The letter from the ADA Division of Science regarding our article presents an interpretation of publicly available literature data that differs from our interpretation.
We agree that Schmalz and colleagues1 did not analyze any dental products. However, their study did not determine that "BPA was not found in bisphenol A glycidyl dimethacrylate (bis-GMA)," as written in the letter. Instead, as stated in the abstract of the Schmalz and colleauges1 article, the study results showed that "bis-GMA-monomer and BADGE [bisphenol-A diglycidylether]-monomer from one manufacturer did not contain any detectable amounts of BPA (< or = 2 ppm [parts per million]); bis-DMA and BADGE-monomer from a second manufacturer contained BPA quantities of 4155 ppm."
The 2-ppm limit of detection (LOD) is higher than our methods LOD by more than three orders of magnitude. Assuming we have the same accuracy base, it is therefore possible that some residual BPA (at or below low ppm levels) may be present as an impurity in commercially available monomers used in dental products, but at concentrations that are not detectable, unless a more sensitive analytical method is used. Detection of trace concentrations of a substance is strongly dependent on the sensitivity of the analytical methodology, thus stressing the importance of using highly sensitive analytical techniques such as those we employed for the research presented in our article, and for which we were commended in the letter.
We do not wish to have the differing interpretations of the background information detract from our articles central message, with which the ADA Division of Science seems to agree: that the use of Delton LC for dental sealants may produce a low-level point source exposure to BPA. The exposure levels we found were approaching those lower doses used in newer animal studies reporting adverse effects.24
We continue to believe that dental sealants are an important part of routine dental care, and any potential exposures can be reduced or mitigated by active elimination of saliva after sealant placement.