Knoop hardness of ten resin composites irradiated with high-power LED and quartz-tungsten-halogen lights

Short curing time bulk fill composite systems: volumetric shrinkage, degree of conversion and Vickers hardness

This study aimed to evaluate volumetric polymerization shrinkage, degree of conversion and Vickers hardness of four bulk-fill resin composites light-activated with their dedicated light curing units (LCUs). Four groups were evaluated, according to the type of composite and curing mode: Tetric EvoCeram Bulk-fill (TEBO) and Tetric EvoFlow Bulk-fill (TEBF) were light-activated with Bluephase Style 20i (20s, in high-mode), while Tetric Powerfill (TEPO) and Tetric Powerflow (TEPF) were light-activated with Bluephase PowerCure (3s). Volumetric polymerization shrinkage test (n = 6) was performed in standardized box-shaped class-I cavities of extracted third molars (4 x 4 x 4 mm). Teeth were scanned before and after resin composite application by micro-computed tomography, and acquired data were evaluated with Amira software. Degree of conversion (n = 5) was evaluated at the top and bottom surfaces of composite cylindric samples (4 mm diameter, 4 mm thickness) using an FT-IR spectrometer (spectra between 1,500 and 1,800 cm-1, 40 scans at a resolution of 4 cm-1). Three Vickers indentations (50 g / 15 s), spaced 500 μm apart, were performed on the top and bottom composite surfaces and averaged. One-way ANOVA was used for data evaluation. TEPF showed the lowest volumetric polymerization shrinkage (p < 0.05), while the other composites were not significantly different within each other (p > 0.05). All materials presented a significant decrease in degree of conversion and Vickers hardness when compared top to bottom surfaces (p < 0.05). Bottom to top surface ratios for degree of conversion ranged from 0.8 (TEBO and TEPO) to 0.9 (TEBF and TEPF), and from 0.4 (TEPO) to 0.7 (TEBF and TEPF) for hardness. In conclusion, resinous materials present a decrease in hardness and degree of conversion from top to bottom even when a higher power is used, while the flowable material TEPF showed the lowest volumetric shrinkage values compared to the other materials.

Effect of four different mono and multi-wave light-curing units on the Knoop hardness of veneer resin composites

OBJECTIVES

To evaluate the effect of mono and multi-wave light-curing units (LCUs) on the Knoop hardness of resin-based composites (RBC) that use different photoinitiators.

METHODS

Central incisor-shaped specimens 12 mm long, 9 mm wide, and 1.5 mm thick were made from 2 RBCs that use different photoinitiators: Tetric N-Ceram (Ivoclar Vivadent) - and Vittra APS (FGM), both A2E shade. They were light-cured with 4 different LCUs: two claimed to be multi-wave - VALO Grand (Ultradent) and Emitter Now Duo (Schuster); and two were monowave - Radii Xpert (SDI) and Elipar DeepCure-L (3 M Oral Care) using 2 different light exposure protocols: one 40 s exposure centered over the specimen; and two 20 s light exposures that delivered light from two positions to better cover the entire tooth. 16 groups with 10 specimens in each group were made. The Knoop hardness (KH, kg/mm2) was measured at the top and bottom of the specimen in the center and at the cervical, incisal, mesial, and distal peripheral regions. The active tip diameters (mm) and spectral radiant powers (mW/nm) of the LCUs were measured with and without the interposition of the RBC, as well as the radiant exposure beam profiles (J/cm²) delivered to the top of the RBCs. The data was analyzed using Three-way ANOVA and Tukey's tests (α = 0.05).

RESULTS

The VALO Grand (1029 mW) emitted twice the power of the Radii Xpert (500 mW). The KH values of VI and TN resin composite specimens were significantly affected by the LCU used (p < .001), the measurement location (p < .001), and the surface of the specimen (p < .001). LCUs with wider tip diameters produced greater Knoop hardness values at the peripheries of the 12 mm of long, 9 mm wide specimens. In general, the VALO Grand produced the highest KH values, followed by Elipar DeepCure-L, then by Radii Xpert. The Emitter Now Duo LCU produced the lowest values. Exposing the veneers from two locations reduced the differences between the LCUs and the effect of the measurement location. Only the VALO Grand could fully cover the composite veneer with light when the two locations were used.

