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Hampe T, Liersch J, Wiechens B, Bürgers R, Krohn S. Bisphenol A release from CAD/CAM splint materials. Eur J Oral Sci 2024; 132:e12993. [PMID: 38778467 DOI: 10.1111/eos.12993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 04/26/2024] [Indexed: 05/25/2024]
Abstract
This study aimed to investigate the bisphenol A (BPA) release from four CAD/CAM splint materials: three polycarbonate-based (DD BioSplint C, Splint Plus Biostar, Temp Premium Flexible) and one polymethylmethacrylate-based (Temp Basic) material. From each material, ten cylindrical samples (n = 40) were immersed in high-performance liquid chromatography (HPLC) grade water following ISO 10993-12 and incubated for 24 h in an incubation shaker at 37°C and 112 rpm. Following BPA derivatization, analysis was performed by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). After 24 h of incubation, all investigated materials released significant amounts of BPA compared to water blanks. The material-dependent elution increased in the following order: DD BioSplint C < Splint Plus Biostar < Temp Basic < Temp Premium Flexible. Subtracting extraneous BPA, the concentrations ranged between 2.27 ng/mL and 12.65 ng/mL. After extrapolating the concentrations in relation to the average surface area of occlusal splints, the amount of BPA per mL exceeded the Tolerable Daily Intake (TDI) set by the European Union for a person weighing 70 kg by 1.32-6.16 times. Contrary to the release from previously investigated materials, BPA elution from CAD/CAM splint materials was highly elevated. Considering the increasing adaptation of CAD/CAM techniques, elution from them may represent a relevant BPA source in daily dental practice.
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Affiliation(s)
- Tristan Hampe
- Department of Prosthodontics, University Medical Center Göttingen, Göttingen, Germany
| | - Julia Liersch
- Department of Prosthodontics, University Medical Center Göttingen, Göttingen, Germany
| | - Bernhard Wiechens
- Department of Prosthodontics, University Medical Center Göttingen, Göttingen, Germany
- Department of Orthodontics, University Medical Center Göttingen, Göttingen, Germany
| | - Ralf Bürgers
- Department of Prosthodontics, University Medical Center Göttingen, Göttingen, Germany
| | - Sebastian Krohn
- Department of Prosthodontics, University Medical Center Göttingen, Göttingen, Germany
- Department of Orthodontics, University Hospital Regensburg, Regensburg, Germany
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Dantagnan CA, Babajko S, Nassif A, Houari S, Jedeon K, François P, Dursun E, Attal JP, Bosco J. Analysis of Resin-Based Dental Materials' Composition Depending on Their Clinical Applications. Polymers (Basel) 2024; 16:1022. [PMID: 38674942 PMCID: PMC11053636 DOI: 10.3390/polym16081022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 04/01/2024] [Accepted: 04/02/2024] [Indexed: 04/28/2024] Open
Abstract
The objective of this study was to detail the monomer composition of resin-based dental materials sold in the market in 2023 and to evaluate the proportion of bisphenol A (BPA)-derivatives in relation to their applications. A search on manufacturers' websites was performed to reference resin-based dental materials currently on the European market (including the European Union (EU) and United Kingdom (UK). Their monomer composition was determined using material-safety data sheets and was completed by a search on the PubMed database. Among the 543 material compositions exploitable, 382 (70.3%) contained BPA derivatives. Among them, 56.2% contained BisGMA and 28% BisEMA, the most frequently reported. A total of 59 monomers, of which six were BPA derivatives, were found. In total, 309 materials (56.9%) contained UDMA and 292 (53.8%) TEGDMA. Less than one third of materials identified contained no BPA derivatives. These proportions vary a lot depending on their applications, with materials dedicated to the dental care of young populations containing the highest proportions of BPA-derivative monomers. The long-term effects on human health of the different monomers identified including BPA-derivative monomers is a source of concern. For children and pregnant or lactating women arises the question of whether to take a precautionary principle and avoid the use of resin-based dental materials likely to release BPA by opting for alternative materials.
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Affiliation(s)
- Claire-Adeline Dantagnan
- Innovative Dental Materials and Interfaces Research Unit, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (C.-A.D.); philo.franç (P.F.); (E.D.); (J.B.)
- Pitié-Salpêtrière Hospital, 47-83 Boulevard de l’Hôpital, 75013 Paris, France; (A.N.); (S.H.)
| | - Sylvie Babajko
- Biomedical Research in Odontology, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (S.B.); (K.J.)
| | - Ali Nassif
- Pitié-Salpêtrière Hospital, 47-83 Boulevard de l’Hôpital, 75013 Paris, France; (A.N.); (S.H.)
- Biomedical Research in Odontology, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (S.B.); (K.J.)
| | - Sophia Houari
- Pitié-Salpêtrière Hospital, 47-83 Boulevard de l’Hôpital, 75013 Paris, France; (A.N.); (S.H.)
- Biomedical Research in Odontology, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (S.B.); (K.J.)
| | - Katia Jedeon
- Biomedical Research in Odontology, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (S.B.); (K.J.)
- Rothschild Hospital, 5 rue Santerre, 75012 Paris, France
| | - Philippe François
- Innovative Dental Materials and Interfaces Research Unit, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (C.-A.D.); philo.franç (P.F.); (E.D.); (J.B.)
- Bretonneau Hospital, 23 rue Joseph de Maistre, 75018 Paris, France
| | - Elisabeth Dursun
- Innovative Dental Materials and Interfaces Research Unit, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (C.-A.D.); philo.franç (P.F.); (E.D.); (J.B.)
