The effect of curing light intensity on the cytotoxicity of a dentin-bonding agent

Various dentin-bonding agents (DBAs) have been widely used to improve the bonding strength of dental resins and to prevent microleakage at the resin-dentin interface, although DBA may exert potentially detrimental effects upon dental pulp. In this study, a DBA (Scotchbond Multi-purpose) cured at different light intensities (100, 200 and 300-mW/cm2) for 10 seconds was extracted with Dulbecco's modified Eagle's medium (DMEM) for 24 hours. Thereafter, pulp cells (1 x 10(4) cells/well) were exposed to DMEM with or without DBA extract for 12 hours, 24 hours and five days. Pulp-cell cytotoxicity was measured with a modified 3-(4,5-dimethyl-thiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) assay. No significant cytotoxicity of DBA eluents on pulp cells was found for the 12-hour exposure group. Following 24-hour exposure of cells to DBA cured at 100-mW/cm2, pulp cells became rounder, more retracted and lost some cellular processes as compared to controls. Five-day exposure of pulp cells to DBA extract cured by light at levels of 100, 200 and 300 mW/cm2, respectively, led to a growth retardation of 26%, 48% and 70% as analyzed by the inhibition of mitochondrial dehydrogenase activity. These results indicate that DBA may exert some cytotoxic effects upon dental pulp, especially when DBA-curing is insufficiently complete, as may occur at a low light intensity.