SIGNIFICANCE

The light tip must cover the entire restoration to photocure the RBC beneath the light tip.

Effect of the Sample Preparation and Light-curing Unit on the Microhardness and Degree of Conversion of Bulk-fill Resin-based Composite Restorations

OBJECTIVE

To evaluate the effect of the sample preparation and light-curing units (LCUs) on the Knoop hardness (KH, N/mm2) and degree of conversion (DC, %) of bulk-fill resin-based composite restorations.

METHODS

Two molds were made using human molar teeth embedded in acrylic resin. One was a conventional tooth mold where the molar received a mesio-occluso-distal (MOD) preparation. In the other, the tooth was sectioned in three slices (buccal, middle, and lingual). The center slice received a MOD preparation similar to the conventional mold. Both tooth molds were placed in the second mandibular molar position in a Dentoform with a 44-mm interincisal opening. Restorations were made using Opus Bulk Fill (FGM) high viscosity bulk-fill resin-based composite (RBC) and light cured using two different lights: VALO Cordless (Ultradent) and Bluephase G2 (Ivoclar Vivadent). The RBC was placed in one increment that was light-cured for a total of 80 seconds (40 seconds at the occluso-mesial and occluso-distal locations). The RBC specimens were then prepared as follows: EmbPol - tooth mold specimen was embedded in polystyrene resin and polished before testing; Pol - tooth mold specimen was not embedded, but was polished before testing; NotPol - sectioned tooth mold, specimen not embedded nor polished before testing. The KH was measured in different depths and regions of the specimens, and the DC was measured using Raman spectroscopy.

RESULTS

The results were analyzed using a 2-way analysis of variance (ANOVA) or repeated measures followed by the Tukey posthoc test (α=0.05). The preparation method (p<0.001), depth of restoration (p<0.001), and the interaction between method and depth (p=0.003) all influenced the KH values. Preparation method (p<0.001), tooth region (p<0.001), and the interaction between method and tooth region (p=0.002) all influenced DC values. The KH values were reduced significantly from the top to the bottom of the restorations and also at the proximal box when compared with the occlusal region. This outcome was most significant in the proximal boxes. The NotPol method was the most effective method to detect the effect of differences in KH or DC within the restoration. A lower DC and KH were found at the gingival regions of the proximal boxes of the restorations. When the KH and DC values were compared, there were no significant differences between the LCUs (KH p=0.4 and DC p=0.317).

CONCLUSION

Preparation methods that embedded the samples in polystyrene resin and polished the specimens reduced the differences between the KH and DC values obtained by different preparation techniques. The NotPol method was better able to detect differences produced by light activation in deeper areas.

Surface tailored zein as a novel delivery system for hypericin: Application in photodynamic therapy

Zein is an FDA-approved maize protein featured by its manipulative surface and the possibility of fabrication into nanomaterials. Although extensive research has been carried out in zein-based technology, limited work is available for the application of zein in the field of cancer photodynamic therapy (PDT). In this work, we report zein as a carrier for the natural photosensitizer hypericin in the PDT of hepatocellular carcinoma in vitro. Zein was modified through chemical PEGylation to form PEGylated zein micelles that were compared with two zein nanoparticle formulations physically stabilized by either the lecithin/pluronic mixture or sodium caseinate. FT-IR, ¹HNMR and HP-SEC MALS approaches were employed to confirm the chemical PEGylation of zein. Our developed zein nanoparticles and micelles were further characterized by photon correlation spectroscopy (PCS) and atomic force microscopy (AFM). The obtained results showed relatively smaller sizes and higher encapsulation of hypericin in the micellar zein than the nanoparticle-based formulations. Phototoxicity on hepatocellular carcinoma (HepG2 cells) manifested a dose-dependent toxicity pattern of all designed zein formulations. However, superior cytotoxicity was prominent for the hypericin-based micelles, which was influenced by the higher cellular uptake profile. Consequently, the treated HepG2 cells manifested a higher level of intracellular generated ROS and disruption of mitochondrial membrane potential, which induced apoptotic cell death. Comparatively, the designed hypericin formulations indicated lower phototoxicity profile in murine fibroblast L929 cells reflecting their safety on normal cells. Our investigations suggested that the surface-modified zein could be employed to enhance the delivery of the hydrophobic hypericin in PDT and pave the way for future in vivo and clinical applications in cancer treatment.

