Academic Journal

Trans-dentinal cytotoxicity assessment of adhesive systems on sound and caries-affected dentin using a microphysiological artificial pulp chamber system.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Trans-dentinal cytotoxicity assessment of adhesive systems on sound and caries-affected dentin using a microphysiological artificial pulp chamber system.
Συγγραφείς: Álamo L; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil., Stuani VT; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil., Correa LE; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil., Braga de Melo CCDS; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil., Soares IPM; Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, São Paulo, Brazil., Anselmi C; Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, São Paulo, Brazil., de Souza Costa CA; Department of Physiology and Pathology, School of Dentistry of Araraquara, São Paulo State University (Unesp), Araraquara, São Paulo, Brazil., Hebling J; Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (UNESP), School of Dentistry, Araraquara, São Paulo, Brazil., Soares DG; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil. Electronic address: dianasoares@fob.usp.br.
Πηγή: Dental materials : official publication of the Academy of Dental Materials [Dent Mater] 2026 Aug; Vol. 42 (8), pp. 1430-1442. Date of Electronic Publication: 2026 Mar 26.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Science Country of Publication: England NLM ID: 8508040 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0097 (Electronic) Linking ISSN: 01095641 NLM ISO Abbreviation: Dent Mater Subsets: MEDLINE
Imprint Name(s): Publication: 1998- : Kidlington, Oxford, UK : Elsevier Science
Original Publication: Copenhagen : Munksgaard, c1985-
Ιατρικοί όροι (MeSH): Dentin*/drug effects , Dental Pulp*/cytology , Dental Pulp*/drug effects , Dentin-Bonding Agents*/toxicity , Dental Caries*, Dentin Permeability/drug effects ; Cell Survival/drug effects ; Humans ; Microphysiological Systems ; Microscopy, Electron, Scanning ; Materials Testing ; In Vitro Techniques ; Coculture Techniques ; Bisphenol A-Glycidyl Methacrylate
Περίληψη: Objective: This study evaluated, in vitro, the trans-dentinal cytotoxicity of a universal adhesive system (Single Bond Universal, SBU) applied onto sound and caries-affected dentin (CAD), using a microphysiological artificial pulp chamber (APC) on-a-chip system.
Methods: Human dentin discs (0.35 mm) from sound (SD) or microbiologically demineralized teeth (CAD) were used in a co-culture model under simulated pulpal pressure into APC-on-a-chip, with MDPC-23 cells seeded on the pulpal surface and human dental pulp cells (HDPCs) cultured in 3D collagen gels beneath the dentin. SBU was applied on the occlusal surface in self-etch (SE) or etch-and-rinse (ER) mode and LED-cured (continuous mode). After 24 h, cell metabolism (Alamar Blue), viability (Live/Dead), dentin permeability (Lp), morphology (SEM), and HEMA diffusion (UV-vis) were evaluated. Data were analyzed using two-way ANOVA/Tukey or Student's t-tests (p < 0.05).
Results: SBU application reduced MDPC-23 metabolism by 71.2% (SE) and 85.7% (ER) on SD, and 46.8% (SE) and 62.2% (ER) on CAD. HDPCs showed similar trends: decreases of 50.2% and 70.1% on SD, and 38.1% and 61.9% on CAD, respectively. Live/Dead staining confirmed increased cell death, especially in SBU-ER groups. CAD discs had ∼82% lower permeability than SD; ER etching increased permeability in both. SEM showed open tubules in SD and demineralized surfaces in CAD. HEMA diffusion was reduced by 36.5% and 54.7% in CAD for SE and ER, respectively.
Significance: SBU featured cytotoxicity regardless on dentin condition (SD or CAD), highlighting biological risks of using universal adhesives in deep cavities.
(Copyright © 2026 The Authors. Published by Elsevier Inc. All rights reserved.)
