Introduction/Objective. We aimed to investigate the effects of diabetes
mellitus (DM) on rat dental pulp repair by measuring time-dependent changes
in expressions of vascular endothelial growth factor (VEGF) and bone
morphogenetic protein (BMP 2) following direct pulp capping. Methods. Two
groups, each of 20 Wistar rats, received either streptozotocin (for DM
induction) or the same volume of sterile saline. One week later, the pulp of
maxillary and mandibular right incisors in diabetic and nondiabetic groups
were exposed and capped with calcium hydroxide in order to provoke reparative
response. The levels of VEGF and BMP 2 were determined in the pulp tissue
lysates one and seven days after the pulp capping, using enzyme-linked
immunosorbent assays. Results. Diabetic state per se increased VEGF level,
with a peak at first day after the pulp capping (19.3 ? 0.9 pg/mg, p <
0.001), but did not affect BMP 2 levels. Significant increase of BMP 2
expression was noticed on seventh day in capped pulp, but only in diabetic
rat (16.7 ? 1.0 pg/mg, p = 0.001). Positive correlation between VEGF and BMP
2 was found on seventh day following capping, only in diabetic pulp (r =
0.905, p = 0.003). Conclusion. Diabetes-induced increase in VEGF expression
reflects changes in the inflammatory phase of pulp repair in DM. Increase in
BMP 2 expression suggest that stimulating effect of calcium hydroxide appears
seven days after diabetic pulp capping. [Project of the Serbian Ministry of
Education, Science and Technological Development, Grant no. 175021]