6533b834fe1ef96bd129dffb

RESEARCH PRODUCT

Assessment of the interaction of Portland cement-based materials with blood and tissue fluids using an animal model

Francesco CappelloChristie Ying Kei LungJosette CamilleriFrancesca RappaP Schembri Wismayer

subject

Mineral trioxide aggregatePortland cementDental materials0206 medical engineeringDentistry02 engineering and technologyArticlelaw.inventionEndodontics03 medical and health sciences0302 clinical medicineAnimal modellawIn vivoProroot mtaMultidisciplinarybusiness.industryChemistryHistologyPortland cement -- Analysis030206 dentistryChronic inflammatory reaction020601 biomedical engineeringPortland cementSubcutaneous implantationCalcium silicatesbusinessBiomedical materialsBiomedical engineering

description

Portland cement used in the construction industry improves its properties when wet. Since most dental materials are used in a moist environment, Portland cement has been developed for use in dentistry. The first generation material is mineral trioxide aggregate (MTA), used in surgical procedures, thus in contact with blood. The aim of this study was to compare the setting of MTA in vitro and in vivo in contact with blood by subcutaneous implantation in rats. The tissue reaction to the material was also investigated. ProRoot MTA (Dentsply) was implanted in the subcutaneous tissues of Sprague-Dawley rats in opposite flanks and left in situ for 3 months. Furthermore the material was also stored in physiological solution in vitro. At the end of the incubation time, tissue histology and material characterization were performed. Surface assessment showed the formation of calcium carbonate for both environments. The bismuth was evident in the tissues thus showing heavy element contamination of the animal specimen. The tissue histology showed a chronic inflammatory cell infiltrate associated with the MTA. MTA interacts with the host tissues and causes a chronic inflammatory reaction when implanted subcutaneously. Hydration in vivo proceeds similarly to the in vitro model with some differences particularly in the bismuth oxide leaching patterns.

10.1038/srep34547http://europepmc.org/articles/PMC5041115