- Henri Mondor Hospital, 1 rue Gustave Eiffel, 94000 Créteil, France
| | - Jean-Pierre Attal
- Innovative Dental Materials and Interfaces Research Unit, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (C.-A.D.); philo.franç (P.F.); (E.D.); (J.B.)
- Charles Foix Hospital, 7 Avenue de la République, 94200 Ivry sur Seine, France
| | - Julia Bosco
- Innovative Dental Materials and Interfaces Research Unit, Faculty of Dentistry, Université Paris Cité, 1 rue Maurice Arnoux, 92120 Montrouge, France; (C.-A.D.); philo.franç (P.F.); (E.D.); (J.B.)
- Pitié-Salpêtrière Hospital, 47-83 Boulevard de l’Hôpital, 75013 Paris, France; (A.N.); (S.H.)
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Yu Y, Guo X, Chen J, Zhao Y, Song J, Alshawwa H, Zou X, Zhao H, Zhang Z. Biodegradation of Urethane Dimethacrylate-based materials (CAD/CAM resin-ceramic composites) and its effect on the adhesion and proliferation of Streptococcus mutans. J Mech Behav Biomed Mater 2024; 150:106280. [PMID: 38043260 DOI: 10.1016/j.jmbbm.2023.106280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 11/24/2023] [Accepted: 11/26/2023] [Indexed: 12/05/2023]
Abstract
OBJECTIVE To investigate whether urethane dimethacrylate (UDMA) -based dental restorative materials biodegrade in the presence of Streptococcus mutans (S. mutans) and whether the monomers affect the adhesion and proliferation of S. mutans in turn. METHODS Cholesterol esterase and pseudocholinesterase-like activities in S. mutans were detected using p-nitrophenyl substrate. Two UDMA-based CAD/CAM resin-ceramic composites, Lava Ultimate (LU) and Vita Enamic (VE), and a light-cured UDMA resin block were co-cultured with S. mutans for 14 days. Their surfaces were characterized by scanning electron microscopy and laser microscopy, and the byproducts of biodegradation were examined by Ultra Performance Liquid Chromatography-Tandem Mass Spectrometry (UPLC-MS/MS). Then, the antimicrobial components (silver nanoparticles with quaternary ammonium salts) were added to the UDMA resin block to detect whether the biodegradation was restrained. Finally, the effect of UDMA on biofilm formation and virulence expression of S. mutans was assessed. RESULTS Following a 14-day immersion, the LU and UDMA resin blocks' surface roughness increased. The LU and VE groups had no UDMA or its byproducts discovered, according to the UPLC-MS/MS data, whereas the light-cured UDMA block group had UDMA, urethane methacrylate (UMA), and urethane detected. The addition of antimicrobial agents showed a significant reduction in the release of UDMA. Biofilm staining experiments showed that UDMA promoted the growth of S. mutans biofilm and quantitative real-time polymerase chain reaction results indicated that 50 μg/mL UDMA significantly increase the expression of gtfB, comC, comD, comE, and gbpB genes within the biofilm. CONCLUSIONS UDMA in the light-cured resin can be biodegraded to produce UMA and urethane under the influence of S. mutans. The formation of early biofilm can be promoted and the expression of cariogenic genes can be up-regulated by UDMA. CLINICAL SIGNIFICANCE This study focuses for the first time on whether UDMA-based materials can undergo biodegradation and verifies from a genetic perspective that UDMA can promote the formation of S. mutans biofilms, providing a reference for the rational use of UDMA-based materials in clinical practice.
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Affiliation(s)
- Yiyan Yu
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Xinwei Guo
- School of Stomatology, Peking University, Beijing, China
| | - Jiawen Chen
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Yuanhang Zhao
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Jiazhuo Song
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Hamed Alshawwa
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Xinying Zou
- Hospital of Stomatology, Jilin University, Changchun, China; Jilin Provincial Key Laboratory of Oral Biomedical Engineering, China
| | - Hongyan Zhao
- Hospital of Stomatology, Jilin University, Changchun, China.
| | - Zhimin Zhang
- Hospital of Stomatology, Jilin University, Changchun, China.
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Süsgün Yıldırım Z, Batmaz SG. Monomer release, cell adhesion, and cell viability of indirect restorative materials manufactured with additive, subtractive, and conventional methods. J Oral Sci 2024; 66:9-14. [PMID: 37866923 DOI: 10.2334/josnusd.23-0238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2023]
Abstract
PURPOSE The aim of this study was to measure residual monomer, cell adhesion, and cell viability of 3-dimensional printable permanent resin (PR), hybrid ceramic block (HCB), and indirect composite (IC) produced with additive, subtractive, and conventional techniques. METHODS Five 8 × 8 × 2 mm3 samples of each material were prepared for each experiment. In a 24-h period, monomer release was analyzed with high-performance liquid chromatography, and cell viability and adhesion were evaluated with the water-soluble tetrazolium salt test. Data were analyzed with IBM SPSS Statistics 26.0 statistical software, and results were regarded as significant at α = 0.05. RESULTS Monomer release (triethylene glycol dimethacrylate, urethane dimethacrylate, and Bisphenol A glycerolate dimethacrylate) was significantly higher in the IC group. Mean cell viability was significantly lower in the HCB group than in the IC group. CONCLUSION All monomers in the tested materials were released at rates that were below clinical significance. Cell adhesion rates in the groups were similar. Cytotoxic response was classified as minor in the HCB and PR groups and non-cytotoxic in the IC group.
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Affiliation(s)
| | - Sevde Gül Batmaz
- Department of Restorative Dentistry, Faculty of Dentistry, Cukurova University
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