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Content archived on 2024-06-11

Standardization of biocompatibility testing of dental materials with emphasis on practical relevance

Objective



Dental materials including amalgams are currently disputed in the EU market because of their possible deleterious effects. Although cytotoxicity and further risks have been identified, current tests for cytotoxicity and biocompatibility have either not been performed or have not demonstrated these deleterious effects or systemic influences.
This actual state is mirrored in the standardization of medical devices that are intended to support the directives on Active Implantable Devices and Medical Devices.
Standards that cover the whole assessment are on product safety and performance from physical and chemical testing, biological and clinical evaluation to additional standards regarding quality assurance and risk analyses. The standards address both product oriented aspects and aspects such as sterilization, biocompatibility and clinical evaluation. The latter standards have the inherent characteristic of a lack of acceptance criteria. The uncertainty introduced by these standards must be compensated through risk analyses.
The standards are based on conformity of data, but their subsequent assessment by notified bodies can not consistently guarantee the products to be safe and performing well.
This is caused by the fact that the confirmation testing results of physical and chemical testing as well as the results of the biological and clinical evaluation are not adequate.
Integrated requirement profiles and methodologies (model systems) are still absent.
The major goal of this project is to offer such an integrated approach based on an assessment of the biocompatibility of available dental materials in contact with body fluids and tissue materials with special regard to their chemical and physical performance and their biological and clinical reliability. This will lead to a technology assessment of dental materials and the prediction of their product effectivity based on cost/risk/benefit analyses.
Even more important, standards for generalised requirement profiles with user perceptions and methodologies will be provided.
Based on this multicenter approach it will be possible to establish the long-term predictivity of cytotoxicity testing based on refined versions of existing 2D-methods, the relationship between laboratory investigations and clinical studies to identify clinical failures and risks, and intra- and inter-laboratory validation as an urgent need for the reliability and applicability of generalised standards.

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Funding Scheme

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Coordinator

Institut für Instandhaltung GmbH
EU contribution
No data
Address
Kalkofen 4
58638 Iserlohn
Germany

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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

No data

Participants (5)

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