The aim of this study was to evaluate the biocompatibility of the regeneration of the dentin–pulp complex in a murine model with different treatments with MTA Angelus, NeoMTA, and TheraCal PT. An in vivo controlled experimental study of 15 male Wistar rats forming three study groups, the upper and lower central incisors were selected where pulpotomies were conducted, leaving a central incisor as control at 15, 30, and 45 days. For data analysis, these were expressed as mean ± standard deviation and were examined by Kruskal–Wallis test. Three factors were analyzed as follows: “inflammatory infiltrate; disorganization of pulp tissue, and the formation of reparative dentin”. No statistical significance was found between the different groups (p > 0.05). Treatment with these three biomaterials (MTA, TheraCal PT, and Neo MTA) presented an inflammatory infiltrate and slight disorganization of the odontoblast layer in the pulp tissue of a murine model, with normal coronary pulp tissue and the formation of reparative dentin in the three experimental groups. Thus, we are able to conclude that all three are biocompatible materials.

The objective of this article was to carry out a systematic review of the literature to determine the different therapeutic uses of chitosan-based hydrogels and their uses in dental therapy, as well as the modification and improvement of dental materials to promote research related to chitosan and its incorporation into dentistry as an adjunct or replacement in some dental treatments. Chitosan is a natural polymer obtained from the deacetylation of chitin, a polysaccharide abundant in nature, which, due to its biocompatibility, high biodegradability, non-antigenicity, and its ease of acquisition, has attracted biomedical interest, including in dentistry. Recent studies have shown that chitosan can be integrated into dental materials to obtain remineralizing effects, such as for antimicrobial agents, osteogenic agents, and pulp regeneration treatment. A bibliographic search was carried out in PubMed from 2018 to 2023. The results showed a wide range of uses for chitosan in the dental field, particularly its use as a remineralizing agent for tooth enamel; It has also been used in tissue regeneration mainly because of its osteogenic activity, as an antimicrobial agent, and as a vehicle for the application of medications. The use of chitosan as a nanobiomaterial is an interesting topic, since chitosan shows potential for new dental materials, either as an active ingredient or as an adjuvant vehicle for other materials.

The aim of this study was to determine the effect of propolis on non-surgical periodontal therapy in patients with chronic periodontitis (CP) as it appears in the recent literature. Propolis is a natural and biocompatible resinous substance that has shown, by means of several scientific studies, to possess medicinal properties such as antimicrobial, healing, anesthetic, anti-inflammatory, and analgesic, among others. There are several studies that have reported the use of propolis as a non-surgical treatment of CP, its comparison with other antimicrobials, and the improvement of clinical and microbiological parameters with scaling and root planing (SRP). A bibliographic search was conducted in the PubMed, Google Scholar, Web of Science, and Science Direct databases up to 2021. The results showed that there are very few reports focused on clinical studies; however, according to the analyzed data, propolis could be a good adjuvant for the treatment of patients with chronic periodontitis compared to the conventional treatment (SRP).

Caries is a multifactorial disease that can negatively affect dental tissues through the demineralization process, which produces acids deriving from the metabolism of carbohydrates. Some strategies to prevent this process have been proposed, such as topical fluoride application, resin-based restorations, pit and fissures sealers, infiltrated resins, vaccines, mouthwashes, and several brushing techniques. To evaluate in vitro enamel hydrophobic modification as a method of prevention against demineralization. A descriptive and comparative study was carried out. Thirty premolars extracted for orthodontic reasons were obtained, encapsulated in epoxy resin, sectioned, and sanded to obtain specimens 3mm in thickness. The samples were pretreated with NaOCl and EDTA, incubated with 1 and 4% octadeyltrichlorosilane (OTS) or with 3 and 6% octadecyltriethoxysilane (TEOS) for 5min and for 8h. Subsequently, the samples were immersed in citric acid for 2 months. The samples were analyzed by their contact angle, infrared spectroscopy, scanning electron microscopy, atomic and confocal force, before and after treatment in citric acid. The samples coated with 1 and 4% OTS for 5min and 8h kept the silanizing agent on their surface after 2 months in citric acid. The treatment with TEOS was only effective at 6% with a reaction time of 5min. The modification with 1 and 4% OTS protects the surface of the tooth enamel from demineralization in acidic medium. The results indicate that treatment with 4% OTS is effective from 5min, which makes it appropriate in clinical practice.

Successful root canal treatment depends on adequate obturation with biocompatible and non-cytotoxic materials. This study evaluated the in vitro and in vivo biological characteristics of an experimental polydimethylsiloxane (PDMS)-based endodontic sealer and compared it with Silco^® and Sealapex^® cement. Human dermal fibroblasts (HDFa) were exposed to polydimethylsiloxane-based sealer eluates, Silco^® and Sealapex^®, at concentrations of 1:200, 1:100, 1:50, 1:1, and undiluted eluate (1×) for 24, 48, and 72 h, and they were subcutaneously implanted in Wistar rats for 15, 30, and 45 days. Cell viability exceeded 90% at 24–48 h and remained at 85% at the highest concentration after 72 h. Sealapex^® showed approximately 85% viability at 24 h, over 70% at 48 h, and remained below the cytotoxicity threshold at 72 h. Silco^® showed a marked reduction, with values approaching 50% at 24 h. At 48 and 73 h, Silco^® showed a significant reduction in cell viability. Histological analysis revealed only mild acute and chronic inflammation, with no statistically significant differences over time. These results indicate that the experimental sealant demonstrates favorable biological properties suitable for further clinical evaluation.

Dental enamel is a highly mineralized tissue with limited regenerative capacity, making it particularly susceptible to demineralization processes that negatively affect oral health. The development of biocompatible remineralizing materials is essential for advancing preventive and minimally invasive dentistry. This study aimed to evaluate the remineralizing effect of a chitosan–xylitol combination on dental enamel, as well as its antimicrobial activity. It was hypothesized that this combination would promote enamel remineralization. Surface morphology and elemental composition were analyzed using scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy (SEM-EDS). Fourier transform infrared spectroscopy (FTIR) was employed to identify chemical interactions associated with hydrogel formation. Mechanical properties were assessed through Vickers microhardness testing before and after treatment. Additionally, antimicrobial activity was evaluated using the Kirby–Bauer method against microorganisms associated with dental caries. The results demonstrated that the chitosan–xylitol combination promotes enamel remineralization, evidenced by structural changes, increased mineral content, and improved microhardness. A complementary antimicrobial effect was also observed. These findings support the potential of this combination as a promising alternative for preventive and conservative dental treatments.