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Objectives: The purpose of this study was to evaluate and compare the cytotoxic effects of ProRoot MTA and
DiaRoot BA, a bioceramic nanoparticulate cement, on subcutaneous rat tissue.
Study
D
esign: Fifty Sprouge Dawley rats were used in this study. Polyethylene tubes filled with ProRoot MTA and
DiaRoot BioAggregate, along with a control group of empty, were implanted into dorsal connective tissue of rats for 7,
15, 30, 60, and 90 days. After estimated time intervals the rats were sacrificed. The specimens were fixed, stained with
hematoxylin and eosin, and then evaluated under a light microscope for inflammatory reactions and mineralization.
Results: All groups evoked a severe to moderate chronic inflammatory reaction at 7 and 15 days, which decreased
with time. Both the MTA and BioAggregate groups showed similar inflammatory reactions, except at 90 days when
MTA showed statistically significant greater inflammation (p>0.05). The MTA group showed foreign body reaction
at all times. Compared to BioAggregate, MTA showed significantly more foreign body reaction at 60 and 90 days
(p<0.0001). After 30 days foreign body reaction of BioAggregate decreased significantly. Both MTA and BioAggregate groups showed similar necrosis at 7 and 15 days (p=0.094 and p=0.186 respectively). No necrosis was observed
after 15 days. Similarly there was no fibrosis after 30 days for both MTA and BioAggregate groups (p>0.05).
Conclusions: Since DiaRoot BioAggregate showed significantly better results than MTA, we can conclude that it
is more biocompatible. However, further studies are required to confirm this result.
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