Genotoxic effect of formocresol pulp therapy of deciduous teeth

Mutation Research
Ana Catarina Gaioso Lucas LeiteNeide Santos

Abstract

To investigate whether formocresol, in Buckley's original formulation, used for pulp therapy of deciduous teeth, can have a genotoxic effect. Genotoxicity was tested in lymphocyte cultures from the peripheral blood of children aged 5-10y, in Recife, Pernambuco, Brazil. This was a case-control study. The sample comprised 40 children who had primary teeth with non-vital pulps. Two venous blood samples (6-8ml) were collected from each child, the first prior to pulp therapy (control group) and the second 24h after pulp therapy (experimental group). Lymphocyte cultures were grown in 78% RPMI 1640 medium, 20% fetal bovine serum, 2% phytohemagglutinin. The lymphocytes were assessed for chromosomal aberrations; each sample involved analysis of 100 metaphases. There was a statistically significant difference between the control and treated groups for the isochromatid gap (p<0.001), chromatid break (p<0.009), isochromatid break (p<0.046), other chromosomal alterations (p<0.001), and for total aberrations. In view of these results, caution in the use of formocresol in pediatric dentistry is recommended.

References

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Citations

Feb 7, 2018·Clinical Oral Investigations·Arnoldo Vasconcelos de Alencar FilhoAronita Rosenblatt
Mar 14, 2017·The Journal of Clinical Pediatric Dentistry·Majid BagrizanMostafa Zahmatkesh Shahrestani

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