Skip to main content

Advertisement

Log in

Cytotoxicity of Novel Polymeric Gel Matrix Triple Antibiotic Paste—an In Vitro Study

  • Original Research
  • Published:
Regenerative Engineering and Translational Medicine Aims and scope Submit manuscript

Abstract

Objectives

The study evaluated the in vitro cytotoxicity profile of a novel polymeric gel matrix triple antibiotic paste.

Materials and Methods

The novel polymeric gel matrix triple antibiotic paste (TAOP) was formulated as thermo-modulated in situ hydrogel, by blending chitosan-carbopol and poloxamer gels with clindamycin (5%), metronidazole (5%), and doxycycline (1%). All the test materials (TAOP—test material 1), zinc oxide eugenol (ZOE—test material 2), and calcium hydroxide iodoform paste (Metapex—positive control) were divided into multiple concentrations from 400 to 12.5 μg/mL serially. The precultured human gingival fibroblasts (HGFs) were contacted directly to all the test materials, against untreated cells (negative control). MTT assay was evaluated for cell survival after 48 h, followed by half-maximal inhibitory concentrations (IC50) estimation. Data was analyzed using one-way ANOVA with Tuckey’s post hoc HSD test and Bonferroni’s correction followed by t test for pairwise comparison of groups at all concentrations (p < 0.05).

Results

The novel polymeric gel matrix TAOP exhibited lowest cytotoxicity followed by Metapex and highest with ZOE after 48 h. The IC50 concentration of TAOP was highest (701.6 μg/mL), followed by ZOE (632.1 μg/mL) and least for Metapex (609.4 μg/mL). However, the intergroup comparisons of the HGF responses for the test materials at all the concentrations showed a statistically nonsignificant difference.

Conclusion

Novel polymeric gel matrix triple antibiotic gel is less toxic to HGF than other obturating materials maintaining their viability. The recently developed material can be used as an obturating material in primary teeth or intracanal medicament in permanent teeth to disinfect endodontic spaces with the least cytotoxicity.

Lay Summary

The present study focuses on the development and cytotoxic evaluation of a newly formulated polymeric gel matrix triple antibiotic paste followed by evaluation of its cytotoxicity against zinc oxide eugenol and metapex (calcium hydroxide iodoform), respectively. Human gingival fibroblasts (HGFs) were grown with novel polymeric gel matrix triple antibiotic paste, zinc oxide eugenol, and Metapex, against untreated cells. The cytotoxic profile and half-maximal inhibitory concentrations (IC50) of test materials were also estimated. Thus, the cytotoxic evaluation of newly formulated material and other test materials was evaluated to prevent damage to the native tissues enhancing new tissue regeneration during their usage.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Data Availability

Transparency of data is maintained.

References

  1. Ghanaati S, Willershausen I, Barbeck M, Unger RE, Joergens M, Sader RA, et al. Tissue reaction to sealing materials: different view at biocompatibility. Eur J Med Res. 2010;15:483–92.

    CAS  Google Scholar 

  2. Sipert CR, Hussne RP, Nishiyama CK, Torres SA. In vitro antimicrobial activity of Fill Canal, Sealapex, Mineral Trioxide Aggregate, Portland cement and EndoRez. Int Endod J. 2005;38:539–43.

    CAS  Google Scholar 

  3. Barcelos R, Santos MPA, Primo LG, Luiz RR, Maia LC. ZOE paste pulpectomies outcome in primary teeth: a systematic review. J Clin Pediatr Dent. 2011;35:241–8.

    CAS  Google Scholar 

  4. Holan G, Fuks AB. A comparison of pulpectomies using ZOE and KRI paste in primary molars: a retrospective study. Pediatr Dent. 1993;15:403–7.

    CAS  Google Scholar 

  5. Navit S, Jaiswal N, Khan SA, Malhotra S, Sharma A, Mukesh, et al. Antimicrobial efficacy of contemporary obturating materials used in primary teeth-an in-vitro study. J Clin Diagn Res. 2016;10:ZC09–12.

    CAS  Google Scholar 

  6. Cerqueira DF, Mello-Moura ACV, Santos EM, Guedes-Pinto AC. Cytotoxicity, histopathological, microbiological and clinical aspects of an endodontic iodoform-based paste used in pediatric dentistry: a review. J Clin Pediatr Dent. 2008;32:105–10.

