Cytotoxic effect of gutta percha solvents on human periodontal ligament fibroblasts

Main Article Content

Nachanok Kespichayawattana
Jeeraphat Jantarat
Puey Ounjai
Patompon Wongtrakoongate

Abstract

Objective: The aims of this study were to evaluate cytotoxic effects of gutta percha solvents: industrial solvent (xylene), solvent containing d-limonene (GP-solvent), and solvent composed of essential oils and surfactants (GuttaClear) at various concentrations and two exposure times on cell viability of human periodontal ligament fibroblasts (HPDLFs).


Materials and Methods: The cytotoxicity of xylene, GP-solvent, and GuttaClear in different dilutions as 1:200, 1:400, 1:800,1:1600, 1:3200, 1:6400, 1:12800, and 1:25600 dilutions of each solvent, to human periodontal ligament fibroblasts were measured by MTT assay. As the tested solvent could not be totally miscible in DMEM, thus 10% dimethyl sulfoxide was used as a solubilizer to improve the solubility of the substances, and ultrasonic activation was used to facilitate the contact of solvents. The mean percentages of cell viability after 30 minutes and 24 hours exposed to various dilutions of solvents were evaluated and compared the difference of cell viability among experimental groups.


Results: The cytotoxicity of each solvent was relatively dose dependent. HPDLF cells showed the viability above 80% when exposed to 1:12800 (0.008%) and 1:25600 (0.004%) concentrations of all solvents in both 30 minutes and 24 hours exposure times. The solvents became toxic to HPDLFs at the different concentrations over 1:6400 (0.016%), 1:3200 (0.031%) and 1:800 (0.001%) for GuttaClear, GP-solvent, and xylene, respectively, regardless of the exposure times.


Conclusion: All tested gutta percha solvents showed cytotoxicity to HPDLFs in a dose-dependent manner, which arranged in that descending orders: GuttaClear, GP-solvent, and xylene. At high concentrations, all of the solvents showed similar severe toxic effects.

Article Details

How to Cite
1.
Kespichayawattana N, Jantarat J, Ounjai P, Wongtrakoongate P. Cytotoxic effect of gutta percha solvents on human periodontal ligament fibroblasts. M Dent J [Internet]. 2022 Jun. 18 [cited 2024 Nov. 18];42(2):137-44. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/254689
Section
Original articles

References

References

Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J. 2011;44(7):583-609.

Torabinejad M, Anderson P, Bader J, Brown LJ, Chen LH, Goodacre CJ, et al. Outcomes of root canal treatment and restoration, implant-supported single crowns, fixed partial dentures, and extraction without replacement: a systematic review. J Prosthet Dent. 2007;98(4):285-311.

Siqueira JF, Jr., Rocas IN, Ricucci D, Hulsmann M. Causes and management of post-treatment apical periodontitis. Br Dent J. 2014;216(6):305-12.

Abou-Rass M. Evaluation and clinical management of previous endodontic therapy. J Prosthet Dent. 1982;47(5):528-34.

Friedman S, Stabholz A. Endodontic retreatment--case selection and technique. Part 1: Criteria for case selection. J Endod. 1986;12(1):28-33.

Tamse A, Unger U, Metzger Z, Rosenberg M. Gutta-percha solvents--a comparative study. J Endod. 1986;12(8):337-9.

Stabholz A, Friedman S. Endodontic retreatment--case selection and technique. Part 2: Treatment planning for retreatment. J Endod. 1988;14(12):607-14.

Friedman S, Stabholz A, Tamse A. Endodontic retreatment--case selection and technique. 3. Retreatment techniques. J Endod. 1990;16(11):543-9.

Wilcox LR, Krell KV, Madison S, Rittman B. Endodontic retreatment: evaluation of gutta-percha and sealer removal and canal reinstrumentation. J Endod. 1987;13(9):453-7.

Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(4):542-7.

