Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Injectable Filler | Research

Cytotoxicity and reactive oxygen species production induced by different co-monomer eluted from nanohybrid dental composites

Authors: En-Shi Jiang, Wonjoon Moon, Bum-Soon Lim, Juhea Chang, Shin Hye Chung

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

Safety issues for dental restorative composites are critical to material selection, but, limited information is available to dental practitioners. This study aimed to compare the chemical and biological characteristics of three nanohybrid dental composites by assessing filler particle analysis, monomer degree of conversion (DC), the composition of eluates, and cytotoxicity and reactive oxygen species (ROS) production in fibroblasts.

Methods

Three nanohybrid composites (TN, Tetric N-Ceram; CX, Ceram X Sphere Tec One; and DN, DenFil NX) were used. The size distribution and morphology of the filler particles were analysed using scanning electron microscopy (n = 5). The DC was measured via micro-Raman spectroscopy (n = 5). For the component analysis, methanol eluates from the light-polymerised composites were evaluated by gas chromatography/mass spectrometry (n = 3). The eluates were prepared from the polymerised composites after 24 h in a cell culture medium. A live/dead assay (n = 9) and Water-Soluble Tetrazolium-1 assay (n = 9) were performed and compared with negative and positive controls. The ROS in composites were compared with NC. Statistical significance in differences was assessed using a t-test and ANOVA (α = 0.05).

Results

Morphological variations in different-sized fillers were observed in the composites. The DC values were not significantly different among the composites. The amounts of 2-hydroxyethyl methacrylate (HEMA) were higher in TN than DN (p = 0.0022) and triethylene glycol dimethacrylate (TEGDMA) in CX was higher than in others (p < 0.0001). The lowest cell viability was shown in CX (p < 0.0001) and the highest ROS formation was detected in TN (p < 0.0001).

