Restor Dent Endod. 2017 Nov;42(4):290-300. doi: 10.5395/rde.2017.42.4.290. Epub 2017 Oct 20.
Removal efficacy and cytotoxicity of a calcium hydroxide paste using .
Restorative dentistry & endodontics
Myung-Jin Lim, Hyun-Jin Jang, Mi-Kyung Yu, Kwang-Won Lee, Kyung-San Min
Affiliations
Affiliations
- Department of Conservative Dentistry, Chonbuk National University School of Dentistry and Institute of Oral Bioscience, Jeonju, Korea.
- Department of Life Science, College of Natural Sciences, Chonbuk National University, Jeonju, Korea.
- Research Institute of Clinical Medicine of Chonbuk National University, Jeonju, Korea.
- Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
PMID: 29142877
PMCID: PMC5682145 DOI: 10.5395/rde.2017.42.4.290
Abstract
OBJECTIVES: This study investigated the removal efficacy and cytotoxicity of a newly developed calcium hydroxide paste (cleaniCal, Maruchi) using
MATERIALS AND METHODS: Thirty maxillary premolars with oval-shaped canals were divided into 3 groups and the teeth were filled with one of the pastes. After removal of the paste, micro-computed tomographic (μ-CT) imaging was obtained to assess the volume of residual paste in the root canal of each tooth. The teeth were then split longitudinally and the area of the paste-coated surface was evaluated by stereomicroscopy. The cytotoxicity of each product was assessed using an agar overlay assay. The effect of each vehicle on cell viability was evaluated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The data were analyzed using one-way analysis of variance and Tukey's tests to detect any significance (
RESULTS: In the μ-CT and stereomicroscopic analysis, cleaniCal exhibited less remnants of medicament than ApexCal and Calcipex. cleaniCal showed a higher cytotoxicity than the other pastes in the agar overlay assay. Furthermore, NMP exhibited lower cell viability compared to the other vehicles.
CONCLUSIONS: cleaniCal showed better removal efficacy compared to the other products. However, clinicians should be aware of the higher cytotoxicity of the NMP-based material and consider its possible adverse effects on periradicular tissue when it is overfilled.
Keywords: Calcium hydroxide; Cytotoxicity; N-methylpyrrolidone; Removal
Conflict of interest statement
Conflict of Interest: No potential conflict of interest relevant to this article was reported.
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