Chatchawanwirote Y. The effect of an organic solvent on root canal filling removal with adaptive and non-adaptive core NiTi rotary systems in C-Shaped root canals (Master’s Thesis) Bangkok: Mahidol University; 2020.

Overall evaluations of carcinogenicity: an updating of IARC Monographs volumes 1 to 42. IARC Monogr Eval Carcinog Risks Hum Suppl. 1987;7:1-440.

Wourms DJ, Campbell AD, Hicks ML, Pelleu GB, Jr. Alternative solvents to chloroform for gutta-percha removal. J Endod. 1990;16(5):224-6.

Jantarat J, Malhotra W, Sutimuntanakul S. Efficacy of grapefruit, tangerine, lime, and lemon oils as solvents for softening gutta-percha in root canal retreatment procedures. J Investig Clin Dent. 2013;4(1):60-3.

Malhotra W. New gutta-percha solvents: dissolving, softening properties and MTT cytotoxicity test (Master’s Thesis). Bangkok: Mahidol University; 2011.

Chutich MJ, Kaminski EJ, Miller DA, Lautenschlager EP. Risk assessment of the toxicity of solvents of gutta-percha used in endodontic retreatment. J Endod. 1998;24(4):213-6.

Vajrabhaya LO, Suwannawong SK, Kamolroongwarakul R, Pewklieng L. Cytotoxicity evaluation of gutta-percha solvents: Chloroform and GP-Solvent (limonene). Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(6):756-9.

Barbosa SV, Burkard DH, Spangberg LS. Cytotoxic effects of gutta-percha solvents. J Endod. 1994;20(1):6-8.

Ribeiro DA, Matsumoto MA, Marques ME, Salvadori DM. Biocompatibility of gutta-percha solvents using in vitro mammalian test-system. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(5):e106-9.

Zaccaro Scelza MF, Lima Oliveira LR, Carvalho FB, Corte-Real Faria S. In vitro evaluation of macrophage viability after incubation in orange oil, eucalyptol, and chloroform. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(3):e24-7.

Surapipongpuntr C, Piyapattamin. In vitro study on the efficacy in assisting gutta-percha removal and cytotoxicity of essential oil from Citrus maxima (pomelo oil). CU dent J. 2014;37:289-98.

Organization IS. Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity. 2009;10993-5.

Huang FM, Tai KW, Chou MY, Chang YC. Cytotoxicity of resin-, zinc oxide-eugenol-, and calcium hydroxide-based root canal sealers on human periodontal ligament cells and permanent V79 cells. Int Endod J. 2002;35(2):153-8.

Serper A, Calt S, Dogan AL, Guc D, Ozcelik B, Kuraner T. Comparison of the cytotoxic effects and smear layer removing capacity of oxidative potential water, NaOCl and EDTA. J Oral Sci. 2001;43(4):233-8.

Hauman CH, Love RM. Biocompatibility of dental materials used in contemporary endodontic therapy: a review. Part 1. Intracanal drugs and substances. Int Endod J. 2003;36(2):75-85.

Al-Nazhan S, Spangberg L. Morphological cell changes due to chemical toxicity of a dental material: an electron microscopic study on human periodontal ligament fibroblasts and L929 cells. J Endod. 1990;16(3):129-34.

Da Violante G, Zerrouk N, Richard I, Provot G, Chaumeil JC, Arnaud P. Evaluation of the cytotoxicity effect of dimethyl sulfoxide (DMSO) on Caco2/TC7 colon tumor cell cultures. Biol Pharm Bull. 2002;25(12):1600-3.

Sirijindamai D, Jantarat J, Mitrirattanakul S. Effect of gutta-percha solvents on postoperative pain after root canal retreatment : a randomized clinical trial (Master’s Thesis). Bangkok: Mahidol University; 2021.

Arenholt-Bindslev D, Horsted-Bindslev P. A simple model for evaluating relative toxicity of root filling materials in cultures of human oral fibroblasts. Endod Dent Traumatol. 1989;5(5):219-26.