CC BY-NC-ND 4.0 · European Journal of General Dentistry 2020; 9(03): 157-162
DOI: 10.4103/ejgd.ejgd_134_20
Original Article

Effects of the Incorporation of Alpha-Tocopherol as Antioxidant on Biological and Physicochemical Properties of Calcium Hydroxide Associated with Bioactive Vehicle

Vitor De Souza
Department of Restorative Dentistry, School of Dentistry Araraquara, Sao Paulo State University – UNESP, Araçatuba, Sao Paulo, Brazil
,
Joissi Ferrari Zaniboni
Department of Restorative Dentistry, School of Dentistry Araraquara, Sao Paulo State University – UNESP, Araçatuba, Sao Paulo, Brazil
,
Wilfredo Gustavo Escalante-Otárola
Department of Restorative Dentistry, School of Dentistry Araraquara, Sao Paulo State University – UNESP, Araçatuba, Sao Paulo, Brazil
,
Mariza Akemi Matsumoto
1   Department of Basic Sciences, Araçatuba Dental School, Sao Paulo State University – UNESP, Araçatuba, Sao Paulo, Brazil
,
Claudia Cristina Bighetti
1   Department of Basic Sciences, Araçatuba Dental School, Sao Paulo State University – UNESP, Araçatuba, Sao Paulo, Brazil
,
Milton Carlos Kuga
Department of Restorative Dentistry, School of Dentistry Araraquara, Sao Paulo State University – UNESP, Araçatuba, Sao Paulo, Brazil
› Author Affiliations

Abstract

Aim: The aim of this study to evaluate the effects of 10% alpha-tocopherol (10AT) or 20% alpha-tocopherol (20AT) incorporation on biological compatibility, pH, and calcium release of calcium hydroxide (CH) paste associated with 2% chlorhexidine digluconate (CHX). Materials and Methods: Four groups were evaluated: CH, CH-CHX, CH-CHX-10AT, and CH-CHX-20AT. For biological compatibility test, polyethylene tubes containing several pastes were implanted in Wistar rats' subcutaneous tissue (n = 28). After 48 h and 7, 14, and 21 days postimplantation, the specimens were removed and subjected to histologic and histomorphometric analysis. The number of inflammatory cells was evaluated. For pH and calcium release analysis, the pastes were placed individually (n = 10) in plastic tubes and immersed in deionized water. The calcium release and pH changes were evaluated in 24 and 48 h and 7, 14, and 21 days. All data were submitted to Kruskal–Wallis test (α = 0.05). Results: Concerning biological compatibility, all materials shown a similar decidual response (P > 0.05). In the first hours, there was as increase in the number of inflammatory cells, inducing an expressive inflammatory response. After 14 days, inflammation reaction decreased and collagen fiber was organized for the tested pastes (P = 0.05). The pH analysis of the groups maintained the same relationship during the different periods evaluated: the CH and CH-CHX groups showed higher values and were similar to each other (P > 0.05), followed by the CH-CHX-10AT and CH-CHX-20 AT groups. Regarding the amount of calcium ions, in the initial (24 hours) and final (21 days) periods, the groups did not present differences between them (P > 0.05). Conclusion: The 10AT or 20AT, as an antioxidant agent, incorporation to CH and 2% CHX paste negatively affected biological and physicochemical properties.

Financial support and sponsorship

Nil.




