Evidence map›Paper›PMID 30612244›Full record

Observational studyClinical oral investigations2019

Genotoxic effects in oral mucosal cells caused by the use of orthodontic fixed appliances in patients after short and long periods of treatment.

María Gabriela Flores-Bracho, Catarina Satie Takahashi, Willian Orlando Castillo, Maria Conceição Pereira Saraiva, Erika Calvano Küchler, Mírian Aiko Nakane Matsumoto, José Tarcísio Lima Ferreira, Paulo Nelson-Filho, Fabio Lourenço Romano

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical oral investigations, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Biological Consequences and Assessment Methods Analysis of Fixed Orthodontic Appliances on Oral Epithelial Cells: A Systematic Review.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2025
    Pooled it
  2. Journal of toxicology · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

María Gabriela Flores-BrachoDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
Catarina Satie TakahashiMutagenesis and Cytogenetics Laboratory, Department of Biology, Faculty of Philosophy, Science and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Willian Orlando CastilloMutagenesis and Cytogenetics Laboratory, Department of Biology, Faculty of Philosophy, Science and Letters of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
Maria Conceição Pereira SaraivaDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
Erika Calvano KüchlerDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.ORCID http://orcid.org/0000-0001-7029-0347
Mírian Aiko Nakane MatsumotoDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
José Tarcísio Lima FerreiraDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
Paulo Nelson-FilhoDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
Fabio Lourenço RomanoDepartment of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. fabioromano@forp.usp.br.
Universidade de São Paulo · BRUniversidade de Ribeirão Preto · BR

Funding

FAPESP FLR
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the genotoxic effects in the oral epithelial cells of patients undergoing fixed orthodontic treatment and to compare these to a control group without treatment. The null hypothesis to be tested is that corrective orthodontic treatment at different periods does not cause genotoxic effects in patients. MATERIAL AND

methodsAn observational cross-sectional study including 74 patients enrolled in corrective orthodontic treatment and 21 control patients, between 11 and 35 years of age, of both genders, participated in the research. Patients undergoing treatment were divided into four treatment groups differentiated by treatment periods: G1, n = 21 (1 month to 12 months); G2, n = 21 (13 to 24 months); G3, n = 23 (25 to 48 months); and G4, n = 9 (over 48 months). Cells were collected by scraping the internal side of the cheek and subsequently placed in tubes containing 0.9% sodium chloride solution. The sample underwent evaluation for genotoxic effects by means of the micronucleus test (MNT). Bivariate analyses were performed using parametric tests (t test or ANOVA) and nonparametric tests (Chi-square test, Kruskal-Wallis test, Dunn post-test). The adopted level of significance was 5%.

resultsStatistically significant differences for any of the genotoxic abnormalities (binucleated, trinucleated, karyolysis, piknosis, nuclear buds) were not found except for karyolysis, which was higher in the control group than in G4 (p < 0.05).

conclusionsThis study did not demonstrate evidence of genotoxic effects even after long periods of corrective orthodontic treatment. CLINICAL RELEVANCE: This study explores genotoxic effects in fixed orthodontic patients.

Indexed as

DNA DamageOrthodontic Appliances, FixedOrthodontics, CorrectiveAdolescentAdultChildCross-Sectional StudiesFemaleHumansMaleMutagenicity TestsYoung AdultCytogeneticGeneticOrthodontic appliancesTest of micronucleus

Identifiers

PMID30612244
OpenAlexW2906689648

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.