Cytotoxicity and genotoxicity of whitening toothpastes in buccal mucosal cells: a randomized controlled trial.

Buccal mucosa DNA damage Micronucleus test Peroxides Toothpastes

Journal

Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 01 05 2023
accepted: 05 09 2023
pubmed: 14 9 2023
medline: 14 9 2023
entrez: 13 9 2023
Statut: ppublish

Résumé

To assess genotoxic and cytotoxic effect of commercially available toothpastes with the different whitening ingredients. In vivo assessment of cytotoxicity and genotoxicity of whitening toothpastes with different ingredients using a buccal micronucleus cytome assay (BMCyt assay) comprised 199 participants randomly divided into ten groups based on used whitening or control/conventional toothpaste. The exfoliated buccal mucosal cells were collected, stained, and microscopically evaluated at baseline (T0), 30 days (T1), and 60 days (T2) after the beginning of treatment and 30 days after completing treatment (T3). Statistical evaluation was performed by repeated-measures analysis of variance (two-way ANOVA), Tukey's test, and multiple regression analysis. The genotoxic parameters showed no biologically significant changes in any of the observed period for the tested toothpastes, while cytotoxic parameters (number of cells with karyorrhexis and condensed chromatin) showed statistically significant difference (P < 0.05) among evaluation periods for the three peroxide-containing toothpastes. Peroxide-containing whitening toothpastes exhibit an increase in certain cytotoxic parameters only during the application period, which return to control values after the cessation of application. Whitening toothpastes show no genotoxic effect, while peroxide-containing whitening toothpastes may present significant increase of cytotoxicity (measured by the number of karyorrhexis and condensed chromatin) during the application period. However, these changes observed in clinical conditions cannot be considered significant. ClinicalTrials.gov: NCT04460755.

Identifiants

pubmed: 37704916
doi: 10.1007/s00784-023-05241-6
pii: 10.1007/s00784-023-05241-6
doi:

Banques de données

ClinicalTrials.gov
['NCT04460755']

