Release and toxicity of bisphenol-A (BPA) contained in orthodontic adhesives: A systematic review

Bisphenol A Release from Fiber-Reinforced vs. Conventional Stainless-Steel Fixed Retainers: An In Vitro Study

OBJECTIVES

The objectives of this study were to investigate in vitro BPA release from two common fiberglass fixed lingual canine-to-canine retainers and to compare these amounts with those released from a conventional multistranded stainless-steel orthodontic retainer.

METHODS

Fifty-four recently extracted teeth were divided into groups of six teeth each, formed in an arch shape. Three different retainer types were evaluated: Ribbond, EverStick Ortho and Wildcut wire. Three identical specimens were constructed for each retainer type. BPA release was determined with validated the liquid chromatography-tandem mass spectrometry method at 1 and 24 h, as well as at 7, 14 and 30 days. The method's limits of detection and quantification were 0.32 ng/mL and 0.96 ng/mL, respectively. A two-way mixed, repeated-measures analysis of variance with Greenhouse-Geisser correction was employed to verify the existence of any significant differences.

RESULTS

Higher levels of BPA were released from the polyethylene fiber and glass fiber retainer in comparison with the conventional retainer in the present study. The differences between the systems over time were not statistically significant at the 95% confidence level.

CONCLUSIONS

In vitro BPA release during the first month did not differ between the examined retainer types. The highest BPA concentrations were observed at 1 month.

Impact of bisphenol A and analogues eluted from resin-based dental materials on cellular and molecular processes: An insight on underlying toxicity mechanisms

Dental resin systems, used for artificial replacement of teeth and their surrounding structures, have gained popularity due to the Food and Drug Administration's (FDA) recommendation to reduce dental amalgam use in high-risk populations and medical circumstances. Bisphenol A (BPA), an endocrine-disrupting chemical, is an essential monomer within dental resin in the form of various analogues and derivatives. Leaching of monomers from resins results in toxicity, affecting hormone metabolism and causing long-term health risks. Understanding cellular-level toxicity profiles of bisphenol derivatives is crucial for conducting toxicity studies in in vivo models. This review provides insights into the unique expression patterns of BPA and its analogues among different cell types and their underlying toxicity mechanisms. Lack of a consistent cell line for toxic effects necessitates exploring various cell lines. Among the individual monomers, BisGMA was found to be the most toxic; however, BisDMA and BADGE generates BPA endogenously and found to elicit severe adverse reactions. In correlating in vitro data with in vivo findings, further research is necessary to classify the elutes as human carcinogens or xenoestrogens. Though the basic mechanisms underlying toxicity were believed to be the production of intracellular reactive oxygen species and a corresponding decline in glutathione levels, several underlying mechanisms were identified to stimulate cellular responses at low concentrations. The review calls for further research to assess the synergistic interactions of co-monomers and other components in dental resins. The review emphasizes the clinical relevance of these findings, highlighting the necessity for safer dental materials and underscoring the potential health risks associated with current dental resin systems.

Mixture Effects of Bisphenol A and Its Structural Analogs on Estrogen Receptor Transcriptional Activation

Bisphenol A (BPA) exposure has been widely linked to endocrine-disrupting effects. Recently, many substitutes for BPA have been developed as safe structural analogs. However, they have still been reported to have similar adverse effects. The current study evaluated the effects of bisphenol A and eight structural analogs on the transcription of estrogen receptor alpha (ERα). The effects of binary and ternary mixtures prepared from different combinations of BPA analogs were also evaluated for transcription activity. The measured data of the mixtures were compared to the predicted data obtained by the full logistic model, and the model deviation ratio (MDR) was calculated to determine whether the effects were synergistic, antagonistic, or additive. Overall, the results suggest that the effect of bisphenol compound are additive in binary and ternary mixtures.

Stable and recyclable FeS-CMC-based peroxydisulfate activation for effective bisphenol A reduction: performance and mechanism