    Google Scholar 

  7. da Silva LAB, Leonardo MR, de Oliveira DSB, da Silva RAB, de Queiroz AM, Hernández PG, et al. Histopathological evaluation of root canal filling materials for primary teeth. Braz Dent J. 2010;21:38–45.

    Google Scholar 

  8. Haglund R, He J, Jarvis J, Safavi KE, Spångberg LSW, Zhu Q. Effects of root-end filling materials on fibroblasts and macrophages in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95:739–45.

    Google Scholar 

  9. Correa GTB, Veranio GAC, Silva LE, Hirata Junior R, Coil JM, Scelza MFZ. Cytotoxicity evaluation of two root canal sealers and a commercial calcium hydroxide paste on THP1 cell line by Trypan Blue assay. J Appl Oral Sci. 2009;17:457–61.

    CAS  Google Scholar 

  10. Willershausen I, Callaway A, Briseño B, Willershausen B. In vitro analysis of the cytotoxicity and the antimicrobial effect of four endodontic sealers. Head Face Med. 2011;7:15.

    CAS  Google Scholar 

  11. Primosch RE, Ahmadi A, Setzer B, Guelmann M. A retrospective assessment of zinc oxide-eugenol pulpectomies in vital maxillary primary incisors successfully restored with composite resin crowns. Pediatr Dent. 2005;27:470–7.

    Google Scholar 

  12. Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18:57–63.

    CAS  Google Scholar 

  13. de Queiroz AM, Assed S, Consolaro A, Nelson-Filho P, Leonardo MR, Silva RAB, et al. Subcutaneous connective tissue response to primary root canal filling materials. Braz Dent J. 2011;22:203–11.

    Google Scholar 

  14. Chawla HS, Setia S, Gupta N, Gauba K, Goyal A. Evaluation of a mixture of zinc oxide, calcium hydroxide, and sodium fluoride as a new root canal filling material for primary teeth. J Indian Soc Pedod Prev Dent. Medknow Publications. 2008;26:53.

    CAS  Google Scholar 

  15. Sain S, Reshmi J, Anandaraj S, George S, Issac JS, John SA. Lesion sterilization and tissue repair-current concepts and practices. Int J Clin Pediatr Dent. 2018;11:446–50.

    Google Scholar 

  16. Takushige T, Cruz EV, Asgor Moral A, Hoshino E. Endodontic treatment of primary teeth using a combination of antibacterial drugs. Int Endod J. 2004;37:132–8.

    CAS  Google Scholar 

  17. Miller EK, Lee JY, Tawil PZ, Teixeira FB, Vann WF. Emerging therapies for the management of traumatized immature permanent incisors. Pediatr Dent. 2012;34:66–9.

    Google Scholar 

  18. Sabrah AHA, Yassen GH, Gregory RL. Effectiveness of antibiotic medicaments against biofilm formation of Enterococcus faecalis and Porphyromonas gingivalis. J Endod. 2013;39:1385–9.

    Google Scholar 

  19. Kahler B, Rossi-Fedele G. A review of tooth discoloration after regenerative endodontic therapy. J Endod. 2016;42:563–9.

    Google Scholar 

  20. Sabrah AHA, Yassen GH, Liu W-C, Goebel WS, Gregory RL, Platt JA. The effect of diluted triple and double antibiotic pastes on dental pulp stem cells and established Enterococcus faecalis biofilm. Clin Oral Investig. 2015;19:2059–66.

    Google Scholar 

  21. Khoshkhounejad M, Sobhi Afshar M, Jabalameli F, Emaneini M, Sharifian M. Cytotoxicity evaluation of minimum antibacterial values of different medicaments used in endodontic regenerative procedures. Eur J Dent. 2019;13:514–20.

    Google Scholar 

  22. Rajsheker S, Mallineni SK, Nuvvula S. Materials used for pulpectomy in primary teeth- a mini review. J Dent Craniofac Res. 2018;3(1):1–9. https://doi.org/10.21767/2576-392X.100019.

