Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells

Background: Cone beam computed tomography (CBCT) and multidetector computed tomography (MDCT) are frequently used in dental and maxillofacial problems. This study aimed to assess the genotoxicity and cytotoxicity effects of CBCT and MDCT radiographies on exfoliated buccal epithelial cells during den...

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Main Authors: Zahra Jahanshahiafshar, Hakimeh Ghorbani, Maryam Seyedmajidi, Mehrdad Nabahati, Kourosh Ebrahimnejad Gorji, Seyedali Seyedmajidi, Ehsan Moudi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-11-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:https://ijms.sums.ac.ir/article_49340_5f58f672cabd90826d9904abe4334fc4.pdf
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author Zahra Jahanshahiafshar
Hakimeh Ghorbani
Maryam Seyedmajidi
Mehrdad Nabahati
Kourosh Ebrahimnejad Gorji
Seyedali Seyedmajidi
Ehsan Moudi
author_facet Zahra Jahanshahiafshar
Hakimeh Ghorbani
Maryam Seyedmajidi
Mehrdad Nabahati
Kourosh Ebrahimnejad Gorji
Seyedali Seyedmajidi
Ehsan Moudi
author_sort Zahra Jahanshahiafshar
collection DOAJ
description Background: Cone beam computed tomography (CBCT) and multidetector computed tomography (MDCT) are frequently used in dental and maxillofacial problems. This study aimed to assess the genotoxicity and cytotoxicity effects of CBCT and MDCT radiographies on exfoliated buccal epithelial cells during dental examinations. Methods: This prospective experimental study was conducted at Babol University of Medical Sciences (Babol, Iran) from March 2021 to April 2021. Buccal mucosa smears were collected bilaterally pre-exposure and 12 days after CBCT or MDCT examinations. To compare the frequency of micronuclei and other cytotoxic cellular changes such as pyknosis, karyolysis, and karyorrhexis, the paired sample t test and Wilcoxon test were used. In addition, independent sample t test, Mann-Whitney, and Chi square tests were used to investigate the differences between the imaging methods and between men and women. All statistical analyses were performed using the SPSS software, and P≤0.05 was considered statistically significant. Results: The current study included 60 adult patients (30 patients in each group), ranging in age from 21 to 50 years. The micronuclei and the other cytotoxic cellular changes increased significantly after CBCT and MDCT radiographic examinations on the 12th day compared to the pre-exposure results (P<0.001). MDCT had statistically higher cytotoxic and genotoxic effects than CBCT (9.4%, 23.1%, and 40% higher values in micronucleus frequency, the mean frequency of micronuclei, and other cytotoxic changes, respectively). There were no significant differences between men and women in the two examination methods (P=0.46 and P=0.49, respectively). Conclusion: Dental examinations with CBCT and MDCT can increase cytotoxicity and chromosomal damage in both men and women. Due to its lower radiation toxicities, CBCT can be recommended as an alternative to MDCT for dental examinations.
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spelling doaj.art-7a48ba3809724cd7b23ba99e3a65a01c2023-12-03T09:16:37ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882023-11-0148657258110.30476/ijms.2023.96522.280749340Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial CellsZahra Jahanshahiafshar0Hakimeh Ghorbani1Maryam Seyedmajidi2Mehrdad Nabahati3Kourosh Ebrahimnejad Gorji4Seyedali Seyedmajidi5Ehsan Moudi6Student Research Committee, Babol University of Medical Sciences, Babol, IranOral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranDental Materials Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranDepartment of Radiology, School of Medicine, Babol University of Medical Sciences, Babol, IranDepartment of Medical Physics, Radiobiology and Radiation Protection, School of Medicine, Babol University of Medical Sciences, Babol, IranDental Materials Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranOral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranBackground: Cone beam computed tomography (CBCT) and multidetector computed tomography (MDCT) are frequently used in dental and maxillofacial problems. This study aimed to assess the genotoxicity and cytotoxicity effects of CBCT and MDCT radiographies on exfoliated buccal epithelial cells during dental examinations. Methods: This prospective experimental study was conducted at Babol University of Medical Sciences (Babol, Iran) from March 2021 to April 2021. Buccal mucosa smears were collected bilaterally pre-exposure and 12 days after CBCT or MDCT examinations. To compare the frequency of micronuclei and other cytotoxic cellular changes such as pyknosis, karyolysis, and karyorrhexis, the paired sample t test and Wilcoxon test were used. In addition, independent sample t test, Mann-Whitney, and Chi square tests were used to investigate the differences between the imaging methods and between men and women. All statistical analyses were performed using the SPSS software, and P≤0.05 was considered statistically significant. Results: The current study included 60 adult patients (30 patients in each group), ranging in age from 21 to 50 years. The micronuclei and the other cytotoxic cellular changes increased significantly after CBCT and MDCT radiographic examinations on the 12th day compared to the pre-exposure results (P<0.001). MDCT had statistically higher cytotoxic and genotoxic effects than CBCT (9.4%, 23.1%, and 40% higher values in micronucleus frequency, the mean frequency of micronuclei, and other cytotoxic changes, respectively). There were no significant differences between men and women in the two examination methods (P=0.46 and P=0.49, respectively). Conclusion: Dental examinations with CBCT and MDCT can increase cytotoxicity and chromosomal damage in both men and women. Due to its lower radiation toxicities, CBCT can be recommended as an alternative to MDCT for dental examinations.https://ijms.sums.ac.ir/article_49340_5f58f672cabd90826d9904abe4334fc4.pdfcone beam computed tomographymultidetector computed tomographydna damagemouth mucosa
spellingShingle Zahra Jahanshahiafshar
Hakimeh Ghorbani
Maryam Seyedmajidi
Mehrdad Nabahati
Kourosh Ebrahimnejad Gorji
Seyedali Seyedmajidi
Ehsan Moudi
Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells
Iranian Journal of Medical Sciences
cone beam computed tomography
multidetector computed tomography
dna damage
mouth mucosa
title Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells
title_full Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells
title_fullStr Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells
title_full_unstemmed Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells
title_short Genotoxic and Cytotoxic Effects of Cone Beam Computed Tomography and Multidetector Computed Tomography on Exfoliated Buccal Epithelial Cells
title_sort genotoxic and cytotoxic effects of cone beam computed tomography and multidetector computed tomography on exfoliated buccal epithelial cells
topic cone beam computed tomography
multidetector computed tomography
dna damage
mouth mucosa
url https://ijms.sums.ac.ir/article_49340_5f58f672cabd90826d9904abe4334fc4.pdf
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