Cytotoxicity of dental disclosing solution on gingival epithelial cells in vitro

Clin Exp Dent Res. 2020 Dec;6(6):669-676. doi: 10.1002/cre2.321. Epub 2020 Aug 2.

Abstract

Objective: Coloring dental biofilm and plaque with a dental disclosing solution is visually effective in dental treatment and oral hygiene education. Despite continuous reports of the risk of the product ingredients, dental disclosing solution are widely used in dentistry. However, the cytotoxic mechanism of dental disclosing solution is not known. Here we elucidated the tissue dyeing range and investigated the cytotoxic mechanism of dental disclosing solution.

Materials and methods: Gingival epithelial cells and mouse head and neck tissue were stained with dental disclosing solution. Changes in the cell cycle distribution by the dental disclosing solution treatment were analyzed. A deoxynucleotidyl transferase dUTP nick and labeling (TUNEL) assay was performed to examine the apoptotic features of the gingival epithelial cells.

Results: Dental disclosing solution stained the chromosome strongly, as well as both the hard and soft tissue of the mouse head and neck. The results of flow cytometric analysis and TUNEL analyses revealed that the cytotoxicity associated with dental disclosing solution was related to the induction of apoptosis. However, the staining of porcine skin by dental disclosing solution was not easily removed, even with a wide range of pH solutions.

Conclusions: These results suggest that dental disclosing solution had strong cytotoxicity and safer alternatives are needed.

Keywords: apoptosis; biofilm; dental plaque.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Apoptosis / genetics
  • Biofilms*
  • Cell Survival / drug effects
  • Coloring Agents / administration & dosage
  • Coloring Agents / toxicity*
  • Dental Plaque / diagnosis*
  • Dental Plaque / microbiology
  • Epithelial Cells / drug effects*
  • Erythrosine / administration & dosage
  • Erythrosine / toxicity
  • Gingiva / cytology
  • Gingiva / drug effects*
  • Humans
  • In Situ Nick-End Labeling
  • Mice
  • Oral Hygiene / adverse effects
  • Oral Hygiene / methods
  • Skin / drug effects
  • Swine
  • Toxicity Tests, Acute
  • Wound Healing / drug effects

Substances

  • Coloring Agents
  • Erythrosine