RESUMEN
The coadjutant method for denture cleansing most used by denture wearers is immersion in chemical agents, which are toxic when in direct contact with cells. However, clinically, the contact between these chemical agents and prosthetic tissues does not occur directly, but rather with what remained impregnated into acrylic bases, even after rinsing the disinfected dentures. This study evaluated the antimicrobial and cytotoxic effects of a denture acrylic resin after successive cycles of daily overnight immersion in 1% sodium hypochlorite (1%NaClO) and 2% chlorhexidine digluconate (2%CHX), simulating the periods of 9â¯months or 1.5â¯year. Microbiological and cytotoxic assays were performed, respectively, by broth microdilution method (Candida albicans or Staphylococcus aureus) and MTT assay. Chemical residues of 2%CHX impregnated into the denture acrylic resin had an antimicrobial effect on both immersion periods, which was not observed with those of 1%NaClO. However, residues of 2%CHX were severely cytotoxic to human gingival fibroblasts compared to those of 1%NaClO and acrylic resin (not submitted to the denture cleansers), which were slightly cytotoxic. Even at low concentrations recommended for overnight soaking of removable dentures, the chemical residues of CHX may result in some degree of toxicity to the denture-bearing mucosa after long-term daily immersion.
Asunto(s)
Resinas Acrílicas/toxicidad , Antiinfecciosos/toxicidad , Clorhexidina/análogos & derivados , Bases para Dentadura , Limpiadores de Dentadura/toxicidad , Desinfectantes/toxicidad , Hipoclorito de Sodio/toxicidad , Candida albicans/efectos de los fármacos , Línea Celular , Clorhexidina/toxicidad , Fibroblastos/efectos de los fármacos , Encía/citología , Humanos , Staphylococcus aureus/efectos de los fármacosRESUMEN
Biocompatibility constitutes the most fundamental requirement with respect to all dental materials to be applied within the oral cavity. In its environment, various toxic compounds may be released by dental materials which pose potential threats to the patient's health. Due to the fact that dentures remain in the oral cavity for a very long time, a detailed examination and verification of prosthetic materials with a view to their toxicity seems to be essential. By using very sensitive measurement techniques such as gas chromatography, one may determine which compounds are released by these materials. The aim of this paper was to determine the influence of various denture cleansers on the release of organic compounds from four soft dental materials used in prosthetics for lining dentures. These materials when placed in commonly used disinfectants (Corega Tabs, sodium hypochlorite, chlorhexidine, hydrogen peroxide), as well as in artificial saliva, produced 13 chemical compounds such as monomers (methyl methacrylate, ethyl methacrylate, dodecyl methacrylate), plasticizers (dibutyl phthalate, diethyl phthalate, tributyl acetylcitrate) and others (e.g. benzophenone). A comparison of chemical compounds released from acrylic-based materials and those released from silica-based materials demonstrated that acrylic-based materials are less resistant to disinfectants.