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Current Pharmaceutical Analysis, XXX, XX, XX-XX 1
RESEARCH ARTICLE
1573-4129/21 $65.00+.00 © 2021 Bentham Science Publishers
Determination of Endocrine Disruptor Bisphenol-A Leakage from Differ-
ent Matrices of Dental Resin-Based Composite Materials
Naser F. Al-Tannak
1,*
. Fawaz Alzoubi
2
, Fatma M. Kareem
3
and Ladislav Novotny
1
1
Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Kuwait University, Kuwait;
2
Department of General
Dental Practice, Faculty of Dentistry, Kuwait University, Kuwait;
3
Drug and food control-Pricing Department, Ministry
of Health, Kuwait
Abstract: Background: Bisphenol A (BPA) derivatives monomers as resins are common components
in dental restorative materials and materials used for orthodontic treatment. However, they are a source
for BP-A leakage, which can affect adult and child health as an endocrine disruptor.
Objective: This study aimed to investigate the level of BPA leakage from four selected weights (0.1,
0.2, 0.3, 0.4 mg) of five different resin combinations used in dental restorative materials.
Method: The resin combinations were cured with light for 20 seconds, kept in 1 mL of acetonitrile, and
sonicated for 30 minutes. Separation was achieved by using BEH C18 (1.7 µm, 2.1 x 100 mm) analyti-
cal column (Waters® Acquity UPLC) and a mobile phase composed of water and acetonitrile (68:32
v/v). Moreover, Waters® Xevo G2-SQToF coupled with Waters® Acquity UPLC system with binary
Solvent Manager (I-Class) via electrospray ionization (ESI) interface was used to confirm peaks identi-
ties.
Results: BPA was detected in all resin combinations and in all selected sample weights. However, BP-
A was below the limit of quantification (LOQ) in all selected weights of the Filtek Z350 XT Universal
Restorative System. The results show that BPA is still released from selected dental resin combinations
available in the market despite the general concern about its potential adverse effects.
Conclusion: Nevertheless, the amounts of BPA were within the acceptable levels indicated by the U.S.
Environmental Protection Agency and the U.S. Department of Health and Human Services National
Toxicology Program and represent a very small contribution to the total BPA exposure. The use of al-
ternative materials such as high-viscosity glass ionomers, inorganic biomaterials, and ceramic would be
ideal and healthier for adults and children.
A R T I C L E H I S T O R Y
Received: February 08, 2021
Revised: April 08, 2021
Accepted: April 13, 2021
DOI:
10.2174/1573412917666210525114226
Keywords: Bisphenol A, dental resins, UPLC-UV, children's health, endocrine disruptor, cancer, diabetes, obesity.
1. INTRODUCTION
Bisphenol A (BPA) is an organic compound used to
make polycarbonate plastic and epoxy resins and an essential
component in many items such as artificial eye lenses, plas-
tic eating containers, various types of coating, or thermal
paper, and other products containing polycarbonates [1].
Furthermore, BPA is the main constituent in the manufactur-
ing of bisphenol A glycidyl methacrylate, which is one of the
most common monomers used in the formulation of resin-
based materials for use in dentistry [2, 3]. However, BPA is
an endocrine disruptor, with potential in vitro [4] and in vivo
[5] toxicities. The debate surrounding BPA is taking place
because of its capability to mimic estradiol, a hormone
*Address correspondence to this author at the Department of Pharmaceuti-
cal Chemistry, Faculty of Pharmacy, Kuwait University, Kuwait; Tel:
0096599139913; E-mail: Dr.altannak@ku.edu.kw
produced by various tissues such as ovaries and testes, and to
bind to mammalian estrogen receptors in vivo [6, 7]. In addi-
tion, it can affect the brain, behavior, the female reproductive
system, and metabolism and obesity in infants and young
children [8]. Infants, young children, and pregnant or lactat-
ing women are the most affected categories [9]. Therefore,
baby bottles containing BPA have been banned by the Euro-
pean Union since 2011 [10]. The U.S. Environmental Protec-
tion Agency (EPA) maximum acceptable daily exposure
limits are 3.5 × 10
6
ng of BPA per 24 hours for an adult
weighing 70 kilograms and 0.5 × 10
6
ng of BPA per 24
hours for a child weighing 10 kg, while the U.S. Department
of Health and Human Services National Toxicology Program
(NTP) acceptable daily BPA exposure is 20% of the EPA’s
limit and represent approximately 35,000 and 5,000 times
lower than the maximum tolerated daily limit for adults and
children, respectively [11, 12]. Recent reports have linked
BPA intake with heart disease, obesity, diabetes, reproduc-