Effect of Nicotine on Attachment and Proliferation of Human Gingival Fibroblasts on Zirconia and Titanium Surfaces Nicotine Effects on Cellular Behavior on Zirconia and Titanium
Regeneration, Reconstruction & Restoration (Triple R),
Vol. 10 (2025),
1 January 2025
Abstract
Background and objectives: This study aimed to evaluate the effect of nicotine on the biological behavior of human gingival fibroblasts on titanium and zirconia surfaces.
Materials and methods: A total of 124 Polished titanium and zirconia disc-like samples, each with a diameter of 9 mm and a thickness of 2 mm, were prepared. A contact surface profilometer was used to measure surface roughness with Ra and Rz parameters. HGFs were treated with different concentrations of nicotine. Then, their adhesion, morphology, viability, and proliferation were measured using the methyl thiazolyl tetrazolium (MTT) assay and scanning electron microscopy (SEM) at 24 and 72 hours. A t-test analysis was used to compare the surface roughness of the specimens. Data were reported as mean ± SE. Graph-Pad Prism software (version 9, USA) was used for a one-way analysis of variance (ANOVA) followed by a Tukey post hoc analysis. A P-value of < 0.05 was considered significant.
Results: The proliferation and attachment of HGF cells to the titanium and zirconia surfaces were significantly reduced by increasing nicotine concentration up to the cytotoxic range (2.5 and 5 mM) or prolonging the amount of time cells are exposed to nicotine (P < 0.05). The difference between the zirconia and titanium groups was not statistically significant (P > 0.05).
Conclusion: Nicotine cytotoxicity was concentration and time-dependent. There was no significant difference between the zirconia and titanium groups. Considering the limitations of this study and the conflicting results reported by previous studies, additional research is required to determine the superiority of these two materials, particularly in patients who smoke.
- Cell Adhesion
- Fibroblasts
- Gingiva
- Nicotine
- Titanium
- Zirconium
How to Cite
References
1. Zhang Y, He J, He B, Huang R, Li M. Effect of tobacco on periodontal disease and oral cancer. Tob Induc Dis. 2019 May 9;17:40. [Medline: 31516483] [doi: 10.18332/tid/106187]
2. Ahsan I, Menon I, Gupta R, Sharma A, Das D, Ashraf A. Comparison of oral health status among adult tobacco users and non-tobacco users of Ghaziabad District, Uttar Pradesh: A cross sectional study. J Family Med Prim Care. 2020 Feb 28;9(2):1143-1148. [Medline: 32318482] [doi: 10.4103/jfmpc.jfmpc_938_19]
3. WHO monograph on tobacco cessation and oral health integration. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO. p. 6–17.
4. Stewart BW, Bray F, Forman D, Ohgaki H, Straif K, Ullrich A, Wild CP. Cancer prevention as part of precision medicine: 'plenty to be done'. Carcinogenesis. 2016 Jan;37(1):2-9. [Medline: 26590901] [doi: 10.1093/carcin/bgv166. Epub 2015 Nov 20]
5. Javed F, Rahman I, Romanos GE. Tobacco-product usage as a risk factor for dental implants. Periodontol 2000. 2019 Oct;81(1):48-56. [Medline: 31407428] [doi: 10.1111/prd.12282]
6. Gupta A, Rathee S, Suman T, Ahire M, Madhav S, Chauhan MS. Nicotine, the Predictor of Success or Failure of Dental Implants: A Retrospective Study. Contemp Clin Dent. 2018 Oct-Dec;9(4):597-600. [Medline: 31772470] [doi: 10.4103/ccd.ccd_597_18]
7. Windael S, Vervaeke S, De Buyser S, De Bruyn H, Collaert B. The Long-Term Effect of Smoking on 10 Years' Survival and Success of Dental Implants: A Prospective Analysis of 453 Implants in a Non-University Setting. J Clin Med. 2020 Apr 8;9(4):1056. [Medline: 32276371] [doi: 10.3390/jcm9041056]
8. Esfahanizadeh N, Motalebi S, Daneshparvar N, Akhoundi N, Bonakdar S. Morphology, proliferation, and gene