Types de publication

Journal Article

Langues

eng

Pagination

6245-6259

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Demarco FF, Meireles SS, Masotti AS (2009) Over-the-counter whitening agents: a concise review. Braz Oral Res 23:64–70. https://doi.org/10.1590/S1806-83242009000500010
doi: 10.1590/S1806-83242009000500010 pubmed: 19838560
Tadin A, Gavic L, Govic T, Galic N, Zorica Vladislavic N, Zeljezic D (2019) In vivo evaluation of fluoride and sodium lauryl sulphate in toothpaste on buccal epithelial cells toxicity. Acta Odontol Scand 77:386–393. https://doi.org/10.1080/00016357.2019.1577988
doi: 10.1080/00016357.2019.1577988 pubmed: 30784350
Camargo SE, Jóias RP, Santana-Melo GF, Ferreira LT, El Achkar VN, Rode Sde M (2014) Conventional and whitening toothpastes: cytotoxicity, genotoxicity and effect on the enamel surface. Am J Dent 27:307–311
pubmed: 25707084
Tadin A, Gavic L, Zeravica A, Ugrin K, Galic N, Zeljezic D (2018) Assessment of cytotoxic and genotoxic effects of conventional and whitening kinds of toothpaste on oral mucosa cells. Acta Odontol Scand 76:64–70. https://doi.org/10.1080/00016357.2017.1384567
doi: 10.1080/00016357.2017.1384567 pubmed: 28959909
Ros-Llor I, Lopez-Jornet P (2014) Cytogenetic analysis of oral mucosa cells, induced by chlorhexidine, essential oils in ethanolic solution and triclosan mouthwashes. Environ Res 132:140–145. https://doi.org/10.1016/j.envres.2014.03.032
doi: 10.1016/j.envres.2014.03.032 pubmed: 24769563
Tadin A, Galic N, Mladinic M, Marovic D, Kovacic I, Zeljezic D (2014) Genotoxicity in gingival cells of patients undergoing tooth restoration with two different dental composite materials. Clin Oral Investig 18:87–96. https://doi.org/10.1007/s00784-013-0933-3
doi: 10.1007/s00784-013-0933-3 pubmed: 23385426
BrzovićRajić V, Želježić D, MalčićIvanišević A, Verzak Ž, Baraba A, Miletić I (2018) Cytotoxicity and genotoxicity of resin based dental materials in human lymphocytes in vitro. Acta Clin Croat 57:278–285. https://doi.org/10.20471/acc.2018.57.02.07
doi: 10.20471/acc.2018.57.02.07
Puizina Mladinic E, Puizina J, Gavic L, Tadin A (2022) Clinical prospective assessment of genotoxic and cytotoxic effects of fluoride toothpaste and mouthwash in buccal mucosal cells. Biomedicines 10:2206. https://doi.org/10.3390/biomedicines10092206
doi: 10.3390/biomedicines10092206 pubmed: 36140304 pmcid: 9496030
Cunha AS, Castillo WO, Takahashi CS, Küchler EC, Segato RAB, da Silva LAB et al (2018) Genotoxic and cytotoxic effects of Haas appliance in exfoliated buccal mucosa cells during orthodontic treatment. Angle Orthod 88:590–595. https://doi.org/10.2319/101117-687.1
doi: 10.2319/101117-687.1 pubmed: 29761706 pmcid: 8183133
Rode SM, Sato TDP, Matos FS, Correia AMO, Camargo SEA (2021) Toxicity and effect of whitening toothpastes on enamel surface. Braz Oral Res 35:e025. https://doi.org/10.1590/1807-3107bor-2021.vol35.0025
doi: 10.1590/1807-3107bor-2021.vol35.0025 pubmed: 33605355
Barbier O, Arreola-Mendoza L, Del Razo LM (2010) Molecular mechanisms of fluoride toxicity. Chem Biol Interact 188:319–333. https://doi.org/10.1016/j.cbi.2010.07.011
doi: 10.1016/j.cbi.2010.07.011 pubmed: 20650267
Tredwin CJ, Naik S, Lewis NJ, Scully C (2006) Hydrogen peroxide tooth-whitening (bleaching) products: review of adverse effects and safety issues. Br Dent J 200:371–376. https://doi.org/10.1038/sj.bdj.4813423
doi: 10.1038/sj.bdj.4813423 pubmed: 16607324
Naik S, Tredwin CJ, Scully C (2006) Hydrogen peroxide tooth-whitening (bleaching): review of safety in relation to possible carcinogenesis. Oral Oncol 42:668–674. https://doi.org/10.1016/j.oraloncology.2005.10.020
doi: 10.1016/j.oraloncology.2005.10.020 pubmed: 16488181
Ribeiro DA, Marques ME, Salvadori DM (2005) Assessment of genetic damage induced by dental bleaching agents on mouse lymphoma cells by single cell gel (comet) assay. J Oral Rehabil 32:766–771. https://doi.org/10.1111/j.1365-2842.2005.01500.x