In this study, a novel material, iron sulfide modified by sodium carboxymethyl cellulose (FeS-CMC), was successfully synthetized for peroxydisulfate (PDS) activation to remove bisphenol A (BPA). Characterization results showed that FeS-CMC had more attachment sites for PDS activation due to its higher specific surface area. A stronger negative potential contributed to preventing nanoparticles from reuniting in the reaction and improving the interparticle electrostatic interactions of the materials. Fourier transform infrared spectrometer (FTIR) analysis of FeS-CMC suggested that the coordination of the ligand for combining sodium carboxymethyl cellulose (CMC) with FeS was monodentate. A total of 98.4% BPA was decomposed by the FeS-CMC/PDS system after 20 min under optimized conditions (pH = 3.60, [FeS-CMC] = 0.05 g/L and [PDS] = 0.88 mM). The isoelectric point (pH_pzc) of FeS-CMC is 5.20, and FeS-CMC contributed to reducing BPA under acidic conditions but showed a negative effect under basic conditions. The presence of HCO₃^-, NO₃^- and HA inhibited BPA degradation by FeS-CMC/PDS, while excess Cl^- accelerated the reaction. FeS-CMC exhibited excellent performance in oxidation resistance with a final removal degree of 95.0%, while FeS was only 20.0%. Furthermore, FeS-CMC showed excellent reusability and still reached 90.2% after triple reusability experiments. The study confirmed that the homogeneous reaction was the primary part of the system. Surface-bound Fe(II) and S (-II) were found to be the major electron donors during activation, and the reduction of S (-II) contributed to the cycle of Fe(III)/Fe(II). Sulfate radicals (SO₄^•-), hydroxyl radicals (•OH), superoxide radicals (O₂^•-) and singlet oxygen (¹O₂) were produced at the surface of FeS-CMC and accelerated the decomposition of BPA. This study offered a theoretical basis for improving the oxidation resistance and reusability of iron-based materials in the presence of advanced oxidation processes.

Preparation of carbon self-doped g-C3N4 for efficient degradation of bisphenol A under visible light irradiation

In this study, visible-light-driven carbon self-doped graphitic carbon nitride photocatalyst was fabricated by a facile method with urea and ammonium citrate, and used for photodegradation of bisphenol A (BPA) in the aqueous environment. The experiments indicated that the prepared photocatalyst (C_0.02CN) showed high catalytic activity, and 96.0%, 93.2%, and 95.5% BPA could be photodegraded in 150 min under pH 3, 6, and 11, respectively. The photocatalytic degradation rate (0.018 min^-1) and mineralization (27.6%) of C_0.02CN for BPA were about 6.7 and 3.5 times higher than those of the g-C₃N₄ (0.0027 min^-1, 7.87%), respectively. C_0.02CN had high reusability with a photodegradation efficiency of 84.5% for BPA after 3 cycles. Moreover, C_0.02CN introduced additional carbon atoms, which generated C-O-C bonds in the g-C₃N₄ lattice. In contrast to g-C₃N₄, carbon doping enhanced the visible light absorption range of C_0.02CN, reduced its band gap, and improved the separation efficiency of photogenerated electron-hole pairs. Radical quenching experiment and ESR results revealed that superoxide radicals (•O₂^-) and photogenerated holes (h⁺) acted as important parts in the high photodegradation activity under visible light irradiation. This work puts forward a one-pot strategy for the preparation of carbon self-doped g-C₃N₄, displacing the high-energy consuming and complicated preparation technology with promising industrial applications.

Immune System Acts on Orthodontic Tooth Movement: Cellular and Molecular Mechanisms

Orthodontic tooth movement (OTM) is a tissue remodeling process based on orthodontic force loading. Compressed periodontal tissues have a complicated aseptic inflammatory cascade, which are considered the initial factor of alveolar bone remodeling. Since skeletal and immune systems shared a wide variety of molecules, osteoimmunology has been generally accepted as an interdisciplinary field to investigate their interactions. Unsurprisingly, OTM is considered a good mirror of osteoimmunology since it involves immune reaction and bone remolding. In fact, besides bone remodeling, OTM involves cementum resorption, soft tissue remodeling, orthodontic pain, and relapse, all correlated with immune cells and/or immunologically active substance. The aim of this paper is to review the interaction of immune system with orthodontic tooth movement, which helps gain insights into mechanisms of OTM and search novel method to short treatment period and control complications.

Toxicological Assessment of an Acrylic Removable Orthodontic Appliance Using 2D and 3D In Vitro Methods

Malocclusion is a global health problem, mainly affecting children and adolescents. For this reason, orthodontic treatment must be, on the one hand, safe, non-toxic, and effective and, on the other hand, it must have the best possible esthetic profile. Thus, the use of orthodontic appliances is addressed to all age groups, including young children, for a long period of time, which is why their safety profile is a matter of real interest. For this reason, the purpose of the present study was to evaluate the safety and biocompatibility of an acrylic removable orthodontic appliance made of polymethylmethacrylate and stainless steel alloy made by our team of researchers. To verify the biocompatibility of the medical device, it was immersed in artificial saliva with three different pHs (3, 7, and 10) for a period of ten days. Subsequently, the three types of saliva were tested on human keratinocytes (HaCaT cell line) in terms of viability and modification of cell morphology. Finally, the use of 3D reconstructed human epidermis verified the cytotoxic and irritating potential of the medical device, thus providing relevant information regarding its biocompatibility. The results revealed that by maintaining the orthodontic device in the saliva there is no release of substances with a toxic effect on the human keratinocytes and on the 3D reconstructed human epidermis. There were also no significant changes in cell morphology. In conclusion, it is suggested that the acrylic removable appliance has a safety profile recommended for in vivo use.