JDR JDR Most Cited Articles
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Abstract Freely available
Right arrow Figures Only
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via ISI Web of Science (8)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Schweikl, H.
Right arrow Articles by Weinmann, W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Schweikl, H.
Right arrow Articles by Weinmann, W.
J Dent Res 83(1): 17-21, 2004
© 2004 International and American Associations for Dental Research


RESEARCH REPORT
Biomaterials & Bioengineering

The Induction of Gene Mutations and Micronuclei by Oxiranes and Siloranes in Mammalian Cells in vitro

H. Schweikl1,*, G. Schmalz1, and W. Weinmann2

1 Department of Operative Dentistry and Periodontology, University of Regensburg, D-93042 Regensburg, Germany; and
2 3M ESPE AG, D-82229 Seefeld, Germany;

* corresponding author, Helmut.schweikl{at}klinik.uni-regensburg.de


   ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Oxiranes and siloranes are candidate molecules for the development of composite materials with low shrinkage. Since some of these molecules are highly reactive, they could lead to adverse biological effects from underlying genetic mechanisms. Therefore, we analyzed the formation of micronuclei (chromosomal aberrations) and the induction of gene mutations (HPRT assay) in mammalian cells. The numbers of micronuclei induced by the oxirane di(cyclohexene-epoxidemethyl)ether (Eth-Ep) at low concentrations (10 µM) were about five-fold higher than controls. The related compound epoxy cyclohexyl methyl-epoxy cyclo-hexane carboxylate (Est-Ep) was less effective. The activity of diglycidylether of bisphenol A (BADGE) was even lower but similar to the most reactive silorane, di-3,4-epoxy cyclohexylmethyl-dimethyl-silane (DiMe-Sil). No induction of micronuclei was detected in the presence of a rat liver homogenate (S9). Est-Ep and Eth-Ep also induced gene mutations. Our analyses indicated low mutagenic potentials of siloranes; however, some oxiranes induced strong effects at two genetic endpoints.

KEY WORDS: oxirane • silorane • mutagenicity • V79/HPRT • micronucleus test


   INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The organic matrix of dental composite materials currently used in clinical practice is mostly based on dimethacrylates. After polymerization, monomers like bisphenol A glycidyl dimethacrylate (BisGMA), urethane dimethacrylate (UDMA), or triethylene glycoldimethacrylate (TEGDMA) form a highly crosslinked network which is covalently bound to inorganic fillers by silane linkers. It is now firmly established that various compounds are released even from polymerized matrices into organic and inorganic solvents, some of which lead to adverse biological effects in vitro (Hanks et al., 1991; Schmalz, 1998; Pelka et al., 1999; Geurtsen, 2000; Schweikl et al., 2001). Nonetheless, the high-volume shrinkage of acrylate-based dental resin materials in particular was the driving force for the development of materials containing a more advantageous organic matrix. It was anticipated earlier that ring-opening reactive oxiranes (epoxides) should lead to a lower degree of shrinkage during the polymerization process. Recently, low polymerization shrinkage, high strength, and equivalent hardness were reported with experimental formulations based on cycloaliphatic epoxy-polyol matrices (Tilbrook et al., 2000). Likewise, composites containing visible-light-cured oxirane/polyol resins showed compressive strengths comparable with those of clinically used restorative materials based on acrylate chemistry (Eick et al., 2002).

