Argon ion laser curing depth effect on a composite resin

An analysis on the potential of diode-pumped solid-state lasers for dental materials

Material structure-property relationship is strongly related to the employed process technology. Over the past years, laser processing of engineering materials has been proposed in many fields and different uses for diode lasers have been found in dentistry. In this contest, the potential of GaN- and InGaN-based laser diodes to cure dental materials was analysed. Two wavelengths of 405 nm and 445 nm were used as heat or light sources for warm condensation of gutta-percha, light transmission in dental posts and brackets or light curing of dental composites. Additive manufacturing approach was considered to fabricate 3D root analogues, suitable supports, positioning systems and moulds for optical measurements. A three-axis CAD/CAM system was implemented for positioning and aligning the laser beam. The ability of diode-pumped solid-state lasers to cure dental materials or to transmit light was compared to that of a traditional instrument. Temperature profile at the apex of an additive manufactured root canal sealed with gutta-percha, light transmission through translucent quartz fiber post or through aesthetic ceramic bracket, bending properties and morphological features of light cured dental composites (Gradia Direct - GC Corporation and Venus Diamond - Heraeus Kulzer) were measured. Results showed a very high potential of diode-pumped solid-state lasers to be used in endodontics, orthodontics and restorative dentistry.

The effects of irradiance and exposure time on the surface roughness of bulk-fill composite resin restorative materials

OBJECTIVES

To evaluate the surface roughness of 4 different bulk-fill resin-based composites cured using different irradiance levels. Methods: This in vitro study was performed in February 2017 to August 2017 at the College of Dentistry, King Saud University. Twenty-four specimens were prepared from each of the bulk-fill materials [Tetric N-Ceram (TNC), SonicFill (SF), Smart Dentin Replacement (SDR), and Filtek Bulk-Fill (FB)] using a brass metal mold, resulting in a total of 96 specimens, cured using a Bluephase N light curing unit. Half of the total number of specimens (N=48) were cured using high-power irradiance (1200 mW/cm2) for 20 seconds, while the remaining half (N=48) were cured using low power irradiance (650 mW/cm2) for 40 seconds. After 24 hours, baseline surface roughness of each specimen was analyzed using a profilometer, then polished using Sof-lex abrasive disks, and the surface roughness of all groups was assessed. Results: Post-polished SonicFill cured at high irradiance had the highest mean surface roughness (0.23±0.03), whereas pre-polished Smart Dentin Replacement (0.11±0.01) and SonicFill (0.11±0.02) cured at low irradiance had the lowest mean surface roughness. Conclusion: High curing irradiance (1,200 mW/cm2) had no positive influence on the surface roughness of Filtek Bulk Fill and Tetric N-Ceram bulk-fill RBCs compared with lower curing irradiance (650 mW/cm2). However, the difference of curing irradiance significantly affected the surface roughness in SDR and sonic fill RBCs.

Wear Resistance of Bulk-fill Composite Resin Restorative Materials Polymerized under different Curing Intensities

INTRODUCTION

The aim of this study was to assess the wear resistance of four bulk-fill composite resin restorative materials cured using high- and low-intensity lights.

MATERIALS AND METHODS

Twenty-four samples were prepared from each composite resin material (Tetric N-Ceram, SonicFill, Smart Dentin Replacement, Filtek Bulk-Fill) resulting in a total of 96 samples; they were placed into a mold in a single increment. All of the 96 samples were cured using the Bluephase N light curing unit for 20 seconds. Half of the total specimens (n = 48) were light cured using high-intensity output (1,200 mW/cm²), while the remaining half (n = 48) were light cured using low-intensity output (650 mW/cm²). Wear was analyzed by a three-dimensional (3D) noncontact optical profilometer (Contour GT-I, Bruker, Germany). Mean and standard deviation (SD) of surface loss (depth) after 120,000 cycles for each test material was calculated and analyzed using one-way analysis of variance (ANOVA) with a significance level at p < 0.05.

