Biocompatibility Evaluation of Four Dentin Adhesives Used as Indirect Pulp Capping Materials

U mnogim slučajevima indirektno prekrivanje pulpe (IPP) prihvatljiva je terapija za trajne zube u slučaju njezine reverzibilne upale. Za IPP koriste se različiti lijekovi – od kalcijeva hidroksida i staklenog ionomera do dentinskih adheziva. Svrha istraživanja: Svrha ovog istraživanja in vitro bila je izmjeriti citotoksičnost u staničnoj kulturi, uspoređujući četiri adheziva: Xeno® V (XE), Excite® F DSC (EX), Adhese® OneF (AD) i Prime & Bond NT (PB). Materijali i metode: Adhezivi su primijenjeni u skladu s uputama proizvođača. Nakon 24-satne izloženosti procijenjena je vijabilnost stanica s pomoću fotometrijskog testa (MTT test). Podatci su podvrgnuti analizi varijance (ANOVA). Rezultati: Adhezivi čija je glavna komponenta bila 2-hidroksietil metakrilat (HEMA) pokazali su se manje citotoksičnima, a oni koji su u svojem sastavu imali monomer uretan-dimetakrilat (UDMA) bili su najcitotoksičniji. Učinci na vijabilnost statistički su između adheziva značajno varirali. Zaključak: Rezultati pokazuju da je Adhese® OneF najmanje citotoksičan od ispitanih adheziva i može se koristiti kao sredstvo za indirektno prekrivanje pulpe. No Prime & Bond NT u istim je uvjetima pokazao smanjenu biokompatibilnost.In many cases, the indirect pulp treatment (IPT) is an acceptable treatment for deciduous teeth with reversible pulp inflammation. Various medicaments have been used for IPT, ranging from calcium hydroxide and glass ionomers to dentin adhesives. Objective: This in vitro trial aimed to measure cytotoxicity in a cell culture, comparing the following four adhesives: Xeno® V (XE), Excite® F DSC (EX), Adhese® OneF (AD) and Prime & Bond NT (PB). Materials and methods: The adhesives were prepared according to the manufacturer’s instructions. After 24 hours of exposure, the cell viability was evaluated using a photometrical test (MTT test). Data were subjected to analysis of variance (ANOVA). Results: Adhesives, the main component of which was 2-hydroxyethyl methacrylate (HEMA), were found to be less cytotoxic, while those that included the monomer urethane dimethacrylate (UDMA were the most cytotoxic ) in their composition. The effects on cell viability assay varied between the adhesives assayed with statistically significant differences. Conclusions: The results may support the argument that Adhese® OneF is the least cytotoxic of the adhesives assayed, and may be considered as an adhesive agent for indirect pulp treatment. However, Prime and Bond NT showed a reduced biocompatibility under the same conditions