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper
Contributed Indexing: Keywords: Artificial pulp chamber; Caries-affected dentin; Cytotoxicity; Odontoblast-like cells; Organ-on-a-chip; Universal adhesive
Substance Nomenclature: 0 (Dentin-Bonding Agents)
0 (single bond)
454I75YXY0 (Bisphenol A-Glycidyl Methacrylate)
Entry Date(s): Date Created: 20260327 Date Completed: 20260714 Latest Revision: 20260714
Update Code: 20260714
DOI: 10.1016/j.dental.2026.03.162
PMID: 41896115
Βάση Δεδομένων: MEDLINE
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://www.doi.org/10.1016/j.dental.2026.03.162?
    Name: ScienceDirect (all content) (s7799221)
    Category: fullText
    Text: View record from ScienceDirect
    MouseOverText: View record from ScienceDirect
  – Url: https://resolver.ebsco.com/c/fiv2js/result?sid=EBSCO:cmedm&genre=article&issn=18790097&ISBN=&volume=42&issue=8&date=20260801&spage=1430&pages=1430-1442&title=Dental materials : official publication of the Academy of Dental Materials&atitle=Trans-dentinal%20cytotoxicity%20assessment%20of%20adhesive%20systems%20on%20sound%20and%20caries-affected%20dentin%20using%20a%20microphysiological%20artificial%20pulp%20chamber%20system.&aulast=%C3%81lamo%20L&id=DOI:10.1016/j.dental.2026.03.162
    Name: Full Text Finder (for New FTF UI) (ns324271)
    Category: fullText
    Text: Full Text Finder
    MouseOverText: Full Text Finder
Header DbId: cmedm
DbLabel: MEDLINE
An: 41896115
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Trans-dentinal cytotoxicity assessment of adhesive systems on sound and caries-affected dentin using a microphysiological artificial pulp chamber system.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22&#193;lamo+L%22&quot;&gt;&#193;lamo L&lt;/searchLink&gt;; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of S&#227;o Paulo (USP), Bauru, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Stuani+VT%22&quot;&gt;Stuani VT&lt;/searchLink&gt;; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of S&#227;o Paulo (USP), Bauru, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Correa+LE%22&quot;&gt;Correa LE&lt;/searchLink&gt;; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of S&#227;o Paulo (USP), Bauru, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Braga+de+Melo+CCDS%22&quot;&gt;Braga de Melo CCDS&lt;/searchLink&gt;; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of S&#227;o Paulo (USP), Bauru, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Soares+IPM%22&quot;&gt;Soares IPM&lt;/searchLink&gt;; Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, S&#227;o Paulo State University (UNESP), School of Dentistry, Araraquara, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Anselmi+C%22&quot;&gt;Anselmi C&lt;/searchLink&gt;; Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, S&#227;o Paulo State University (UNESP), School of Dentistry, Araraquara, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22de+Souza+Costa+CA%22&quot;&gt;de Souza Costa CA&lt;/searchLink&gt;; Department of Physiology and Pathology, School of Dentistry of Araraquara, S&#227;o Paulo State University (Unesp), Araraquara, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Hebling+J%22&quot;&gt;Hebling J&lt;/searchLink&gt;; Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, S&#227;o Paulo State University (UNESP), School of Dentistry, Araraquara, S&#227;o Paulo, Brazil.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Soares+DG%22&quot;&gt;Soares DG&lt;/searchLink&gt;; Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of S&#227;o Paulo (USP), Bauru, S&#227;o Paulo, Brazil. Electronic address: dianasoares@fob.usp.br.
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%228508040%22&quot;&gt;Dental materials : official publication of the Academy of Dental Materials&lt;/searchLink&gt; [Dent Mater] 2026 Aug; Vol. 42 (8), pp. 1430-1442. &lt;i&gt;Date of Electronic Publication: &lt;/i&gt;2026 Mar 26.