Conclusions

Three nanohybrid dental composites exhibited various compositions of filler sizes and resin components, resulting in different levels of cytotoxicity and ROS production. Chemical compositions of dental composites can be considered with their biological impact on safety issues in the intraoral use of dental restorative composites. CX with the highest TEGDMA showed the highest cytotoxicity induced by ROS accumulation. DN with lower TEGDMA and HEMA presented the highest cell viability.
Appendix
Available only for authorised users
Literature
1.
go back to reference Van Dijken J, Pallesen U. A randomized 10-year prospective follow-up of class II nanohybrid and conventional hybrid resin composite restorations. J Adhes Dent. 2014;16:585–92. Van Dijken J, Pallesen U. A randomized 10-year prospective follow-up of class II nanohybrid and conventional hybrid resin composite restorations. J Adhes Dent. 2014;16:585–92.
2.
go back to reference Alzraikat H, Burrow M, Maghaireh G, Taha N. Nanofilled resin composite properties and clinical performance: a review. Oper Dent. 2018;43:E173–90.CrossRef Alzraikat H, Burrow M, Maghaireh G, Taha N. Nanofilled resin composite properties and clinical performance: a review. Oper Dent. 2018;43:E173–90.CrossRef
3.
go back to reference Durner J, Obermaier J, Draenert M, Ilie N. Correlation of the degree of conversion with the amount of elutable substances in nano-hybrid dental composites. Dent Mater. 2012;28:1146–53.CrossRef Durner J, Obermaier J, Draenert M, Ilie N. Correlation of the degree of conversion with the amount of elutable substances in nano-hybrid dental composites. Dent Mater. 2012;28:1146–53.CrossRef
4.
go back to reference Yadav R, Meena A, Patnaik A. Biomaterials for dental composite applications: a comprehensive review of physical, chemical, mechanical, thermal, tribological, and biological properties. Polym Adv Technol. 2022;33:1762–81.CrossRef Yadav R, Meena A, Patnaik A. Biomaterials for dental composite applications: a comprehensive review of physical, chemical, mechanical, thermal, tribological, and biological properties. Polym Adv Technol. 2022;33:1762–81.CrossRef
5.
go back to reference Bastos NA, Bitencourt SB, Martins EA, De Souza GM. Review of nano-technology applications in resin-based restorative materials. J Esthet Dent. 2021;33:567–82.CrossRef Bastos NA, Bitencourt SB, Martins EA, De Souza GM. Review of nano-technology applications in resin-based restorative materials. J Esthet Dent. 2021;33:567–82.CrossRef
6.
go back to reference Heintze S, Forjanic M, Ohmiti K, Rousson V. Surface deterioration of dental materials after simulated toothbrushing in relation to brushing time and load. Dent Mater. 2010;26:306–19.CrossRef Heintze S, Forjanic M, Ohmiti K, Rousson V. Surface deterioration of dental materials after simulated toothbrushing in relation to brushing time and load. Dent Mater. 2010;26:306–19.CrossRef
7.
go back to reference Kaizer MR, de Oliveira-Ogliari A, Cenci MS, Opdam NJ, Moraes RR. Do nanofill or submicron composites show improved smoothness and gloss? A systematic review of in vitro studies. Dent Mater. 2014;30:e41-78.CrossRef Kaizer MR, de Oliveira-Ogliari A, Cenci MS, Opdam NJ, Moraes RR. Do nanofill or submicron composites show improved smoothness and gloss? A systematic review of in vitro studies. Dent Mater. 2014;30:e41-78.CrossRef
8.
go back to reference Maran BM, de Geus JL, Gutiérrez MF, Heintze S, Tardem C, Barceleiro MO, Reis A, Loguercio AD. Nanofilled/nanohybrid and hybrid resin-based composite in patients with direct restorations in posterior teeth: A systematic review and meta-analysis. J Dent. 2020;99: 103407.CrossRef Maran BM, de Geus JL, Gutiérrez MF, Heintze S, Tardem C, Barceleiro MO, Reis A, Loguercio AD. Nanofilled/nanohybrid and hybrid resin-based composite in patients with direct restorations in posterior teeth: A systematic review and meta-analysis. J Dent. 2020;99: 103407.CrossRef
9.
go back to reference Nasution H, Tantra A, Arista T. The effect of filler content and particle size on the impact strength and water absorption of epoxy/cockle-shell powder (Anadora granosa) composite. ARPN J Eng Appl Sci. 2016;11:4739–42. Nasution H, Tantra A, Arista T. The effect of filler content and particle size on the impact strength and water absorption of epoxy/cockle-shell powder (Anadora granosa) composite. ARPN J Eng Appl Sci. 2016;11:4739–42.
10.