RESULTS

The least mean surface loss was observed for SonicFill (186.52 urn) cured using low-intensity light. No significant difference in the mean surface loss was observed when comparing the four tested materials with each other without taking the curing light intensity into consideration (p = 0.352). A significant difference in the mean surface loss was observed between SonicFill cured using high-intensity light compared with that cured using low-intensity light (p < 0.001).

CONCLUSION

A higher curing light intensity (1,200 mW/cm²) had no positive influence on the wear resistance of the four bulk-fill composite resin restorative materials tested compared with lower curing light intensity (650 mW/cm²). Furthermore, SonicFill cured using low-intensity light was the most wear-resistant material tested, whereas Tetric N-Ceram cured using high-intensity light was the least wear resistant.

CLINICAL SIGNIFICANCE

The wear resistance was better with the newly introduced bulk-fill composite resins under low-intensity light curing.

Ability of four dental radiometers to measure the light output from nine curing lights

OBJECTIVES

To evaluate the accuracy of four dental radiometers when measuring the output from nine light curing units (LCUs).

METHODS

The light output from nine light-emitting diode LCUs was measured with a laboratory-grade power meter (PowerMax-Pro 150 HD) and four dental radiometers (Bluephase Meter II, SDI LED Radiometer, Kerr LED Radiometer, and LEDEX CM4000). Ten measurements were made of each LCU with each radiometer. Analysis of variance (ANOVA) followed by Tukey tests (α=0.05) were used to determine if there was a difference between the calculated irradiance values from the power meter and those from the radiometers. Where applicable, the LCUs were ranked according to their power and irradiance values. The emission spectra from the LCUs was measured using an integrating sphere attached to a fiber-optic spectrometer (N=10). The beam profile of the LCUs was measured with a beam profiler camera.

RESULTS

Of the dental radiometers, only the Bluephase Meter II could measure power. ANOVA showed no significant difference between power values measured with the laboratory-grade meter and the Bluephase Meter II (p=0.527). The difference between the mean irradiance reported by the various radiometers for the same LCU was up to 479mW/cm². The ranking of the power values obtained using the laboratory-grade meter was the same for the Bluephase Meter II.

CONCLUSION

When compared to the calculated irradiance values from the laboratory-grade power meter, the Bluephase Meter II provided the most accurate data.

CLINICAL SIGNIFICANCE

Considering the great variation between the irradiance values provided by radiometers and their overall inaccuracy when compared to a laboratory-grade meter, dentists should not place too much faith in the absolute irradiance value. However, hand-held radiometers can be used to monitor changes in the light output of LCUs over time.

Five second photoactivation? A microhardness and marginal adaptation in vitro study in composite resin restorations

INTRODUCTION

Studies defining the characteristics of light curing units and photoactivation methods are necessary to allow the correct choices to be made in daily practice. This study aimed to determine whether different photoactivation protocols for composite resins [periodic level shifting (PLS) - 5 second and soft-start] are able to maintain or enhance the mechanical properties and marginal adaptation of restorations.

METHODS

Restorations were placed in bovine teeth using the following photoactivation methods: continuous light for 20 seconds (control group); PLS technology (PLS - 5 second group); and continuous light and a light guide tip distance of 6 mm after which the tip was placed at the surface of the restoration (soft-start group). The teeth were transversely sectioned in the incisal-cervical direction. Thirty halves were randomly selected for Knoop microhardness testing (n = 10). The other 30 halves were subjected to scanning electron microscopy analysis. The images obtained were measured to identify the highest marginal gap, and statistical tests for variance analysis were conducted.

RESULTS

Microhardness tests showed no statistically significant difference between the photoactivation methods analysed (P ≥ 0.01). The tests showed a difference among depths (P < 0.01), with the deeper layers being the hardest. In analysing marginal adaptation, no significant difference was identified between the higher marginal gap values in the continuous (mean = 10.36) and PLS - 5 second (mean = 10.62) groups, and the soft-start group (mean = 5.83) presented the lowest values (P < 0.01).

CONCLUSIONS

The PLS - 5 second and soft-start protocols did not alter the hardness of the restorations. Moreover, the PLS - 5 second protocol did not alter the marginal adaptation, whereas the soft-start protocol improved marginal adaptation.

