nanoparticles. It has proven antiseptic proprieties and at the same time stimulates cementogenesis. The chemical composition includes: calcium silicate, calcium hydroxide, hydroxyapatite, tantalum oxygen (Ta2O5).
2.1. In Vivo Experiment
- Group A—6 rabbits—receiving MTA implants;
- Group B—6 rabbits—receiving Sealapex implants;
- Group C—6 rabbits—receiving DiaRoot implants;
- Group D (control)—3 rabbits—receiving empty polyethylene tube implants.
2.2. Surgical and Post-Operative Protocol
2.3. Histopathological Protocol
3. Results
4. Discussion
5. Conclusions
- − Based on the reaction of the three materials, it can be assumed that the most biocompatible material is DiaRoot BioAggregate, followed by Sealapex and MTA.
- − The smallest necrotic area and lowest cellularity were seen around the DiaRoot BioAggregate. Seven days after implantation, the material best preserved in tissues was BA, meaning that it was the least reabsorbing.
- − The other two implanted materials significantly induced tissue irritation, histologically reflected by a thicker necrotic area and a considerable neutrophils and macrophages influx.
- − MTA was found to have the highest local mineralization effect, based on the mineralization of adjacent muscle fibers.
- − The fact that fibroblast differentiation and synthesis of connective tissue fibers were observed around the implant site 7 days after the MTA implantation, a reaction absent in the case of the other two materials, proves a slightly lower biocompatibility of MTA compared to BioAggregate.
- − In the end, the advantage for patients is in creating better comfort under the premises of a good biocompatibility and integration in order to sustain all types of further individual prosthetic rehabilitation treatments and to ultimately obtain the attributes of homeostasis.
Author Contributions
Funding
Institutional Review Board Statement
Conflicts of Interest
References
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Aminov, L.; Sindilar, E.V.; Pasca, A.S.; Antohi, C.; Decolli, Y.; Stamatin, O.; Costin, L.I.; Bulancea, B.P.; Francu, L.; Mihalas, E.; et al. In Vivo Evaluation of Biocompatibility of Three Biomaterials Used in Endodontics for Prosthetic Purposes in Complex Rehabilitation Treatment. Appl. Sci. 2021, 11, 6519. https://doi.org/10.3390/app11146519
Aminov L, Sindilar EV, Pasca AS, Antohi C, Decolli Y, Stamatin O, Costin LI, Bulancea BP, Francu L, Mihalas E, et al. In Vivo Evaluation of Biocompatibility of Three Biomaterials Used in Endodontics for Prosthetic Purposes in Complex Rehabilitation Treatment. Applied Sciences. 2021; 11(14):6519. https://doi.org/10.3390/app11146519
Chicago/Turabian StyleAminov, Liana, Eusebiu Viorel Sindilar, Aurelian Sorin Pasca, Cristina Antohi, Yllka Decolli, Ovidiu Stamatin, Lupu Iulian Costin, Bogdan Petru Bulancea, Laurian Francu, Eugen Mihalas, and et al. 2021. "In Vivo Evaluation of Biocompatibility of Three Biomaterials Used in Endodontics for Prosthetic Purposes in Complex Rehabilitation Treatment" Applied Sciences 11, no. 14: 6519. https://doi.org/10.3390/app11146519
APA StyleAminov, L., Sindilar, E. V., Pasca, A. S., Antohi, C., Decolli, Y., Stamatin, O., Costin, L. I., Bulancea, B. P., Francu, L., Mihalas, E., & Checherita, L. E. (2021). In Vivo Evaluation of Biocompatibility of Three Biomaterials Used in Endodontics for Prosthetic Purposes in Complex Rehabilitation Treatment. Applied Sciences, 11(14), 6519. https://doi.org/10.3390/app11146519