doi: 10.1111/j.1365-2842.2005.01500.x pubmed: 16159356
Ribeiro DA, Marques ME, Salvadori DM (2006) Study of DNA damage induced by dental bleaching agents in vitro. Braz Oral Res 20:47–51. https://doi.org/10.1590/S1806-83242006000100009
doi: 10.1590/S1806-83242006000100009 pubmed: 16729174
Monteiro MJF, Lindoso JBC, de Oliveira Conde NC, da Silva LM, Loguercio AD, Pereira JV (2019) Evaluation of the genotoxic potential of different delivery methods of at-home bleaching gels: a single-blind, randomized clinical trial. Clin Oral Investig 23:2199–2206. https://doi.org/10.1007/s00784-018-2659-8
doi: 10.1007/s00784-018-2659-8 pubmed: 30280324
Holland N, Bolognesi C, Kirsch-Volders M, Bonassi S, Zeiger E, Knasmueller S et al (2008) The micronucleus assay in human buccal cells as a tool for biomonitoring DNA damage: the HUMN project perspective on current status and knowledge gaps. Mutat Res 659:93–108. https://doi.org/10.1016/j.mrrev.2008.03.007
doi: 10.1016/j.mrrev.2008.03.007 pubmed: 18514568
Paiva RL, de Figueiredo MAZ, Cherubini K, Da Silva VD, Salum FG (2022) Cytological screening model of normal oral mucosa exposed to carcinogens: a pilot study. Acta Cytol 66:114–123. https://doi.org/10.1159/000519877
doi: 10.1159/000519877 pubmed: 34784590
Surrallés J, Autio K, Nylund L, Järventaus H, Norppa H, Veidebaum T et al (1997) Molecular cytogenetic analysis of buccal cells and lymphocytes from benzene-exposed workers. Carcinogenesis 18:817–823. https://doi.org/10.1093/carcin/18.4.817
doi: 10.1093/carcin/18.4.817 pubmed: 9111220
Galey WR, Lonsdale HK, Nacht S (1976) The in vitro permeability of skin and buccal mucosa to selected drugs and tritiated water. J Invest Dermatol 67:713–717
doi: 10.1111/1523-1747.ep12598596 pubmed: 1033956
Turner L, Shamseer L, Altman DG, Weeks L, Peters J, Kober T et al (2012) Consolidated standards of reporting trials (CONSORT) and the completeness of reporting of randomised controlled trials (RCTs) published in medical journals. Cochrane Database Syst Rev 11:MR000030. https://doi.org/10.1002/14651858.MR000030.pub2
doi: 10.1002/14651858.MR000030.pub2 pubmed: 23152285
Vladislavic NZ, Tadin A, Gavic L, Jerkovic D, Franic I, Verzak Z (2022) In vivo evaluation of whitening toothpaste efficiency and patient treatment satisfaction: a randomized controlled trial. Clin Oral Investig 26:739–750. https://doi.org/10.1007/s00784-021-04052-x
doi: 10.1007/s00784-021-04052-x pubmed: 34245356
Suresh K (2011) An overview of randomization techniques: an unbiased assessement of outcome in clinical research. J Hum Reprod Sci 4:8–11. https://doi.org/10.4103/0974-1208.82352
doi: 10.4103/0974-1208.82352 pubmed: 21772732 pmcid: 3136079
Bolognesi C, Knasmueller S, Nersesyan A, Thomas P, Fenech M (2013) The HUMNxl scoring criteria for different cell types and nuclear anomalies in the buccal micronucleus cytome assay - an update and expanded photogallery. Mutat Res 753:100–113. https://doi.org/10.1016/j.mrrev.2013.07.002
doi: 10.1016/j.mrrev.2013.07.002 pubmed: 23942275
Thomas P, Fenech M (2011) Buccal micronucleus cytome assay. Methods Mol Biol 682:235–248. https://doi.org/10.1007/978-1-60327-409-8_17
doi: 10.1007/978-1-60327-409-8_17 pubmed: 21057932
Fenech M, Holland N, Zeiger E, Chang WP, Burgaz S, Thomas P et al (2011) The HUMN and HUMNxL international collaboration projects on human micronucleus assays in lymphocytes and buccal cells–past, present and future. Mutagenesis 26:239–245. https://doi.org/10.1093/mutage/geq051
doi: 10.1093/mutage/geq051 pubmed: 21164208
Tolbert PE, Shy CM, Allen JW (1992) Micronuclei and other nuclear anomalies in buccal smears: methods development. Mutat Res 271:69–77. https://doi.org/10.1016/0165-1161(92)90033-I
doi: 10.1016/0165-1161(92)90033-I pubmed: 1371831