Effect of two lasers on the polymerization of composite resins: single vs combination

The selection of a light-curing unit for the curing composite resins is important to achieve best outcomes. The purpose of the present study was to test lasers of 457 and 473 nm alone or in combination under different light conditions with respect to the cure of composite resins. Four different composite resins were light cured using five different laser combinations (530 mW/cm(2) 457 nm only, 530 mW/cm(2) 473 nm only, 177 mW/cm(2) 457 + 177 mW/cm(2) 473 nm, 265 mW/cm(2) 457 + 265 mW/cm(2) 473 nm, and 354 mW/cm(2) 457 + 354 mW/cm(2) 473 nm). Microhardness and polymerization shrinkage were evaluated. A light-emitting diode (LED) unit was used for comparison purposes. On top surfaces, after aging for 24 h, microhardness achieved using the LED unit and the lasers with different conditions ranged 42.4-65.5 and 38.9-67.7 Hv, respectively, and on bottom surfaces, corresponding ranges were 25.2-56.1 and 18.5-55.7 Hv, respectively. Of the conditions used, 354 mW/cm(2) 457 nm + 354 mW/cm(2) 473 nm produced the highest bottom microhardness (33.8-55.6 Hv). On top and bottom surfaces, microhardness by the lowest total light intensity, 354 (177 × 2) mW/cm(2), ranged 39.0-60.5 and 18.5-52.8 Hv, respectively. Generally, 530 mW/cm(2) at 457 nm produced the lowest polymerization shrinkage. However, shrinkage values obtained using all five laser conditions were similar. The study shows the lasers of 457 and 473 nm are useful for curing composite resins alone or in combination at much lower light intensities than the LED unit.

Mechanical properties and polymerization shrinkage of composite resins light-cured using two different lasers

OBJECTIVE

The purpose of the present study was to investigate the usefulness of 457 and 473 nm lasers for the curing of composite resins during the restoration of damaged tooth cavity.

BACKGROUND DATA

Monochromaticity and coherence are attractive features of laser compared with most other light sources. Better polymerization of composite resins can be expected.

MATERIALS AND METHODS

Eight composite resins were light cured using these two lasers and a light-emitting diode (LED) light-curing unit (LCU). To evaluate the degrees of polymerization achieved, polymerization shrinkage and flexural and compressive properties were measured and compared.

RESULTS

Polymerization shrinkage values by 457 and 473 nm laser, and LED ranged from 10.9 to 26.8, from 13.2 to 26.1, and from 11.5 to 26.3 μm, respectively. The values by 457 nm laser was significantly different from those by 473 and LED LCU (p<0.05). However, there was no statistical difference between values by 473 and LED LCU. Before immersion in distilled water, flexural strength (FS) and compressive modulus (CM) of the specimens were inconsistently influenced by LCUs. On the other hand, flexural modulus (FM) and compressive strength (CS) were not significantly different for the three LCUs (p>0.05). For the tested LCUs, no specific LCU could consistently achieve highest strength and modulus from the specimens tested.

CONCLUSIONS

Two lasers (457 and 473 nm) can polymerize composite resins to the level that LED LCU can achieve despite inconsistent trends of polymerization shrinkage and flexural and compressive properties of the tested specimens.

Influence of photoactivation source on restorative materials and enamel demineralization

OBJECTIVE

The objective of this study was to evaluate the influence of the photoactivation source on the polymerization depth of restorative materials and its effects on resistance to enamel demineralization.

BACKGROUND DATA

Argon-ion laser (AL) irradiation itself provides a reduced depth of caries lesions in sound enamel.

METHODS

Eighteen human teeth were sectioned into 36 blocks and distributed into two groups according to the respective restorative material: resin-modified glass ionomer material (RMGI) (Vitremer-3M ESPE; A3; n=18) and composite resin (CR) (Z350-3M ESPE; n=18). Each group was subdivided into three subgroups and activated by a quartz-tungsten-halogen (QTH) lamp, an AL, or a light-emitting diode (LED) (n=6). Knoop microhardness (KHN) analysis of the materials was evaluated at two different depths: 0 and 1.6 mm from the enamel surface. The blocks were thermocycled and submitted to five demineralization-remineralization cycles at 37°C. The KHN values of the enamel surface (0 mm) were evaluated. The specimens were longitudinally sectioned, and the restorative material was evaluated at a depth of 1.6 mm. Data were evaluated by two way analysis of variance (ANOVA) and Tukey tests (p<0.05). The evaluation of subsuperficial enamel demineralization by KHN analysis was conducted by seven indentations located at 100 μm from the restored cavity. Data were evaluated by three way ANOVA and Tukey tests (p<0.05).

