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Effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation in immature sheep teeth : a pilot study

Elanagai Rathinam (UGent) , Sivaprakash Rajasekharan (UGent) , Heidi Declercq (UGent) , Christian Vanhove (UGent) , Peter De Coster (UGent) and Luc Martens (UGent)
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Abstract
The influence of intracoronal sealing biomaterials on the newly formed regenerative tissue after endodontic revitalisation therapy remains unexplored. The objective of this study was to compare the gene expression profiles of two different tricalcium silicate-based biomaterials alongside the histological outcomes of endodontic revitalisation therapy in immature sheep teeth. The messenger RNA expression of TGF-β, BMP2, BGLAP, VEGFA, WNT5A, MMP1, TNF-α and SMAD6 was evaluated after 1 day with qRT-PCR. For evaluation of histological outcomes, revitalisation therapy was performed using Biodentine (n = 4) or ProRoot white mineral trioxide aggregate (WMTA) (n = 4) in immature sheep according to the European Society of Endodontology position statement. After 6 months’ follow-up, one tooth in the Biodentine group was lost to avulsion. Histologically, extent of inflammation, presence or absence of tissue with cellularity and vascularity inside the pulp space, area of tissue with cellularity and vascularity, length of odontoblast lining attached to the dentinal wall, number and area of blood vessels and area of empty root canal space were measured by two independent investigators. All continuous data were subjected to statistical analysis using Wilcoxon matched-pairs signed rank test at a significance level of p < 0.05. Biodentine and ProRoot WMTA upregulated the genes responsible for odontoblast differentiation, mineralisation and angiogenesis. Biodentine induced the formation of a significantly larger area of neoformed tissue with cellularity, vascularity and increased length of odontoblast lining attached to the dentinal walls compared to ProRoot WMTA (p < 0.05), but future studies with larger sample size and adequate power as estimated by the results of this pilot study would confirm the effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation.
Keywords
Biomedical Engineering, Biomaterials, Biodentine, dental pulp, immature teeth, mineral trioxide aggregate, MTA, regenerative endodontics, revitalisation, BIODENTINE(TM) MATERIAL CHARACTERISTICS, TRICALCIUM SILICATE CEMENTS, MINERAL TRIOXIDE AGGREGATE, SIDE POPULATION CELLS, DENTAL-PULP TISSUE, NF-KAPPA-B, REGENERATIVE ENDODONTICS, CLINICAL-APPLICATIONS, CONDITIONED, MEDIUM, STEM-CELLS

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MLA
Rathinam, Elanagai, et al. “Effect of Intracoronal Sealing Biomaterials on the Histological Outcome of Endodontic Revitalisation in Immature Sheep Teeth : A Pilot Study.” JOURNAL OF FUNCTIONAL BIOMATERIALS, vol. 14, no. 4, 2023, doi:10.3390/jfb14040214.
APA
Rathinam, E., Rajasekharan, S., Declercq, H., Vanhove, C., De Coster, P., & Martens, L. (2023). Effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation in immature sheep teeth : a pilot study. JOURNAL OF FUNCTIONAL BIOMATERIALS, 14(4). https://doi.org/10.3390/jfb14040214
Chicago author-date
Rathinam, Elanagai, Sivaprakash Rajasekharan, Heidi Declercq, Christian Vanhove, Peter De Coster, and Luc Martens. 2023. “Effect of Intracoronal Sealing Biomaterials on the Histological Outcome of Endodontic Revitalisation in Immature Sheep Teeth : A Pilot Study.” JOURNAL OF FUNCTIONAL BIOMATERIALS 14 (4). https://doi.org/10.3390/jfb14040214.
Chicago author-date (all authors)
Rathinam, Elanagai, Sivaprakash Rajasekharan, Heidi Declercq, Christian Vanhove, Peter De Coster, and Luc Martens. 2023. “Effect of Intracoronal Sealing Biomaterials on the Histological Outcome of Endodontic Revitalisation in Immature Sheep Teeth : A Pilot Study.” JOURNAL OF FUNCTIONAL BIOMATERIALS 14 (4). doi:10.3390/jfb14040214.
Vancouver
1.
Rathinam E, Rajasekharan S, Declercq H, Vanhove C, De Coster P, Martens L. Effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation in immature sheep teeth : a pilot study. JOURNAL OF FUNCTIONAL BIOMATERIALS. 2023;14(4).
IEEE
[1]
E. Rathinam, S. Rajasekharan, H. Declercq, C. Vanhove, P. De Coster, and L. Martens, “Effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation in immature sheep teeth : a pilot study,” JOURNAL OF FUNCTIONAL BIOMATERIALS, vol. 14, no. 4, 2023.
@article{01GZDQVRPJDD9KJ7M78EZYHNX1,
  abstract     = {{The influence of intracoronal sealing biomaterials on the newly formed regenerative tissue after endodontic revitalisation therapy remains unexplored. The objective of this study was to compare the gene expression profiles of two different tricalcium silicate-based biomaterials alongside the histological outcomes of endodontic revitalisation therapy in immature sheep teeth. The messenger RNA expression of TGF-β, BMP2, BGLAP, VEGFA, WNT5A, MMP1, TNF-α and SMAD6 was evaluated after 1 day with qRT-PCR. For evaluation of histological outcomes, revitalisation therapy was performed using Biodentine (n = 4) or ProRoot white mineral trioxide aggregate (WMTA) (n = 4) in immature sheep according to the European Society of Endodontology position statement. After 6 months’ follow-up, one tooth in the Biodentine group was lost to avulsion. Histologically, extent of inflammation, presence or absence of tissue with cellularity and vascularity inside the pulp space, area of tissue with cellularity and vascularity, length of odontoblast lining attached to the dentinal wall, number and area of blood vessels and area of empty root canal space were measured by two independent investigators. All continuous data were subjected to statistical analysis using Wilcoxon matched-pairs signed rank test at a significance level of p < 0.05. Biodentine and ProRoot WMTA upregulated the genes responsible for odontoblast differentiation, mineralisation and angiogenesis. Biodentine induced the formation of a significantly larger area of neoformed tissue with cellularity, vascularity and increased length of odontoblast lining attached to the dentinal walls compared to ProRoot WMTA (p < 0.05), but future studies with larger sample size and adequate power as estimated by the results of this pilot study would confirm the effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation.}},
  articleno    = {{214}},
  author       = {{Rathinam, Elanagai and Rajasekharan, Sivaprakash and Declercq, Heidi and Vanhove, Christian and De Coster, Peter and Martens, Luc}},
  issn         = {{2079-4983}},
  journal      = {{JOURNAL OF FUNCTIONAL BIOMATERIALS}},
  keywords     = {{Biomedical Engineering,Biomaterials,Biodentine,dental pulp,immature teeth,mineral trioxide aggregate,MTA,regenerative endodontics,revitalisation,BIODENTINE(TM) MATERIAL CHARACTERISTICS,TRICALCIUM SILICATE CEMENTS,MINERAL TRIOXIDE AGGREGATE,SIDE POPULATION CELLS,DENTAL-PULP TISSUE,NF-KAPPA-B,REGENERATIVE ENDODONTICS,CLINICAL-APPLICATIONS,CONDITIONED,MEDIUM,STEM-CELLS}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{21}},
  title        = {{Effect of intracoronal sealing biomaterials on the histological outcome of endodontic revitalisation in immature sheep teeth : a pilot study}},
  url          = {{http://doi.org/10.3390/jfb14040214}},
  volume       = {{14}},
  year         = {{2023}},
}

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