There are only a few reports on the biological effects of new epoxy-based dental systems. Among others, the compound epoxy cyclohexyl methyl-epoxy cyclo-hexane carboxylate (CyracureTM UVR-6105, Union Carbide [see Table 1Go in Eick et al., 2002, for manufacturer’s information]) tested severely cytotoxic in the agar diffusion assay, but TC50 values determined with a quantitative assay were considerably higher than those determined for Bis-GMA or epoxy compounds like AralditeTM and EponTM. No cytotoxic effects were reported with solid epoxy-based resin composites with acceptable compressive strengths (Kostoryz et al., 1999; Eick et al., 2002). Some findings on biological effects of oxiranes with underlying genetic mechanisms were contradictory. CyracureTM UVR-6105 was reported to test negative in the Ames test in Salmonella tester strain TA100 (Eick et al., 2002). In contrast, we found a weak but dose-related increase of mutant frequencies induced by the same chemical (epoxy cyclohexyl methyl-epoxy cyclo-hexane carboxylate) (K-126), indicating the induction of gene mutations in a bacterial test system. The compound was even activated by a metabolically active homogenate from rat liver (S9) (Schweikl et al., 2002). We also found inductions of gene mutations by various new oxiranes in Salmonella tester strains TA100 and TA102, but no effects with siloranes except for one compound (Schweikl et al., 2002). However, there is experimental evidence that some reactive epoxides are mostly potent inducers of chromosomal aberrations in cells of higher organisms (Ehrenberg and Hussain, 1981). Therefore, it was likely that some of the bifunctional compounds which we tested earlier in the Ames test might preferentially cause genetic lesions (clastogenic effects or large deletions) not detected by this bacterial gene mutation assay. Here, we present data from two test systems to improve our knowledge on the genetic activities and the types of mutations in mammalian cells induced by reactive oxiranes and siloranes (Waters et al., 1999).


View this table:
[in this window]
[in a new window]
 
Table 1. Induction of Micronuclei in V79 Cells after Exposure to Oxiranes and Siloranes for 24 hrs
 

   MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Chemicals and Reagents
Various silorane molecules and one oxirane were synthesized by 3M ESPE Company (Seefeld, Germany). Silorane compounds were: Di-3,4-epoxy cyclohexylmethyl-dimethyl-silane (DiMe-Sil; RN 349660-80-6; MF, C16H28O2Si; 95% purity), methyl-bis[2-(7-oxabicyclo[4.1.0]hept-3-yl)ethyl]phenyl silane (Ph-Sil, RN 154265-59-5; MF, C23H34O2Si; 95% purity), 1,4-bis(2,3-epoxypropyloxypropyl-dimethylsilyl)benzene (Phen-Glyc; RN 18715-54-3; MF, C22H38O4Si2; 97% purity), and 1,3,5,7-tetrakis(ethyl cyclohexane epoxy)-1,3,5,7-tetramethyl cyclotetrasiloxane (TET-Sil; RN 121225-98-7; MF, C36H64O8Si4, 98% purity). The newly synthesized oxirane was di(cyclo hexene epoxide methyl)ether (Eth-Ep; RN 103946-55-0; MF, C14H22O4; 95% purity). The purity of each compound was analyzed by gas chromatography and NMR. The oxirane, epoxy cyclohexyl methyl-epoxy cyclo-hexane carboxylate (Est-Ep; RN 2386-87-0; MF, C14H20O4; 99% purity), was obtained from Degussa GmbH (Hanau-Wolfgang, Germany), and the diglycidylether of bisphenol A (BADGE) (RN 1675-54-3; MF, C21H24O4; 99% purity) came from ABCR (Karlsruhe, Germany).

Micronucleus Test in vitro
V79B Chinese hamster lung fibroblast cells were a gift from Prof. G. Speit (University of Ulm, Germany). The cells (1 x 105) were cultivated on microscopic glass slides in 4 mL minimal essential medium (MEM) supplemented with 10% fetal bovine serum, penicillin (100 U/mL), and streptomycin (100 µg/mL) for 24 hrs at 37°C in an air atmosphere containing 5% CO2. Test compounds were first dissolved in dimethyl sulfoxide (1 mol/L stock solution) and further diluted in cell culture medium following standard protocols (ISO, 1992).

Then, V79B cells were continuously exposed to increasing concentrations of the test chemicals in cell culture medium for 24 hrs (direct exposure; long exposure period). These dilutions contained DMSO concentrations not higher than 1% which tested nontoxic in V79 cells under the current experimental conditions (data not shown). The induction of micronuclei was also analyzed after a short exposure period (4 hrs) in the presence and absence of a metabolically active liver homogenate (S9 fraction) as described in detail elsewhere (Schweikl et al., 2001). At least two independent experiments were performed to show reproducibility of the results, and variability of the micronuclei (MN) rates in one experiment was indicated by mean values and standard deviations (SD) of three independently treated cell cultures per concentration. Micronuclei were analyzed microscopically in 1000 cells per culture (slide). A chemical was considered positive if at least a three-fold increase in the number of micronuclei over negative controls was observed at one or more concentrations (Miller et al., 1997). Ethylmethane sulfonate (EMS) and cyclophosphamide (CP; in the presence of S9) served as positive control substances.

