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Biocompatibility of resin-based materials used as pulp-capping agents
C A S Costa1, M F Oliveira, E M A Giro
1Department of Physiology and Pathology, University of São Paulo State, Unesp, Araraquara, SP, Brazil. casouzac@foar.unesp.br
International Endodontic Journal
|December 4, 2003
Summary
Both resin-modified glass-ionomer cement (RMGIC) and self-etching adhesive systems promote pulpal healing and calcified barrier formation in rat molars. These materials effectively support dentine deposition and tissue repair following pulp capping procedures.
Area of Science:
- Dental materials science
- Biomaterials research
- Regenerative dentistry
Background:
- Pulp capping aims to preserve pulp vitality and promote healing.
- Resin-based materials are increasingly used as pulp capping agents.
- Evaluating the biological response to new materials is crucial for clinical application.
Purpose of the Study:
- To compare the pulpal response to resin-modified glass-ionomer cement (RMGIC) and a self-etching adhesive system.
- To assess the efficacy of these materials as direct pulp capping agents in a rat model.
- To evaluate dentine bridge formation and pulpal tissue healing.
Main Methods:
- Class I cavities were prepared in rat molars with pulp exposure.
- Materials tested: Clearfil Liner Bond 2V (CLB 2V), Vitrebond (VIT), and calcium hydroxide (CH) as control.
- Histological evaluation of pulpal tissues at 7, 30, and 60 days post-treatment.
Main Results:
- All tested materials induced an initial inflammatory response.
- Both RMGIC and self-etching adhesive systems facilitated pulpal healing with calcified barrier formation by 60 days.
- Vitrebond showed a larger zone of fibrodentine deposition compared to Clearfil Liner Bond 2V.
- Tertiary dentine was deposited beneath the fibrodentine matrix.
Conclusions:
- Resin-based pulp capping agents, including RMGIC and self-etching adhesives, support pulpal healing.
- These materials promote the formation of cell-rich fibrodentine and tertiary dentine.
- Calcified barrier formation indicates successful pulp repair and preservation of vitality.