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EVALUATION OF THE CYTOTOXICITY OF MATERIALS USED IN ORTHODONTICS

Year 2015, Supplement 12, 123 - 131, 24.11.2015
https://doi.org/10.17567/dfd.97914

Abstract

The defining the cytotoxicity of dental materials is of great important to ensure the safe treatment of patients. Cytotoxicity is defined as damaging the cell structure and function as a result of inhibition of the synthesis of various macromolecules. Cytotoxicity mechanisms are focused on oxidative stress and corrosion. Mechanisms of oxidative stress show effects as mutations resulted from free radicals production and DNA damage; mechanism of corrosion exhibits metal ion release as well. The most common materials used in orthodontics are; arch wires, brackets, adhesives and resin bonding agents, mini implants, acrylic resins, elastomeric materials, glass ionomer cements, solder alloys, magnets and Invisalign appliances. Biocompatibility of these materials depends on the metal composition,whether they are exposed to heat process, production method of them or the degree of polimerization of it. Therefore orthodontic materials should be considered in terms of cytotoxicity and ion release and certain measures should be taken for decreasing cytotoxic properties. Key-words: Orthodontic materials, bio-compatibility, cytotoxicity

References

  • Murray PE, García Godoy C, García Godoy F. How is the biocompatibilty of dental biomaterials evaluated? Med Oral Patol Oral Cir Bucal24. 2007;12(3):258-66.
  • Mitchell R, Cotran R. Cell injury, adaptation and death. In: Kumar V, Cotran R, Robbins S, editors. Robbins basic pathology. 7th ed. Philadelphia: W. B. Saunders; 2003. p. 4-11. 3. Pilger A, Rüdiger HW. 8-Hydroxy-2’- deoxyguanosine as a marker of oxidative DNA damage related to occupational and environmental exposures. Int Arch Occup Environ Health
  • Spalj S, Zrinski MM, Spalj VT. In-vitro assesment of oxidative stress generated by orthodontic archwires. Am J Orthod Dentofacial Orthop 2012;141:583-9.
  • Çiftçi ZZ, Kırzıoğlu Z, Nazıroğlu M. Effects of prenatal and postnatal exposure of Wi-Fi on development of teeth and changes in teeth element concentration in rats : Wi-Fi (2.45 GHz) and teeth element concentrations. Biol Trace Elem Res. 2015;163:193-201.
  • Çiğ B, Nazıroğlu M. Investigation of the effects of distance from sources on apoptosis, oxidative stress and cytosolic calcium accumulation via TRPV1 channels induced by mobile phones and Wi- Fi in breast cancer cells. Biochim Biophys Acta. 2015;10-4C:2-8.
  • Hafez HS, Selim EM, Kamel Eid FH. Cytotoxicity, genotoxicity, and metal release in patients with fixed orthodontic appliances: a longitudinal in-vivo study. Orthop. 2011;140(3):298-30. Orthod Dentofacial
  • Matasa CG. Characterization of used orthodontic brackets. In: Eliades G, Eliades T, Brantley WA, Watts DC, editors. In vivo aging of dental biomaterials. Chicago, Quintessence: 2003. p. 125- 39.
  • Sfondrini MF, Cacciafesta V, Maffia E. Nickel release from new conventional stainless steel, recycled, and nickel-free orthodontic brackets: An in vitro study. Am J Orthod Dentofacial Orthop 2010;137:809-15.
  • Hwang C, Shin J, Cha J. Metal release from simulated fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2001;120:383-91.
  • Bishara S E, Barret R D, Selim M I. Biodegradation of orthodontic appliances Part II. Changes in the blood level of nickel. Am J Orthod Dentofacial Orthop 1993;103:115-9.
  • Trombelli L, Virgili A, Corazza M, Lucci R. Systemic contact dermatitis from an orthodontic appliance. Contact Dermatitis 1992; 27:259-60.
  • Vreeburg KJJ, von Blomberg M, Scheper RJ. Induction of immunological tolerance by oral administration of nickel and chromium. J Dent Res 1984;63:124-8.
  • Staerkjaer L, Menne T. Nickel allergy and orthodontic treatment. Eur J Orthod 1990;12:284- 9.
  • Torreilles J, Guerin M C, Slaoui-Hasnaoui A. Nickel (II) complexes of histidyl-peptides as Fenton- reaction catalysts. Free Radical Research Communications 1990;11:159-66.
  • Oh K, Kim K. Ion release and cytotoxicity of stainless streel wires. Eur J Orthod 2005;27:533- 40.
  • David A, Lobner D. In vitro cytotoxicity of orthodontic archwires in cortical cell cultures. Eur J Orthod 2004;26: 421-6.
  • Gjerdet N R, Hero H. Metal release from heat- treated orthodontic archwire. Acta Odont Scand 1987;45:409–14.
  • Gioka C, Bourauel C, Zinelis S, Eliades T, Silikas N, Eliades G. Titanium orthodontic brackets: structure, composition, hardness and ionic release. Dent Mater 2004;20:693–700.
  • Wataha JC, Hanks CT, Craig RG. In vitro effects of metal ions on cellular metabolism and the correlation between these effects and the uptake of the ions. J Biomed Mater Res 1994;28:427-33.
  • Chen C, Ou K, Wang W. Variation in Surface Morphology and Microstructure of 316L Biomedical Alloys Immersed in Artificial Saliva. J Exp Clin Med 2013;5:30-6.
  • Sernetz F. Titanium and titanium alloys in orthodontics. Quintessence Int 1995;21:615—26.
  • Kloukos D, Taoufik E, Eliades T. Cytotoxic effects of polycarbonate-based orthodontic brackets by activation of mitochondrial apoptotic mechanisms. Dental Materials 2013;29:35-44.
  • Artham T, Doble M. Biodegradation of aliphatic and aromatic Bioscience 2008;8:14–24. Macromolecular