  23. Karapınar-Kazandağ M, Bayrak OF, Yalvaç ME, Ersev H, Tanalp J, Sahin F, et al. Cytotoxicity of 5 endodontic sealers on L929 cell line and human dental pulp cells. Int Endod J. 2011;44:626–34.

    Google Scholar 

  24. Al-Hiyasat AS, Tayyar M, Darmani H. Cytotoxicity evaluation of various resin based root canal sealers. Int Endod J. 2010;43:148–53.

    CAS  Google Scholar 

  25. Varshosaz J, Tabbakhian M, Salmani Z. Designing of a thermosensitive chitosan/poloxamer in situ gel for ocular delivery of ciprofloxacin. Open Drug Deliv J. 2008;2:61–70.

    CAS  Google Scholar 

  26. Dahake PT, Baliga SM, Punse T, Biyani DM, Raut N, Umekar MJ. Formulation and physical characterization of bio-degradable chitosan-poloxamer gel base for local drug delivery. J Drug Deliv Ther. 2020;10:59–66.

    CAS  Google Scholar 

  27. Ur-Rehman T, Tavelin S, Gröbner G. Chitosan in situ gelation for improved drug loading and retention in poloxamer 407 gels. Int J Pharm. 2011;409:19–29.

    CAS  Google Scholar 

  28. Kenawy E, Omer AM, Tamer TM, Elmeligy MA, Eldin MSM. Fabrication of biodegradable gelatin/chitosan/cinnamaldehyde crosslinked membranes for antibacterial wound dressing applications. Int J Biol Macromol. 2019;139:440–8.

    CAS  Google Scholar 

  29. Tchaou WS, Turng BF, Minah GE, Coll JA. In vitro inhibition of bacteria from root canals of primary teeth by various dental materials. Pediatr Dent. 1995;17:351–5.

    CAS  Google Scholar 

  30. Miles AA, Misra SS, Irwin JO. The estimation of the bactericidal power of the blood. Epidemiol Infect. 1938;38:732–49.

    CAS  Google Scholar 

  31. Panpaliya NP, Dahake PT, Kale YJ, Dadpe MV, Kendre SB, Siddiqi AG, et al. In vitro evaluation of antimicrobial property of silver nanoparticles and chlorhexidine against five different oral pathogenic bacteria. Saudi Dent J. 2019;31:76–83.

    Google Scholar 

  32. Qaiyumi S. Macro and microdilution methods of antimicrobial susceptibility testing. In: Schwabe R, Steele-Moore L, Goodwil A, editors. Antimicrobial susceptibility testing protocols. Boca Raton: CRC Press; 2007.

    Google Scholar 

  33. Charan J, Kantharia ND. How to calculate sample size in animal studies? J Pharmacol Pharmacother. 2013;4:303–6.

    Google Scholar 

  34. Bhat SS, Revankar VK, Kumbar V, Bhat K, Kawade VA. Synthesis, crystal structure and biological properties of a cis-dichloridobis (diimine) copper (II) complex. Acta Crystallogr C Struct Chem. 2018;74:146–51.

    CAS  Google Scholar 

  35. Shah T, Joshi K, Mishra S, Otiv S, Kumbar V. Molecular and cellular effects of vitamin B12 forms on human trophoblast cells in presence of excessive folate. Biomed Pharmacother. 2016;84:526–34.

    CAS  Google Scholar 

  36. Li W, Zhou J, Xu Y. Study of the in vitro cytotoxicity testing of medical devices. Biomed Rep. 2015;3:617–20.

    CAS  Google Scholar 

  37. Ferreira MB, Myiagi S, Nogales CG, Campos MS, Lage-Marques JL. Time- and concentration-dependent cytotoxicity of antibiotics used in endodontic therapy. J Appl Oral Sci. 2010;18:259–63.

    CAS  Google Scholar 

  38. Dahake PT, Jha RK, Baliga SM. Evaluation of combination of three antimicrobial agents against common endodontic pathogens. Int J Sci Res. 2019;8:63–4.

    Google Scholar 

  39. Dahake PT, Baliga SM. Antimicrobial efficacy of a new tri-antibiotic combination against resistant endodontic pathogens: an in-vitro study. Braz Dent Sci. 2020;23:8.

