Comparative assessment of biocompatibility of various fluoride agents in cell culture.

Publication date: Jul 02, 2025

This study aimed to evaluate the biocompatibility of various fluoride agents using L929 fibroblast and human gingival fibroblast (HGF) cell cultures. Five different fluoride agents were included in the study; 1. 23% Acidulated Phosphate Fluoride (APF) gel (Sultan Health Care, Engle Wood, USA), 2% Sodium Fluoride (NaF) gel (Sultan Health Care, Engle Wood, USA), 1% Titanium Tetrafluoride (TiF₄) solution (Sigma-Aldrich Chemie GmbH, Steinheim, Germany), 38% Silver Diamine Fluoride (SDF) solution (Saforide-J. Morita; Toyo Seiyaku Kasei Ltd/Osaka-Japan), and 5% NaF varnish (Duraphat, Colgate Oral Pharmaceuticals, New York, NY, USA). Cytotoxicity was evaluated using the real-time xCELLigence system, while apoptotic activity was determined through Annexin V/PI and TUNEL assays. Genotoxicity was assessed using the micronucleus test. The expression levels of the pro-apoptotic marker BAX and the anti-apoptotic marker BCL-2 were quantified using real-time PCR. All experiments were performed in triplicate and independently repeated to ensure reproducibility, with data analyzed using non-linear regression for IC₅₀ determination, one-way ANOVA with Tukey’s post hoc test for group comparisons, and chi-square or Fisher’s Exact tests for categorical variables (SPSS 25. 0); statistical significance was set at p 

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Concepts Keywords
Genotoxicity Animals
Germany Apoptosis
Japan BAX protein, human
Pcr Bax protein, mouse
Tetrafluoride BCL2 protein, human
Biocompatibility
Biocompatible Materials
Biocompatible Materials
Cariostatic Agents
Cariostatic Agents
Cell Line
Cell Survival
Diamines
Diamines
Fibroblasts
Fluorides
Fluorides
Fluorides, Topical
Fluorides, Topical
fluorophosphate
Gingiva
Humans
Materials Testing
Mice
Micronucleus Tests
Pediatric dentistry
Phosphates
Phosphates
Proto-Oncogene Proteins c-bcl-2
Proto-Oncogene Proteins c-bcl-2
Quaternary Ammonium Compounds
Quaternary Ammonium Compounds
Silver Compounds
Silver Compounds
silver diamine fluoride
Siver Diamine fluoride
Sodium Fluoride
Sodium Fluoride
Sodium fluoride
Titanium
Titanium
titanium tetrafluoride

Semantics

Type Source Name
disease IDO cell
drug DRUGBANK Sodium fluoride
pathway REACTOME Reproduction
pathway REACTOME Apoptosis
disease IDO protein
drug DRUGBANK Monofluorophosphate ion
drug DRUGBANK Titanium

Original Article

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