Once Resin Composites and Dental Sealants Release Bisphenol-A, How Might This Affect Our Clinical Management?-A Systematic Review

Int J Environ Res Public Health. 2019 May 9;16(9):1627. doi: 10.3390/ijerph16091627.


(1) Background: Bisphenol A (BPA) based dental resins are commonly used in preventive and reparative dentistry. Since some monomers may remain unpolymerized in the application of dental resin, they dissolve in the saliva. (2) Methods: The literature search was carried out in Pubmed, Cochrane and Embase databases. Randomized controlled trials, cohort studies and case-control studies that evaluated BPA levels in human urine, saliva and/or blood were included. (3) Results: The initial search had 5111 results. A total of 20 studies were included in the systematic review. Most studies showed an increase of the levels of bisphenol A 1 h after treatments with composite resins and dental sealants. One week after treatments the levels were decreased. (4) Conclusions: Some clinical precautions should be taken to decrease the release of BPA, namely the use of rubber dam, the immediate polishing of all resins used, or the use of glycerin gel to avoid non-polymerization of the last resin layer, and mouthwash after treatment. Another preventive measure in addition to the above-mentioned is the use of the smallest possible number of restorations or sealants, a maximum of four per appointment. These measures are even more important in children, adolescents and pregnant women.

Keywords: bisphenol A; dental sealants; endocrine disruptor; environmental levels; exposure; monomers; prevention; resin composites.

Publication types

  • Systematic Review

MeSH terms

  • Animals
  • Benzhydryl Compounds*
  • Case-Control Studies
  • Cohort Studies
  • Humans
  • Phenols*
  • Pit and Fissure Sealants*
  • Randomized Controlled Trials as Topic
  • Resins, Synthetic*


  • Benzhydryl Compounds
  • Phenols
  • Pit and Fissure Sealants
  • Resins, Synthetic
  • bisphenol A