  • Kusy R, Whitley J. Degradation of plastic polyoxymethylene brackets and the subsequent release of toxic formaldeyde. Am J Orthod Dentofacial Orthop 2005;127:420-7.
  • Retamoso LB, Luz TB, Marinowic DR. Cytotoxicity of esthetic, metallic, and nickel-free orthodontic brackets: Cellular behavior and viability. Am J Orthod Dentofacial Orthop 2012;142:70-4.
  • Chung KH: The relationship between composition and properties of posterior resin composites. J Dent Res 1990;69:852-6.
  • Gül P, Akgül N. Kompozit materyallerin biyouyumluluğu hakkında literatür derlemesi. Atatürk Üniv Diş Hek Fak Derg. 2013;7:78-86.
  • Demirci T, Gürbüz T. Dental rezin kompozitlerin sitotoksisitesi: Bir in vitro çalışma. Atatürk Üniv Diş Hek Fak Derg 2014;24:10-5.
  • Hanks CT, Strawn SE, Wataha JC. Cytotoxic effects of resin components on cultured mammalian fibroblasts. J Dent Res 1991;70:1450-5.
  • Rahiotis C, Kakaboura A, Loukidis M, Vougiouklakis G. Curing efficiency of various types of light-curing units. Eur J Oral Sci 2004;112:89-94.
  • Ahrari F, Afshari JT, Poosti M. Cytotoxicity of orthodontic bonding adhesive resins on human oral fibroblasts. Eur J Orthod 2010;32:688-92.
  • Eliades T, Hiskia A, Eliades G. Assessment of bisphenol-A release from orthodontic adhesives. Am J Orthod Dentofacial Orthop 2007;131:72-5.
  • Jagdish N, Padmanabhan S, Chitharanjan AB. Cytotoxicity and degree of conversion of orthodontic adhesives. Angle Orthod 2009; 79: 1133-8.
  • Sunitha C, Kailasam V, Padmanabhan S. Bisphenol A release from an orthodontic adhesive and its correlation with the degree of conversion on varying light-curing tip distances. Am J Orthod Dentofacial Orthop 2011;140:239-44.
  • D’Anto V, Spagnuolo G, Schweikl H. Effect of N- acetyl cysteine on orthodontic primers cytotoxicity. Dental Materials 2011;27:180-6.
  • D’Anto V, Spagnuolo G, Polito I. In vitro cytotoxicity of orthodontic primers. Prog Orthod 2009;10:4-11.
  • Öztürk F, Malkoc S, Ersöz M. Real-time cell analysis of the cytotoxicity of the components of orthodontic acrylic materials on gingival fibroblasts, Am J Orthod Dentofacial Orthop 2011;140:243-9.
  • Geurtsen W. Polymethylmethacrylate resins. In: Schmalz G, Biocompatibility of dental materials. Berlin and Heidelberg, Germany: Springer; 2009. p. 255-67.
  • Graber TM, Vanarsdall RL Jr, Vig KWL. Orthodontics. Current principles and techniques. 4th ed. St Louis: Elsevier; 2005. p. 374-9.
  • Sheridan PJ, Koka S, Ewoldsen NO, Lefebvre CA, Lavin MT. Cytotoxicity of denture base resins. Int J Prosthodont 1997;10:73-7.
  • Doruk C, Ozturk F, Ozdemir H, Nalcaci R. Oral and nasal malodor in patients with and without cleft lip and palate who had undergone orthodontic therapy. Cleft Palate Craniofac J 2008;45:481-4.
  • Malkoç S, Öztürk F, Çörekçi B. Real-time cell analysis of the cytotoxicity of orthodontic mini- implants on human gingival fibroblasts and mouse osteoblasts. Am J Orthod Dentofacial Orthop 2012;141:419-26.
  • Morais L, Serra G, Muller C, Andrade L. Titanium alloy mini-implants for orthodontic anchorage: Immediate loading and metal ion release. Acta Biomaterial 2007;3:331-9.
  • Santos R, Pithon M, Mendes G. Cytotoxicity of intermaxillary orthodontic elastics of different colors: An in vitro study. J Appl Oral Sci. 2009;17:326-9.
  • Weiss ME, Hirshman CA. Latex allergy. Can J Anaesth. 1992;39:528-32.
  • Holmes J, Barker MK, Walley EK, Tuncay OC. Cytotoxicity of orthodontic elastics. Am J Orthod Dentofacial Orthop 1993;104:188-91.
  • Schmalz G. Use of cell cultures for toxicity testing of dental materials: advantages and limitations. J Dent. 1994;22:6-11.
  • Lewis J, Nix L, Schuster G, Lefebvre C, Knoernschild K, Caughman G. Response of oral mucosal cells to glass ionomer cements. Biomaterials 1996;17:1115–20.
  • Angelieri F, Joias RP, Bresciani E. Orthodontic cements induce genotoxicity and cytotoxicity in mammalian cells in vitro. Dent Res J (Isfahan) 2012;9:393-8.
  • Costa CA, Hebling J, Godoy FG. In vitro cytotoxicity of five glass-ionomer cements. Biometarials 2003;24:3853-8.
  • Kanjevac T, Milovanovic M, Volarevic V. Cytotoxic effects of glass ionomer cements on human dental pulp stem cells correlate with fluoride release. Med Chem 2012;8:40-5.
  • Freitas MPM, Oshima HMS, Menezes LM. Release of toxic ions from silver solder used in orthodontics: An in-situ evaluation. Am J Orthod Dentofacial Orthop 2011;140:177-81.
  • Gonçalves T, Menezes L, Trindade C. Cytotoxicity and genotoxicity of orthodontic bands with or without silver soldered joints. Mutation Research
  • Ahmad K, Drummond J, Graber T. Magnetic strength and corrosion of rare earth magnets. Am J Orthod Dentofacial Orthop 2006;130:11-15.
  • Darendeliler M, Mandurino M. Clinical application of orthodontics implications: a review. Eur J Orthod 1997;19:431- 42. and biological
  • Noar J, Wahab A, Evans R. The durability of parylene coatings on neodymium-iron-boron magnets. Eur J Orthod 1999;21:685-93.
  • Eliades T, Pratsinis H, Athanasiou AE. Cytotoxicity and estrogenicity of Invisalign appliances. Am J Orthod Dentofacial Orthop 2009;136:100-3.
  • Schuster S, Eliades G, Zinelis S. Structural conformation and leaching from in vitro aged and retrieved Invisalign appliances. Am J Orthod Dentofacial Orthop 2004;126:725-8.
  • Premaraj T, Simet S, Beatty M. Oral epithelial cell reaction after exposure to Invisalign plastic material. Am J Orthod Dentofacial Orthop 2014;145:64-71.

ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ

Year 2015, Supplement 12, 123 - 131, 24.11.2015
https://doi.org/10.17567/dfd.97914

Abstract

Hastaların güvenli tedavisini sağlamak için, dental materyallerin sitotoksisitesini tanımlamak çok önemlidir. Sitotoksisite, çeşitli makromoleküllerin sentezlenmesinin engellenmesi sonucu hücrenin fonksiyonlarında ve yapısında hasar meydana gelmesidir. Sitotoksisite mekanizmaları; oksidatif stres ve korozyon odaklıdır. Oksidatif stres mekanizması serbest radikal üretimi ve DNA hasarı sonucu mutasyonlar ile, korozyon ise metal iyon salınımı ile etki göstermektedir. Ortodontide en sık kullanılan materyaller; ark telleri, braketler, rezin adezivler ve bonding ajanlar, mini implantlar, akrilik rezinler, elastomerik maddeler, cam iyonomer simanlar, lehim alaşımlar, magnetler ve invisalign apareylerdir. Bu materyallerin biyo-uyumlulukları metal kompozisyo- nuna, ısıl işlem görüp görmediğine, üretim yöntemine veya polimerizasyon derecesine bağlıdır. Bu nedenle ortodontik malzemeler sitotoksisite ve iyon salınımı açısından iyi değerlendirilmeli ve sitotoksik özellikleri azaltmak için bazı önlemler alınmalıdır.


