A previous study highlighted the superior shock absorption of silicone rubb
ers compared to other elastomers. We evaluated and compared the in vitro bi
ocompatibility of silicone-based rubbers and propose them as an alternative
to conventional products. We used the MTT colorimetric test to assess cell
viability and flow cytometry to evaluate cell proliferation. Tests were co
nducted at 24 and 72 h. Changes in cell morphology were evaluated by scanni
ng electron microscopy. Positive (polyurethane) and negative (polystyrene)
toxicity controls were included. The number of viable cells was significant
ly higher on polystyrene than on polyurethane. A decrease in the total numb
er of cells from 24 to 72 h compared to the negative control was correlated
with a lower percentage of S-phase cells. The differences in cell viabilit
y noted between the samples and the polystyrene control mainly resulted fro
m an initial lack of adhesion, which was confirmed by scanning electron mic
roscopy. The biocompatibility of the three silicone rubbers was comparable
to the best of the three products currently being used. These results, comb
ined with those of the previous study, indicate that silicone rubber could
be considered for the manufacture of mouth guards. (C) 1999 Published by El
sevier Science Ltd. All rights reserved.