Available online 24 February 2024

Constic, Vertise Flow, and Photac Fil exhibited cytotoxicity.

Cytoxic effects were consistent across material groups.

Primary pulp cells demonstrated durability, indicating efficient repair mechanisms.

Although the introduction of self-adhesive composites in restorative dentistry is very promising, the innovation of new materials also presents challenges and unknowns. Therefore, the aim of this study was to investigate the cytotoxicity of four different self-adhesive composites (SAC) in vitro and to compare them with resin-modified glass ionomer cements (RM-GIC), a more established group of materials.

Samples of the following materials were prepared according to ISO 7405/10993–12 and eluted in cell culture medium for 24 h at 37 °C: Vertise Flow, Fusio Liquid Dentin, Constic, Surefil One, Photac Fil and Fuji II LC. Primary human pulp cells were obtained from extracted wisdom teeth and cultured for 24 h with the extracts in serial dilutions. Cell viability was evaluated by MTT assay, membrane disruption was quantified by LDH assay and apoptosis was assessed by flow cytometry after annexin/PI staining.

Two SAC (Constic and Vertise Flow) and one RM-GIC (Photac Fil) significantly reduced cell viability by more than 30% compared to the untreated control (p < 0.001). Disruptive cell morphological changes were observed and the cells showed signs of late apoptosis and necrosis in flow cytometry. Membrane disruption was not observed with any of the investigated materials.

Toxic effects occurred independently of the substance group and need to be considered in the development of materials with regard to clinical implications.

SAC have many beneficial qualities, however, the cytotoxic effects of certain products should be considered when applied in close proximity to the dental pulp, as is often required.

Cell survival

Dental pulp

Cytotoxicity

Composite resins

Dental materials

Self-adhesive composite

© 2024 The Author(s). Published by Elsevier Inc. on behalf of The Academy of Dental Materials.