Hypoxanthine Phosphoribosyl Transferase (HPRT) Gene Mutation Assay
V79B cells were routinely cultivated as described above. Test compounds were dissolved in dimethyl sulfoxide (1 mol/L stock solution) and diluted in cell culture medium. Then, the cell cultures were exposed to various concentrations of the test compounds for 4 hrs. The HPRT assay in the presence and absence of a homogenate from rat liver (S9 fraction) was carried out as described in detail elsewhere (Schweikl et al., 1998). The experiments were conducted with one plate per dose for HPRT-deficient mutant isolation, and the experiments were repeated at least once. Mean values of mutant frequencies of two independent experiments are given in Table 2Go. Ethylmethane sulfonate (EMS) and 9,10-dimethyl-1,2-benzanthracene (DMBA; in the presence of S9) were used as positive control substances (Glatt, 1994).


View this table:
[in this window]
[in a new window]
 
Table 2. Mutagenicity of Est-Ep and Eth-Ep in the V79/HPRT Assay
 

   RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The Formation of Micronuclei in V79 Cells Induced by Oxiranes and Siloranes
Di(cyclo hexene epoxide methyl)ether (Eth-Ep) was the most reactive oxirane tested for the formation of micronuclei after a 24-hour exposure period in the absence of S9. A concentration as low as 10 µmol/L enhanced the mutagenic effect about five-fold compared with untreated controls (Table 1Go). Epoxy cyclohexyl methyl-epoxy cyclo-hexane carboxylate (Est-Ep) was less effective, and 0.1 mmol/L diglycidyl ether of bisphenol A (BADGE) induced numbers of micronuclei about seven-fold lower than those caused by Eth-Ep (Table 1Go). The carboxylate group of Est-Ep was replaced by a methylsubstituted siloxane group to create a silorane of similar structure, di-3,4-epoxy cyclohexylmethyl-dimethyl-silane (DiMe-Sil). DiMe-Sil caused effects comparable with those induced by BADGE. However, no mutagenic effect was detected when one of the methyl groups of DiMe-Sil was substituted by benzene to synthesize methyl-bis[2-(7-oxabicyclo[4.1.0]hept-3-yl)ethyl]phenyl silane (Ph-Sil). Low concentrations of 1,4-bis(2,3-epoxypropyloxypropyl-dimethylsilyl)benzene (Phen-Glyc) were weakly mutagenic. No mutagenic effects were detected with the large silorane, 1,3,5,7-tetrakis(ethyl cyclohexane epoxy)-1,3,5,7-tetramethyl cyclotetrasiloxane (TET-Sil), in the micronucleus test after direct exposure (Table 1Go). We observed that genotoxic potencies of the directly (-S9) active compounds Est-Ep, Eth-Ep, BADGE, and DiMe-Sil were reduced by a factor of 2–3 after a short exposure period (4 hrs). Moreover, no induction of micronuclei by any of these chemicals was observed in the presence of a metabolically active S9 fraction (Fig. 2Go). No elevated numbers of micronuclei were determined with Ph-Sil, Phen-Glyc, and TET-Sil with and without S9 (data not shown).



View larger version (27K):
[in this window]
[in a new window]
 
Figure 2. Induction of micronuclei in V79 cells after a four-hour exposure to oxiranes and siloranes. The numbers of micronuclei were determined in three replicate cultures per concentration (mean ± SD) in the presence (+) and absence (-) of a homogenate from rat liver (S9). Each compound was tested at least in two independent experiments, and data from one representative experiment are presented.