Thomas P, Holland N, Bolognesi C, Kirsch-Volders M, Bonassi S, Zeiger E et al (2009) Buccal micronucleus cytome assay. Nat Protoc 4:825–837. https://doi.org/10.1038/nprot.2009.53
doi: 10.1038/nprot.2009.53 pubmed: 19444240
Torrado A, Valiente M, Zhang W, Li Y, Muñoz CA (2005) Cytotoxicity of a new toothpaste based on an ion exchange resin mixture. Am J Dent 18:267–269
pubmed: 16296435
Bruno M, Taddeo F, Medeiros IS, Boaro LC, Moreira MS, Marques MM et al (2016) Relationship between toothpastes properties and patient-reported discomfort: crossover study. Clin Oral Investig 20:485–494. https://doi.org/10.1007/s00784-015-1539-8
doi: 10.1007/s00784-015-1539-8 pubmed: 26228904
Ghapanchi J, Kamali F, Moattari A, Poorshahidi S, Shahin E, Rezazadeh F et al (2015) In vitro comparison of cytotoxic and antibacterial effects of 16 commercial toothpastes. J Int Oral Health 7:39–43
pubmed: 25878477 pmcid: 4385724
Joiner A (2010) Whitening toothpastes: a review of the literature. J Dent 38(Suppl 2):e17-24. https://doi.org/10.1016/j.jdent.2010.05.017
doi: 10.1016/j.jdent.2010.05.017 pubmed: 20562012
Maldupa I, Brinkmane A, Rendeniece I, Mihailova A (2012) Evidence based toothpaste classification, according to certain characteristics of their chemical composition. Stomatologija 14:12–22
pubmed: 22617330
Furukawa M, K-Kaneyama JR, Yamada M, Senda A, Manabe A, Miyazaki A (2015) Cytotoxic effects of hydrogen peroxide on human gingival fibroblasts in vitro. Oper Dent 40:430–439. https://doi.org/10.2341/14-059-L
doi: 10.2341/14-059-L pubmed: 25575199
Del Real García JF, Saldaña-Velasco FR, Sánchez-de la Rosa SV, Ortiz-García YM, Morales-Velazquez G, Gómez-Meda BC et al (2019) In vivo evaluation of the genotoxicity and oxidative damage in individuals exposed to 10% hydrogen peroxide whitening strips. Clin Oral Investig 23:3033–3046. https://doi.org/10.1007/s00784-018-2716-3
doi: 10.1007/s00784-018-2716-3 pubmed: 30430338
Klaric E, Par M, Profeta I, Kopjar N, Rozgaj R, Kasuba V et al (2013) Genotoxic effect of two bleaching agents on oral mucosa. Cancer Genomics Proteomics 10:209–215
pubmed: 24136973
Rezende M, De Geus JL, Loguercio AD, Reis A, Kossatz D (2016) Clinical evaluation of genotoxicity of in-office bleaching. Oper Dent 41:578–586. https://doi.org/10.2341/15-207-C
doi: 10.2341/15-207-C pubmed: 27649456
López-Lázaro M (2007) Dual role of hydrogen peroxide in cancer: possible relevance to cancer chemoprevention and therapy. Cancer Lett 252:1–8. https://doi.org/10.1016/j.canlet.2006.10.029
doi: 10.1016/j.canlet.2006.10.029 pubmed: 17150302
Ministry of Environment of Denmark (2021) Survey and risk assessment of teeth-whitening products for personal use.  https://www2.mst.dk/Udgiv/publications/2021/09/978-87-7038-340-0.pdf . Accessed 15 Jun. 2023
Rantanen I, Jutila K, Nicander I, Tenovuo J, Söderling E (2003) The effects of two sodium lauryl sulphate-containing toothpastes with and without betaine on human oral mucosa in vivo. Swed Dent J 27:31–34
pubmed: 12704946
Bloching M, Reich W, Schubert J, Grummt T, Sandner A (2008) Micronucleus rate of buccal mucosal epithelial cells in relation to oral hygiene and dental factors. Oral Oncol 44:220–226. https://doi.org/10.1016/j.oraloncology.2007.02.002
doi: 10.1016/j.oraloncology.2007.02.002 pubmed: 17434785

Auteurs

Nada Zorica Vladislavic (NZ)

Dental Polyclinic Split, A.G. Matosa 2, 21000, Split, Croatia. nada_zorica@yahoo.com.

Jasen Vladislavic (J)

Department of Pulmonology, Clinical Hospital Centre Split, 21000, Split, Croatia.

Ivana Franic (I)

5Th Gymnasium "Vladimir Nazor" Split, 21000, Split, Croatia.

Antonija Tadin (A)

Department of Restorative Dental Medicine and Endodontics, Study of Dental Medicine, School of Medicine, University of Split, 21000, Split, Croatia.
Department of Maxillofacial Surgery, Clinical Hospital Centre Split, 21000, Split, Croatia.

Classifications MeSH