Histological evaluation of direct pulp capping of rat pulp with experimentally developed low-viscosity adhesives containing reparative dentin-promoting agents

• Published in: Journal of dentistry 2016-01, Vol.44, p.27-36
• Main Authors: Suzuki, Masaya, Taira, Yoshihisa, Kato, Chikage, Shinkai, Koichi, Katoh, Yoshiroh
• Format: Article
• Language: English
• Subjects: Adhesive resin system; Adhesives; Adhesives - chemistry; Adhesives - pharmacology; Animals; Bacteria; Bond strength; Bonding; Calcium Chloride; Calcium phosphates; Capping; Dental Pulp - drug effects; Dental Pulp - microbiology; Dental Pulp - pathology; Dental Pulp Capping - methods; Dental Pulp Exposure - therapy; Dental Restoration, Permanent; Dentin; Dentin matrix protein 1; Dentin, Secondary - drug effects; Dentin, Secondary - pathology; Dentin-Bonding Agents - chemistry; Dentin-Bonding Agents - pharmacology; Dentistry; Direct pulp capping; Hydroxyapatite; Hypotheses; Laboratory animals; Male; Molecular weight; Nanofiller; Polyimide resins; Polymers; Pulp Capping and Pulpectomy Agents - chemistry; Pulp Capping and Pulpectomy Agents - pharmacology; Pulpitis - pathology; Rats; Rats, Sprague-Dawley; Resin Cements - chemistry; Resin Cements - pharmacology; Resins; Rodents; Root Canal Therapy - methods; Studies; Teeth; Wound healing
• ISSN: 0300-5712; 1879-176X
• DOI: 10.1016/j.jdent.2015.11.005

Abstract Objectives This study examines the wound healing process in exposed rat pulp when capped with experimental adhesive resin systems. Methods Experimental adhesive resin system for direct pulp capping was composed of primer-I (PI), -II (PII), and -III (PIII) and an experimental bonding agent (EBA). PI was Clearfil® SE Bond® /Primer (CSP) containing 5.0 wt% CaCl2 , PII was PI containing 10 wt% nanofiller (Aerosil® 380), and PIII was CSP containing 5.0 wt% of compounds of equal moles of synthetic peptides (pA and pB) derived from dentin matrix protein 1. EBA was Clearfil® SE Bond® /Bond (CSB) containing 10 wt% hydroxyapatite powders. Three experimental groups were designed. PI was assigned to experimental Groups 1 and 3. PII was assigned to experimental Groups 2 and 3. PIII and EBA were assigned to all experimental adhesive groups. Control teeth were capped with calcium hydroxide preparation (Dycal® ), and CSP and CSB were applied to the cavity. The rats were sacrificed after each observation period (14, 28, 56, and 112 days). The following parameters were evaluated: pulp tissue disorganization, inflammatory cell infiltration, reparative dentin formation (RDF), and bacterial penetration. Results There were no significant differences among all the groups for all parameters and all observation periods ( p > 0.05, Kruskal–Wallis test). All groups showed initial RDF at 14 days postoperatively and extensive RDF until 112 days postoperatively. Groups 2 and 3 demonstrated higher quantity of mineralized dentin bridge formation compared with Group 1. Conclusions Addition of nanofillers to the primer was effective in promoting high-density RDF. Clinical significance Experimentally developed adhesive resin systems induce the exposed pulp to produce almost the same quantity of reparative dentin as calcium hydroxide. However, we need further studies to elucidate whether the same results could be obtained in humans.