 
Induction of Gene Mutations in V79 Cells (V79/HPRT Assay)
Two oxiranes were detected to cause gene mutations in the V79/HPRT assay (Table 2Go). At a concentration of 0.3 mmol/L, Est-Ep induced a seven-fold increase of HPRT-deficient V79 cells after direct testing (-S9). Eth-Ep was about four-fold more effective than Est-Ep at the same concentration. Cytotoxicity of Est-Ep was reduced by S9 as deduced from cell survival in cultures exposed to concentrations higher than 1 mmol/L. However, gene mutations more than 10-fold higher than controls were caused by a concentration of 5 mmol/L Est-Ep. Moreover, Eth-Ep induced mutant frequencies more than 20-fold higher than controls in the presence of S9 (Table 2Go). No increase of mutant frequencies was determined with all other test compounds (data not shown).


   DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Here we used two different genetic endpoints in mammalian cells to identify mutagenic potentials and to gain insight into mechanisms of the biological activity of new oxiranes and siloranes. The micronucleus test (MNT) in vitro is an approved alternative method for the sensitive detection of chromosomal aberrations (Miller et al., 1997; von der Hude et al., 2000). In addition, chemicals which induced gene mutations like base-pair substitutions, small insertions, or deletions were detected in V79 Chinese hamster fibroblasts at the hprt locus (Bradley et al., 1981).

Our findings with the new chemicals relate to earlier reports on the mutagenicity of epoxides. It has been demonstrated that epoxides are efficient inducers of chromosomal aberrations in vitro and in vivo. Diepoxides in particular may exhibit "radiomimetic" properties (Ehrenberg and Hussain, 1981; Seiler, 1984; Sinsheimer et al., 1993). It was observed previously that the mutagenic activity of monofunctional and difunctional glycidyl compounds varied depending on the genetic endpoints. Monofunctional compounds were more active in inducing gene mutations in Salmonella typhimurium but hardly induced chromosomal breaks in CHO cells. On the other hand, the bifunctional compounds were only weakly active in Salmonella but induced chromosome aberrations (Seiler, 1984). However, bifunctional epoxides like 1,2,3,4-diepoxybutane caused mutations in the hprt gene of human TK6 cells. These gene mutations were associated with increased frequencies of sequence deletions at the 5' region of the hprt gene (Steen et al., 1997).

In the HPRT assay, Eth-Ep and Est-Ep were metabolically modified by a liver homogenate, resulting, first, in reduced cytotoxicity, and, second, in the induction of higher mutation frequencies caused by higher concentrations of the test compounds and their metabolites, respectively. It is remarkable, however, that the types of lesions induced under these experimental conditions were not indicated with the micronucleus test (MNT) in the presence of S9. Moreover, none of the new siloranes was activated to a mutagen detectable in the V79/HPRT assay.

Since the incubation conditions are identical in the HPRT assay and the micronucleus test in the presence of S9, we hypothesize that Eth-Ep is converted to a monofunctional compound (diol epoxide) through hydrolytic ring-opening by an epoxide hydrolase. A high epoxide hydrolase activity was associated with S9 extracted from rat liver (Bentley et al., 1985). The diol epoxide of Eth-Ep might then act as an alkylating agent to induce mostly point mutations in the hprt gene. Since only relatively low mutation frequencies were induced, even at very high concentrations, it is also likely that the diol epoxide of Eth-Ep was further converted to a bis-diol, a metabolite which might be inactive in the induction of mutations. It has been shown that the diol epoxide of BADGE was less potent than BADGE, and no mutations were detected with the bis-diol in the Ames test (Sueiro et al., 2001). The hypothetical considerations of the enzymatic modifications of compounds tested here are based on experimental work with butadiene. This chemical and its metabolites have been used in several studies to clarify the mechanisms of the induction of mutations by monofunctional and bifunctional epoxides. Butadiene is metabolically activated to three mutagenic metabolites (Recio et al., 2001).

