Evidence map›Paper›PMID 41514287›Full record

ArticleBMC oral health2026

Evaluation of the cytotoxicity of flowable composite resins with different compositions: in vitro study.

İbrahim Halil Avcılar, Elif Pınar Bakır, Şeyhmus Bakır, Sevgi Irtegun Kandemir

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

İbrahim Halil AvcılarFaculty of Dentistry, Department of Restorative Dentistry, Dicle University, Sur, Diyarbakır, 21280, Turkey. dtibrahimavclr@gmail.com.
Elif Pınar BakırFaculty of Dentistry, Department of Restorative Dentistry, Dicle University, Sur, Diyarbakır, 21280, Turkey.
Şeyhmus BakırFaculty of Dentistry, Department of Restorative Dentistry, Dicle University, Sur, Diyarbakır, 21280, Turkey.
Sevgi Irtegun KandemirFaculty of Medicine, Department of Medical Biology, Dicle University, Sur, Diyarbakır, 21280, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFlowable composite resins are widely used in dentistry, and their biocompatibility is a critical factor. This study aimed to evaluate the cytotoxicity of flowable composite resins with different compositions using an MTT assay on L929 mouse fibroblast cultures. MATERIALS AND

methodsIn this study, four types of flowable composite resins with different compositions were used: nanoparticle-containing (Filtek Supreme - FS), self-adhesive (Vertise Flow - VF), highly filled (G-aenial Universal Injectable - GUI), and fibre-reinforced (EverX Flow - EF) resins. A total of 28 disc samples (seven from each material), each with a diameter of 5 mm and a thickness of 2 mm, were prepared and polymerized. Five different dilutions (1:1, 1:2, 1:4, 1:8, and 1:16) of the test materials were added to the L929 mouse fibroblast culture medium. The effects of the test materials on cell viability were evaluated using the MTT assay at three different time points (24, 48, and 72 h). The optical densities of the cells were measured with a spectrophotometer. The calculated viability percentages (%) were statistically analysed along with their standard deviations. The effects of the materials' dose and incubation time on cell viability were evaluated using two-way ANOVA. A Bonferroni post hoc test was applied to determine which factor or interaction group the difference originated from (p < 0.05 was considered statistically significant).

resultsFS, GUI, and EF materials showed no cytotoxic effects at any of the tested concentrations and incubation times; cell viability was found to be above 70% under all conditions. In contrast, undiluted VF material showed cytotoxic effects at all time points, while the 1/2 concentration exhibited cytotoxicity at 72 h.

conclusionFS, GUI, and EF materials are considired to be biocompatible based on ISO 10993-5 criteria, However, the dose- and time-dependent cytotoxicity observed for the VF material limits its biocompatibility. This may be attributed to differences in monomer and filler composition, highlighting the importance of evaluating the biocompatibility of flowable composite resins before clinical use.

Indexed as

Biocompatible MaterialsComposite ResinsDental MaterialsFibroblastsAnimalsCell LineCell SurvivalDentin-Bonding AgentsMaterials TestingMiceNanoparticlesSpectrophotometryTetrazolium SaltsThiazolesTime FactorsBiocompatible MaterialsComposite ResinsDental MaterialsDentin-Bonding AgentsFiltek Supremeflowable hybrid compositeG-aenial BondTetrazolium SaltsThiazolesthiazolyl bluevertise flowBiocompatibilityCell cultureCytotoxicityFlowable composite resinMTT assay

Identifiers

PMID41514287
PMCPMC12903610

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.