Subcutaneous connective tissue response to primary root canal filling materials

Braz Dent J. 2011;22(3):203-11. doi: 10.1590/s0103-64402011000300005.

Abstract

This study evaluated the response of the subcutaneous connective tissue of BALB/c mice to root filling materials indicated for primary teeth: zinc oxide/eugenol cement (ZOE), Calen paste thickened with zinc oxide (Calen/ZO) and Sealapex sealer. The mice (n=102) received polyethylene tube implants with the materials, thereby forming 11 groups, as follows: I, II, III: Calen/ZO for 7, 21 and 63 days, respectively; IV, V, VI: Sealapex for 7, 21 and 63 days, respectively; VII, VIII, IX: ZOE for 7, 21 and 63 days, respectively; X and XI: empty tube for 7 and 21 days, respectively. The biopsied tissues were submitted to histological analysis (descriptive analysis and semi-quantitative analysis using a scoring system for collagen fiber formation, tissue thickness and inflammatory infiltrate). A quantitative analysis was performed by measuring the area and thickness of the granulomatous reactionary tissue (GRT). Data were analyzed by Kruskal-Wallis, ANOVA and Tukey's post-hoc tests (?=0.05). There was no significant difference (p>0.05) among the materials with respect to collagen fiber formation or GRT thickness. However, Calen/ZO produced the least severe inflammatory infiltrate (p<0.05). The area of the GRT was significantly smaller (p<0.05) for Calen/ZO and Sealapex. In conclusion, Calen/ZO presented the best tissue reaction, followed by Sealapex and ZOE.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Biocompatible Materials / pharmacology
  • Biopsy
  • Calcium Hydroxide / pharmacology
  • Collagen
  • Connective Tissue / drug effects
  • Connective Tissue / pathology
  • Fibroblasts / pathology
  • Giant Cells, Foreign-Body / pathology
  • Granulation Tissue / drug effects
  • Granulation Tissue / pathology
  • Macrophages / pathology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Neutrophils / pathology
  • Polyethylene
  • Random Allocation
  • Root Canal Filling Materials / pharmacology*
  • Salicylates / pharmacology
  • Subcutaneous Tissue / drug effects*
  • Subcutaneous Tissue / pathology
  • Time Factors
  • Tooth, Deciduous
  • Zinc Oxide / pharmacology
  • Zinc Oxide-Eugenol Cement / pharmacology

Substances

  • Biocompatible Materials
  • Root Canal Filling Materials
  • Salicylates
  • Zinc Oxide-Eugenol Cement
  • calen
  • Sealapex
  • Polyethylene
  • Collagen
  • Calcium Hydroxide
  • Zinc Oxide