Article Data

  • Views 936
  • Dowloads 162

Original Research

Open Access

Genotoxic Effects of Dental Panoramic Radiograph in Children

  • Eman A El-Ashiry1,*,
  • Eman A Abo-Hager1
  • Abeer S Gawish1

1King Abdulaziz University, Faculty of Dentistry, Preventive Dental Sciences Department, P.O. Box 80209, Jeddah 21589, Cairo Egypt.

DOI: 10.17796/jcpd.35.1.y613824735287307 Vol.35,Issue 1,January 2011 pp.69-74

Published: 01 January 2011

*Corresponding Author(s): Eman A El-Ashiry E-mail: emanashkmm@yahoo.com

Abstract

This study was completed to evaluate chromosomal damage (micronucleus) and cellular death in exfoliated buccal mucosa cells taken from healthy children following exposure to panoramic radiation during dental radiography. Method: Twenty children who underwent panoramic dental radiography for diagnostic purposes were included. Cytological preparations were stained with Feulgen stain, identified under light microscopy. Micronuclei, apoptotic nuclear alterations (condensed chromatin, karyorrhexis, pyknosis) and necrosis (karyolysis) were scored. Results showed no statistically significant differences in children’s micronucleated oral mucosa cells before and after panoramic dental X-Ray exposure. On the other hand, there was a statistically significant increase in nuclear alterations closely related to genotoxicity such as condensed chromatin, karyorrhexis and pyknosis, while karyolysis of oral mucosal cells did not show significant increase after panoramic X-Ray exposure. Conclusion: Dental panoramic radiography may not be a factor that induces chromosomal damage, but is able to promote genotoxicity in children.

Keywords

Micronucleus test, Buccal mucosa cells, Panoramic X-Ray, Children.

Cite and Share

Eman A El-Ashiry,Eman A Abo-Hager,Abeer S Gawish. Genotoxic Effects of Dental Panoramic Radiograph in Children. Journal of Clinical Pediatric Dentistry. 2011. 35(1);69-74.

References

1. Holmberg K, Falt S, Johansson A, Lambert B. Clonal chromosome aberrations and genomic instability in X-irradiated human T-lymphocyte cultures, Mutat. Res,. 286: 321–330, 1993.

2. Limoli CL, Kaplan MI, Corcoran JW, Meyers M, Boothman DA, Morgan WF. Chromosomal instability and its relationship to other endpoints of genomic instability. Cancer Res,. 57: 5552–5564, 1997.

3. Manti L, Jamali M, Prise KM, Michael BD, Trott KR. Genomic instability in Chinese hamster cells after exposure to X-rays or alpha particles of different mean linear energy transfer. Radiat Res, 147:22–29, 1997.

4. Paz-y-Miño C, Pérez JC, Dávalos V, Sánchez ME, Leone PE. Telomeric associations in cigarette smokers exposed to low levels of X-rays, Mutat. Res, 490: 77–80, 2001.

5. Koturbash I, Rugo RE, Hendricks CA: Irradiation induces DNA damage and modulates epigenetic effectors in distant bystander tissue in vivo. Oncogene, 20: 4267–4275, 2006.

6. Cerqueira EMM, Gomes-Filho IS, Trindade S, Lopes MA, Passos JS, Machado-Santelli G.M.. Genetic damage in exfoliated cells from oral mucosa of individuals exposed to X-rays during panoramic dental radiographies. Mutation Research, 562: 111–117, 2004.

7. Suk WA, Murray K, Avakian MD. Environmental hazards to children’s health in the modern world. Mutat Res, 544: 235–242, 2003.

8. Fenech M. The in vitro micronucleus technique, Mutat. Res, 455: 81–95, 2000.

9. Majer BJ, Laky B, Knasmüller S, Kassie F. Use of the micronucleus assay with exfoliated epithelial cells as a biomarker for monitoring individuals at elevated risk of genetic damage and in chemoprevention trials, Mutat. Res, 489: 147–172, 2001.

