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Evaluation of cytotoxity of carbamide peroxide and protector effect of sodium ascorbate on odontoblast-like cells MDPC-23

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Author(s):
Adriano Fonseca de Lima
Total Authors: 1
Document type: Master's Dissertation
Press: Piracicaba, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba
Defense date:
Examining board members:
Giselle Maria Marchi; Vanessa Cavalli; Flavio Henrique Baggio Aguiar
Advisor: Giselle Maria Marchi; Carlos Alberto de Souza Costa
Abstract

The aims of this present study were: a) to evaluate the direct and transdentinal cytotoxic effects of carbamide peroxide (CP) bleaching gel at different concentrations on odontoblast-like cells MDPC-23; b) to evaluate the protective effect (antioxidizing) of sodium ascorbate (SA) on these cells expose to bleaching agents, on direct and transdentinal mode; c) to evaluate the amount of hydrogen peroxide (H2O2) released by bleaching agents based to CP 10% and 16%, that diffuses through dentin discs with 0.5mm thickness. In Experiment 1, odontoblastic cells were seeded in wells and incubated for 48 hours. The bleaching gel was diluted in DMEM culture medium originating different extracts, and the amount (µg/mL) of H2O2 released from each extract was measured by the leukocrystal violet/horseradish peroxidase enzyme (LCV/HRP) assay. The following groups were established (n=10): G1-DMEM without bleaching gel (control); G2-0.0001% CP (0.025 µg/mL H2O2); G3-0.001% CP (0.43 µg/mL H2O2); G4-0.01% CP (2.21 µg/mL H2O2); and G5-0.1% CP (29.74 µg/mL H2O2). MDPC-23 cells were exposed to the bleaching gel extracts for 60 minutes and then performed the cell viability analysis (MTT assay). Only G2 and G3 were not significantly different from control group (G1) (p>0.05). The most severe cytotoxic effects were observed in G4 and G5, and G5 was statistically different to G4, presenting more toxic to the cells. In Experiment 2, MDPC-23 cells were seeded in wells and incubated for 48 hours. CP and SA were dissolved in culture medium (DMEM) in order to obtain the experimental extracts. The following groups were established: G1-no treatment (control); G2-0,25mM SA; G3-0,5mM SA; G4-0,25mM SA + 0,01% CP; e G5-0,5mM SA + 0,01% CP e G6-0,01% CP. The cells were expose to different extracts for 60 min, and then was performed the MTT assay and. Group 6 presented higher cytotoxicity than the other groups, while the SA decreased the cytotoxic effects caused by CP, demonstrating its protective effect against the toxic components of this dental product. In Experiment 3, dentin discs (0.5mm thick) obtained from human third molars were fixed in an artificial pulp chamber (APC). The odontoblastic cells were seeded on pulp surface of the discs, and the following groups were established: Group 1 - No treatment (Control); Group 2 - Antioxidizing 10% (SA)/6h; Group 3- Carbamide Peroxide (CP) 10%/6h; Group 4- SA10%/6h+CP10%/6h; Group 5- CP16%/6h; Group 6- SA10%/6h+CP16%/6hs. After the treatments, MTT assay was performed. The H2O2 diffusion only to the groups 3 and 5 was measured by the LCV/HRP assay. All groups were statistically similar, except G6. The CP 16% presented the higher transdentinal diffusion. It can be conclude that CP presents citotoxic effects to the odontoblastic-like cells MDPC-23, in direct and transdentinal mode and this citotoxicity is dose-dependent. The sodium ascorbate was able to reduce the cytotoxic effects the concentration of 0.1% of PC caused the most intense cytopathic effects of carbamide peroxide on the same cells in culture. (AU)