Effect of Injectable-Platelet Rich Fibrin on marginal adaptation of Bioactive Materials Used as Direct Pulp Capping; An Experimental Animal Study

Abstract

ABSTRACTIntroduction: Vital pulp therapy has been known as one of the treatment optionsto preserve pulp vitality after being exposed by trauma or caries. Aim: This experimentexplored the effect of injectable-Platelet Rich Fibrin on marginal adaptation of two pulp capping agents (Mineral Trioxide Aggregate and Bioactive Bone Graft). Materials andmethods: A total of 64 teeth were used out of 8 healthy male beagle dogs. The teethwere randomly assigned into four groups, they were exposed and capped with differentcapping agents. Group A; capped with Mineral Trioxide Aggregate (MTA), Group B;capped with MTA+ i-PRF, Group C; capped with Bioactive Bone Graft (BBG), Group D; capped with BBG+i-PRF. Finally the access cavity was restored with IntermediateRestorative Material (IRM). At each predetermined interval, the dogs were sacrificed(1 month, and 3 months). The samples were then prepared for electron microscopicscanning evaluation. To compare between the gap percentage of four groups at eachinterval, Kruskal-wallis test; was used. Mann-Whitney U test; was used to pair-wisecomparison when Kruskal-wallis test is significant. Bonferroni’s correction was utilizedfor the pair-wise comparisons. Statistical significance was considered at P < .05.Results: The data revealed that after one and three months the best values were recordedin groups B (MTA+ i-PRF) and D (BBG+ i-PRF), in relation to the lowest gap area between the capping materials and dentin, followed by group C (BBG), with theleast value recorded in group A (MTA). Conclusion: the findings from the current studysuggested that i-PRF provided a better marginal adaptation of either MTA or BBG tothe pulp and dentin, which improved with time from one month to three months.