10. Machado-Santelli GM, Cerqueira EM, Oliveira CT, Pereira CAB. Biomonitoring of nurses handling antineoplastic drugs, Mutat. Res, 322: 203–208, 1994.

11. Torres-Bugarin O, Anda-Casillas A, Ramirez-Muñoz MP, SánchesCorona J, Cantú JM, Zúñiga G. Determination of diesel genotoxicity in fire breathers by micronuclei and nuclear abnormalities in buccal mucosa, Mutat. Res, 413: 277– 281, 1998.

12. Pastor S, Gutiérrez S, Creus A, Cebulska-Wasilewska A, Marcos R. Micronuclei in peripheral lymphocytes and buccal epithelial cells of Polish farmers exposed to pesticides. Mutat. Res, 495: 147–156, 2001.

13. Pinto D, Ceballos JM, Garćıa G, Guzmán P, Del Razo LM, Vera E, Gómez H, Garćıa A, Gonsebatt ME. Increased cytogenetic damage in outdoor painters. Mutat. Res, 467: 105–111, 2000.

14. Lucero L, Pastor S, Suárez S, Durbán R, Gómez C, Parrón T, Creus A, Marcos R. Cytogenetic biomonitoring of Spanish greenhouse workers exposed to pesticides: micronuclei analysis in peripheral blood lymphocytes and buccal epithelial cells. Mutat. Res, 464: 255–262, 2000.

15. Vera GV, Aleksandra F, Dragan K, Andrija H. Assessment of genome damage in occupational exposure to ionizing radiation and ultrasound. Mutat. Res, 395: 101–105, 1997.

16. Balakrishnan S, Srinivasa BR. Cytogenetic analysis of peripheral blood lymphocytes of occupational workers exposed to low levels of ionising radiation. Mutat. Res, 442: 37–42, 1999.

17. Hall SC, Wells J. Micronuclei in human lymphocytes as a biological dosimeter: preliminary data following beta irradiation in vitro. J. Radiol. Prot, 8: 97–102, 1998.

18. Midander J, Revesz L. The frequency of micronuclei as a measure of cell survival in irradiated population. Int. J. Radiat. Biol, 38: 237–242, 1980.

19. Bhattathiri NV, Bharathykkuty C, Prathapan R, Chirayathmanjiyil DA, Nair KM. Prediction of radiosensitivity of oral cancers by serial cytological assay of nuclear changes. Radiother. Oncol, 49: 61–65, 1998.

20. Ramirez MJ, Surrallés J, Puerto S, Creus A, Marcos R. Low persistence of radiation-induced centromere positive and negative micronuclei in cultured human cells. Mutat. Res, 440: 163–169, 1999.

21. Moore LE, Warner ML, Smith AH, Kalman D, Smith MT. Use of the fluorescent micronucleus assay to detect the genotoxic effects of radiation and arsenic exposure in exfoliated human epithelial cells. Environ. Mol. Mutagen, 27: 176–184, 1996.

22. Tolbert PE, Shy CM, Allen JW. Micronuclei and other nuclear anomalies in buccal smears: a field test in snuff users. Am. J. Epidemiol, 134: 840–850, 1991.

23. Sari-Minodier I, Orsiere T, Bellon L. Cytogenetic monitoring of industrial radiographers using the micronucleus assay. Mutat Res, 521: 37–46, 2002.

24. Stich HF, Parida BB, Brunnemann KD. Localized formation of micronuclei in the oral mucosa and tobacco-specific nitrosamines in the saliva of “reverse” smokers, Khaini-tobacco chewers and gudakhu users. Int J Cancer, 21: 172–176, 1992.

25. Fenech M, Morley AA. Cytokinesis-block micronucleus method in human lymphocytes: effect of in vivo ageing and low dose X-irradiation. Mutat. Res, 161: 193–198, 1986.

26. Belien JA, Copper MP, Braakhuis BJ. Standardization of counting micronuclei. Definition of a protocol to measure genotoxic damage in human exfoliated cells. Carcinogenesis, 16: 2395–2400, 1995.

