Histopathological Changes after Direct Pulp Capping in Dogs with Bioactive Glass Incorporated in Resin Composite and Adhesive

Heba A. Arafa, maha niazy, M. Eissa, M. Elmoaty
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Abstract

Purpose: To evaluate histopathologically the dental pulp response to bioactive glass nanoparticles in the resin composite restoration and the adhesive as a direct pulp capping material regarding inflammatory cell infiltrate, hard tissue formation and Pulp tissue disorganization. Material and methods: Four mongrel male dogs were selected for this study with a total of 40 teeth were divided into two groups (n=20) according to the treatment protocol (P); (P1) treated with light cured calcium hydroxide (control group) and (P2): treated with resin composite and its adhesive containing bioactive glass. The histopathological findings were studied for each specimen at two times intervals (T); (T1) fourteen days and (T2) sixty days. Split mouth technique was followed. The manufacturer’s instructions were followed during applying the materials. Animals were sacrificed at each time interval and teeth were collected for histopathological finding. Results: adhesive and resin composite restoration containing bioactive glass group showed significantly less inflammatory cell infiltrate, less pulp tissue disorganization and better calcific bridge formation than Calcium hydroxide group. When the effect of time was considered, inflammation was significantly decreased from fourteen days to sixty days while hard tissue formation was significantly increased for both materials. Also pulp tissue disorganization was decreased significantly and showed more normal pulp tissue morphology from fourteen days and to sixty days. Conclusion: resin composite restoration and its adhesive containing nanoparticles of bioactive glass could be used as a direct pulp capping material. Codex : 02/21.10 azhardentj@azhar.edu.eg http://adjg.journals.ekb.eg DOI: 10.21608/adjg.2021.36688.1278 Restorative Dentistry (Removable Prosthodontics, Fixed Prosthodontics, Endodontics, Dental Biomaterials, Operative Dentistry)
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生物活性玻璃树脂复合材料和胶粘剂直接盖髓后狗的组织病理学变化
目的:从组织病理学角度评价生物活性玻璃纳米颗粒在树脂复合修复中的牙髓反应,以及粘接剂作为直接盖髓材料对炎症细胞浸润、硬组织形成和牙髓组织破坏的影响。材料与方法:选取4只雄性杂种犬,共40颗牙,按治疗方案(P)分为两组(n=20);(P1)采用光固化氢氧化钙处理(对照组),(P2)采用含生物活性玻璃的树脂复合材料及其胶粘剂处理。每两个时间间隔(T)对每个标本进行组织病理学检查;(T1) 14天(T2) 60天。采用裂口法。在使用材料时遵循了制造商的说明。每隔一段时间处死动物,采集牙齿进行组织病理学检查。结果:与氢氧化钙组相比,含生物活性玻璃的胶粘剂和树脂复合修复组炎症细胞浸润明显减少,牙髓组织破坏明显减少,钙桥形成更好。当考虑时间的影响时,从14天到60天,两种材料的炎症明显减少,而硬组织形成明显增加。在第14天和第60天,牙髓组织破坏明显减少,牙髓组织形态更加正常。结论:含生物活性玻璃纳米颗粒的树脂复合修复体及其黏合剂可作为直接盖髓材料。法典:02/21.10 azhardentj@azhar.edu.eg http://adjg.journals.ekb.eg DOI: 10.21608/adjg.2021.36688.1278修复牙科(可移动修复,固定修复,牙髓学,牙科生物材料,牙科手术)
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