Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro

Introduction: The aim of this in vitro study was to evaluate the cytotoxic effects of chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA), and sodium hypochlorite (NaOCl) irrigants on human gingival fibroblasts. Materials and Methods: Gingival fibroblasts were cultured in Dulbecco Modified E...

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Main Authors: Abdel-Rahman Youssef, Ehdaa Alturkistani, Israa Muharrij, Lina Alsrehi, Noor Shafei, Nora Alzahrani, Mashael Alqahtani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Saudi Endodontic Journal
Subjects:
Online Access:http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2020;volume=10;issue=3;spage=234;epage=239;aulast=Youssef
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author Abdel-Rahman Youssef
Ehdaa Alturkistani
Israa Muharrij
Lina Alsrehi
Noor Shafei
Nora Alzahrani
Mashael Alqahtani
author_facet Abdel-Rahman Youssef
Ehdaa Alturkistani
Israa Muharrij
Lina Alsrehi
Noor Shafei
Nora Alzahrani
Mashael Alqahtani
author_sort Abdel-Rahman Youssef
collection DOAJ
description Introduction: The aim of this in vitro study was to evaluate the cytotoxic effects of chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA), and sodium hypochlorite (NaOCl) irrigants on human gingival fibroblasts. Materials and Methods: Gingival fibroblasts were cultured in Dulbecco Modified Eagle Medium for 24 h. Then, the cells were exposed for 1 min to different concentrations of CHX, EDTA, and NaOCl and the cell viability was assessed using 3-(4,5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide tetrazolium reduction assay. The percentage of gingival fibroblast viability was compared to control (100% viability). Results: All concentrations of CHX, EDTA, and NaOCl were cytotoxic to gingival fibroblasts compared to control group and this effect was dose-dependent (P < 0.0001). There was an inverse relationship between the concentrations of these irrigants and cell viability. The highest clinically used concentrations of CHX (2%), EDTA (17%) and NaOCl (2.5%) reduced the cell viability to 2.2%, 3.2%, and 1.9%, respectively, compared to the 100% viability of control. However, the lowest concentration of CHX (0.00002%), EDTA (0.00017%), and NaOCl (0.000025%) increased the cell viability to 39.8%, 30.2%, and 44.2%, respectively, in comparison to control. There were no significant differences between the irrigants at clinically used concentrations (P > 0.05). Conclusion: The cytotoxic effect of CHX, EDTA, and NaOCl on gingival fibroblasts was dose-dependent. Further studies are needed to assess and optimize the safety and efficacy of these irrigants in vivo.
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spelling doaj.art-fd05deef5aea40d7a95e61aed69b36092022-12-22T01:03:50ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952020-01-0110323423910.4103/sej.sej_149_19Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitroAbdel-Rahman YoussefEhdaa AlturkistaniIsraa MuharrijLina AlsrehiNoor ShafeiNora AlzahraniMashael AlqahtaniIntroduction: The aim of this in vitro study was to evaluate the cytotoxic effects of chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA), and sodium hypochlorite (NaOCl) irrigants on human gingival fibroblasts. Materials and Methods: Gingival fibroblasts were cultured in Dulbecco Modified Eagle Medium for 24 h. Then, the cells were exposed for 1 min to different concentrations of CHX, EDTA, and NaOCl and the cell viability was assessed using 3-(4,5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide tetrazolium reduction assay. The percentage of gingival fibroblast viability was compared to control (100% viability). Results: All concentrations of CHX, EDTA, and NaOCl were cytotoxic to gingival fibroblasts compared to control group and this effect was dose-dependent (P < 0.0001). There was an inverse relationship between the concentrations of these irrigants and cell viability. The highest clinically used concentrations of CHX (2%), EDTA (17%) and NaOCl (2.5%) reduced the cell viability to 2.2%, 3.2%, and 1.9%, respectively, compared to the 100% viability of control. However, the lowest concentration of CHX (0.00002%), EDTA (0.00017%), and NaOCl (0.000025%) increased the cell viability to 39.8%, 30.2%, and 44.2%, respectively, in comparison to control. There were no significant differences between the irrigants at clinically used concentrations (P > 0.05). Conclusion: The cytotoxic effect of CHX, EDTA, and NaOCl on gingival fibroblasts was dose-dependent. Further studies are needed to assess and optimize the safety and efficacy of these irrigants in vivo.http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2020;volume=10;issue=3;spage=234;epage=239;aulast=Youssefchlorhexidinecytotoxicityethylenediaminetetraacetic acidfibroblastssodium hypochlorite
spellingShingle Abdel-Rahman Youssef
Ehdaa Alturkistani
Israa Muharrij
Lina Alsrehi
Noor Shafei
Nora Alzahrani
Mashael Alqahtani
Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
Saudi Endodontic Journal
chlorhexidine
cytotoxicity
ethylenediaminetetraacetic acid
fibroblasts
sodium hypochlorite
title Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
title_full Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
title_fullStr Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
title_full_unstemmed Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
title_short Effects of chlorhexidine, ethylenediaminetetraacetic acid, and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
title_sort effects of chlorhexidine ethylenediaminetetraacetic acid and sodium hypochlorite on cell viability of human gingival fibroblasts in vitro
topic chlorhexidine
cytotoxicity
ethylenediaminetetraacetic acid
fibroblasts
sodium hypochlorite
url http://www.saudiendodj.com//article.asp?issn=1658-5984;year=2020;volume=10;issue=3;spage=234;epage=239;aulast=Youssef
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