Unlike the case of Eth-Ep, we speculate that Est-Ep is first converted to monofunctional compounds, because the ester linkage is cleaved by an esterase activity. Further, the concentrations of the resulting monofunctional epoxides are probably kept at low levels because of the high epoxide hydrolase activity during the four-hour incubation period associated with S9. It is likely that this is the reason for the low mutant frequencies observed at the hprt locus. Thus, the analysis of metabolites of Eth-Ep, Est-Ep, and other compounds which were created by S9 here will shed light on the metabolites with genotoxic activity at the various endpoints used so far in the present investigations and in a recent study (Schweikl et al., 2002).

CyracureTM UVR-6105 was considered non-mutagenic by others, because no effects were detected in S. typhimurium TA100 (Yourtee et al., 2001; Eick et al., 2002). These reports are in contrast to our findings, and the data presented here add further experimental evidence to our recent observations, which characterized Est-Ep as a mutagenic oxirane in S. typhimurium TA100 (Schweikl et al., 2002).

In summary, the mutagenic activities of various newly synthesized oxiranes and siloranes were estimated in mammalian cells here for the first time. Our investigations indicated that Eth-Ep and Est-Ep are clastogenic substances that preferentially induced chromosomal mutations in vitro after direct exposure. The silorane DiMe-Sil, which is structurally related to Eth-Ep and Est-Ep, was less active than these oxiranes, and no effects were detected with Ph-Sil. No induction of gene mutations by siloranes was determined in our recent study, except for weak effects of one compound (Schweikl et al., 2002). From these data, it appears that the mutagenic potential of the various siloranes tested so far in various test systems is much lower than those of related oxiranes. Because of some strong mutagenic effects caused by the reactive oxiranes Est-Ep and Eth-Ep at various genetic endpoints in vitro, these chemicals are now candidate model compounds for detailed in vivo analyses. Considering a complete dental composite based on an organic matrix which contains some of the new monomers analyzed here, the clinical relevance of the data presented will be correlated to parameters like the amounts of residual monomers released from polymerized resins after polymerization, and exposure situations for patients and dental personnel.



View larger version (26K):
[in this window]
[in a new window]
 
Figure 1. Chemical structures of oxiranes and siloranes.

 

   ACKNOWLEDGMENTS
 
The skilled technical assistance of Mrs. Carola Bolay is gratefully acknowledged. The authors thank Dr. L.J. Nunez (Memphis, TN, USA) for a critical reading of the manuscript. The authors are indebted to Dr. K.-A. Hiller (University of Regensburg, Germany) for his valuable discussion of the experimental data. The study was supported by the German Federal Ministry of Education and Research (03N4001B/2).

Received December 2, 2002; Last revision June 2, 2003; Accepted September 17, 2003


   REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Bentley P, Staubli W, Bieri F, Muecke W, Waechter F (1985). Induction of hepatic drug-metabolising enzymes following treatment of rats and mice with chlordimeform. Toxicol Lett 28:143–149.[ISI][Medline]

Bradley MO, Bhuyan B, Francis MC, Langenbach R, Peterson A, Huberman E (1981). Mutagenesis by chemical agents in V79 Chinese hamster cells: a review and analysis of the literature. A report of the Gene-Tox Program. Mutat Res 87:81–142.[ISI][Medline]

Ehrenberg L, Hussain S (1981). Genetic toxicity of some important epoxides. Mutat Res 86:1–113.[ISI][Medline]

Eick JD, Kostoryz EL, Rozzi SM, Jacobs DW, Oxman JD, Chappelow CC, et al. (2002). In vitro biocompatibility of oxirane/polyol dental composites with promising physical properties. Dent Mater 18:413–421.[ISI][Medline]

Geurtsen W (2000). Biocompatibility of resin-modified filling materials. Crit Rev Oral Biol Med 11:333–355.[Abstract]

Glatt H (1994). Comparison of common gene mutation tests in mammalian cells in culture: a position paper of the GUM Commission for the Development of Guidelines for Genotoxicity Testing. Mutat Res 313:7–20.[ISI][Medline]

Hanks CT, Strawn SE, Wataha JC, Craig RG (1991). Cytotoxic effects of resin components on cultured mammalian fibroblasts. J Dent Res 70:1450–1455.[Abstract/Free Full Text]

International Organization for Standardization (1992). ISO 10993-3: tests for genotoxicity, carcinogenicity and reproductive toxicity. Geneva.