27. Jagetia GC, Jayakrishnan A, Fernandes D. Evaluation of micronuclei frequency in the cultured peripheral blood lymphocytes of cancer patients before and after radiation treatment. Mutat Res, 491: 9–16, 2001.

28. Nersesyan A, Kundi M, Atefie K, Schulte-Hermann R and Knasmüller S. Effect of staining procedures on the results of micronucleus assays with exfoliated oral mucosa cells. Cancer Epidemiology Biomarkers & Prevention, 15: 1835–1840, 2006.

29. Tolbert PE, Shy CM, Allen JW. Micronuclei and other nuclear abnormalities in buccal smears: methods and development. Mutat. Res, 27: 169–77, 1992.

30. Çelik A, Çavaş T, Ergene-Gözükara S. Cytogenetic biomonitoring in petrol station attendants: micronucleus test in exfoliated buccal cells. Mutagenesis, 18: 417–421, 2003.

31. Thomasa P, Harvey S, Gruner T, Fenech M. The buccal cytome and micronucleus frequency is substantially altered in Down’s syndrome and normal ageing compared to young healthy controls Mutation Research, 638: 37–47, 2008.

32. Varga D, Johannes T, Jainta S, Schuster S, Schwarz-Boeger U, Kiechle M, Garcia B P, Vogel W. An automated scoring procedure for the micronucleus test by image analysis Mutagenesis vol. 19 no. 5 pp. 391–397, 2004.

33. Titenko-Holland N, Levine AJ, Smith MT, Quintana PJ, Boeniger M. Quantification of epithelial cell micronuclei by fluorescence in situ hybridization (FISH) in mortuary science students exposed to formaldehyde. Mutat Res, 371: 237–248, 1996.

34. Moore LE, Titenko-Holland N, Quintana PJ, Smith MT. Novel biomarker of genetic damage in human: use of fluorescence in situ hybridization to detect aneuploidy and micronuclei in exfoliated cells. J Toxicol Environ Health, 40: 349–357, 1993.

35. Fenech M, Holland N, Chang WP, Zeiger E, Bonassi S. The human micronucleus project-an international collaborative study on the use of the micronucleus technique for measuring DNA damage in humans. Mutat Res, 428: 271–283, 1999.

36. Stich HF, Rosin MP. Micronuclei in exfoliated cells as a tool for studies in cancer risk and cancer intervention. Cancer Lett, 22: 241–253, 1984.

37. Sarto, F.R. Tomanin, L. Giacomelli, A. Canova, F. Raimondi, C. Ghiotto, M.V. Fiorentino. Evaluation of chromosomal aberrations in lymphocytes, oral mucosa and hair root cells of patients under antiblastic therapy, Mutat. Res, 228: 157–169, 1990.

38. Titenko-Holland N, Moore L, Smith MT. Measurement and characterization of micronuclei in exfoliated human cells by fluorescence in situ hybridization FISH with a centromeric probe. Mutat. Res. 312: 39–50, 1994.

39. Gutierrez S, Carbonell E, Galofre P, Creus A, Marcos R. Cytogenetic damage after 131–iodine treatment for hyperthyroidism and thyroid cancer. A study using the micronucleus test. Eur J Nucl Med, 26: 1589–1596, 1999.

40. Ramirez A, Saldanha PH. Micronucleus investigation of alcoholic patients with oral carcinomas. Genet. Mol. Res, 30: 246–260, 2002.

41. Karahalil B, Karakaya AE, Burgaz S. The micronucleus assay in exfoliated buccal cells: application to occupational exposure to polycyclic aromatic hydrocarbons. Mutat. Res, 442: 29–35, 1999.

42. Torres-Bugarin O, Ventura-Aguilar A, Zamora-Perez A, Gomez-Meda BC, Ramos-Ibarra ML, Morgan-Villela G, Gutierrez-Franco A, Zuniga-Gonzalez G. Evaluation of cisplatin + 5-FU, carboplatin + 5- FU, and ifosfamide + epirubicine regimens using the micronuclei test and nuclear abnormalities in the buccal mucosa. Mutat. Res, 565: 91–101, 2004.