Publication History

Article published online:
01 November 2021

© 2020. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J 2009;59:5-11.
  • 2 Siqueira JF Jr. Endodontic infections: Concepts, paradigms, and perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:281-93.
  • 3 Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: A systematic review and meta-analysis. Int Endod J 2007;40:2-10.
  • 4 Ahirwar P, Shashikiran ND, Sundarraj RK, Singhla S, Thakur RA, Maran S. A clinical trial comparing antimicrobial efficacy of “essential oil of Ocimum sanctum with triple antibiotic paste as an intracanal medicament in primary molars. J Indian Soc Pedod Prev Dent 2018;36:191-7.
  • 5 Sirén EK, Haapasalo MP, Waltimo TM, Ørstavik D.In vitro antibacterial effect of calcium hydroxide combined with chlorhexidine or iodine potassium iodide on Enterococcus faecalis. Eur J Oral Sci 2004;112:326-31.
  • 6 Portenier I, Waltimo T, Ørstavik D, Haapasalo M. The susceptibility of starved, stationary phase, and growing cells of Enterococcus faecalis to endodontic medicaments. J Endod 2005;31:380-6.
  • 7 Wang CS, Arnold RR, Trope M, Teixeira FB. Clinical efficiency of 2% chlorhexidine gel in reducing intracanal bacteria. J Endod 2007;33:1283-9.
  • 8 Siqueira JF Jr., Paiva SS, Rôças IN. Reduction in the cultivable bacterial populations in infected root canals by a chlorhexidine-based antimicrobial protocol. J Endod 2007;33:541-7.
  • 9 Zehnder M. Root canal irrigants. J Endod 2006;32:389-98.
  • 10 Zerella JA, Fouad AF, Spångberg LS. Effectiveness of a calcium hydroxide and chlorhexidine digluconate mixture as disinfectant during retreatment of failed endodontic cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:756-61.
  • 11 Basrani BR, Manek S, Fillery E. Using diazotization to characterize the effect of heat or sodium hypochlorite on 2.0% chlorhexidine. J Endod 2009;35:1296-9.
  • 12 Barbin LE, Saquy PC, Guedes DF, Sousa-Neto MD, Estrela C, Pécora JD. Determination of para-chloroaniline and reactive oxygen species in chlorhexidine and chlorhexidine associated with calcium hydroxide. J Endod 2008;34:1508-14.
  • 13 Barbin LE, Estrela C, Guedes DF, Spanó JC, Sousa-Neto MD, Pécora JD. Detection of para-chloroaniline, reactive oxygen species, and 1-chloro-4-nitrobenzene in high concentrations of chlorhexidine and in a mixture of chlorhexidine and calcium hydroxide. J Endod 2013;39:664-8.
  • 14 Pereira MS, Faria G, Bezerra da Silva LA, Tanomaru-Filho M, Kuga MC, Rossi MA. Response of mice connective tissue to intracanal dressings containing chlorhexidine. Microsc Res Tech 2012;75:1653-8.
  • 15 Jordão-Basso KC, Kuga MC, Dantas AA, Tonetto MR, Lima SN, Bandéca MC. Effects of alpha-tocopherol on fracture resistance after endodontic treatment, bleaching and restoration. Braz Oral Res 2016;30:1-6.
  • 16 Harrison MS, Wang Y, Frick KJ, Moniz J, Walker MP. Effects of Alpha-tocopherol Antioxidant on Dentin-composite Microtensile Bond Strength after Sodium Perborate Bleaching. J Endod 2019;45:1053-9.
  • 17 Khoroushi M, Feiz A, Khodamoradi R. Fracture resistance of endodontically-treated teeth: Effect of combination bleaching and an antioxidant. Oper Dent 2010;35:530-7.
  • 18 Magro MG, Kuga MC, Aranda-Garcia AJ, Victorino KR, Chávez-Andrade GM, Faria G, et al. Effectiveness of several solutions to prevent the formation of precipitate due to the interaction between sodium hypochlorite and chlorhexidine and its effect on bond strength of an epoxy-based sealer. Int Endod J 2015;48:478-83.
  • 19 Sasaki RT, Flório FM, Basting RT. Effect of 10% sodium ascorbate and 10% alpha-tocopherol in different formulations on the shear bond strength of enamel and dentin submitted to a home-use bleaching treatment. Oper Dent 2009;34:746-52.
  • 20 Garcia EJ, Oldoni TL, Alencar SM, Reis A, Loguercio AD, Grande RH. Antioxidant activity by DPPH assay of potential solutions to be applied on bleached teeth. Braz Dent J 2012;23:22-7.
  • 21 Blanscet ML, Tordik PA, Goodell GG. An agar diffusion comparison of the antimicrobial effect of calcium hydroxide at five different concentrations with three different vehicles. J Endod 2008;34:1246-8.
  • 22 Epstein SP, Ahdoot M, Marcus E, Asbell PA. Comparative toxicity of preservatives on immortalized corneal and conjunctival epithelial cells. J Ocul Pharmacol Ther 2009;25:113-9.
  • 23 Khanna S, Darbre PD. Parabens enable suspension growth of MCF-10A immortalized, non-transformed human breast epithelial cells. J Appl Toxicol 2013;33:378-82.
  • 24 Chapple IL, Matthews JB, Wright HJ, Scott AE, Griffiths HR, Grant MM. Ascorbate and α-tocopherol differentially modulate reactive oxygen species generation by neutrophils in response to FcγR and TLR agonists. Innate Immun 2013;19:152-9.
  • 25 Jiang Q. Natural forms of vitamin E: Metabolism, antioxidant, and anti-inflammatory activities and their role in disease prevention and therapy. Free Radic Biol Med 2014;72:76-90.
  • 26 Vianna ME, Zilio DM, Ferraz CC, Zaia AA, de Souza-Filho FJ, Gomes BP. Concentration of hydrogen ions in several calcium hydroxide pastes over different periods of time. Braz Dent J 2009;20:382-8.
  • 27 Mori GG, Ferreira FC, Batista FR, Godoy AM, Nunes DC. Evaluation of the diffusion capacity of calcium hydroxide pastes through the dentinal tubules. Braz Oral Res 2009;23:113-8.
  • 28 Poorni S, Miglani R, Srinivasan MR, Indira R. Comparative evaluation of the surface tension and the pH of calcium hydroxide mixed with five different vehicles: An in vitro study. Indian J Dent Res 2009;20:17-20.
  • 29 Pacios MG, de la Casa ML, de Bulacio Ml, López ME. Influence of different vehicles on the pH of calcium hydroxide pastes. J Oral Sci 2004;46:107-11.
  • 30 Duarte MA, Midena RZ, Zeferino MA, Vivan RR, Weckwerth PH, Dos Santos F, et al. Evaluation of pH and calcium ion release of calcium hydroxide pastes containing different substances. J Endod 2009;35:1274-7.
  • 31 De Faria-Júnior NB, Keine KC, Só MV, Weckwerth PH, Guerreiro-Tanomaru JM, Kuga MC. Residues of calcium hydroxide-based intracanal medication associated with different vehicles: A scanning electron microscopy evaluation. Microsc Res Tech 2012;75:898-902.