J Korean Med Sci.  2012 Sep;27(9):1098-1104. 10.3346/jkms.2012.27.9.1098.

Salivary Bisphenol-A Levels due to Dental Sealant/Resin: A Case-Control Study in Korean Children

Affiliations
  • 1Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, Seoul, Korea. dhhan73@snu.ac.kr
  • 2Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
  • 3Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University, Yangsan, Korea.

Abstract

Dental sealants and composite filling materials containing bisphenol-A (BPA) derivatives are increasingly used in children. The aim of this study was to evaluate the association between salivary BPA and the number of tooth surfaces filled with dental sealant, and to determine a cutoff BPA level. Salivary BPA concentration and the number of tooth surfaces filled with dental sealant/resin were determined in 124 age and gender matched children: 62 controls had no dental sealant/resin on their tooth surfaces and 62 cases had more than 4 tooth surfaces with dental sealant/resin. Analysis of covariance (ANCOVA) and conditional logistic regression were performed after controlling for age, gender, salivary flow rate, salivary buffer capacity, frequency of snacking, and frequency of tooth brushing. Salivary BPA levels were 0.002 to 8.305 microg/L. The BPA level of control (0.40 microg/L) was significantly lower than that of case (0.92 microg/L) after controlling for confounders (P = 0.026). Although the 90th BPA percentile had an adjusted OR of 4.58 (95% CI 1.04-20.26, P = 0.045), the significance disappeared in the conditional logistic model. There may be a relationship between salivary BPA level and dental sealant/resin.

Keyword

Bisphenol-A; Epidemiology; Resin; Saliva; Sealant

MeSH Terms

Adolescent
Analysis of Variance
Asian Continental Ancestry Group
Benzhydryl Compounds/*analysis
Case-Control Studies
Child
Enzyme-Linked Immunosorbent Assay
Female
Humans
Logistic Models
Male
Odds Ratio
Phenols/*analysis
Pit and Fissure Sealants/*chemistry
Republic of Korea
Resins, Synthetic/*chemistry
Saliva/*chemistry
Snacks
Benzhydryl Compounds
Phenols
Pit and Fissure Sealants
Resins, Synthetic