go back to reference Örtengren U, Wellendorf H, Karlsson S, Ruyter I. Water sorption and solubility of dental composites and identification of monomers released in an aqueous environment. J Oral Rehabil. 2001;28:1106–15.CrossRef Örtengren U, Wellendorf H, Karlsson S, Ruyter I. Water sorption and solubility of dental composites and identification of monomers released in an aqueous environment. J Oral Rehabil. 2001;28:1106–15.CrossRef
11.
go back to reference Van Landuyt K, Nawrot T, Geebelen B, De Munck J, Snauwaert J, Yoshihara K, Scheers H, Godderis L, Hoet P, Van Meerbeek B. How much do resin-based dental materials release? A Meta-Anal Approach Dent Mater. 2011;27:723–47. Van Landuyt K, Nawrot T, Geebelen B, De Munck J, Snauwaert J, Yoshihara K, Scheers H, Godderis L, Hoet P, Van Meerbeek B. How much do resin-based dental materials release? A Meta-Anal Approach Dent Mater. 2011;27:723–47.
12.
go back to reference Bationo R, Rouamba A, Diarra A, Beugré-Kouassi MLA, Beugré JB, Jordana F. Cytotoxicity evaluation of dental and orthodontic light-cured composite resins. Clin Exp Dent Res. 2021;7:40–8.CrossRef Bationo R, Rouamba A, Diarra A, Beugré-Kouassi MLA, Beugré JB, Jordana F. Cytotoxicity evaluation of dental and orthodontic light-cured composite resins. Clin Exp Dent Res. 2021;7:40–8.CrossRef
13.
go back to reference Yang Y, Reichl FX, Shi J, He X, Hickel R, Högg C. Cytotoxicity and DNA double-strand breaks in human gingival fibroblasts exposed to eluates of dental composites. Dent Mater. 2018;34:201–8.CrossRef Yang Y, Reichl FX, Shi J, He X, Hickel R, Högg C. Cytotoxicity and DNA double-strand breaks in human gingival fibroblasts exposed to eluates of dental composites. Dent Mater. 2018;34:201–8.CrossRef
14.
go back to reference Urcan E, Scherthan H, Styllou M, Haertel U, Hickel R, Reichl FX. Induction of DNA double-strand breaks in primary gingival fibroblasts by exposure to dental resin composites. Biomaterials. 2010;31:2010–4.CrossRef Urcan E, Scherthan H, Styllou M, Haertel U, Hickel R, Reichl FX. Induction of DNA double-strand breaks in primary gingival fibroblasts by exposure to dental resin composites. Biomaterials. 2010;31:2010–4.CrossRef
15.
go back to reference Schmalz G. Determination of biocompatibility: evaluation of materials. In: Schmalz G, Arenholt D, editors. Biocompatibility of dental materials. Leipzig: Springer; 2009. p. 13–43.CrossRef Schmalz G. Determination of biocompatibility: evaluation of materials. In: Schmalz G, Arenholt D, editors. Biocompatibility of dental materials. Leipzig: Springer; 2009. p. 13–43.CrossRef
17.
go back to reference Lee DH, Kim NR, Lim B-S, Lee Y-K, Yang H-C. Effects of TEGDMA and HEMA on the expression of COX-2 and iNOS in cultured murine macrophage cells. Dent Mater. 2009;25:240–6.CrossRef Lee DH, Kim NR, Lim B-S, Lee Y-K, Yang H-C. Effects of TEGDMA and HEMA on the expression of COX-2 and iNOS in cultured murine macrophage cells. Dent Mater. 2009;25:240–6.CrossRef
18.
go back to reference De Nys S, Duca RC, Vervliet P, Covaci A, Boonen I, Elskens M, Vanoirbeek J, Godderis L, Van Meerbeek B, Van Landuyt KL. Bisphenol A as degradation product of monomers used in resin-based dental materials. Dent Mater. 2021;37:1020–9.CrossRef De Nys S, Duca RC, Vervliet P, Covaci A, Boonen I, Elskens M, Vanoirbeek J, Godderis L, Van Meerbeek B, Van Landuyt KL. Bisphenol A as degradation product of monomers used in resin-based dental materials. Dent Mater. 2021;37:1020–9.CrossRef
19.
go back to reference Volk J, Engelmann J, Leyhausen G, Geurtsen W. Effects of three resin monomers on the cellular glutathione concentration of cultured human gingival fibroblasts. Dent Mater. 2006;22:499–505.CrossRef Volk J, Engelmann J, Leyhausen G, Geurtsen W. Effects of three resin monomers on the cellular glutathione concentration of cultured human gingival fibroblasts. Dent Mater. 2006;22:499–505.CrossRef
20.
go back to reference Eckhardt A, Gerstmayr N, Hiller KA, Bolay C, Waha C, Spagnuolo G, Camargo C, Schmalz G, Schweikl H. TEGDMA-induced oxidative DNA damage and activation of ATM and MAP kinases. Biomaterials. 2009;30:2006–14.CrossRef Eckhardt A, Gerstmayr N, Hiller KA, Bolay C, Waha C, Spagnuolo G, Camargo C, Schmalz G, Schweikl H. TEGDMA-induced oxidative DNA damage and activation of ATM and MAP kinases. Biomaterials. 2009;30:2006–14.CrossRef
21.
