Evidence map›Paper›PMID 39964548›Full record

ArticleClinical oral investigations2025

Impact of endodontic irrigant solutions on the viability and metabolism of stem cells from apical papilla: proposal of a novel in vitro model.

Letycia Accioly Simões Coelho, Ester Alves Ferreira Bordini, Fernanda Balestrero Cassiano, Vitor de Toledo Stuani, Renato Menezes Silva, Diana Gabriela Soares Dos Passos, Marco Antonio Hungaro Duarteg

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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Impact of EDTA Formulations and Activation Methods on Stem Cell Response, Antimicrobial Activity and Dentine Integrity: An In Vitro Study.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Article
  2. Article
  3. Review
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

7 authors.

Letycia Accioly Simões CoelhoBauru School of Dentistry, Department of Operative Dentistry, Endodontics and Dental Materials, University of São Paulo, Bauru, SP, Brazil. letycia.coelho@usp.br.ORCID http://orcid.org/0000-0002-0751-6988
Ester Alves Ferreira BordiniBauru School of Dentistry, Department of Operative Dentistry, Endodontics and Dental Materials, University of São Paulo, Bauru, SP, Brazil.ORCID http://orcid.org/0000-0002-4178-5794
Fernanda Balestrero CassianoBauru School of Dentistry, Department of Operative Dentistry, Endodontics and Dental Materials, University of São Paulo, Bauru, SP, Brazil.ORCID http://orcid.org/0000-0002-2336-876X
Vitor de Toledo StuaniBauru School of Dentistry, Department of Operative Dentistry, Endodontics and Dental Materials, University of São Paulo, Bauru, SP, Brazil.ORCID http://orcid.org/0000-0001-5290-7614
Renato Menezes SilvaSchool of Dental Medicine, University of Pittsburgh- Department of Endodontics, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-6617-173X
Diana Gabriela Soares Dos PassosBauru School of Dentistry, Department of Operative Dentistry, Endodontics and Dental Materials, University of São Paulo, Bauru, SP, Brazil.ORCID http://orcid.org/0000-0002-1485-6104
Marco Antonio Hungaro DuartegBauru School of Dentistry, Department of Operative Dentistry, Endodontics and Dental Materials, University of São Paulo, Bauru, SP, Brazil.ORCID http://orcid.org/0000-0003-3051-737X

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 402754/2021-2Conselho Nacional de Desenvolvimento Científico e Tecnológico 403499/2022-4Fundação de Amparo à Pesquisa do Estado de São Paulo 2023/01051-0
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the effect of different irrigation protocols on the viability and metabolism of stem cells from the apical papilla (SCAP) using a new in vitro protocol that simulates the clinical situation. MATERIALS AND

methodsForty-eight bovine dentin cylinders were obtained and prepared to simulate teeth with incomplete rhizogenesis, positioned under a three-dimensional (3D) culture of SCAPs to mimic the apical papilla. The cylinders were divided into four groups (n = 8) according to the irrigating solution: Control; NaOCl (Sodium hypochlorite 1%); EDTA (17% ethylenediaminetetraacetic acid); and NaOCl + EDTA. Subsequently, the viability (Live/Dead n = 2) and metabolism (Alamar Blue n = 6) of the cells were assessed (ISO 10993). Data were analyzed using Kruskal-Wallis and Dunn tests (p < 0.05).

resultsIn the 1 to 3 days period, Control and EDTA had significantly higher increases in metabolism compared to NaOCl and NaOCl + EDTA (p < 0.05). In the 3- to 7-day period, metabolism significantly decreased in NaOCl + EDTA compared to EDTA (p < 0.05) but was similar to Control and NaOCl. Additionally, significant differences were observed within groups Control, EDTA, and NaOCl + EDTA across the two periods (p < 0.05).

conclusionsThe tested in vitro model allows for the analysis of the response of SCAPs to different irrigating solutions, simulating the clinical situation. Sodium hypochlorite 1% demonstrated high cytotoxicity to SCAPs, whose effects were partially reversed by 17% EDTA. CLINICAL RELEVANE: The methodology developed provides a tool for future investigations, allowing for the assessment of new irrigants and techniques that may optimize tissue regeneration.

Indexed as

Dental PapillaRoot Canal IrrigantsStem CellsTooth ApexAnimalsCattleCell SurvivalEdetic AcidPrimary Cell CultureRegenerative EndodonticsSodium HypochloriteEdetic AcidRoot Canal IrrigantsSodium HypochloriteEDTARegenerative endodonticsSodium hypochloriteStem cells rom apical papilla

Identifiers

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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.