Reference

1. Shelby MD. NTP-CERHR monograph on the potential human reproductive and developmental effects of bisphenol A. NTP CERHR MON. 2008. vvii–ix. 1–64. passim.
2. Groff T. Bisphenol A: invisible pollution. Curr Opin Pediatr. 2010. 22:524–529.
3. Vandenberg LN, Chahoud I, Heindel JJ, Padmanabhan V, Paumgartten FJ, Schoenfelder G. Urinary, circulating, and tissue biomonitoring studies indicate widespread exposure to bisphenol A. Environ Health Perspect. 2010. 118:1055–1070.
4. Nah WH, Park MJ, Gye MC. Effects of early prepubertal exposure to bisphenol A on the onset of puberty, ovarian weights, and estrous cycle in female mice. Clin Exp Reprod Med. 2011. 38:75–81.
5. Li MW, Mruk DD, Lee WM, Cheng CY. Disruption of the blood-testis barrier integrity by bisphenol A in vitro: Is this a suitable model for studying blood-testis barrier dynamics? Int J Biochem Cell Biol. 2009. 41:2302–2314.
6. Chapin RE, Adams J, Boekelheide K, Gray LE Jr, Hayward SW, Lees PS, McIntyre BS, Portier KM, Schnorr TM, Selevan SG, et al. NTP-CERHR expert panel report on the reproductive and developmental toxicity of bisphenol A. Birth Defects Res B Dev Reprod Toxicol. 2008. 83:157–395.
7. Hunt PA, Susiarjo M, Rubio C, Hassold TJ. The bisphenol A experience: a primer for the analysis of environmental effects on mammalian reproduction. Biol Reprod. 2009. 81:807–813.
8. Wetherill YB, Akingbemi BT, Kanno J, McLachlan JA, Nadal A, Sonnenschein C, Watson CS, Zoeller RT, Belcher SM. In vitro molecular mechanisms of bisphenol A action. Reprod Toxicol. 2007. 24:178–198.
9. Taylor JA, Welshons WV, Vom Saal FS. No effect of route of exposure (oral; subcutaneous injection) on plasma bisphenol A throughout 24 h after administration in neonatal female mice. Reprod Toxicol. 2008. 25:169–176.
10. Olea N, Pulgar R, Perez P, Olea-Serrano F, Rivas A, Novillo-Fertrell A, Pedraza V, Soto AM, Sonnenschein C. Estrogenicity of resin-based composites and sealants used in dentistry. Environ Health Perspect. 1996. 104:298–305.
11. Bellinger DC, Trachtenberg F, Barregard L, Tavares M, Cernichiari E, Daniel D, McKinlay S. Neuropsychological and renal effects of dental amalgam in children: a randomized clinical trial. JAMA. 2006. 295:1775–1783.
12. Factor-Litvak P, Hasselgren G, Jacobs D, Begg M, Kline J, Geier J, Mervish N, Schoenholtz S, Graziano J. Mercury derived from dental amalgams and neuropsychologic function. Environ Health Perspect. 2003. 111:719–723.
13. Lauterbach M, Martins IP, Castro-Caldas A, Bernardo M, Luis H, Amaral H, Leitão J, Martin MD, Townes B, Rosenbaum G, et al. Neurological outcomes in children with and without amalgam-related mercury exposure: seven years of longitudinal observations in a randomized trial. J Am Dent Assoc. 2008. 139:138–145.
14. Ahovuo-Saloranta A, Hiiri A, Nordblad A, Makela M, Worthington HV. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2008. CD001830.
15. Gooch BF, Griffin SO, Gray SK, Kohn WG, Rozier RG, Siegal M, Fontana M, Brunson D, Carter N, Curtis DK, et al. Preventing dental caries through school-based sealant programs: updated recommendations and reviews of evidence. J Am Dent Assoc. 2009. 140:1356–1365.
16. Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Gooch B, Ismail A, Kohn W, Siegal M, Simonsen R. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association council on scientific affairs. J Am Dent Assoc. 2008. 139:257–268.
17. Griffin SO, Oong E, Kohn W, Vidakovic B, Gooch BF, Bader J, Clarkson J, Fontana MR, Meyer DM, Rozier RG, et al. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008. 87:169–174.
18. Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, Eke PI, Beltrán-Aguilar ED, Horowitz AM, Li CH. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 11. 2007. 1–92.
19. Han DH, Kim JB, Park DY. The decline in dental caries among children of different ages in Korea, 2000-2006. Int Dent J. 2010. 60:329–335.
20. Sasaki N, Okuda K, Kato T, Kakishima H, Okuma H, Abe K, Tachino H, Tuchida K, Kubono K. Salivary bisphenol-A levels detected by ELISA after restoration with composite resin. J Mater Sci Mater Med. 2005. 16:297–300.
