ObjectiveThis study tested rat connective tissue response to RealSeal, RealSeal primer or
AH Plus after 7, 15, 30, 60 and 90 days of implantation.Material and methodsThirty Wistar rats had subcutaneous sockets created on their back and received
four implants each of polyethylene tubes containing one of the materials tested
according to the groups: AH (AH Plus Sealer); RS (RealSeal Sealer); RP (RealSeal
Primer); CG (control group – empty tube). After histological processing, sections
were analyzed to identify the presence of neutrophils, lymphocytes and plasma
cells, eosinophils, macrophages and giant cells, as well as fibrous capsule and
abscesses, by an examiner using light microscope. Kruskal- Wallis and
multiple-comparisons test were used for statistical analysis. Significance level
was set at 5%.ResultsLymphoplasmacytic infiltrate scores significantly higher than those of the control
group were observed at 14 and 60 days in AH group, and at 90 days in RS group
(p<0.05). There were no differences in terms of presence of macrophages,
giant cells, eosinophils, neutrophils or fibrosis. AH Plus group scored higher for
abscesses at 7 days than after any other period (p=0.031). RP group scored higher
for lymphoplasmacytic infiltrate at 14 days than at 90 days (p=0.04).ConclusionThe main contribution of this study was to demonstrate that issues involved with
tissue tolerance of a Resilon-containing sealer, RealSeal Sealer, cannot be
attributed to its primer content.