go back to reference Nocca G, De Palma F, Minucci A, De Sole P, Martorana GE, Callà C, Morlacchi C, Gozzo ML, Gambarini G, Chimenti C. Alterations of energy metabolism and glutathione levels of HL-60 cells induced by methacrylates present in composite resins. J Dent. 2007;35:187–94.CrossRef Nocca G, De Palma F, Minucci A, De Sole P, Martorana GE, Callà C, Morlacchi C, Gozzo ML, Gambarini G, Chimenti C. Alterations of energy metabolism and glutathione levels of HL-60 cells induced by methacrylates present in composite resins. J Dent. 2007;35:187–94.CrossRef
22.
go back to reference Schweikl H, Spagnuolo G, Schmalz G. Genetic and cellular toxicology of dental resin monomers. J Dent Res. 2006;85:870–7.CrossRef Schweikl H, Spagnuolo G, Schmalz G. Genetic and cellular toxicology of dental resin monomers. J Dent Res. 2006;85:870–7.CrossRef
23.
go back to reference Shehata M, Durner J, Eldenez A, Van Landuyt K, Styllou P, Rothmund L, Hickel R, Scherthan H, Geurtsen W, Kaina B. Cytotoxicity and induction of DNA double-strand breaks by components leached from dental composites in primary human gingival fibroblasts. Dent Mater. 2013;29:971–9.CrossRef Shehata M, Durner J, Eldenez A, Van Landuyt K, Styllou P, Rothmund L, Hickel R, Scherthan H, Geurtsen W, Kaina B. Cytotoxicity and induction of DNA double-strand breaks by components leached from dental composites in primary human gingival fibroblasts. Dent Mater. 2013;29:971–9.CrossRef
24.
go back to reference Koulaouzidou EA, Roussou K, Sidiropoulos K, Nikolaidis A, Kolokuris I, Tsakalof A, Tsitsimpikou C, Kouretas D. Investigation of the chemical profile and cytotoxicity evaluation of organic components eluted from pit and fissure sealants. Food Chem Toxicol. 2018;120:536–43.CrossRef Koulaouzidou EA, Roussou K, Sidiropoulos K, Nikolaidis A, Kolokuris I, Tsakalof A, Tsitsimpikou C, Kouretas D. Investigation of the chemical profile and cytotoxicity evaluation of organic components eluted from pit and fissure sealants. Food Chem Toxicol. 2018;120:536–43.CrossRef
25.
go back to reference Susila AV, Balasubramanian V. Correlation of elution and sensitivity of cell lines to dental composites. Dent Mater. 2016;32:e63-72.CrossRef Susila AV, Balasubramanian V. Correlation of elution and sensitivity of cell lines to dental composites. Dent Mater. 2016;32:e63-72.CrossRef
26.
go back to reference Krifka S, Seidenader C, Hiller KA, Schmalz G, Schweikl H. Oxidative stress and cytotoxicity generated by dental composites in human pulp cells. Clin Oral Investig. 2012;16:215–24.CrossRef Krifka S, Seidenader C, Hiller KA, Schmalz G, Schweikl H. Oxidative stress and cytotoxicity generated by dental composites in human pulp cells. Clin Oral Investig. 2012;16:215–24.CrossRef
27.
go back to reference Kashiwagi K, Inoue H, Komasa R, Hosoyama Y, Yamashita K, Morisaki A, Goda S. Optimal dilutions of S-PRG filler eluate for experiments on human gingival fibroblasts in vitro. Dent Mater J. 2021;40:136–42.CrossRef Kashiwagi K, Inoue H, Komasa R, Hosoyama Y, Yamashita K, Morisaki A, Goda S. Optimal dilutions of S-PRG filler eluate for experiments on human gingival fibroblasts in vitro. Dent Mater J. 2021;40:136–42.CrossRef
28.
go back to reference Reidelbach C, Garcia-Käufer M, Wingert N, Arif A, Vach K, Hellwig E, Gminski R, Polydorou O. Cytotoxicity and estrogenicity in simulated dental wastewater after grinding of resin-based materials. Dent Mater. 2021;37:1486–97.CrossRef Reidelbach C, Garcia-Käufer M, Wingert N, Arif A, Vach K, Hellwig E, Gminski R, Polydorou O. Cytotoxicity and estrogenicity in simulated dental wastewater after grinding of resin-based materials. Dent Mater. 2021;37:1486–97.CrossRef
30.
go back to reference Spahl W, Budzikiewicz H, Geurtsen W. Determination of leachable components from four commercial dental composites by gas and liquid chromatography/mass spectrometry. J Dent. 1998;26:137–45.CrossRef Spahl W, Budzikiewicz H, Geurtsen W. Determination of leachable components from four commercial dental composites by gas and liquid chromatography/mass spectrometry. J Dent. 1998;26:137–45.CrossRef
31.
go back to reference Di Francescantonio M, Pacheco RR, Aguiar TR, Boaro LCC, Braga RR, Martins AL, Giannini M. Evaluation of composition and morphology of filler particles in low-shrinkage and conventional composite resins carried out by means of SEM and EDX. J Clin Dent Res. 2016;13:49–58. Di Francescantonio M, Pacheco RR, Aguiar TR, Boaro LCC, Braga RR, Martins AL, Giannini M. Evaluation of composition and morphology of filler particles in low-shrinkage and conventional composite resins carried out by means of SEM and EDX. J Clin Dent Res. 2016;13:49–58.
