Ultrasound has been used in dentistry for over 40 years and has recently be
en proposed for cutting bone. The purpose of this study was to establish th
e effects of ultrasonic instruments on osteoblasts. A 25 kHz magnetostricti
ve ultrasound generator and a TFI-1 tip (Dentsply, UK) were used as the ult
rasound generating instruments. Primary osteoblast cultures were establishe
d from the parietal bones of two-day-old Albino Wistar rats grown on tissue
culture (TC) petri dishes (Corning, UK) in alpha MEM (Sigma, UK). Once con
fluent, the osteoblasts were harvested using 0.05% trypsin in 0.02% EDTA th
en 1.7 x 10(5) cells in 2.5 ml of alpha MEM were either re-seeded immediate
ly onto TC dishes and allowed to adhere for 24 h or kept in suspension befo
re application of ultrasound with different tip displacements prior to re-s
eeding the cells. Osteoblast viability was assessed using 0.4% Trypan Blue
following the initial dose of ultrasound then periodically over a 20 h peri
od for both adherent and suspension osteoblasts. This study demonstrated th
at ultrasound caused osteoblast detachment and loss of viability in vitro,
both when adherent to a substrate or in suspension. Loss of osteoblast viab
ility was related to the maximum displacement of the ultrasonic tip and con
tinued throughout the 20 h period observed for osteoblasts adherent to TC d
ishes. (C) 2001 Kluwer Academic Publishers.