Handling properties and surface characteristics of universal resin composites

OBJECTIVE

This study investigated the handling and surface characteristics of universal resin composites and determined the interrelations among the composites' handling, mechanical, and physical properties.

METHODS

Five recently introduced universal resin composites were tested. Twelve specimens per material were used to measure the stiffness and stickiness (handling properties) of the resin composite pastes. Additionally, surface properties (Knoop hardness number [KHN], surface roughness [Sa], surface gloss [SG], water contact angle [CA], and surface free energy [SFE]) of cured resin composites were determined in 12 specimens per material immediately after preparation (baseline) and after subjection to thermal cycles (TCs).

RESULTS

Handling and surface properties of the resin composites were material dependent. All the resin composites showed significantly lower KHN in the post-TC subgroups than that in the baseline subgroups. However, the influence of TC on the other surface properties was dependent on the material used. Some resin composites did not indicate any significant differences in Sa, SG, or CA between the baseline and post-TC groups.

SIGNIFICANCE

Although the resin composites in the baseline groups presented with different handling and surface properties, the surface properties of most of the composites were significantly affected by TC. Extremely strong positive or negative correlations were observed between stiffness and stickiness, KHN and Sa, KHN and SG, Sa and SG, and CA and SFE. Most correlations between the handling and surface properties were weak. Therefore, the selection of resin composites in clinical situations should be based on comprehensive consideration of their properties.

Hardness Development in Resin Composite Core Materials

PURPOSE

To investigate the hardness characteristics of 13 contemporary resin core materials.

MATERIALS AND METHODS

Specimens (n = 12) were fabricated using stainless steel molds with top surfaces of dual-cure products photopolymerized while additional groups were allowed to self-cure. Twelve Knoop hardness indentations 500 microns apart were obtained of photopolymerized top and bottom sample surfaces as well as the self-cured sample surface with the mean recorded as the representative sample hardness. Testing was completed at 10 minutes, 1 hour, and 24 hours. In addition, hardness values were compared to that obtained from polished coronal dentin samples. Mean data between groups were analyzed with Kruskal-Wallis/Dunn's, within groups with repeated measures ANOVA/Tukey's.

RESULTS

Hardness results were material dependent. All but two products demonstrated a 0.8 bottom/top Knoop hardness ratio at 10 minutes. Product's self-cure cure reaction did not attain hardness similarity with any photopolymerized top surfaces and while some materials were found to have similar dentin hardness to resin top surface ratio similarity, only one product had hardness equal to or greater than that of dentin during any time period.

CONCLUSIONS

Under this study's conditions, hardness development was material dependent and all but two products demonstrated adequate hardness-derived degree of cure assessment at 10 minutes after preparation. Self-cured samples demonstrated hardness increase; however, no self-cured material achieved hardness similarity to photopolymerized top surfaces. None of the materials achieved hardness similarity to dentin and only one product demonstrated hardness greater than that of dentin.