RESULTS

Comparing the two restorative materials, the KHN values at the surface (0 mm) were greater for CR, whereas at 1.6 mm, they were greater for RMGI. In addition, there was less development of enamel demineralization around RMGI restorations than CR restorations. Moreover, there were statistically significant differences on subsuperficial enamel demineralization between the two restorative materials and between the three photoactivation methods (p<0.05); RMGI presented the highest KHN values, and QTH and AL presented the lowest.

CONCLUSIONS

The photoactivation source did not influence superficial enamel demineralization, but LED activation positively influenced the subsuperficial microhardness of enamel.

Effect of energy density on low-shrinkage composite resins: diode-pumped solid state laser versus quartz-tungsten-halogen light-curing unit

OBJECTIVE

The purpose of the present study was to evaluate the effect of energy density on the polymerization of low-shrinkage composite resins.

BACKGROUND DATA

The number of photons needs to initiate the polymerization process can be controlled by light intensity and curing time through the form of energy density.

MATERIALS AND METHODS

For the study, two methacrylate-based (Premise [PR] and Venus Diamond [VE]) and one silorane-based (Filtek LS [LS]) composite resins were light cured using a quartz-tungsten-halogen (QTH) light-curing unit (LCU) and a 473 nm diode-pumped solid state (DPSS) laser. Degree of conversion (DC), microhardness, refractive index, and polymerization shrinkage were evaluated under different energy densities. Through the study, the feasibility of DPSS laser as a light source was tested as well.

RESULTS

LS showed the highest DC and refractive index both on the top and bottom surfaces, and the least polymerization shrinkage among the tested specimens. For the same or similar energy density, QTH and DPSS showed insignificant DC difference (p>0.05). On the other hand, for microhardness, except for one case at the bottom surface, QTH and DPSS showed significant difference (p<0.001). DPSS generated slightly lower polymerization shrinkage than that by QTH.

CONCLUSIONS

DC, microhardness, refractive index, and polymerization shrinkage were linearly correlated with energy density. In most cases, there was a strong linear correlation among DC, mirohardness, and refractive index. The DPSS laser of 473 nm could polymerize low-shrinkage composite resins to the level that was achieved by the conventional QTH unit.

Influence of a blue DPSS laser on specimen thickness of composite resins

OBJECTIVE

The purpose of the present study was to investigate the effect of 473 nm diode-pumped solid state (DPSS) laser on the curing depth of composite resins.

BACKGROUND DATA

Within the turbid media, light attenuates significantly because of the absorption and scattering.

MATERIALS AND METHODS

For the study, three different composite resins and light-curing units (LCUs) (a quartz-tungsten-halogen [QTH], light-emitting-diode [LED], and DPSS laser) were used. The number of photons transmitted through the specimens, degree of conversion (DC), microhardness, and refractive index of the specimens on different thicknesses were evaluated.

RESULTS

The incident light exponentially decreased within the specimens. Among the LCUs, QTH showed the least photon loss. The DC obtained using the DPSS laser and QTH was significantly greater (p<0.001) than that obtained using LED. The specimens light cured using the DPSS laser showed slightly lower microhardness than that cured by the other LCUs. On each depth, the mean refractive index was not significantly different for the LCUs used. DC, microhardness, and refractive index had inverse linear correlation with specimen thickness despite exponential decrease of photons number. On the other hand, DC, microhardness, and refractive index were linearly correlated to each other regardless of LCUs.

CONCLUSIONS

The DPSS laser of 473 nm achieved a similar level of polymerization within the specimens as those of the other LCUs even with much lower light intensity. This laser can be applied as a light source for light curing of composite resins.