title: Histological evaluation of direct pulp capping of rat pulp with experimentally developed low-viscosity adhesives containing reparative dentin-promoting agents.
abstract: OBJECTIVE
  This study examines the wound healing process in exposed rat pulp when capped with experimental adhesive resin systems.
  
  
  METHODS
  Experimental adhesive resin system for direct pulp capping was composed of primer-I (PI), -II (PII), and -III (PIII) and an experimental bonding agent (EBA). PI was Clearfil(®) SE Bond(®)/Primer (CSP) containing 5.0 wt% CaCl2, PII was PI containing 10 wt% nanofiller (Aerosil(®) 380), and PIII was CSP containing 5.0 wt% of compounds of equal moles of synthetic peptides (pA and pB) derived from dentin matrix protein 1. EBA was Clearfil(®) SE Bond(®)/Bond (CSB) containing 10 wt% hydroxyapatite powders. Three experimental groups were designed. PI was assigned to experimental Groups 1 and 3. PII was assigned to experimental Groups 2 and 3. PIII and EBA were assigned to all experimental adhesive groups. Control teeth were capped with calcium hydroxide preparation (Dycal(®)), and CSP and CSB were applied to the cavity. The rats were sacrificed after each observation period (14, 28, 56, and 112 days). The following parameters were evaluated: pulp tissue disorganization, inflammatory cell infiltration, reparative dentin formation (RDF), and bacterial penetration.
  
  
  RESULTS
  There were no significant differences among all the groups for all parameters and all observation periods (p>0.05, Kruskal-Wallis test). All groups showed initial RDF at 14 days postoperatively and extensive RDF until 112 days postoperatively. Groups 2 and 3 demonstrated higher quantity of mineralized dentin bridge formation compared with Group 1.
  
  
  CONCLUSIONS
  Addition of nanofillers to the primer was effective in promoting high-density RDF.
  
  
  CONCLUSIONS
  Experimentally developed adhesive resin systems induce the exposed pulp to produce almost the same quantity of reparative dentin as calcium hydroxide. However, we need further studies to elucidate whether the same results could be obtained in humans.
authors.affiliation: Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata, Niigata, Japan. Electronic address: collagen@ngt.ndu.ac.jp.
authors.forename: Masaya
authors.initials: M
authors.lastname: Suzuki
authors.affiliation: Comprehensive Dental care, The Nippon Dental University Niigata Hospital, Niigata, Japan.
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Taira
authors.affiliation: Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata, Niigata, Japan.
authors.forename: Chikage
authors.initials: C
authors.lastname: Kato
authors.affiliation: Department of Operative Dentistry, The Nippon Dental University School of Life Dentistry at Niigata, Niigata, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Shinkai
authors.affiliation: The Nippon Dental University, Japan.
authors.forename: Yoshiroh
authors.initials: Y
authors.lastname: Katoh
mesh_terms: D000269:Adhesives / Q000737:chemistry / Q000494:pharmacology; D000818:Animals; D002122:Calcium Chloride; D003782:Dental Pulp / Q000187:drug effects / Q000382:microbiology / Q000473:pathology*; D003785:Dental Pulp Capping / Q000379:methods*; D003789:Dental Pulp Exposure / Q000628:therapy; D003793:Dental Restoration, Permanent; D003809:Dentin, Secondary / Q000187:drug effects / Q000473:pathology; D017220:Dentin-Bonding Agents / Q000737:chemistry / Q000494:pharmacology*; D008297:Male; D057872:Pulp Capping and Pulpectomy Agents / Q000737:chemistry / Q000494:pharmacology; D011671:Pulpitis / Q000473:pathology; D051381:Rats; D017207:Rats, Sprague-Dawley; D019279:Resin Cements / Q000737:chemistry / Q000494:pharmacology; D012390:Root Canal Therapy / Q000379:methods*
chemical_list: D000269:Adhesives; C029849:Clearfil Bonding Agent; D017220:Dentin-Bonding Agents; D057872:Pulp Capping and Pulpectomy Agents; D019279:Resin Cements; D002122:Calcium Chloride
keywords: Adhesive resin system; Calcium chloride; Dentin matrix protein 1; Direct pulp capping; Nanofiller