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Master's Dissertation
DOI
https://doi.org/10.11606/D.25.2007.tde-15042009-160513
Document
Author
Full name
Márcia Maria Magro Kato
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Bauru, 2007
Supervisor
Committee
Bramante, Clovis Monteiro (President)
Dezan Junior, Eloi
Garcia, Roberto Brandao
Title in Portuguese
Avaliação microscópica da implantação, em subcutâneo de ratos, do agregado trióxido mineral - CPM e do clínquer do cimento Portland branco puro e acrescido de 2 e 5% de sulfato de cálcio e determinação de seus tempos de presa
Keywords in Portuguese
Agregado Trióxido Mineral
Cimento Portland
Endodontia
Abstract in Portuguese
O Agregado Trióxido Mineral (MTA) por apresentar boas propriedades físico-químicas e biológicas é indicado, entre outros, como material retrobturador em cirurgias parendodônticas. O objetivo deste trabalho foi avaliar, microscopicamente, a resposta do tecido subcutâneo de ratos frente à implantação de tubos de polietileno preenchidos por clínquer do cimento Portland branco puro, clínquer do cimento Portland acrescido de 2 e 5 % de Sulfato de Cálcio e o CPM um agregado trióxido mineral e analisar possíveis alterações teciduais provocadas. Também foi avaliado o tempo de presa para os quatros materiais. Utilizou-se 24 ratos e cada animal recebeu quatro implantes de tubos de polietileno, preenchidos com os materiais recém-espatulados em uma extremidade e na outra, guta-percha (controle). Após 15, 30 e 60 dias os animais foram mortos e os espécimes foram fixados em formalina 10 % e preparados para análise microscópica. Duas regiões foram avaliadas: a cápsula, estrutura imediatamente em contato com os materiais e a subcápsula região subjacente a cápsula. As análises morfológica e morfométrica da cápsula mostraram inflamação crônica com intensidade leve tendendo a discreta e maior organização das fibras, vasos, fibroblastos, e espessamento da cápsula fibrosa com decorrer do tempo, porém sem diferença estatisticamente significante (p>0,05) entre os materiais, já que induziram respostas teciduais semelhantes. Em relação à avaliação da subcápsula a única diferença estatisticamente significante (p<0,05) entre os materiais ocorreu para o período inicial de 15 dias onde o CPM apresentou o menor valor de células inflamatórias. Quanto ao tempo de presa dos materiais avaliados, o menor tempo de presa inicial ocorreu para o clínquer puro (6 min), seguido pelo clínquer a 2% (9 min) e clínquer a 5% (10 min) e o mais longo foi o CPM (15min). Em relação à presa final o clínquer puro também obteve o menor tempo (21mim), seguido pelo clínquer a 2% (25 mim), CPM (27 min) e por último o clínquer a 5% (42 min). Considerando as limitações deste trabalho, todos os materiais estudados apresentaram boa biocompatibilidade e o CPM apresentou menor grau de resposta inflamatória na região da subcápsula.
Title in English
Microscopic evaluation of the response of subcutaneous tissues of rats to implantation of Portland cement modified CPM and clinker of white Portland cement pure or combined with 2 % and 5 % of calcium sulfate and to determine the setting time of this materials
Keywords in English
Endodontics
Mineral Trioxide Aggregate
Portland Cement
Abstract in English
The Mineral Trioxide Aggregate (MTA) has been showing good physicochemical and biological properties and indicated for use in endodontic apical surgery, perforation repair, and apexification treatment. The purpose of this study was to evaluate the subcutaneous connective tissue reactions of CPM and clinker of Portland cement, either pure or combined with calcium sulfate 2 and 5% of the total weight. The setting time of the four cements were also evaluated. Four subcutaneous pockets were created in dorsum of the 24 rats and implanted polyethylene tubes sealed on one side with an material and other side with gutta-percha (control group). The Animals were sacrificed at 15, 30, and 60 days after implantation, the skin containing the tubes colleted and fixated in 10% formalin. The tubes were removed and surrounding tissue histologically processed. Two regions were evaluated, the connective-tissue capsule formed around material and the subcapsular tissue opposed the capsule. The morphologic and morphometric analysis of collagen fibres, fibroblasts, vessels and inflamatory tissue showed that in the capsule did not found statistical differences between groups (p>0,05), showing low-grade chronic inflammation and increase grade of organization of fibrous connective tissue structures with the time. In the subcapsule differences were only significant (p<0,05) in the CPM group at 15 days that presented less inflammatory cells in comparison with other materials. Concerning about the initial setting time the lower time was to clinker pure (6 min), followed by clinker 2% (9 min), clinker 5% (10min) and finally the CPM (15 min). About the final setting time the clinker pure obtained the least time (21 min), followed by clinker 2% (25 min), CPM (27 min) and clinker 5% (42 min). Within the limits of this study, all studied materials showed good biocompatibility and CPM showed low-grade inflammatory response in the subcapsule.
 
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Publishing Date
2009-06-02
 
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