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Updated: Jul 9, 2026

Confocal Time Lapse Imaging as an Efficient Method for the Cytocompatibility Evaluation of Dental Composites
Published on: November 9, 2014
Cytotoxic effects of veneer composite materials
Martina Schmid-Schwap1, Alexander Franz, Martin Krainhöfner
1Bernhard Gottlieb University Clinic of Dentistry, Department of Prosthodontics, Medical University of Vienna, Austria.
This study compared the cytotoxic effects of four veneer composites in two conditions: fresh and after 7 days of incubation. The composites were tested on L-929 fibroblast cultures for 72 hours. All composites reduced cell viability compared to glass controls. Fresh Signum+EM showed the lowest toxicity, followed by Gradia Enamel E3 and Sinfony E3. SR Adoro S1 was the most toxic in both conditions. After incubation, three composites had similar low toxicity, but SR Adoro S1 remained highly toxic. The authors propose that composites with low toxicity and good mechanical properties may be suitable for prosthetic use.
Area of Science:
- Dental materials toxicology
- Prosthetic rehabilitation outcomes research
Background:
Prior research has shown that dental composites can affect cell viability in culture. However, the specific cytotoxic effects of veneer composites remain unclear. Established knowledge includes the general principle that dental materials may release substances that impact fibroblast cultures. No prior work had resolved the comparative toxicity of these specific composites in fresh versus incubated states. This gap motivated the need for a standardized assessment of multiple veneer composites. The study aimed to address uncertainty about how storage conditions influence material toxicity. No prior research had directly compared these four specific composites in this experimental setup. The knowledge gap centered on how different composites perform under varied preparation conditions. This study sought to clarify these effects using a controlled in vitro model.
Purpose Of The Study:
The aim was to compare the cytotoxic effects of four veneer composites under two preparation conditions. Researchers wanted to determine whether storage duration affects material toxicity. The specific problem addressed was the lack of standardized data on these composites. The motivation came from the need to inform clinical choices in prosthetic rehabilitation. Each composite was tested in fresh and 7-day incubated states. The goal was to identify which composites showed the least toxicity in both conditions. The study focused on L-929 fibroblast cultures as a model system. The purpose was to provide evidence for material selection in dental restoration.
Main Methods:
The study evaluated four veneer composites using standardized in vitro testing. Specimens were prepared in two groups: fresh or incubated for 7 days. Each group was added to L-929 fibroblast cultures for 72 hours. Cell viability was measured by comparing cell numbers to glass controls. The experimental design included a control group with no composite exposure. The setup allowed for direct comparison of toxicity across composites and conditions. No additional variables were introduced to isolate the effect of the composites. The methodology ensured reproducibility by using consistent preparation and incubation protocols.
Main Results:
All composites showed reduced cell viability compared to glass controls. Fresh Signum+EM had the lowest cytotoxicity among the tested materials. Gradia Enamel E3 and Sinfony E3 followed in toxicity levels. SR Adoro S1 exhibited the highest toxicity in the fresh condition. After 7-day incubation, three composites showed similarly low toxicity. SR Adoro S1 remained significantly more toxic in the incubated state. The results suggest that storage duration impacts material toxicity. These findings highlight variability in composite performance under different conditions.
Conclusions:
The authors propose that fresh Signum+EM and incubated composites may be less toxic. They suggest that incubation reduces toxicity in most tested materials. The study highlights the importance of preparation conditions in material testing. The findings indicate that some composites maintain low toxicity even after storage. The authors propose that these composites could be viable for prosthetic use. No prior work had demonstrated this specific pattern of toxicity across conditions. The results support the idea that material toxicity is not static but context-dependent. The authors suggest that clinicians consider both material and preparation conditions in material selection.
Frequently Asked Questions
Fresh Signum+EM exhibited the lowest cytotoxicity among the four tested composites.
After 7-day incubation, three composites showed similarly low toxicity, while SR Adoro S1 remained highly toxic.
L-929 fibroblasts are commonly used to assess cytotoxicity in dental material testing.
The 72-hour exposure allowed sufficient time for composites to interact with fibroblasts and for toxicity effects to manifest.
Composites were compared by measuring cell viability in cultures exposed to fresh or incubated specimens.
The authors suggest that composites with low toxicity and good mechanical properties may be suitable for prosthetic use.
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