expression of gingival fibroblasts on Laser-Lok, titanium, and zirconia surfaces. Lasers Med Sci. 2016 Jul;31(5):863-73. [Medline: 27025859] [doi: 10.1007/s10103-016-1927-6. Epub 2016 Mar 30]
9. Nothdurft FP, Fontana D, Ruppenthal S, May A, Aktas C, Mehraein Y, Lipp P, Kaestner L. Differential Behavior of Fibroblasts and Epithelial Cells on Structured Implant Abutment Materials: A Comparison of Materials and Surface Topographies. Clin Implant Dent Relat Res. 2015 Dec;17(6):1237-49. [Medline: 25066589] [doi: 10.1111/cid.12253. Epub 2014 Jul 26]
10. Kim YS, Ko Y, Kye SB, Yang SM. Human gingival fibroblast (HGF-1) attachment and proliferation on several abutment materials with various colors. Int J Oral Maxillofac Implants. 2014 Jul-Aug;29(4):969-75. [Medline: 24914814] [doi: 10.11607/jomi.3704. Epub 2014 Jun 10]
11. Sonis ST. The pathobiology of mucositis. Nat Rev Cancer. 2004 Apr;4(4):277-84. [Medline: 15057287] [doi: 10.1038/nrc1318]
12. Petrini M, Pierfelice TV, D'Amico E, Di Pietro N, Pandolfi A, D'Arcangelo C, De Angelis F, Mandatori D, Schiavone V, Piattelli A, Iezzi G. Influence of Nano, Micro, and Macro Topography of Dental Implant Surfaces on Human Gingival Fibroblasts. Int J Mol Sci. 2021 Sep 13;22(18):9871. [Medline: 34576038] [doi: 10.3390/ijms22189871]
13. Nevins M, Kim DM, Jun SH, Guze K, Schupbach P, Nevins ML. Histologic evidence of a connective tissue attachment to laser microgrooved abutments: a canine study. Int J Periodontics Restorative Dent. 2010 Jun;30(3):245-55. [Medline: 20386781]
14. Silva D, Cáceres M, Arancibia R, Martínez C, Martínez J, Smith PC. Effects of cigarette smoke and nicotine on cell viability, migration and myofibroblastic differentiation. J Periodontal Res. 2012 Oct;47(5):599-607. [Medline: 23091836] [doi: 10.1111/j.1600-0765.2012.01472.x]
15. Robson, Noorzurani and Bond, A. and Wolff, K., Salivary Nicotine and Cotinine Concentrations in Unstimulated and Stimulated Saliva (January 12, 2010). African Journal of Pharmacy and Pharmacology, p. 61, 2010, Available at SSRN: https://ssrn.com/abstract=2056915
16. Atsuta I, Ayukawa Y, Furuhashi A, Ogino Y, Moriyama Y, Tsukiyama Y, Koyano K. In vivo and in vitro studies of epithelial cell behavior around titanium implants with machined and rough surfaces. Clin Implant Dent Relat Res. 2014 Oct;16(5):772-81. [Medline: 23448501] [doi: 10.1111/cid.12043. Epub 2013 Feb 28]
17. Welander M, Abrahamsson I, Berglundh T. The mucosal barrier at implant abutments of different materials. Clin Oral Implants Res. 2008 Jul;19(7):635-41. [Medline: 18492075] [doi: 10.1111/j.1600-0501.2008.01543.x. Epub 2008 May 19]
18. Esfahrood ZR, Zamanian A, Torshabi M, Abrishami M. The effect of nicotine and cotinine on human gingival fibroblasts attachment to root surfaces. J Basic Clin Physiol Pharmacol. 2015 Sep;26(5):517-22. [Medline: 25581751] [doi: 10.1515/jbcpp-2014-0120]
19. Martinez AE, Silverio KG, Fogo JC, Kirkwood KL, Rossa C Jr. Root surface conditioning with nicotine or cotinine reduces viability and density of fibroblasts in vitro. Clin Oral Investig. 2005 Sep;9(3):180-6. [Medline: 15902508] [doi:
10.1007/s00784-004-0294-z. Epub 2005 May 19]
20. Peacock ME, Sutherland DE, Schuster GS, Brennan WA, O'Neal RB, Strong SL, Van Dyke TE. The effect of nicotine on reproduction and attachment of human gingival fibroblasts in vitro. J Periodontol. 1993 Jul;64(7):658-65. [Medline: 8366415] [doi: 10.1902/jop.1993.64.7.658]
21. Holliday RS, Campbell J, Preshaw PM. Effect of nicotine on human gingival, periodontal ligament and oral epithelial cells. A systematic review of the literature. J Dent. 2019 Jul;86:81-88. [Medline: 31136818] [doi: 10.1016/j.jdent.2019.05.030. Epub 2019 May 25]
22. Torshabi M, Rezaei Esfahrood Z, Jamshidi M, Mansuri Torshizi A, Sotoudeh S. Efficacy of vitamins E and C for reversing the cytotoxic effects of nicotine and cotinine. European Journal of Oral Sciences. 2017 Dec;125(6):426-37.