43. Maluf SW, Erdtmann B. Genomic instability in Down syndrome and Fanconi anemia assessed by micronucleus analysis and single cell-gel electrophoresis. Cancer Genet Cytogenet, 124: 71–75, 2001.

44. Neri M, Fucic A, Knudsen LE. Micronuclei frequency in children exposed to environmental mutagens: a review. Mutat Res, 544: 243–254, 2003.

45. Hagmar L, Bonassi S, Stomberg U. Chromosomal aberrations in lymphocytes predict human cancer: a report from the European Study Group on Cytogenetic Biomarkers and Health (ESCH). Cancer Res, 58: 4117–4121, 1998.

46. Minicucci EM, Ribeiro DA, de Camargo B, Costa MC, Ribeiro LR, Favero Salvadori DM. DNA damage in lymphocytes and buccal mucosa cells of children with malignant tumours undergoing chemotherapy. Clin Exp Med, 8(2): 79–85, 2008.

47. Ribeiro DA, de Oliveira G, de Castro GM and Angelieri F. Cytogenetic biomonitoring in patients exposed to dental X-rays: comparison between adults and children. Dentomaxillofacial Radiology, 37: 404–407, 2008.

48. Norppa H, Luomahaara S, Heikanen H, Roth S, Sorsa M, Renzi L. Micronucleus assay in lymphocytes as a tool to biomonitor human exposure to aneuploidogens and clastogens. Environ Health Perspect, 101: 519–525, 1993

49. Surrales J, Autio K, Nylund L, Jarventaus H, Norppa H, Veidebaum T, Sorsa M, Peltonen K. Molecular cytogenetic analysis of buccal cells and lymphocytes from benzene-exposed workers. Carcinogenesis, 18: 817–823, 1997.

50. Beli’n JAM, Copper MP, Braakhuis BJM, Snow GB, Baak JPA. Standardization of counting micronuclei: definition of a protocol to measure genotoxic damage in human exfoliated cells. Carcinogenesis, 16: 2395–2400, 1995.

51. Reali D, DiMarino F, Bahramandpour S, Carducci A, Barale R, Loprieno N. Micronuclei in exfoliated urothelial cells and urine mutagenicity in smokers. Mutat. Res, 192: 145–149, 1987.

52. Popova L, Kishkilova D, Hadjidekova VB, Hritova RP, Atanasova P, Hadjidekova VV, Ziya D, Hadjidekov VG. Micronucleus test in buccal epithelium cells from patients subjected to panoramic radiography. Dentomaxillofacial Radiology, 36: 168–171, 2007.

53. Kubelka D, Garaj-Vrhovac V, Horvat D. Chromosomal aberrations in persons occupationally exposed to annual X-irradiation doses lower than 25 mSv. J Radiol Prot, 12: 133–136, 1992.

54. He JL, Chen LF, Jin LF. Comparative evaluation of the in vitro micronucleus test and the comet assay for the detection of genotoxic effects of X-ray radiation. Mutat Res, 469: 223–231, 2000.

55. Rüling JP. Low-level dose induced chromosome aberrations in human blood lymphocytes. Radiat Protect Dosimetry, 45: 623–628, 1992.

56. Angelieri F, de Oliveira GR, Sannomiya EK, Ribeiro DA, Ribeiro DA. DNA damage and cellular death in oral mucosa cells of children who have undergone panoramic dental radiography. Pediatr Radiol, 37: 561–565, 2007.

57. Cerqueira EM, Meireles JRC, Lopes MA, Junqueira VC, Gomes-Filho IS, Trindade S, Machado-Santelli GM. Genotoxic effects of X-rays on keratinized mucosa cells during panoramic dental radiography. Dentomaxillofacial Radiology, 37: 398–403, 2008.

58. Miller ML, Andringa A, Dixon K, Carty MP. Insights into UV-induced apoptosis: ultrastructure, trichrome stain and spectral imaging. Micron, 33: 157–166: 2002.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 1.8 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top