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Development and validation of an in vitro model for measurements of cervical root dentine permeability

Jungbluth, Holger ; Attin, Thomas ; Buchalla, Wolfgang

In: Clinical Oral Investigations, 2014, vol. 18, no. 9, p. 2077-2086

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    Titre
    • Development and validation of an in vitro model for measurements of cervical root dentine permeability
    Auteur
    • Jungbluth, Holger. Department of Preventive Dentistry, Periodontology, and Cariology, University of Zürich Center for Dental Medicine, Plattenstrasse 11, 8032, Zürich, Switzerland
    • Attin, Thomas. Department of Preventive Dentistry, Periodontology, and Cariology, University of Zürich Center for Dental Medicine, Plattenstrasse 11, 8032, Zürich, Switzerland
    • Buchalla, Wolfgang. Department for Conservative Dentistry and Periodontology, University Medical Center Regensburg, Regensburg, Germany
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Clinical Oral Investigations, 2014, vol. 18, no. 9, p. 2077-2086. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:325622
    Summary
    Objectives: The aim of this series of studies was the development and validation of a new model for evaluation of dentinal hypersensitivity (DH) therapies. Materials and methods: Roots from extracted human teeth were sealed with a flowable composite. In the cervical area, a 3-mm-wide circular window was ground through the seal 1mm deep into dentine. The pulp lumen was connected to a reservoir of artificial dentinal fluid (ADF) containing protein, mineral salts and methylene blue. At increased pulpal pressure, the ADF released through the said window was collected in containers each with 20ml of physiologic saline for a consecutive series of 30-min intervals and ADF concentration (absorption) was determined photometrically. The model was verified by three experiments. In experiment 1, the lower limit of quantification (LLoQ, coefficient of variation = 20% and difference of 5 standard deviations (SD) from blank) of ADF in physiologic saline was determined by measuring the absorption of 15 dilutions of ADF in physiologic saline (containing 0.625ng to 12.5μg methylene blue/ml) photometrically for ten times. In experiment 2, long-term linearity of ADF perfusion/outflow was investigated using 11 specimens. The ADF released through the window was collected in the said containers separately for each consecutive interval of 30min for up to 240min. Absorption was determined and analysed by linear regression over time. In experiment 3, perfusion before (2×) and after single treatment according to the following three groups was measured: BisGMA-based sealant (Seal&Protect®), an acidic fluoride solution (elmex fluid®) and control (no treatment). Results: In experiment 1, the LLoQ was 0.005μg methylene blue/ml. In experiment 2, permeability was different within the specimens and decreased highly linearly with time, allowing the prediction of future values. In experiment 3, Seal&Protect® completely occluded dentinal tubules. elmex fluid® increased tubular permeability by about 30% compared to control. Conclusions: A model comprising the use of artificial dentinal fluid was developed and validated allowing screening of therapeutic agents for the treatment of DH through reliable measurement of permeability of cervical root dentine. Clinical relevance: The described in vitro model allows evaluation of potential agents for the treatment of DH at the clinically relevant cervical region of human teeth.