Kostoryz EL, Tong PY, Chappelow CC, Eick JD, Glaros AG, Yourtee DM (1999). In vitro cytotoxicity of solid epoxy-based dental resins and their components. Dent Mater 15:363–373.[ISI][Medline]

Miller B, Albertini S, Locher F, Thybaud V, Lorge E (1997). Comparative evaluation of the in vitro micronucleus test and the in vitro chromosome aberration test: industrial experience. Mutat Res 392:45–59.[ISI][Medline]

Pelka M, Distler W, Petschelt A (1999). Elution parameters and HPLC-detection of single components from resin composite. Clin Oral Investig 3:194–200.[Medline]

Recio L, Steen AM, Pluta LJ, Meyer KG, Saranko CJ (2001). Mutational spectrum of 1,3-butadiene and metabolites 1,2-epoxybutene and 1,2,3,4-diepoxybutane to assess mutagenic mechanisms. Chem Biol Interact 135–136:325–341.

Schmalz G (1998). The biocompatibility of non-amalgam dental filling materials. Eur J Oral Sci 106:696–706.[ISI][Medline]

Schweikl H, Schmalz G, Rackebrandt K (1998). The mutagenic activity of unpolymerized resin monomers in Salmonella typhimurium and V79 cells. Mutat Res 415:119–130.[ISI][Medline]

Schweikl H, Schmalz G, Spruss T (2001). The induction of micronuclei in vitro by unpolymerized resin monomers. J Dent Res 80:1615–1620.[Abstract/Free Full Text]

Schweikl H, Schmalz G, Weinmann W (2002). Mutagenic activity of structurally related oxiranes and siloranes in Salmonella typhimurium. Mutat Res 521:19–27.[ISI][Medline]

Seiler JP (1984). The mutagenicity of mono- and di-functional aromatic glycidyl compounds. Mutat Res 135:159–167.[ISI][Medline]

Sinsheimer JE, Chen R, Das SK, Hooberman BH, Osorio S, You Z (1993). The genotoxicity of enantiomeric aliphatic epoxides. Mutat Res 298:197–206.[ISI][Medline]

Steen AM, Meyer KG, Recio L (1997). Analysis of hprt mutations occurring in human TK6 lymphoblastoid cells following exposure to 1,2,3,4-diepoxybutane. Mutagenesis 12:61–67.[Abstract/Free Full Text]

Sueiro RA, Araujo M, Suarez S, Garrido MJ (2001). Mutagenic potential of bisphenol A diglycidyl ether (BADGE) and its hydrolysis-derived products in the Ames Salmonella assay. Mutagenesis 16:303–307.[Abstract/Free Full Text]

Tilbrook DA, Clarke RL, Howle NE, Braden M (2000). Photocurable epoxy-polyol matrices for use in dental composites I. Biomaterials 21:1743–1753.[ISI][Medline]

von der Hude W, Kalweit S, Engelhardt G, McKiernan S, Kasper P, Slacik-Erben R, et al. (2000). In vitro micronucleus assay with Chinese hamster V79 cells—results of a collaborative study with in situ exposure to 26 chemical substances. Mutat Res 468:137–163.[ISI][Medline]

Waters MD, Stack HF, Jackson MA (1999). Short-term tests for defining mutagenic carcinogens. IARC Sci Publ 146:499–536.

Yourtee D, Holder AJ, Smith R, Morrill JA, Kostoryz E, Brockmann W, et al. (2001). Quantum mechanical quantitative structure activity relationships to avoid mutagenicity in dental monomers. J Biomater Sci Polym Ed 12:89–105.[Medline]





This Article
Right arrow Abstract Freely available
Right arrow Figures Only
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via ISI Web of Science (8)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Schweikl, H.
Right arrow Articles by Weinmann, W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Schweikl, H.
Right arrow Articles by Weinmann, W.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
IADR Journals Advances in Dental Research ®
Journal of Dental Research ® Critical Reviews (1990-2004)