Abstract
Objectives
The aim of this study was to analyze the influence of four CAD/CAM all-ceramic materials on cell viability, migration ability and adenylate kinase (ADK) release of human gingival fibroblasts (HGF) and oral keratinocytes (HOK).
Materials and methods
HGF and HOK were cultured on disc-shaped CAD/CAM all-ceramic materials (e.max CAD LT, e.max CAD HT, Empress CAD and Mark II) and on discs made of tissue culture polystyrene surface (TCPS) serving as control. Cell viability was analyzed by using an MTT assay, and migration ability was investigated by a scratch assay. A ToxiLight assay has been performed to analyze the effect of all-ceramic materials on ADK release and cell apoptosis.
Results
At MTT assay for HGF, no significant decrease of cell viability could be detected at all points of measurement (p each > 0.05), while HOK demonstrated a significant decrease in cell viability especially on Empress CAD and Mark II at each point of measurement (p each < 0.001). Scratch assay demonstrated an increased migration ability for HGF on e.max CAD HT, Empress CAD and Mark II (p each < 0.001), whereas HOK showed a significantly decreased migration ability on all tested materials at all points of measurement (between −36 % and −71 %; p each < 0.001). At ToxiLight assay, only small cytotoxic effects of the all-ceramic materials could be investigated.
Conclusions
This study disclosed significant differences in cell viability and migration ability of HGF and HOK on CAD/CAM all-ceramic materials.
Clinical Relevance
CAD/CAM all-ceramic materials can influence oral cell lines responsible for soft tissue creation which may affect the esthetic outcome.
Similar content being viewed by others
References
Christensen GJ (2003) The confusing array of tooth-colored crowns. J Am Dent Assoc 134:1253–1255
Belser UC, MacEntee MI, Richter WA (1985) Fit of three porcelain-fused-to-metal marginal designs in vivo: a scanning electron microscope study. J Prosthet Dent 53:24–29
Bindl A, Mormann WH (1999) Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years—preliminary results. J Adhes Dent 1:255–265
Bindl A, Mormann WH (2007) Fit of all-ceramic posterior fixed partial denture frameworks in vitro. Int J Periodont Restor Dent 27:567–575
Giordano R (2006) Materials for chairside CAD/CAM-produced restorations. J Am Dent Assoc 137(Suppl):14S–21S
Haselton DR, Diaz-Arnold AM, Hillis SL (2000) Clinical assessment of high-strength all-ceramic crowns. J Prosthet Dent 83:396–401
Martin N, Jedynakiewicz NM (1999) Clinical performance of CEREC ceramic inlays: a systematic review. Dent Mater 15:54–61
Akbar JH, Petrie CS, Walker MP, Williams K, Eick JD (2006) Marginal adaptation of Cerec 3 CAD/CAM composite crowns using two different finish line preparation designs. J Prosthodont 15:155–163
Beuer F, Aggstaller H, Edelhoff D, Gernet W, Sorensen J (2009) Marginal and internal fits of fixed dental prostheses zirconia retainers. Dent Mater 25:94–102
Bindl A, Mormann WH (2005) Marginal and internal fit of all-ceramic CAD/CAM crown-copings on chamfer preparations. J Oral Rehabil 32:441–447
Kokubo Y, Ohkubo C, Tsumita M, Miyashita A, Vult von Steyern P, Fukushima S (2005) Clinical marginal and internal gaps of Procera AllCeram crowns. J Oral Rehabil 32:526–530
Lee KB, Park CW, Kim KH, Kwon TY (2008) Marginal and internal fit of all-ceramic crowns fabricated with two different CAD/CAM systems. Dent Mater J 27:422–426
Luthardt RG, Bornemann G, Lemelson S, Walter MH, Huls A (2004) An innovative method for evaluation of the 3-D internal fit of CAD/CAM crowns fabricated after direct optical versus indirect laser scan digitizing. Int J Prosthodont 17:680–685
Nakamura T, Dei N, Kojima T, Wakabayashi K (2003) Marginal and internal fit of Cerec 3 CAD/CAM all-ceramic crowns. Int J Prosthodont 16:244–248
