OBJECTIVES:Evaluate
cytotoxic properties of five orthodontic-adhesives with and without oxygen
inhibited layer(OIL);assess degree of conversion (DC) using Fourier Transform
Infrared(FTIR) spectroscopy and correlate it to cytotoxicity.
METHODS:36
standardized disks prepared for each brand (Unite,TransbondXT, Heliosit,GCFujiORTHOLC,PhaseII)
were divided into intact and washed (wiped with 99% acetone removing OIL)
resins. Vero cells seeded in three 12-well plates for each brand (one plate
each for assessment on day 1,3, and 6) were exposed to both resins immediately
after removal of OIL on day 1. Cell viability determined by tetrazolium bromide
reduction assay on 1,3 and 6 days after exposure of cells to resins were statistically
analysed (Annova,TukeyHSD,t test,Pearson correlation).
RESULTS: With
washed resins,Unite (p<0.001) and Heliosit (p<0.01) showed increased
viability on all days while TransbondXT established the same only on day1. Other
washed resins demonstrated decreased viability compared to intact resins.
Viability of
Vero cells (N=6 for all):
Materials tested | DAY 1(24Hrs) | DAY 3(72 Hrs) | DAY 6(144Hrs) | INTACT | WASHED | INTACT | WASHED | INTACT | WASHED | Unite | 21.30±4.03 | 38.35±8.22 | 47.77±5.89 | 72.48±6.05 | 47.49±5.77 | 72.14±6.09 | Transbond XT | 48.02±5.93 | 72.85±6.12 | 58.23±20.12 | 36.27±7.90 | 48.64±5.95 | 36.13±8.03 | Heliosit | 61.20±10.95 | 80.60±8.40 | 37.14±8.18 | 63.80±15.16 | 38.15±3.34 | 47.50±7.40 | GCFuji ORTHOLC | 37.86±3.50 | 25.79±5.22 | 34.99±4.40 | 14.43±2.74 | 23.50±3.98 | 5.48±2.09 | PhaseII | 34.92±4.32 | 23.37±4.08 | 26.35±3.99 | 14.67±2.98 | 23.31±3.86 | 12.66±2.69 |
Percentages of DC (N=6 for all):
Materials tested | Mean,Standard deviation | Unite | 51.65±0.74 | TransbondXT | 48.74±0.29 | Heliosit | 48.63±0.34 | GCFujiORTHOLC | 38.88±3.46 | PhaseII | 31.77±0.53 |
Pearson Correlation between DC and viability expressed by intact
resins on day1:
Materials tested | Pearson correlation | Significance | Unite | -0.814 | 0.049 | TransbondXT | -0.615 | 0.194 | Heliosit | 0.408* | 0.421** | GCFujiORTHOLC | -0.381 | 0.456 | PhaseII | 0.058* | 0.913** |
*Positive correlation ;**Statistically
insignificant (p>0.05)
CONCLUSION:All
materials tested revealed toxicity. Residual monomer leaching and associated
toxicity exhibited by Unite was almost complete by day 1 and it showed maximum
DC. Though results donot translate to any direct toxic-effects on patients, further
studies on long-term effects of adhesives needs to be investigated.
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