RESEARCH PAPER
Uncompleted polymerization and cytotoxicity of dental restorative materials as potential health risk factors
 
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1
Department of Orthodontics, Medical University of Warsaw, Poland
 
2
Department of Oral Surgery, Medical University of Warsaw, Poland
 
3
Department of Transplantology and Central Tissue Bank, Centre of Biostructure Research, Medical University of Warsaw, Poland
 
4
Institute of Chemistry, Faculty of Advanced Technologies and Chemistry, Military University of Technology, Warsaw, Poland
 
5
Private Practice, Białystok, Poland
 
6
Center for Public Health and Health Promotion, Institute of Rural Health in Lublin, Poland
 
 
Corresponding author
Konrad Małkiewicz   

Department of Orthodontics, Medical University of Warsaw, Poland
 
 
Ann Agric Environ Med. 2017;24(4):618-623
 
KEYWORDS
ABSTRACT
Introduction:
Composite materials used in dentistry indicate adverse biological effects in laboratory conditions. One reason for this activity is incomplete conversion of their polymer matrix, favoring chemical instability and release of biologically harmful components to the external environment.

Aim:
The aim of the study was to assess the degree of conversion of restorative materials commonly available on the European market and to examine the cytotoxic effects of their eluates in vitro.

Material and Methods:
Using the Fournier transform infrared spectroscopy (FTIR) technique of analysis, the degree of polymer matrix conversion of 6 restorative materials was examined: Gradia Direct, Arkon, Filtek Z550, Herculite XRV, Tetric Evo Ceram, Charisma, polymerized with LED light. In order to assess the cytotoxicity of eluates of the studied materials obtained after 1 hour , 24 hours and 7 days, the MTT assay was used in cultured 3T3 cells. The results were statistically analyzed at significance level of p=0.05.

Results:
The conversion degree of the assessed polymers ranged from 31.56% for Tetric Evo Ceram to 75.84% for Arcon. The strongest (p=0.05) cytotoxic effect was demonstrated after 7-day observation of Tetric Evo Ceram eluates, reducing the metabolic activity of cells down to 56%. A positive correlation (r(x, y) = 0.62) between the degree of conversion of composite materials and cytotoxic effects of their eluates on cell cultures was confirmed.

Conclusions:
1. Restorative dental materials are chemically unstable in the conditions of the present study. 2. Polymer-based restorative dental materials available on the European market demonstrate cytotoxic properties constituting a potential threat to the patients’ health.

REFERENCES (23)
1.
Peutzfeld A. Resin components in dentistry: The monomer system. Eur J Oral Sci 1997; 105: 96–116.
 
2.
Moraes LGP, Rocha RSF, Menegazzo LM, de Araujo EB, Yakimitu K, Moraes JCS. Infrared spectroscopy: A tool for determination of the degree of conversion in dental composites. J Appl Oral Sci 2008; 16(2); 145–149.
 
3.
Goldberg M. In vitro and in vivo studies on the toxicity of dental resin components: a review. Clin Oral Invest 2008; 12: 1–8.
 
4.
Bettencourt AF, Nevés ChB, de Almeida MS, Pinheiro LM, e Oliveira SA, Lopes LP, Castro MF. Biodegradation of acrylic based resins: A rewiew. Dent Mater 2010; 26: e171-e180.
 
5.
Stoner BR, Piascik JR, Brown B, Wolter SD. A novel array chip to monitor in situ composite degradation using electrochemical impedance spectroscopy. Dent Mater 2011; 27: 811–817.
 
6.
Bakopoulou A, Papadopoulos T, Gerefis P. Molecural toxicology of substances released from resin based dental restorative materials. Int J Molec Sci 2009; 10: 3861–3899.
 
7.
Chang M-Ch, Chen L-I, Chan Ch-P, Lee J-J, Wang T-M, Yang T-T, Lin P-S, Lin H-J, Chang H-H, Jeng J-H. The role of reactive oxygen species and hemeoxygenase-1 expression in the cytotoxicity, cell cycle alteration and apoptosis of dental pulp cells induced by Bis-GMA. Biomaterials 2010; 31: 8164–8171.
 