    Google Scholar 

  40. Zhang K, Shi X, Lin X, Yao C, Shen L, Feng Y. Poloxamer-based in situ hydrogels for controlled delivery of hydrophilic macromolecules after intramuscular injection in rats. Drug Deliv. 2015;22:375–82.

    CAS  Google Scholar 

  41. Labban N, Yassen GH, Windsor LJ, Platt JA. The direct cytotoxic effects of medicaments used in endodontic regeneration on human dental pulp cells. Dent Traumatol. 2014;30:429–34.

    CAS  Google Scholar 

  42. Feltis BN, O’Keefe SJ, Harford AJ, Piva TJ, Turney TW, Wright PFA. Independent cytotoxic and inflammatory responses to zinc oxide nanoparticles in human monocytes and macrophages. Nanotoxicology. 2012;6:757–65.

    CAS  Google Scholar 

  43. Eskandarizadeh A, Shahpasandzadeh MH, Shahpasandzadeh M, Torabi M, Parirokh M. A comparative study on dental pulp response to calcium hydroxide, white and grey mineral trioxide aggregate as pulp capping agents. J Conserv Dent. 2011;14:351–5.

    CAS  Google Scholar 

  44. Hayati F, Ghamsari SM, Dehghan MM, Oryan A. Effects of carbomer 940 hydrogel on burn wounds: an in vitro and in vivo study. J Dermatol Treat. 2018;29:593–9.

    CAS  Google Scholar 

  45. Akkari ACS, Papini JZB, Garcia GK, Franco MKKD, Cavalcanti LP, Gasperini A, et al. Poloxamer 407/188 binary thermosensitive hydrogels as delivery systems for infiltrative local anesthesia: physico-chemical characterization and pharmacological evaluation. Mater Sci Eng C Mater Biol Appl. 2016;68:299–307.

    CAS  Google Scholar 

  46. Kobayashi M, Tsutsui TW, Kobayashi T, Ohno M, Higo Y, Inaba T, et al. Sensitivity of human dental pulp cells to eighteen chemical agents used for endodontic treatments in dentistry. Odontology. 2013;101:43–51.

    CAS  Google Scholar 

  47. Dianat O, Azadnia S, Mozayeni MA. Toxicity of calcium hydroxide nanoparticles on murine fibroblast cell line. Iran Endod J. 2015;10:49–54.

    CAS  Google Scholar 

  48. Ahler E, Sullivan WJ, Cass A, Braas D, York AG, Bensinger SJ, et al. Doxycycline alters metabolism and proliferation of human cell lines. PLoS ONE. Public Libr Sci. 2013;8:e64561.

    CAS  Google Scholar 

  49. Neubig RR, Spedding M, Kenakin T, Christopoulos A. International Union of Pharmacology Committee on receptor nomenclature and drug classification. XXXVIII. Update on terms and symbols in quantitative pharmacology. Pharmacol Rev. 2003;55:597–606.

    CAS  Google Scholar 

  50. Swinney DC. Molecular mechanism of action (MMoA) in drug discovery. Annu Rep Med Chem [Internet]. Elsevier. 2011:301–17.

  51. Bernas T, Dobrucki J. Mitochondrial and nonmitochondrial reduction of MTT: interaction of MTT with TMRE, JC-1, and NAO mitochondrial fluorescent probes. Cytometry. 2002;47:236–42.

    CAS  Google Scholar 

  52. Bezerra MM, Brito GAC, Ribeiro RA, Rocha FAC. Low-dose doxycycline prevents inflammatory bone resorption in rats. Braz J Med Biol Res. 2002;35:613–6.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Prasanna T. Dahake.

Ethics declarations

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study, formal consent is not required.

Conflict of Interest

The authors declare that they have no conflict of interest.

Consent for Publication

For this study, no consent for publication is required.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dahake, P.T., Baliga, S.M., Kumbar, V.M. et al. Cytotoxicity of Novel Polymeric Gel Matrix Triple Antibiotic Paste—an In Vitro Study. Regen. Eng. Transl. Med. 7, 21–29 (2021). https://doi.org/10.1007/s40883-020-00191-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40883-020-00191-x

Keywords

Navigation