The effect of rapid high-intensity light-curing on micromechanical properties of bulk-fill and conventional resin composites

Rapid high-intensity light-curing of dental resin composites is attractive from a clinical standpoint due to the prospect of time-savings. This study compared the effect of high-intensity (3 s with 3,440 mW/cm²) and conventional (10 s with 1,340 mW/cm²) light-curing on micromechanical properties of conventional and bulk-fill resin composites, including two composites specifically designed for high-intensity curing. Composite specimens were prepared in clinically realistic layer thicknesses. Microhardness (MH) was measured on the top and bottom surfaces of composite specimens 24 h after light-curing (initial MH), and after subsequent immersion for 24 h in absolute ethanol (ethanol MH). Bottom/top ratio for initial MH was calculated as a measure of depth-dependent curing effectiveness, whereas ethanol/initial MH ratio was calculated as a measure of crosslinking density. High-intensity light-curing showed a complex material-dependent effect on micromechanical properties. Most of the sculptable composites showed no effect of the curing protocol on initial MH, whereas flowable composites showed 11–48% lower initial MH for high-intensity curing. Ethanol/initial MH ratios were improved by high-intensity curing in flowable composites (up to 30%) but diminished in sculptable composites (up to 15%). Due to its mixed effect on MH and crosslinking density in flowable composites, high-intensity curing should be used with caution in clinical work.

Effects of Light Attenuation through Dental Tissues on Cure Depth of Composite Resins

Objective

Polymerization of light-cured resin-based materials is well documented; however, the intensity of the activating light can be reduced by passage through air, dental structure, or restoration compromising the physical properties of the restoration. The aim of this study was to evaluate the depth of cure of different light cured composite resins polymerized directly or transdental, through enamel and enamel/dentin tissues.

Material and methods

Five composite resins were selected for this experiment: SureFil SDR, Dentsply (SDR), Filtek Supreme Plus, 3M ESPE (FSP), Aelite LS, Bisco (ALS), Filtek LS, 3M ESPE (FLS), and TPH, Dentsply (TPH). Thirty specimens of each material were prepared with 2- or 4-mm thickness. The specimens were light-cured (Elipar 2500, 3M ESPE) for 40 sec using three different protocols: direct or transdental, through a disc of enamel with 1 mm of thickness, and a disc of enamel and dentin with 2 mm of thickness. Eight Vickers microhardness (VH) measurements were taken from each specimen, four on top and four on bottom surface (Micromet, Buehler, 100 g per 15 sec). Data was analyzed with ANOVA three-way, Tukey HSD post-hoc (α = .05).

Results

Bottom surfaces of specimens exhibited statistically significant lower Vickers microhardness than the top surfaces for all composite resin evaluated, regardless of the curing conditions, except for the SDR when direct light-cured. Transdental light curing through enamel/dentin layer, significantly decreased VH (P<0.05) on the bottom surface of all composite groups.

Conclusion

The results of this study showed that light-curing attenuation of dental structures negatively affect the micro-hardness of composite resins.

Use of Artificial Neural Network in Determination of Shade, Light Curing Unit, and Composite Parameters' Effect on Bottom/Top Vickers Hardness Ratio of Composites

Objective

To assess the influence of light emitting diode (LED) and quartz tungsten halogen (QTH) light curing unit (LCU) on the bottom/top (B/T) Vickers Hardness Number (VHN) ratio of different composites with different shades and determination of the most significant effect on B/T VHN ratio of composites by shade, light curing unit, and composite parameters using artificial neural network.

Method

Three composite resin materials [Clearfil Majesty Esthetic (CME), Tetric N Ceram (TNC), and Tetric Evo Ceram (TEC)] in different shades (HO, A2, B2, Bleach L, Bleach M) were used. The composites were polymerized with three different LED LCUs (Elipar S10, Bluephase 20i, Valo) and halogen LCU (Hilux). Vickers hardness measurements were made at a load of 100 g for 10 sec on the top and bottom surfaces and B/T VHN ratio calculated. The data were statistically analyzed with three-way ANOVA and Tukey test at a significance level of 0.05. The obtained measurements and data were then fed to a neural network to establish the correlation between the inputs and outputs.