8.
Drozd K, Wysokinski D, Krupa R, Wozniak K. Bisphenol A-glycid methacrylate induces a broad spectrum of DNA damage in human lymphocytes. Arch Toxicol 2011; 85: 1453–1461.
 
9.
Goon AT-J, Bruze M, Zimerson E, Goh C-L, Koh DS-Q, Isaaksson M. Screening for acrylate/methacrylate allergy in the baseline series: our experience in Sweden and Singapore. Contact Dermat 2008; 59: 307–313.
 
10.
Rueggeberg FA. State-of-the-art: Dental photocuring – A review. Dent Mater 2011; 27: 39–52.
 
11.
Franz A, König F, Lucas T, Watts DC, Schedle A. Cytotoxic effects of dental bonding substances as a function of degree of conversion. Dent Mater 2009; 25: 232–239.
 
12.
Ansteinsson V, Solhaug A, Samuelsen TJ, Holme JA, Dahl JE. DNA-damage, cell cycle arrest and apoptosis induced in BEAS-2B cells by 2-hydroxymetyl methacrylate (HEMA). Mutation Res 2011; 723: 158–164.
 
13.
Chang H-H, Guo M-K, Kasten FH, Chang M-Ch, Huang G-F, Wang Y-L, Wang R-S, Jeng J-H. Stimulation of glutathione depletion, ROS production and cell cycle arrest of dental pulp cells and gingival epithelial cells by HEMA. Biomaterials 2005; 26: 745–753.
 
14.
Samuelsen JT, Dahl JE, Karlsson S, Morisbak E, Becher R. Apoptosis induced by the monomers HEMA and TEGDMA involves formation of ROS and differential activation of the MAP-kinases p38, JNK and ERK. Dent Mater 2007; 23: 34–39.
 
15.
Samuelsen JT, Holme JA, Becher R, Karlsson S, Morisbak E, Dahl JE. HEMA reduces cell proliferation and induces apoptosis in vitro. Dent Mater 2008; 24: 134–140.
 
16.
Al – Hiyasat AS, Darmani H, Milhem MM. Cytotoxicity evaluation of dental resin composites and their flowable derivatives. Clin Oral Invest 2005; 9: 21–25.
 
17.
Beriat NC, Ertan AA, Canay S, Gurpinar S, Onur MA. Effect of Different Polymerization Methods on the Cytotoxicity of Dental Composites. Eur J Dent 2010; 4: 287–292.
 
18.
da Silva EM, Poskus LT, Guimarães JGA. Influence of light polymerization modes on degree of conversion and mechanical properties of resin composites: A comparative analysis between a hybrid and a nanofilled composite. Operative Dent 2008; 33(3): 287–93.
 
19.
Schneider LFJ, Consani S, Ogliari F, Correr AB, Sobrinho LC, Sinhoreti MAC. Effect of time and polymerization cycle on the degree of conversion of a resin composite. Operative Dent 2006; 31(4): 489–95.
 
20.
Tarle Z, Meniga A, Knezevic A, Sutalo J, Ristic M. Composite conversion and temperature rise using a conventional, plasma arc and an experimental blue LED curing unit. J Oral Rehab 2002; 29: 662–667.
 
21.
Rojas SS, Frigo GJM, Bernardo MIB, de S. Rastelli AN, Hernandes AC, Bagnato VS. Thermal and structural properties of commercial dental resins light-cured with blue emitting diodes (LEDs). J Therm Anal Colorim 2010; 99: 263–68.
 
22.
Soares LES, Liporoni PCS, Martin AA. The effect of soft-start polymerization by second generation LEDs on the degree of conversion of resin composite. Operative Dent 2007; 32(2): 160–65.
 
23.
Jagdish N, Padmanabhan S, Chitharanjan AB, Revathi J, Palani G, Sambasivam M, Sheriff K, Saravanamurali K. Cytotoxity and degree of conversion of orthodontic adhesives. Angle Orthod 2009; 79(6): 1133–1138.
 
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ISSN:1232-1966
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