Abstract

The main objective of this research is to demonstrate the biocompatibility of two experimental graphene dental materials by in vitro and in vivo tests for applications in dentistry. The novel graphene dental materials, including one restorative composite and one dental cement, were subjected to cytotoxicity and implantation tests by using a rat model of a non-critical mandibular defect. In vitro cytotoxicity induced by materials on human dental follicle stem cells (restorative composite) and dysplastic oral keratinocytes (dental cement) was investigated at 37 °C for 24 h. After in vivo implantation, at 7 weeks, bone samples were harvested and subjected to histological investigations. The plasma biochemistry, oxidative stress, and sub-chronic organ toxicity analysis were also performed. The resulting cytotoxicity tests confirm that the materials had no toxic effects against dental cells after 24 h. Following graphene dental materials implantation, the animals did not present any symptoms of acute toxicity or local inflammation. No alterations were detected in relative organ weights and in correlation with hepatic and renal histological findings. The materials’ lack of systemic organ toxicity was confirmed. The outcomes of our study provided further evidence on the graphene dental materials’ ability for bone regeneration and biocompatibility.

Highlights

  • Graphene and graphene oxide-based nanomaterials have garnered great interest in research because of their unique physicochemical properties

  • The GZ2 material had no toxic effects against the dental pulp fibroblasts

  • The present study has investigated the in vitro cytotoxic effects by cell viability measurements on on the human dental follicle stem cells and on dysplastic oral keratinocytes in different the human dental follicle stem cells and on dysplastic oral keratinocytes in different concentrations

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Summary

Introduction

Graphene and graphene oxide-based nanomaterials have garnered great interest in research because of their unique physicochemical properties. Graphene and its derivatives are generating considerable interest in terms of composite material design and are believed to be the potential material used in developing dental materials [4]. They can be functionalized and combined with ceramics, polymers, and metals. The generation of bio-composites with graphene has generated specific interest for the use in dentistry with graphene oxide being responsible for improving the physical, chemical, and mechanical properties of the biomaterials [5]. Graphene is generating considerable interest in terms of bone tissue engineering such as having the ability to promote osteogenic differentiation [6]. Previous work has only focused on graphene in vitro toxicity, stating this material is not cytotoxic [7,8,9], but it may elicit a Toll-like receptor-mediated inflammatory response [10]

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