Results

There were no significant differences between the B/T VHN ratio of LCUs for the HO and B shades of CME (p>0.05), but there were significant differences between the B/T VHN ratio of LCUs for shade A2 (p<0.05). No significant difference was determined between the B/T VHN ratio of LCUs for all shades of TNC (p>0.05). For TEC, there was no significant difference between the B/T VHN ratio of halogen and LED LCUs (p>0.05), but a significant difference was determined among the LED LCUs (p<0.05). The artificial neural network results showed that a combination of the curing light and composite parameter had the most significant effect on the B/T VHN ratio of composites. Shade has the lowest effect on the B/T VHN ratio of composites.

Conclusion

The B/T VHN ratio values of different resin-based composite materials may vary depending on the light curing device. In addition, the artificial neural network results showed that the LCU and composite parameter had the most significant effect on the B/T VHN ratio of the composites. Shade has the lowest effect on the B/T VHN ratio of composites.

A comparative evaluation of effect of modern-curing lights and curing modes on conventional and novel-resin monomers

Aim:

The aim of this study is to compare and to evaluate effect of curing light and curing modes on the nanohybrid composite resins with conventional Bis-GMA and novel tricyclodecane (TCD) monomers.

Methodology:

Two nanohybrid composites, IPS empress direct and charisma diamond were used in this study. Light-emitting diode (LED)-curing unit and quartz-tungsten-halogen (QTH)-curing unit which were operated into two different modes: continuous and soft start. Based on the composite resin, curing lights, and mode of curing used, the samples were divided into 8 groups. After polymerization, the samples were stored for 48 h in complete darkness at 37°C and 100% humidity. The Vickers hardness (VK) of the surface was determined with Vickers indenter by the application of 200 g for 15 s. Three VK readings were recorded for each sample surface both on top and bottom surfaces. For all the specimens, the three hardness values for each surface were averaged and reported as a single value. The mean VK and hardness ratio were calculated. The depth of cure was assessed based on the hardness ratio.

Results:

Comparison of mean hardness values and hardness ratios was done using ANOVA with post hoc Tukey's test.

Conclusion:

Both QTH- and LED-curing units had shown the adequate depth of cure. Soft-start-curing mode in both QTH- and LED-curing lights had effectively increased microhardness than the continuous mode of curing. TCD monomer had shown higher hardness values compared with conventional Bis-GMA-containing resin.

Efficiency of polymerization of bulk-fill composite resins: a systematic review

This systematic review assessed the literature to evaluate the efficiency of polymerization of bulk-fill composite resins at 4 mm restoration depth. PubMed, Cochrane, Scopus and Web of Science databases were searched with no restrictions on year, publication status, or article's language. Selection criteria included studies that evaluated bulk-fill composite resin when inserted in a minimum thickness of 4 mm, followed by curing according to the manufacturers' instructions; presented sound statistical data; and comparison with a control group and/or a reference measurement of quality of polymerization. The evidence level was evaluated by qualitative scoring system and classified as high-, moderate- and low- evidence level. A total of 534 articles were retrieved in the initial search. After the review process, only 10 full-text articles met the inclusion criteria. Most articles included (80%) were classified as high evidence level. Among several techniques, microhardness was the most frequently method performed by the studies included in this systematic review. Irrespective to the "in vitro" method performed, bulk fill RBCs were partially likely to fulfill the important requirement regarding properly curing in 4 mm of cavity depth measured by depth of cure and / or degree of conversion. In general, low viscosities BFCs performed better regarding polymerization efficiency compared to the high viscosities BFCs.

Effects of Different Temperatures and Storage Time on the Degree of Conversion and Microhardness of Resin-based Composites

OBJECTIVE

Dental materials are often made at room temperature, whereas clinically they are made in the mouth. This study evaluated the effects of temperature on the degree of conversion (DC) and Knoop microhardness (KHN).

MATERIALS AND METHODS

Two types of resin-based composites (RBCs) were light-cured using a light-emitting diode (LED) light-curing unit. The resin specimens were centered on an Attenuated Total Reflectance Fourier transform infrared (FT-IR) plate heated to 23°C or 33°C. The DC of the resin was calculated after 120 seconds, the specimens were removed, and the KHN was tested at the bottom of the specimens both immediately, after 24 hours, and after 7 days storage in distilled water in complete darkness at 37°C. The effects of different temperatures on the DC and KHN with their storage time were compared by analysis of variance and Fisher's protected least significant difference post hoc multiple comparison tests (p < 0.05).