References

  • Murray PE, García Godoy C, García Godoy F. How is the biocompatibilty of dental biomaterials evaluated? Med Oral Patol Oral Cir Bucal24. 2007;12(3):258-66.
  • Mitchell R, Cotran R. Cell injury, adaptation and death. In: Kumar V, Cotran R, Robbins S, editors. Robbins basic pathology. 7th ed. Philadelphia: W. B. Saunders; 2003. p. 4-11. 3. Pilger A, Rüdiger HW. 8-Hydroxy-2’- deoxyguanosine as a marker of oxidative DNA damage related to occupational and environmental exposures. Int Arch Occup Environ Health
  • Spalj S, Zrinski MM, Spalj VT. In-vitro assesment of oxidative stress generated by orthodontic archwires. Am J Orthod Dentofacial Orthop 2012;141:583-9.
  • Çiftçi ZZ, Kırzıoğlu Z, Nazıroğlu M. Effects of prenatal and postnatal exposure of Wi-Fi on development of teeth and changes in teeth element concentration in rats : Wi-Fi (2.45 GHz) and teeth element concentrations. Biol Trace Elem Res. 2015;163:193-201.
  • Çiğ B, Nazıroğlu M. Investigation of the effects of distance from sources on apoptosis, oxidative stress and cytosolic calcium accumulation via TRPV1 channels induced by mobile phones and Wi- Fi in breast cancer cells. Biochim Biophys Acta. 2015;10-4C:2-8.
  • Hafez HS, Selim EM, Kamel Eid FH. Cytotoxicity, genotoxicity, and metal release in patients with fixed orthodontic appliances: a longitudinal in-vivo study. Orthop. 2011;140(3):298-30. Orthod Dentofacial
  • Matasa CG. Characterization of used orthodontic brackets. In: Eliades G, Eliades T, Brantley WA, Watts DC, editors. In vivo aging of dental biomaterials. Chicago, Quintessence: 2003. p. 125- 39.
  • Sfondrini MF, Cacciafesta V, Maffia E. Nickel release from new conventional stainless steel, recycled, and nickel-free orthodontic brackets: An in vitro study. Am J Orthod Dentofacial Orthop 2010;137:809-15.
  • Hwang C, Shin J, Cha J. Metal release from simulated fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2001;120:383-91.
  • Bishara S E, Barret R D, Selim M I. Biodegradation of orthodontic appliances Part II. Changes in the blood level of nickel. Am J Orthod Dentofacial Orthop 1993;103:115-9.
  • Trombelli L, Virgili A, Corazza M, Lucci R. Systemic contact dermatitis from an orthodontic appliance. Contact Dermatitis 1992; 27:259-60.
  • Vreeburg KJJ, von Blomberg M, Scheper RJ. Induction of immunological tolerance by oral administration of nickel and chromium. J Dent Res 1984;63:124-8.
  • Staerkjaer L, Menne T. Nickel allergy and orthodontic treatment. Eur J Orthod 1990;12:284- 9.
  • Torreilles J, Guerin M C, Slaoui-Hasnaoui A. Nickel (II) complexes of histidyl-peptides as Fenton- reaction catalysts. Free Radical Research Communications 1990;11:159-66.
  • Oh K, Kim K. Ion release and cytotoxicity of stainless streel wires. Eur J Orthod 2005;27:533- 40.
  • David A, Lobner D. In vitro cytotoxicity of orthodontic archwires in cortical cell cultures. Eur J Orthod 2004;26: 421-6.
  • Gjerdet N R, Hero H. Metal release from heat- treated orthodontic archwire. Acta Odont Scand 1987;45:409–14.
  • Gioka C, Bourauel C, Zinelis S, Eliades T, Silikas N, Eliades G. Titanium orthodontic brackets: structure, composition, hardness and ionic release. Dent Mater 2004;20:693–700.
  • Wataha JC, Hanks CT, Craig RG. In vitro effects of metal ions on cellular metabolism and the correlation between these effects and the uptake of the ions. J Biomed Mater Res 1994;28:427-33.
  • Chen C, Ou K, Wang W. Variation in Surface Morphology and Microstructure of 316L Biomedical Alloys Immersed in Artificial Saliva. J Exp Clin Med 2013;5:30-6.
  • Sernetz F. Titanium and titanium alloys in orthodontics. Quintessence Int 1995;21:615—26.
  • Kloukos D, Taoufik E, Eliades T. Cytotoxic effects of polycarbonate-based orthodontic brackets by activation of mitochondrial apoptotic mechanisms. Dental Materials 2013;29:35-44.
  • Artham T, Doble M. Biodegradation of aliphatic and aromatic Bioscience 2008;8:14–24. Macromolecular
  • Kusy R, Whitley J. Degradation of plastic polyoxymethylene brackets and the subsequent release of toxic formaldeyde. Am J Orthod Dentofacial Orthop 2005;127:420-7.
  • Retamoso LB, Luz TB, Marinowic DR. Cytotoxicity of esthetic, metallic, and nickel-free orthodontic brackets: Cellular behavior and viability. Am J Orthod Dentofacial Orthop 2012;142:70-4.
  • Chung KH: The relationship between composition and properties of posterior resin composites. J Dent Res 1990;69:852-6.
  • Gül P, Akgül N. Kompozit materyallerin biyouyumluluğu hakkında literatür derlemesi. Atatürk Üniv Diş Hek Fak Derg. 2013;7:78-86.
  • Demirci T, Gürbüz T. Dental rezin kompozitlerin sitotoksisitesi: Bir in vitro çalışma. Atatürk Üniv Diş Hek Fak Derg 2014;24:10-5.
