Assessment of the anti-inflammatory and biological properties of Bioroot Flow: A novel bioceramic sealer

• Published in: Tissue & cell Vol. 88; p. 102391
• Main Authors: López-García, Sergio, Sanz, José L., Murcia, Laura, García-Bernal, David, Lozano, Adrián, Forner, Leopoldo, Rodríguez-Lozano, Francisco J., Oñate-Sánchez, Ricardo E.
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01-06-2024
• Subjects: Anti-inflammatory; Anti-Inflammatory Agents - pharmacology; Bioactivity; Bioceramics; Biocompatible Materials - chemistry; Biocompatible Materials - pharmacology; Cell Adhesion - drug effects; Cell Differentiation - drug effects; Cell Movement - drug effects; Cell Proliferation - drug effects; Ceramics - pharmacology; Endodontic sealers; Humans; Periodontal Ligament - cytology; Periodontal Ligament - drug effects; Periodontal Ligament - metabolism; Periodontal stem cells; Root Canal Filling Materials - pharmacology; Stem Cells - drug effects; Stem Cells - metabolism; Bioceramics; Endodontic sealers; Periodontal stem cells; Bioactivity; Anti-inflammatory
• ISSN: 0040-8166; 1532-3072; 1532-3072
• DOI: 10.1016/j.tice.2024.102391

BioRoot Flow (BRF) is a novel premixed bioceramic sealer indicated for endodontic treatments, but the biological and immunomodulatory effects of this endodontic sealer on human periodontal ligament stem cells (hPDLSCs) have not been elucidated.
To ascertain the biological impact of BRF, TotalFill BC Sealer (TFbc), and AH Plus (AHP) on human Periodontal Ligament Stem Cells (hPDLSCs), assessments were conducted to evaluate the cytocompatibility, cellular proliferation, migratory capacity, osteo/cementogenic differentiation potential, the ability to form mineralized nodules, and the immunomodulatory characteristics of hPDLSCs following treatment with these endodontic sealers.
Biological assays showed adequate cell metabolic activity and cell migration in BRF, while SEM assay evidenced that TFbc and BRF groups demonstrated a superior cell adhesion process, including substrate adhesion, cytoskeleton development, and spreading on the niche-like structures of the cement as compared to the AHP group. TFbc and BRF-treated groups exhibited a significantly lower IL6 and IL8 production than AHP (* p <.05). The bioceramic sealers stimulated heightened expression of BSP, CEMP-1, and CAP genes within a 7–14 day period. Notably, BRF and TFbc demonstrated a significant enhancement in the mineralization of hPDLSCs when compared to the negative control. Among these, cells treated with BRF showed a more substantial accumulation of calcium (*** p < .001).
Taken together, these findings indicate that BRF can potentially enhance cell differentiation by promoting the expression of essential genes related to bone and cement formation. In addition, BRF and TFbc displayed anti-inflammatory effects.
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•Bioroot flow exhibits an adequate cytocompatibility on hPDLSCs, comparable to that of Totalfill BC sealer.•Both Bioroot Flow and Totalfill BC sealer exhibit bioactive properties.•Both Bioroot Flow and Totalfill BC sealer exhibit anti-inflammatory effects on hPDLSCs.