RESULTS

Increasing the temperature had a significant and positive effect on the DC and KHN for immediate values of the RBCs. Greater conversion and hardness occurred when the curing temperature was increased from 23°C to 33°C. The KHN increased significantly after 24 hours of storage. There was a linear relationship between DC and KHN (R(2) = 0.86) within the range of DC and KHN studied.

CONCLUSION

The physical properties of dental materials can be expected to be better when made in the mouth than when they are made in a laboratory at room temperature.

Hexaarylbiimidazoles as visible light thiol-ene photoinitiators

OBJECTIVES

The aim of this study is to determine if hexaarylbiimidazoles (HABIs) are efficient, visible light-active photoinitiators for thiol-ene systems. We hypothesize that, owing to the reactivity of lophyl radicals with thiols and the necessarily high concentration of thiol in thiol-ene formulations, HABIs will effectively initiate thiol-ene polymerization upon visible light irradiation.

METHODS

UV-vis absorption spectra of photoinitiator solutions were obtained using UV-vis spectroscopy, while EPR spectroscopy was used to confirm radical species generation upon HABI photolysis. Functional group conversions during photopolymerization were monitored using FTIR spectroscopy, and thermomechanical properties were determined using dynamic mechanical analysis.

RESULTS

The HABI derivatives investigated exhibit less absorptivity than camphorquinone at 469nm; however, they afford increased sensitivity at this wavelength when compared with bis(2,4,6-trimethylbenzoyl)-phenylphosphineoxide. Photolysis of the investigated HABIs affords lophyl radicals. Affixing hydroxyhexyl functional groups to the HABI core significantly improved solubility. Thiol-ene resins formulated with HABI photoinitiators polymerized rapidly upon irradiation with 469nm. The glass transition temperatures of the thiol-ene resin formulated with a bis(hydroxyhexyl)-functionalized HABI and photopolymerized at room and body temperature were 49.5±0.5°C and 52.2±0.1°C, respectively.

SIGNIFICANCE

Although thiol-enes show promise as continuous phases for composite dental restorative materials, they show poor reactivity with the conventional camphorquinone/tertiary amine photoinitiation system. Conversely, despite their relatively low visible light absorptivity, HABI photoinitiators afford rapid thiol-ene photopolymerization rates. Moreover, minor structural modifications suggest pathways for improved HABI solubility and visible light absorption.

Influence of extended light exposure curing times on the degree of conversion of resin-based pit and fissure sealant materials

PURPOSE

The aim of present study was to evaluate extended curing times on the degree of conversion (DC) of filled and unfilled resin-based materials used as pit and fissure sealants.

MATERIALS AND METHODS

The materials examined were a flowable composite (Filtek™ Z350 XT Flowable) and a pit and fissure sealant (Clinpro™ Sealant). Thirty disks of each material were prepared. The 30 made of the flowable composite were divided into three groups (n = 10 each) according to the three different curing times studied: 20 s (group 1), 40 s (group 2), and 60 s (group 3). Similarly, the 30 disks made of the pit and fissure sealant were divided into three groups (n = 10 each) according to the three different curing times: 20 s (group 4), 40 s (group 5), and 60 s (group 6). After polymerization, the disks were removed from the mold and stored in dry, lightproof containers in an incubator at 37 °C for 24 h. The DC was obtained using an Avatar 320 FTIR spectrometer. Then the data were analyzed using the Kruskal-Wallis test and the Fisher's least significant difference post hoc test for multiple comparisons (alpha = 0.05).

RESULTS

DC values for the flowable composite (Filtek™ Z350 XT) were higher (p = 0.002) than those for the pit and fissure sealant (Clinpro™ Sealant). Group 2 and group 5 showed significantly higher DC values than group 1 and group 4, respectively. There was no difference between groups 2 and 3 or between groups 5 and 6 (p = 2.93).

