Application of a direct pulp capping cement containing S-PRG filler

Objectives

To evaluate new pulp capping cements containing surface pre-reacted glass ionomer (S-PRG) filler and to investigate ion release kinetics and pH shift of eluates from the cement.

Materials and methods

Molars of Wistar rats were directly pulp capped using three kinds of cement containing S-PRG filler and mineral tri-oxide aggregate (MTA) was used as a control. After 1, 2, or 4 weeks, histological evaluation was performed and differences of tertiary dentin formation were analyzed. Release of Sr²⁺, BO₃³⁻, SiO₃²⁻, Na⁺, and Al³⁺ ions was determined by inductively coupled plasma-atomic emission spectrometry, and F⁻ ion release was measured using a fluoride ion selective electrode. The pH of the eluate from each cement after mixing was measured with a pH electrode.

Results

One of S-PRG cements promoted tertiary dentin formation to the same extent as the control (p > 0.05) and it showed a tendency of less inflammatory response. This cement released more BO₃³⁻ and SiO₃²⁻, but less Sr²⁺, Na⁺, and F⁻ than other S-PRG specimens. Each cement recovered nearly neutral compared with glass ionomer cement.

Conclusions

S-PRG cement induced tertiary dentin formation based on multiple ion releases, suggesting that it is suitable as a pulp capping material.

Clinical relevance

This new material can be an alternative pulp capping agent to MTA.