23.Torshabi M, Esfahrood ZR, Gholamin P, Karami E. Effects of nicotine in the presence and absence of vitamin E on morphology, viability and osteogenic gene expression in MG-63 osteoblast-like cells. Journal of basic and clinical physiology and pharmacology. 2016 Nov 1;27(6):595-602.
24. Listgarten MA. Soft and hard tissue response to endosseous dental implants. Anat Rec. 1996 Jun;245(2):410-25. [Medline: 8769676] [doi: 10.1002/(SICI)1097-0185(199606)245:2<410::AID-AR20>3.0.CO;2-R]
25. Kawahara H, Kawahara D, Hashimoto K, Takashima Y, Ong JL. Morphologic studies on the biologic seal of titanium dental implants. Report I. In vitro study on the epithelialisation mechanism around the dental implant. Int J Oral Maxillofac Implants. 1998 Jul-Aug;13(4):457-64. [Medline: 9714951]
26. Kawahara H, Kawahara D, Mimura Y, Takashima Y, Ong JL. Morphologic studies on the biologic seal of titanium dental implants. Report II. In vivo study on the defending mechanism of epithelial adhesions/attachment against invasive factors. Int J Oral Maxillofac Implants. 1998 Jul-Aug;13(4):465-73. [Medline: 9714952]
27. Lavenus S, Pilet P, Guicheux J, Weiss P, Louarn G, Layrolle P. Behaviour of mesenchymal stem cells, fibroblasts and osteoblasts on smooth surfaces. Acta Biomater. 2011 Apr;7(4):1525-34. [Medline: 21199693] [doi:
10.1016/j.actbio.2010.12.033. Epub 2010 Dec 31]
28. Rausch MA, Shokoohi-Tabrizi H, Wehner C, Pippenger BE, Wagner RS, Ulm C, Moritz A, Chen J, Andrukhov O. Impact of Implant Surface Material and Microscale Roughness on the Initial Attachment and Proliferation of Primary Human Gingival Fibroblasts. Biology (Basel). 2021 Apr 22;10(5):356. [Medline: 33922217] [doi: 10.3390/biology10050356]
29. Furuhashi A, Ayukawa Y, Atsuta I, Rakhmatia YD, Koyano K. Soft Tissue Interface with Various Kinds of Implant Abutment Materials. J Clin Med. 2021 May 28;10(11):2386. [Medline: 34071480] [doi: 10.3390/jcm10112386]
30. Pandoleon P, Bakopoulou A, Papadopoulou L, Koidis P. Evaluation of the biological behaviour of various dental implant abutment materials on attachment and viability of human gingival fibroblasts. Dent Mater. 2019 Jul;35(7):1053-1063. [Medline: 31060818] [doi: 10.1016/j.dental.2019.04.010. Epub 2019 May 3]
31. Jung S, Moser MM, Kleinheinz J, Happe A. Biocompatibility of Lithium Disilicate and Zirconium Oxide Ceramics with Different Surface Topographies for Dental Implant Abutments. Int J Mol Sci. 2021 Jul 19;22(14):7700. [Medline: 34299319] [doi: 10.3390/ijms22147700]
32. Alanazi H, Park HJ, Chakir J, Semlali A, Rouabhia M. Comparative study of the effects of cigarette smoke and electronic cigarettes on human gingival fibroblast proliferation, migration and apoptosis. Food Chem Toxicol. 2018 Aug;118:390-398. [Medline: 29800583] [doi: 10.1016/j.fct.2018.05.049. Epub 2018 May 22]
33. Rouabhia M, Alanazi H, Park HJ, Gonçalves RB. Cigarette Smoke and E-Cigarette Vapor Dysregulate Osteoblast Interaction With Titanium Dental Implant Surface. J Oral Implantol. 2019 Feb;45(1):2-11. [Medline: 30160606] [doi: 10.1563/aaid-joi-D-18-00009. Epub 2018 Aug 30]
34. Checchi L, Ciapetti G, Monaco G, Ori G. The effects of nicotine and age on replication and viability of human gingival fibroblasts in vitro. J Clin Periodontol. 1999 Oct;26(10):636-42 [Medline: 10522774] [doi: 10.1034/j.1600-051x.1999.261002.x]
- Abstract Viewed: 36 times
- PDF Downloaded: 23 times