21. Zimmerman-Downs JM, Shuman D, Stull SC, Ratzlaff RE. Bisphenol A blood and saliva levels prior to and after dental sealant placement in adults. J Dent Hyg. 2010. 84:145–150.
22. Rothman KJ, Greenland S, Lash TL. Modern epidemiology. 2008. 3rd ed. Philadelphia: Lippincott Williams & Wilkins;175–179.
23. Tyl RW, Myers CB, Marr MC, Thomas BF, Keimowitz AR, Brine DR, Veselica MM, Fail PA, Chang TY, Seely JC, et al. Three-generation reproductive toxicity study of dietary bisphenol A in CD Sprague-Dawley rats. Toxicol Sci. 2002. 68:121–146.
24. Tan BL, Kassim NM, Mohd MA. Assessment of pubertal development in juvenile male rats after sub-acute exposure to bisphenol A and nonylphenol. Toxicol Lett. 2003. 143:261–270.
25. Kawai K, Nozaki T, Nishikata H, Aou S, Takii M, Kubo C. Aggressive behavior and serum testosterone concentration during the maturation process of male mice: the effects of fetal exposure to bisphenol A. Environ Health Perspect. 2003. 111:175–178.
26. Bonefeld-Jørgensen EC, Long M, Hofmeister MV, Vinggaard AM. Endocrine-disrupting potential of bisphenol A, bisphenol A dimethacrylate, 4-n-nonylphenol, and 4-n-octylphenol in vitro: new data and a brief review. Environ Health Perspect. 2007. 115:Suppl 1. 69–76.
27. Hashimoto Y, Moriguchi Y, Oshima H, Nishikawa J, Nishihara T, Nakamura M. Estrogenic activity of chemicals for dental and similar use in vitro. J Mater Sci Mater Med. 2000. 11:465–468.
28. Soderholm KJ, Mariotti A. BIS-GMA-based resins in dentistry: are they safe? J Am Dent Assoc. 1999. 130:201–209.
29. Schmalz G, Preiss A, Arenholt-Bindslev D. Bisphenol-A content of resin monomers and related degradation products. Clin Oral Investig. 1999. 3:114–119.
30. Climie IJ, Hutson DH, Stoydin G. Metabolism of the epoxy resin component 2,2-bis[4-(2,3-epoxypropoxy)phenyl]propane, the diglycidyl ether of bisphenol A (DGEBPA) in the mouse. Part II. Identification of metabolites in urine and faeces following a single oral dose of 14C-DGEBPA. Xenobiotica. 1981. 11:401–424.
31. Pulgar R, Olea-Serrano MF, Novillo-Fertrell A, Rivas A, Pazos P, Pedraza V, Navajas JM, Olea N. Determination of bisphenol A and related aromatic compounds released from bis-GMA-based composites and sealants by high performance liquid chromatography. Environ Health Perspect. 2000. 108:21–27.
32. Geurtsen W, Spahl W, Leyhausen G. Variability of cytotoxicity and leaching of substances from four light-curing pit and fissure sealants. J Biomed Mater Res. 1999. 44:73–77.
33. Tarumi H, Imazato S, Narimatsu M, Matsuo M, Ebisu S. Estrogenicity of fissure sealants and adhesive resins determined by reporter gene assay. J Dent Res. 2000. 79:1838–1843.
34. Calafat AM, Kuklenyik Z, Reidy JA, Caudill SP, Ekong J, Needham LL. Urinary concentrations of bisphenol A and 4-nonylphenol in a human reference population. Environ Health Perspect. 2005. 113:391–395.
35. U.S. Environmental Protection Agency. Integrated risk information system. Reference dose for chronic oral exposure (RfD): Bisphenol A. 1993. accessed on 20 March, 2012. Available at: http://cfpub.epa.gov/ncea/iris/index.cfm?fuseaction=iris.showQuickView&substance_nmbr=0356.
36. European Food Safety Authority. Scientific opinion on bisphenol A: Evaluation of a study investigating its neurodevelopmental toxicity, review of recent scientific literature on its toxicity and advice on the Danish risk assessment of bisphenol A. accessed on 20 March, 2012. Available at: http://www.efsa.europa.eu/en/scdocs/scdoc/1829.htm.
37. vom Saal FS, Hughes C. An extensive new literature concerning low-dose effects of bisphenol A shows the need for a new risk assessment. Environ Health Perspect. 2005. 113:926–933.
38. Wozniak AL, Bulayeva NN, Watson CS. Xenoestrogens at picomolar to nanomolar concentrations trigger membrane estrogen receptor-alpha-mediated Ca2+ fluxes and prolactin release in GH3/B6 pituitary tumor cells. Environ Health Perspect. 2005. 113:431–439.
39. Viljanen EK, Langer S, Skrifvars M, Vallittu PK. Analysis of residual monomers in dendritic methacrylate copolymers and composites by HPLC and headspace-GC/MS. Dent Mater. 2006. 22:845–851.
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