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: TitleSource
  Label: Journal Info
  Group: Src
  Data: &lt;i&gt;Publisher: &lt;/i&gt;&lt;searchLink fieldCode=&quot;PB&quot; term=&quot;%22Elsevier+Science%22&quot;&gt;Elsevier Science &lt;/searchLink&gt;&lt;i&gt;Country of Publication: &lt;/i&gt;England &lt;i&gt;NLM ID: &lt;/i&gt;8508040 &lt;i&gt;Publication Model: &lt;/i&gt;Print-Electronic &lt;i&gt;Cited Medium: &lt;/i&gt;Internet &lt;i&gt;ISSN: &lt;/i&gt;1879-0097 (Electronic) &lt;i&gt;Linking ISSN: &lt;/i&gt;&lt;searchLink fieldCode=&quot;IS&quot; term=&quot;%2201095641%22&quot;&gt;01095641 &lt;/searchLink&gt;&lt;i&gt;NLM ISO Abbreviation: &lt;/i&gt;Dent Mater &lt;i&gt;Subsets: &lt;/i&gt;MEDLINE
– Name: PublisherInfo
  Label: Imprint Name(s)
  Group: PubInfo
  Data: &lt;i&gt;Publication&lt;/i&gt;: 1998- : Kidlington, Oxford, UK : Elsevier Science&lt;br /&gt;&lt;i&gt;Original Publication&lt;/i&gt;: Copenhagen : Munksgaard, c1985-
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dentin%22&quot;&gt;Dentin*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dentin+drug+effects%22&quot;&gt;drug effects&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dental+Pulp%22&quot;&gt;Dental Pulp*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dental+Pulp+cytology%22&quot;&gt;cytology&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dental+Pulp%22&quot;&gt;Dental Pulp*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dental+Pulp+drug+effects%22&quot;&gt;drug effects&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dentin-Bonding+Agents%22&quot;&gt;Dentin-Bonding Agents*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dentin-Bonding+Agents+toxicity%22&quot;&gt;toxicity&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Dental+Caries%22&quot;&gt;Dental Caries*&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Dentin+Permeability%22&quot;&gt;Dentin Permeability&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Dentin+Permeability+drug+effects%22&quot;&gt;drug effects&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Cell+Survival%22&quot;&gt;Cell Survival&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Cell+Survival+drug+effects%22&quot;&gt;drug effects&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Humans%22&quot;&gt;Humans&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Microphysiological+Systems%22&quot;&gt;Microphysiological Systems&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Microscopy%2C+Electron%2C+Scanning%22&quot;&gt;Microscopy, Electron, Scanning&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Materials+Testing%22&quot;&gt;Materials Testing&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22In+Vitro+Techniques%22&quot;&gt;In Vitro Techniques&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Coculture+Techniques%22&quot;&gt;Coculture Techniques&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Bisphenol+A-Glycidyl+Methacrylate%22&quot;&gt;Bisphenol A-Glycidyl Methacrylate&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This study evaluated, in vitro, the trans-dentinal cytotoxicity of a universal adhesive system (Single Bond Universal, SBU) applied onto sound and caries-affected dentin (CAD), using a microphysiological artificial pulp chamber (APC) on-a-chip system.&lt;br /&gt;Methods: Human dentin discs (0.35 mm) from sound (SD) or microbiologically demineralized teeth (CAD) were used in a co-culture model under simulated pulpal pressure into APC-on-a-chip, with MDPC-23 cells seeded on the pulpal surface and human dental pulp cells (HDPCs) cultured in 3D collagen gels beneath the dentin. SBU was applied on the occlusal surface in self-etch (SE) or etch-and-rinse (ER) mode and LED-cured (continuous mode). After 24 h, cell metabolism (Alamar Blue), viability (Live/Dead), dentin permeability (Lp), morphology (SEM), and HEMA diffusion (UV-vis) were evaluated. Data were analyzed using two-way ANOVA/Tukey or Student&#39;s t-tests (p &amp;lt; 0.05).