Reich S, Wichmann M, Nkenke E, Proeschel P (2005) Clinical fit of all-ceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems. Eur J Oral Sci 113:174–179
Sailer I, Feher A, Filser F, Gauckler LJ, Luthy H, Hammerle CH (2007) Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 20:383–388
Seo D, Yi Y, Roh B (2009) The effect of preparation designs on the marginal and internal gaps in Cerec3 partial ceramic crowns. J Dent 37:374–382
Wataha JC (2000) Biocompatibility of dental casting alloys: a review. J Prosthet Dent 83:223–234
Wataha JC (2002) Alloys for prosthodontic restorations. J Prosthet Dent 87:351–363
Wataha JC, Nakajima H, Hanks CT, Okabe T (1994) Correlation of cytotoxicity with element release from mercury- and gallium-based dental alloys in vitro. Dent Mater 10:298–303
Wataha JC, Rueggeberg FA, Lapp CA, Lewis JB, Lockwood PE, Ergle JW et al (1999) In vitro cytotoxicity of resin-containing restorative materials after aging in artificial saliva. Clin Oral Investig 3:144–149
Nicholson JW, Czarnecka B (2008) The biocompatibility of resin-modified glass-ionomer cements for dentistry. Dent Mater 24:1702–1708
Roggendorf MJ, Kunzi B, Ebert J, Roggendorf HC, Frankenberger R, Reich SM (2012) Seven-year clinical performance of CEREC-2 all-ceramic CAD/CAM restorations placed within deeply destroyed teeth. Clin Oral Investig 16:1413–1424
Alfarsi MA, Okutan HM, Bickel M (2009) CAD/CAM to fabricate ceramic implant abutments and crowns: a preliminary in vitro study. Aust Dent J 54:12–16
Stadelmann WK, Digenis AG, Tobin GR (1998) Physiology and healing dynamics of chronic cutaneous wounds. Am J Surg 176:26–38
Tao H, Berno AJ, Cox DR, Frazer KA (2007) In vitro human keratinocyte migration rates are associated with SNPs in the KRT1 interval. PLoS ONE 2:697
Nebe B, Forster C, Pommerenke H, Fulda G, Behrend D, Bernewski U et al (2001) Structural alterations of adhesion mediating components in cells cultured on poly-beta-hydroxy butyric acid. Biomaterials 22:2425–2434
Anselme K, Bigerelle M, Noel B, Dufresne E, Judas D, Iost A, Hardouin P (2000) Qualitative and quantitative study of human osteoblast adhesion on materials with various surface roughnesses. J Biomed Mater Res 49:155–166
Sykaras N, Iacopino AM, Marker VA, Triplett RG, Woody RD (2000) Implant materials, designs, and surface topographies: their effect on osseointegration. A literature review. Int J Oral Maxillofac Implants 15:675–690
Motro PF, Kursoglu P, Kazazoglu E (2012) Effects of different surface treatments on stainability of ceramics. J Prosthet Dent 108:231–237
Mustafa K, Wennerberg A, Arvidson K, Messelt EB, Haag P, Karlsson S (2008) Influence of modifying and veneering the surface of ceramic abutments on cellular attachment and proliferation. Clin Oral Implants Res 19:1178–1187
Pendegrass CJ, Gordon D, Middleton CA, Sun SN, Blunn GW (2008) Sealing the skin barrier around transcutaneous implants: in vitro study of keratinocyte proliferation and adhesion in response to surface modifications of titanium alloy. J Bone Joint Surg Br 90:114–121
Sommer S, Ackermann G (1986) Quantitative characterization of procedures using ultraviolett and visible molecular absorption spectrophotometry. Pure Appl Chem 58:1015–1022
Mosmann T (1983) Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods 65:55–63
Conflict of interests
Dr. Karl-Martin Lehmann is a paid consultant of the VITA Zahnfabrik H. Rauter. There are no further conflicts of interests to this study. No fundings were received to this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pabst, A.M., Walter, C., Grassmann, L. et al. Influence of CAD/CAM all-ceramic materials on cell viability, migration ability and adenylate kinase release of human gingival fibroblasts and oral keratinocytes. Clin Oral Invest 18, 1111–1118 (2014). https://doi.org/10.1007/s00784-013-1098-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-013-1098-9