The Effect of EDTA with Different Irrigation Protocols to Transforming Growth Factor-β1 Released from Root Canal Dentin

Main Article Content

Peerapohn Taweewattanapaisan
Chithathai Wongwitdecha
Chinalai Piyachon

Abstract

The Objective of this study is to evaluate effects of irrigation protocols to transforming growth factor-beta1 (TGF-β1) released from root canal dentin. Extracted human mandibular premolars (N=37) of aged 16- to 25-year-old were prepared to simulate open apex teeth. Specimens were divided into 4 experimental groups which were irrigated with one of the following protocols: group 1; 17% EDTA followed by NSS, group 2; 17% EDTA with PUI activation followed by NSS, group 3; 17% EDTA with XP-endo Finisher followed by NSS, group 4; 17% EDTA and a specimen was prepared for negative control. The amount of TGF-β1 released from root canal wall were quantified by enzyme-linked immunosorbent assay (ELISA). The data were analyzed statistically using one-way analysis of variance and Tukey’s test (P<0.05). Results showed that the greatest amount of TGF-β1 were observed in group 4 (1,341.57±419.46 pg/ml), followed by group 2 (1010.75±728.34 pg/ml) with no significant difference. The least amount of TGF-β1 were found in group 1 (656.61±454.47 pg/ml) and group 3 (685.78±318.47 pg/ml). Under the conditions of this study, it was concluded that the most effective irrigation protocol that enhanced TGF-β1 released from root canal dentin in regenerative endodontic procedure was 17% EDTA irrigation. The latter irrigation with NSS showed a comparative efficiency to 17% EDTA irrigation when PUI activation of EDTA was used.

Article Details

How to Cite
1.
Taweewattanapaisan P, Wongwitdecha C, Piyachon C. The Effect of EDTA with Different Irrigation Protocols to Transforming Growth Factor-β1 Released from Root Canal Dentin. Khon Kaen Dent J [Internet]. 2023 Feb. 28 [cited 2024 Dec. 22];26(1):22-3. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/255823
Section
Articles
Share |

References

Jeeruphan T, Jantarat J, Yanpiset K, Suwannapan L, Khewsawai P, Hargreaves KM. Mahidol Study 1: Comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: A retrospective study. J Endod 2012;38(10):1330-6.

Diogenes A, Henry MA, Teixeira FB, Hargreaves KM. An update on clinical regenerative endodontics. Endod Top 2013;28(1):2-23.

Murray PE, Garcia-Godoy F, Hargreaves KM. Regenerative endodontics: A review of current status and a call for action. J Endod 2007;33(4): 377-90.

Galler KM, Buchalla W, Hiller K-A, Federlin M, Eidt A, Schiefersteiner M, et al. Influence of root canal disinfectants on growth factor release from dentin. J Endod 2015;41(3):363-8.

Taipale J, Saharinen J, Keski-Oja J. Extracellular matrix-associated transforming growth factor-beta: role in cancer cell growth and invasion. Adv Cancer Res 1998;75:87-134.

Gomez-Sosa J, Caviedes-Bucheli J, Diaz-Barrera L, Munoz H. Gene expression of growth factors with angiogenic potential in human dental pulp tissue from teeth with complete and incomplete root development. Int Endod J 2019;52(12):1716-22.

Kwon SM, Kim SA, Yoon JH, Ahn SG. Transforming growth factor β1–Induced heat shock protein 27 activation promotes migration of mouse dental papilla–derived MDPC-23 cells. J Endod 2010; 36(8):1332-5.

Li Y, Lü X, Sun X, Bai S, Li S, Shi J. Odontoblast-like cell differentiation and dentin formation induced with TGF-β1. Arch Oral Biol 2011;56(11):1221-9.

Gonçalves LF, Fernandes AP, Cosme-Silva L, Colombo FA, Martins NS, Oliveira TM, et al. Effect of EDTA on TGF-β1 released from the dentin matrix and its influence on dental pulp stem cell migration. Braz Oral Res 2016;30(1):e131-7.

Zeng Q, Nguyen S, Zhang H, Chebrolu HP, Alzebdeh D, Badi MA, et al. Release of growth factors into root canal by irrigations in regenerative endodontics. J Endod 2016;42(12):1760-6.

Hülsmann M, Heckendorff M, Lennon Á. Chelating agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36(12):810-30.

Yamada RS, Armas A, Goldman M, Lin PS. A scanning electron microscopic comparison of a high volume final flush with several irrigating solutions: Part 3. J Endod 1983;9(4):137-42.

American Association of Endodontists. Clinical considerations for a regenerative procedure. Revised 5/18/2021. Available from: https:// f3f142zs0k2w1kg84k5p9i1o-wpengine.netdna-ssl. com/specialty/wp-content/uploads/sites/2/ 2021/08/ClinicalConsiderationsApprovedByREC062921.pdf.

Galler KM, Krastl G, Simon S, Van Gorp G, Meschi N, Vahedi B, et al. European society of endodontology position statement: revitalization procedures. Int Endod J 2016;49(8):717-23.

Prompreecha S, Sastraruji T, Louwakul P, Srisuwan T. Dynamic irrigation promotes apical papilla cell attachment in an Ex Vivo immature root canal model. J Endod 2018;44(5):744-50.

Aksel H, Albanyan H, Bosaid F, Azim AA. Dentin conditioning protocol for regenerative endodontic procedures. J Endod 2020;46(8):1099-104.

Taweewattanapaisan P, Jantarat J, Ounjai P, Janebodin K. The effects of EDTA on blood clot in regenerative endodontic procedures. J Endod 2019;45(3):281-6.

Widbiller M, Eidt A, Hiller KA, Buchalla W, Schmalz G, Galler KM. Ultrasonic activation of irrigants increases growth factor release from human dentine. Clin Oral Investig 2017;21(3):879-88.

