Biomimetic Conditioning of Human Dentin Using Citric Acid.

Abstract:

INTRODUCTION:In carious teeth, transforming growth factor beta 1 (TGF-β1) is released from the dentin matrix and possibly activated in an acidic environment. Conversely, EDTA solutions with a neutral to slightly alkaline pH are used in clinics to promote cell homing in regenerative endodontic procedures. We hypothesized that citric acid (CA) might be more beneficial. METHODS:TGF-β1 release from human dentin disks conditioned with either 10% CA (pH = 2) or 17% EDTA (pH = 8) and the behavior of human stem cells toward such pretreated dentin were studied. The protein concentration in conditioning solutions after 10 minutes of dentin exposure was determined using a pH-independent slot blot technique. RESULTS:There was a 5-fold higher concentration of the target protein in CA (382 ± 30 ng/disk) compared with EDTA (66 ± 3 ng/disk, P < .005). Using confocal laser scanning microscopy on immunofluorescent-labeled disks, we identified a high density of TGF-β1 in peritubular dentin after CA treatment. A migration assay showed that CA conditioning attracted significantly more stem cells toward the dentin after 24 hours compared with EDTA (P < .05) or phosphate-buffered saline (P < .005). To investigate whether the cell response to these dentin surfaces could be affected by different pretreatments, we cultured stem cells on conditioned dentin disks and found that CA had a significantly (P < .05) better effect than EDTA on cell attachment and cell survival. CONCLUSIONS:CA conditioning could be useful and may have significant benefits over current treatments.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Ivica A,Zehnder M,Mateos JM,Ghayor C,Weber FE

doi

10.1016/j.joen.2018.09.015

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

45-50

issue

1

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(18)30659-9

journal_volume

45

pub_type

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