Cytotoxic Effects of an Ascorbic Acid–Modified Orthodontic Wax on Human Gingival Fibroblast Cultures

Authors

  • Juan Daniel Morales Villaverde Departamento de Ortodoncia, Centro de Investigaciones y Estudios Avanzados en Odontología “Keisaburo Miyata”.
  • Yareth Idalia Ayerim Gutiérrez-Jimenez Facultad de Odontología, Universidad Autónoma del Estado de México (UAEMex)
  • Rogelio José Scougall Vílchis Departamento de Ortodoncia, Centro de Investigaciones y Estudios Avanzados en Odontología “Keisaburo Miyata”.
  • Roberto Ruíz Díaz Facultad de Odontología, Universidad Autónoma del Estado de México (UAEMex)
  • René García-Contreras Laboratorio de Investigación Interdisciplinaria (LII), Área de Nanoestructuras y Biomateriales, Escuela Nacional de Estudios Superiores (ENES) Unidad León, León, Guanajuato, México.

DOI:

https://doi.org/10.62407/vdt7w033

Keywords:

Orthodontic wax, ascorbic acid, cytotoxicity tests, biocompatibility, cell survival, lacerations

Abstract

Introduction: The incorporation of bioactive compounds into dental materials requires the evaluation of their cellular biocompatibility. In this study, an orthodontic prescription wax was modified by incorporating ascorbic acid (vitamin C), and its cytotoxic effects on human gingival fibroblasts of mesenchymal origin (hGFs) were evaluated in vitro. Materials and Methods: A mixture containing vitamin C was prepared from crushed effervescent tablets combined with orthodontic wax, using dimethyl sulfoxide (DMSO) as a solvent to achieve dissolution. hGFs were cultured and exposed to different dilutions of the wax–vitamin C stock solution (0–1 g/mL). Cell viability was determined using an MTT assay. Results: The highest ascorbic acid concentration tested induced complete fibroblast cell death. At intermediate and low concentrations, cells survived and exhibited normal morphology, indicating reduced cytotoxicity with decreasing dosage. The concentration considered optimal, with minimal cytotoxic effect, was approximately 0.0078 g/mL, at which the highest number of viable cells was observed. Conclusions: Orthodontic wax enriched with vitamin C did not exhibit cytotoxic effects in a dose-dependent manner, and the safe concentration was determined to be ≤ 0.0078 g/mL. These findings suggest the potential for incorporating vitamin C at appropriate doses into orthodontic biomaterials to leverage its therapeutic properties.

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Published

2026-04-15

How to Cite

Cytotoxic Effects of an Ascorbic Acid–Modified Orthodontic Wax on Human Gingival Fibroblast Cultures. (2026). Stomarium Dental Journal, 3(3), 1-12. https://doi.org/10.62407/vdt7w033

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