To better simulate the in vivo situation, a three-dimensional fibroblast ce
ll culture was introduced into an in vitro pulp chamber model. The system w
as evaluated by testing a series of dental filling materials. After a 24-h
exposure with (0.3 or 5 ml/h) and without perfusion of the pulp chamber, th
e tissues were subjected to a routine MTT assay. Zinc phosphate cement, con
ventional glass ionomer cements, a silicone impression material, and zinc o
xide-eugenol did not influence cell viability, compared with untreated cont
rols; but, a light-curing glass ionomer cement significantly reduced cell s
urvival. Perfusion of the chambers did not significantly influence the resu
lts, but perfusion conditions of 5 ml/h lead to a general decrease of cell
vitality. The three-dimensional cell culture system in an in vitro pulp cha
mber seems to be a substantial improvement, because zinc oxide-eugenol does
not evoke a cellular reaction (as is the case in vivo), and the test syste
m is sensitive enough to detect other toxicants.