&lt;br /&gt;Results: SBU application reduced MDPC-23 metabolism by 71.2% (SE) and 85.7% (ER) on SD, and 46.8% (SE) and 62.2% (ER) on CAD. HDPCs showed similar trends: decreases of 50.2% and 70.1% on SD, and 38.1% and 61.9% on CAD, respectively. Live/Dead staining confirmed increased cell death, especially in SBU-ER groups. CAD discs had ∼82% lower permeability than SD; ER etching increased permeability in both. SEM showed open tubules in SD and demineralized surfaces in CAD. HEMA diffusion was reduced by 36.5% and 54.7% in CAD for SE and ER, respectively.&lt;br /&gt;Significance: SBU featured cytotoxicity regardless on dentin condition (SD or CAD), highlighting biological risks of using universal adhesives in deep cavities.&lt;br /&gt; (Copyright &#169; 2026 The Authors. Published by Elsevier Inc. All rights reserved.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper
– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: &lt;i&gt;Keywords: &lt;/i&gt;Artificial pulp chamber; Caries-affected dentin; Cytotoxicity; Odontoblast-like cells; Organ-on-a-chip; Universal adhesive
– Name: NumberCAS
  Label: Substance Nomenclature
  Group: ID
  Data: 0 (Dentin-Bonding Agents)&lt;br /&gt;0 (single bond)&lt;br /&gt;454I75YXY0 (Bisphenol A-Glycidyl Methacrylate)
– Name: DateEntry
  Label: Entry Date(s)
  Group: Date
  Data: &lt;i&gt;Date Created: &lt;/i&gt;20260327 &lt;i&gt;Date Completed: &lt;/i&gt;20260714 &lt;i&gt;Latest Revision: &lt;/i&gt;20260714
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260714
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/j.dental.2026.03.162
– Name: AN
  Label: PMID
  Group: ID
  Data: 41896115
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=41896115
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.dental.2026.03.162
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 1430
    Subjects:
      – SubjectFull: Dentin Permeability drug effects
        Type: general
      – SubjectFull: Cell Survival drug effects
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Microphysiological Systems
        Type: general
      – SubjectFull: Microscopy, Electron, Scanning
        Type: general
      – SubjectFull: Materials Testing
        Type: general
      – SubjectFull: In Vitro Techniques
        Type: general
      – SubjectFull: Coculture Techniques
        Type: general
      – SubjectFull: Bisphenol A-Glycidyl Methacrylate
        Type: general
      – SubjectFull: Dentin drug effects
        Type: general
      – SubjectFull: Dental Pulp cytology
        Type: general
      – SubjectFull: Dental Pulp drug effects
        Type: general
      – SubjectFull: Dentin-Bonding Agents toxicity
        Type: general
      – SubjectFull: Dental Caries
        Type: general
    Titles:
      – TitleFull: Trans-dentinal cytotoxicity assessment of adhesive systems on sound and caries-affected dentin using a microphysiological artificial pulp chamber system.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Álamo L
      – PersonEntity:
          Name:
            NameFull: Stuani VT
      – PersonEntity:
          Name:
            NameFull: Correa LE
      – PersonEntity:
          Name:
            NameFull: Braga de Melo CCDS
      – PersonEntity:
          Name:
            NameFull: Soares IPM
      – PersonEntity:
          Name:
            NameFull: Anselmi C
      – PersonEntity:
          Name:
            NameFull: de Souza Costa CA
      – PersonEntity:
          Name:
            NameFull: Hebling J
      – PersonEntity:
          Name:
            NameFull: Soares DG
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 08
              Text: 2026 Aug
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1879-0097
          Numbering:
            – Type: volume
              Value: 42
            – Type: issue
              Value: 8
          Titles:
            – TitleFull: Dental materials : official publication of the Academy of Dental Materials
              Type: main
ResultId 1