Evidence map›Paper›PMID 28281012›Full record

ArticleClinical oral investigations2017

Novel endodontic sealers induce cell cytotoxicity and apoptosis in a dose-dependent behavior and favorable response in mice subcutaneous tissue.

L A B Silva, L U Azevedo, A Consolaro, F Barnett, Y Xu, R A Battaglino, P S Cañadas, Katharina Morant Holanda de Oliveira, R A B Silva

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Article in Clinical oral investigations, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

L A B SilvaDepartment of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
L U AzevedoDepartment of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
A ConsolaroDepartment of Oral Pathology, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil.
F BarnettDepartment of Dental Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA.
Y XuDepartment of Skeletal Biology, The Forsyth Institute, Cambridge, MA, USA.
R A BattaglinoDepartment of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Denver, CO, USA.
P S CañadasDepartment of Endodontics, School of Dentistry, University of Barcelona, Barcelona, Spain.
Katharina Morant Holanda de OliveiraDepartment of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. kmho@usp.br.
R A B SilvaDepartment of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
Universidade de São Paulo · BREinstein Medical Center Philadelphia · USNovant Health Forsyth Medical Center · USUniversitat de Barcelona · ESUniversity of Colorado Denver · US

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2013/21180-7
6 · The paper itself

Abstract

objectivesThe objective of the present study is to evaluate the in vitro cytotoxicity and in vivo biocompatibility of two novel endodontic sealers: RealSeal XT1 and Sealapex Xpress on the subcutaneous connective tissue of mice. MATERIALS AND

methodsThe cytotoxicity was assessed by cell viability using the MTT assay (one-way ANOVA), trypan blue test (Mann-Whitney) and cell apoptosis by flow cytometer. For the subcutaneous study, polyethylene tubes filled with the sealers were implanted in 70 BALB/c mice: 6 experimental groups (n = 10/group) and 2 control groups with empty tubes (n = 5/group). At the end of experimental periods (7, 21, and 63 days), the tissue was removed and histotechnically processed. Angioblastic proliferation and edema (Fisher's exact test) were evaluated, besides thickness measurement (μm) of the reactionary granulomatous tissue and neutrophil counts (Kruskal-Wallis and Dunn's post test; Mann-Whitney) (α = 0.05).

resultsMTT assay, trypan blue, and analysis of apoptotic cells showed a dose-dependent direct effect: the more diluted the sealer, the less cytotoxic. Regarding the angioblastic proliferation and edema, difference between the sealers at 7 and 63 days occurred (p < 0.05). Both endodontic sealers initially promoted perimaterial tissue reaction as a foreign body granuloma and thus stimulated favorable tissue responses.

conclusionsBoth sealers showed a dose-dependent effect and promoted satisfactory subcutaneous tissue response; the sealer Sealapex Xpress was less cytotoxic and more biocompatible than RealSeal XT. CLINICAL RELEVANCE: The step of root canal filling during endodontic treatment is highly important for the preservation of the periapical tissue integrity. Subcutaneous reaction to endodontic sealers enables scientific basis for clinical use.

Indexed as

AnimalsApoptosisBiocompatible MaterialsCalcium HydroxideCell ProliferationCell SurvivalComposite ResinsCytotoxinsDose-Response Relationship, DrugFlow CytometryMaterials TestingMiceRoot Canal Filling MaterialsSalicylatesSubcutaneous TissueBiocompatible MaterialsCalcium HydroxideComposite ResinsCytotoxinsReal Seal composite resinRoot Canal Filling MaterialsSalicylatesSealapexBiocompatibilityCell viabilityCytotoxicityEndodontic sealersMiceTissue response

Identifiers

PMID28281012
OpenAlexW2591936263

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.