Bao P, Shen Y, Lin J, Haapasalo M. In vitro efficacy of XP-endo finisher with 2 different protocols on biofilm removal from apical root canals. J Endod 2017;43(2):321-5.

Elnaghy AM, Mandorah A, Elsaka SE. Effectiveness of xp-endo finisher, endoActivator, and file agitation on debris and smear layer removal in curved root canals: a comparative study. Odontology 2017;105(2):178-83.

XP-endo Finisher and Finisher R- Instructions for use [Internet]. Available from: https://www. fkg.ch/products/endodontics/canal-shaping-and-cleaning/xp-endo-finisher.

Gavini G, Santos Md, Caldeira CL, Machado MEdL, Freire LG, Iglecias EF, et al. Nickel–titanium instruments in endodontics: a concise review of the state of the art. Braz Oral Res 2018; 32(suppl 1):44-65.

Keskin C, Sariyilmaz E, Sariyilmaz Ö. Efficacy of XP-endo Finisher file in removing calcium hydroxide from simulated internal resorption cavity. J Endod 2017;43(1):126-30.

Van der Sluis L, Versluis M, Wu M, Wesselink P. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J 2007; 40(6):415-26.

Hancerliogullari D, Erdemir A, Kisa U. The effect of different irrigation solutions and activation techniques on the expression of growth factors from dentine of extracted teeth. Int Endod J 2021;54(10):1915-24.

Sirisha K, Tanikonda R, Shankar Y R, Kumar P. Validity of bond strength tests: A critical review-Part I. J Conserv Dent 2014;17(4):305-11.

Chae Y, Yang M, Kim J. Release of TGF-β1 into root canals with various final irrigants in regenerative endodontics: an in vitro analysis. Int Endod J 2018;51(12):1389-97.

Irrisafe ultrasonic irrigation [Internet]. Available from: https://www.endoexperience.com/documents/IrriSafe_D43801_R2_Eng.pdf.

Ivica A, Deari S, Patcas R, Weber FE, Zehnder M. Transforming growth factor beta 1 distribution and content in the root dentin of young mature and immature human premolars. J Endod 2020;46(5):641-7.

Cassidy N, Fahey M, Prime S, Smith A. Comparative analysis of transforming growth factor-β isoforms 1–3 in human and rabbit dentine matrices. Arch Oral Biol 1997;42(3):219-23.

Finkelman RD, Mohan S, Jennings JC, Taylor AK, Jepsen S, Baylink DJ. Quantitation of growth factors IGF-I, SGF/IGF-II, and TGF-β in human dentin. J Bone Miner Res 1990;5(7):717-23.

Roberts-Clark D, Smith A. Angiogenic growth factors in human dentine matrix. Arch Oral Biol 2000;45(11):1013-6.

Sadaghiani L, Gleeson HB, Youde S, Waddington RJ, Lynch CD, Sloan AJ. Growth factor liberation and DPSC response following dentine conditioning. J Dent Res 2016;95(11):1298-307.

Ivica A, Zehnder M, Mateos JM, Ghayor C, Weber FE. Biomimetic conditioning of human dentin using citric acid. J Endod 2019;45(1):45-50.

Cvek M. Prognosis of luxated non‐vital maxillary incisors treated with calcium hydroxide and filled with gutta-percha. A retrospective clinical study. Endod Dent Traumatol 1992;8(2):45-55.

Carrigan PJ, Morse DR, Furst ML, Sinai IH. A scanning electron microscopic evaluation of human dentinal tubules according to age and location. J Endod 1984;10(8):359-63.

Carda C, Peydro A. Ultrastructural patterns of human dentinal tubules, odontoblasts processes and nerve fibres. Tissue Cell 2006;38(2):141-50.

Smith AJ, Scheven BA, Takahashi Y, Ferracane JL, Shelton RM, Cooper PR. Dentine as a bioactive extracellular matrix. Arch Oral Biol 2012;57(2):109-21.

Magloire H, Romeas A, Melin M, Couble M-L, Bleicher F, Farges J-C. Molecular regulation of odontoblast activity under dentin injury. Adv Dent Res 2001;15(1):46-50.

Malheiros C, Marques M, Gavini G. In vitro evaluation of the cytotoxic effects of acid solutions used as canal irrigants. J Endod 2005;31(10):746-8.

Hardy JJ, Carrell NA, Mcdonagh J. Calcium ion functions in fibrinogen conversion to fibrin. Ann N Y Acad Sci 1983;408(1):279-87.

Blombäck B, Blombäck M, Laurent TC, Pertoft H. Effect of EDTA on fibrinogen. Biochim Biophys Acta 1966;127(2):560-2.

Faria G, Viola K, Coaguila-Llerena H, Oliveira L, Leonardo R, Aranda-García A, et al. Penetration of sodium hypochlorite into root canal dentine: effect of surfactants, gel form and passive ultrasonic irrigation. Int Endod J 2019;52(3):385-92.

Galler K, Grubmüller V, Schlichting R, Widbiller M, Eidt A, Schuller C, et al. Penetration depth of irrigants into root dentine after sonic, ultrasonic and photoacoustic activation. Int Endod J 2019; 52(8):1210-7.

Li Q, Zhang Q, Zou X, Yue L. Evaluation of four final irrigation protocols for cleaning root canal walls. Int J Oral Sci 2020;12(1):1-6.

Azim AA, Aksel H, Zhuang T, Mashtare T, Babu JP, Huang GT-J. Efficacy of 4 irrigation protocols in killing bacteria colonized in dentinal tubules examined by a novel confocal laser scanning microscope analysis. J Endod 2016;42(6):928-34.