33.
go back to reference Cebe MA, Cebe F, Cengiz MF, Cetin AR, Arpag OF, Ozturk B. Elution of monomer from different bulk fill dental composite resins. Dent Mater. 2015;31:e141–9.CrossRef Cebe MA, Cebe F, Cengiz MF, Cetin AR, Arpag OF, Ozturk B. Elution of monomer from different bulk fill dental composite resins. Dent Mater. 2015;31:e141–9.CrossRef
34.
go back to reference Reichl FX, Seiss M, Marquardt W, Kleinsasser N, Schweikl H, Kehe K, Hickel R. Toxicity potentiation by H2O2 with components of dental restorative materials on human oral cells. Arch Toxicol. 2008;82:21–8.CrossRef Reichl FX, Seiss M, Marquardt W, Kleinsasser N, Schweikl H, Kehe K, Hickel R. Toxicity potentiation by H2O2 with components of dental restorative materials on human oral cells. Arch Toxicol. 2008;82:21–8.CrossRef
35.
go back to reference Michelsen VB, Moe G, Skålevik R, Jensen E, Lygre H. Quantification of organic eluates from polymerized resin-based dental restorative materials by use of GC/MS. J Chromatogr B. 2007;850:83–91.CrossRef Michelsen VB, Moe G, Skålevik R, Jensen E, Lygre H. Quantification of organic eluates from polymerized resin-based dental restorative materials by use of GC/MS. J Chromatogr B. 2007;850:83–91.CrossRef
36.
go back to reference Reichl FX, Löhle J, Seiss M, Furche S, Shehata MM, Hickel R, Müller M, Dränert M, Durner J. Elution of TEGDMA and HEMA from polymerized resin-based bonding systems. Dent Mater. 2012;28:1120–5.CrossRef Reichl FX, Löhle J, Seiss M, Furche S, Shehata MM, Hickel R, Müller M, Dränert M, Durner J. Elution of TEGDMA and HEMA from polymerized resin-based bonding systems. Dent Mater. 2012;28:1120–5.CrossRef
37.
go back to reference Wei SuL, Lin DJ, Yen UJ. Novel dental resin composites containing LiAl-F layered double hydroxide (LDH) filler: fluoride release/recharge, mechanical properties, color change, and cytotoxicity. Dent Mater. 2019;35:663–72.CrossRef Wei SuL, Lin DJ, Yen UJ. Novel dental resin composites containing LiAl-F layered double hydroxide (LDH) filler: fluoride release/recharge, mechanical properties, color change, and cytotoxicity. Dent Mater. 2019;35:663–72.CrossRef
38.
go back to reference Zheng L, Li K, Ning C, Sun J. Study on antibacterial and fluoride-releasing properties of a novel composite resin with fluorine-doped nano-zirconia fillers. J Dent. 2021;113: 103772.CrossRef Zheng L, Li K, Ning C, Sun J. Study on antibacterial and fluoride-releasing properties of a novel composite resin with fluorine-doped nano-zirconia fillers. J Dent. 2021;113: 103772.CrossRef
39.
go back to reference Putzeys E, Cokic SM, Chong H, Smet M, Vanoirbeek J, Godderis L, et al. Simultaneous analysis of bisphenol A based compounds and other monomers leaching from resin-based dental materials by UHPLC–MS/MS. J Sep Sci. 2017;40:1063–75.CrossRef Putzeys E, Cokic SM, Chong H, Smet M, Vanoirbeek J, Godderis L, et al. Simultaneous analysis of bisphenol A based compounds and other monomers leaching from resin-based dental materials by UHPLC–MS/MS. J Sep Sci. 2017;40:1063–75.CrossRef
40.
go back to reference Boaro LC, Lopes DP, de Souza AS, Nakano EL, Perez MD, Pfeifer CS, et al. Clinical performance and chemical-physical properties of bulk fill composites resin—a systematic review and meta-analysis. Dent Mater. 2019;35:e249–64.CrossRef Boaro LC, Lopes DP, de Souza AS, Nakano EL, Perez MD, Pfeifer CS, et al. Clinical performance and chemical-physical properties of bulk fill composites resin—a systematic review and meta-analysis. Dent Mater. 2019;35:e249–64.CrossRef
41.
go back to reference Rinastiti M, Özcan M, Siswomihardjo W, Busscher HJ. Effects of surface conditioning on repair bond strengths of non-aged and aged microhybrid, nanohybrid, and nanofilled composite resins. Clin Oral Investig. 2011;15:625–33.CrossRef Rinastiti M, Özcan M, Siswomihardjo W, Busscher HJ. Effects of surface conditioning on repair bond strengths of non-aged and aged microhybrid, nanohybrid, and nanofilled composite resins. Clin Oral Investig. 2011;15:625–33.CrossRef
Metadata
Title
Cytotoxicity and reactive oxygen species production induced by different co-monomer eluted from nanohybrid dental composites
Authors
En-Shi Jiang
Wonjoon Moon
Bum-Soon Lim
Juhea Chang
Shin Hye Chung
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02710-y

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue