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Root-end Filling Materials Alter Fibroblast Differentiation

¹ Department of Endodontics, Center of Excellence in Oral and Craniofacial Biology, Louisiana State University Health Science Center, School of Dentistry; and
² Department of Cell Biology and Anatomy, Center of Excellence in Oral and Craniofacial Biology, Box 128, Louisiana State University Health Science Center, School of Dentistry, 1100 Florida Avenue, New Orleans, LA 70119;

^* corresponding author, tlalli{at}lsuhsc.edu

Root-end filling materials are commonly used following endodontic surgical procedures; however, their effect on adjacent soft tissues is poorly understood. We predict that, due to the differences in their chemical composition, these materials will have profoundly different effects on the survival and differentiation of fibroblasts. Many of the root-end filling materials examined were initially cytotoxic to both PDL and gingival fibroblasts in co-culture experiments; however, this was reduced after the materials were washed in either mineral trioxide aggregate (MTA) or hybrid ionomere composite resin (HICR) for 2 wks. Additionally, PDL fibroblasts displayed enhanced proliferation on MTA and survival on amalgam when compared with gingival fibroblasts. MTA preferentially induced alkaline phosphatase expression and activity in both PDL and gingival fibroblasts. In contrast, HICR inhibited alkaline phosphatase expression and activity. In addition, MTA and HICR repressed pleiotrophin in PDL fibroblasts, while HICR repressed periostin in both fibroblasts. Thus, root-end filling materials differentially affect periodontal fibroblast differentiation. Abbreviations: mineral trioxide aggregate (MTA), zinc-oxide eugenol cement (ZOEC), hybrid ionomer composite resin (HICR), reverse-transcriptase polymerase chain-reaction (RT-PCR).

KEY WORDS: periodontal ligament • gingival fibroblast • cementogenesis • endodontics