  • Hanks CT, Strawn SE, Wataha JC. Cytotoxic effects of resin components on cultured mammalian fibroblasts. J Dent Res 1991;70:1450-5.
  • Rahiotis C, Kakaboura A, Loukidis M, Vougiouklakis G. Curing efficiency of various types of light-curing units. Eur J Oral Sci 2004;112:89-94.
  • Ahrari F, Afshari JT, Poosti M. Cytotoxicity of orthodontic bonding adhesive resins on human oral fibroblasts. Eur J Orthod 2010;32:688-92.
  • Eliades T, Hiskia A, Eliades G. Assessment of bisphenol-A release from orthodontic adhesives. Am J Orthod Dentofacial Orthop 2007;131:72-5.
  • Jagdish N, Padmanabhan S, Chitharanjan AB. Cytotoxicity and degree of conversion of orthodontic adhesives. Angle Orthod 2009; 79: 1133-8.
  • Sunitha C, Kailasam V, Padmanabhan S. Bisphenol A release from an orthodontic adhesive and its correlation with the degree of conversion on varying light-curing tip distances. Am J Orthod Dentofacial Orthop 2011;140:239-44.
  • D’Anto V, Spagnuolo G, Schweikl H. Effect of N- acetyl cysteine on orthodontic primers cytotoxicity. Dental Materials 2011;27:180-6.
  • D’Anto V, Spagnuolo G, Polito I. In vitro cytotoxicity of orthodontic primers. Prog Orthod 2009;10:4-11.
  • Öztürk F, Malkoc S, Ersöz M. Real-time cell analysis of the cytotoxicity of the components of orthodontic acrylic materials on gingival fibroblasts, Am J Orthod Dentofacial Orthop 2011;140:243-9.
  • Geurtsen W. Polymethylmethacrylate resins. In: Schmalz G, Biocompatibility of dental materials. Berlin and Heidelberg, Germany: Springer; 2009. p. 255-67.
  • Graber TM, Vanarsdall RL Jr, Vig KWL. Orthodontics. Current principles and techniques. 4th ed. St Louis: Elsevier; 2005. p. 374-9.
  • Sheridan PJ, Koka S, Ewoldsen NO, Lefebvre CA, Lavin MT. Cytotoxicity of denture base resins. Int J Prosthodont 1997;10:73-7.
  • Doruk C, Ozturk F, Ozdemir H, Nalcaci R. Oral and nasal malodor in patients with and without cleft lip and palate who had undergone orthodontic therapy. Cleft Palate Craniofac J 2008;45:481-4.
  • Malkoç S, Öztürk F, Çörekçi B. Real-time cell analysis of the cytotoxicity of orthodontic mini- implants on human gingival fibroblasts and mouse osteoblasts. Am J Orthod Dentofacial Orthop 2012;141:419-26.
  • Morais L, Serra G, Muller C, Andrade L. Titanium alloy mini-implants for orthodontic anchorage: Immediate loading and metal ion release. Acta Biomaterial 2007;3:331-9.
  • Santos R, Pithon M, Mendes G. Cytotoxicity of intermaxillary orthodontic elastics of different colors: An in vitro study. J Appl Oral Sci. 2009;17:326-9.
  • Weiss ME, Hirshman CA. Latex allergy. Can J Anaesth. 1992;39:528-32.
  • Holmes J, Barker MK, Walley EK, Tuncay OC. Cytotoxicity of orthodontic elastics. Am J Orthod Dentofacial Orthop 1993;104:188-91.
  • Schmalz G. Use of cell cultures for toxicity testing of dental materials: advantages and limitations. J Dent. 1994;22:6-11.
  • Lewis J, Nix L, Schuster G, Lefebvre C, Knoernschild K, Caughman G. Response of oral mucosal cells to glass ionomer cements. Biomaterials 1996;17:1115–20.
  • Angelieri F, Joias RP, Bresciani E. Orthodontic cements induce genotoxicity and cytotoxicity in mammalian cells in vitro. Dent Res J (Isfahan) 2012;9:393-8.
  • Costa CA, Hebling J, Godoy FG. In vitro cytotoxicity of five glass-ionomer cements. Biometarials 2003;24:3853-8.
  • Kanjevac T, Milovanovic M, Volarevic V. Cytotoxic effects of glass ionomer cements on human dental pulp stem cells correlate with fluoride release. Med Chem 2012;8:40-5.
  • Freitas MPM, Oshima HMS, Menezes LM. Release of toxic ions from silver solder used in orthodontics: An in-situ evaluation. Am J Orthod Dentofacial Orthop 2011;140:177-81.
  • Gonçalves T, Menezes L, Trindade C. Cytotoxicity and genotoxicity of orthodontic bands with or without silver soldered joints. Mutation Research
  • Ahmad K, Drummond J, Graber T. Magnetic strength and corrosion of rare earth magnets. Am J Orthod Dentofacial Orthop 2006;130:11-15.
  • Darendeliler M, Mandurino M. Clinical application of orthodontics implications: a review. Eur J Orthod 1997;19:431- 42. and biological
  • Noar J, Wahab A, Evans R. The durability of parylene coatings on neodymium-iron-boron magnets. Eur J Orthod 1999;21:685-93.
  • Eliades T, Pratsinis H, Athanasiou AE. Cytotoxicity and estrogenicity of Invisalign appliances. Am J Orthod Dentofacial Orthop 2009;136:100-3.
  • Schuster S, Eliades G, Zinelis S. Structural conformation and leaching from in vitro aged and retrieved Invisalign appliances. Am J Orthod Dentofacial Orthop 2004;126:725-8.
  • Premaraj T, Simet S, Beatty M. Oral epithelial cell reaction after exposure to Invisalign plastic material. Am J Orthod Dentofacial Orthop 2014;145:64-71.
There are 59 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Articles
Authors

Cafer Karakaş This is me

Elçin Esenlik

Publication Date November 24, 2015
Published in Issue Year 2015 Supplement 12

Cite

APA Karakaş, C., & Esenlik, E. (2015). ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 25, 123-131. https://doi.org/10.17567/dfd.97914
AMA Karakaş C, Esenlik E. ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. November 2015;25:123-131. doi:10.17567/dfd.97914
Chicago Karakaş, Cafer, and Elçin Esenlik. “ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 25, November (November 2015): 123-31. https://doi.org/10.17567/dfd.97914.
EndNote Karakaş C, Esenlik E (November 1, 2015) ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 25 123–131.
IEEE C. Karakaş and E. Esenlik, “ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ”, Ata Diş Hek Fak Derg, vol. 25, pp. 123–131, 2015, doi: 10.17567/dfd.97914.
ISNAD Karakaş, Cafer - Esenlik, Elçin. “ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 25 (November 2015), 123-131. https://doi.org/10.17567/dfd.97914.
JAMA Karakaş C, Esenlik E. ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. 2015;25:123–131.
MLA Karakaş, Cafer and Elçin Esenlik. “ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 25, 2015, pp. 123-31, doi:10.17567/dfd.97914.
Vancouver Karakaş C, Esenlik E. ORTODONTİDE KULLANILAN MALZEMELERİN SİTOTOKSİSİTESİNİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. 2015;25:123-31.

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