CONCLUSION

An extended curing time improves the DC to some extent for both materials.

Polymerization Shrinkage and Depth of Cure of Bulk Fill Flowable Composite Resins

Objective

To evaluate polymerization shrinkage and depth of cure of two bulk fill flowable composites, one nanohybrid composite modified to a flowable consistency, and one standard flowable composite, comparing the scraping method to the Knoop hardness test.

Methods

Two bulk fill flowable composites, SureFil SDR flow (SSF) (Dentsply) and Venus Bulk Fill (VBF) (Heraeus Kulzer), one standard flowable, Filtek Supreme Ultra Flowable (FSUF) (3M/ESPE) (control), and one regular bulk composite that can be made flowable, SonicFill (SF) (Kerr), were used in this study. For polymerization shrinkage (PS), ten 2-mm samples were made for each composite and cured for 20 seconds and shrinkage was measured with a Kaman linometer. For hardness, ten specimens of each composite were made in a 10 × 10-mm mold and cured for 20 seconds; the bottom surface was scraped according to ISO 4049 specification, and the remaining thickness was measured with a micrometer. Hardness samples were prepared at 2-, 3-, 4-, and 5-mm thick ×14-mm diameter, cured for 20 seconds, and polished. After 24 hours of dry storage, a Knoop indenter was applied at 100 g load for 11 seconds. Three readings were made on the top and bottom of each specimen and averaged for each surface to calculate a Knoop hardness value and a bottom/top hardness ratio. One-way analysis of variance and Tukey tests were used to determine significant differences between thicknesses and between test methods for each material.

Results

PS values were 3.43 ± 0.51%, 3.57 ± 0.63%, 4.4 ± 0.79%, and 1.76 ± 0.53% for FSUF, SSF, VBF, and SF, respectively. VBF showed significantly greater shrinkage (4.4 ± 0.79%), followed by FSUF (3.43 ± 0.51%) and SSF (3.57 ± 0.63%), which were similar, and SF (1.76 ± 0.53%), which had significantly less shrinkage (p&lt;0.05). Values for the scraping method for depth of cure were significantly greater for SSF and VBF (&gt;5.0 mm), followed by SF (3.46 ± 0.16 mm) and FSU (2.98 ± 0.22 mm). Knoop top hardness values (KHN) were: VBF 21.55 ± 2.39, FSUF 44.62 ± 1.93, SSF 29.17 ± 0.76, and SF 72.56 ± 2.4 at 2 mm and were not significantly different at 3-, 4-, and 5-mm thick within each material. Ratios for bottom/top values (depth of cure) for 2, 3, 4, and 5 mm were: VBF 0.80 ± 0.1, 0.78 ± 0.03, 0.67 ± 0.10, and 0.59 ± 0.07, respectively; SSF 0.74 ± 0.08, 0.72 ± 0.08, 0.69 ± 0.18, and 0.62 ± 0.08, respectively; SF 0.82 ± 0.05, 0.68 ± 0.05, 0.47 ± 0.04, and 0.21 ± 0.02, respectively; and FSUF 0.56 ± 0.08 at 2 mm and 0.40 ± 0.08 at 3 mm. The bottom/top ratio was .80 or less at all depths and decreased below 0.70 at 4-mm depth for VBF and SSF, at 3 mm for SF and at 2 mm for FSUF.

Comparative study of surface microhardness of methacrylate-based composite resins polymerized with light-emitting diodes and halogen

Objective:

The aim of this study was to evaluate the effect of polymerization with quartz-tungsten-halogen (QTH) and light-emitting diodes (LED) on the surface microhardness of eight commercially available light-polymerized, methacrylate-based composite resins, with different filler particle composition (microfill, minifill, nanohybrids, and microhybrids) immediately after polymerization, after 24 hours, and after three months of storage.

Materials and Methods:

Eighty disk-shaped specimens were prepared using a split Teflon mold (6 × 2 mm) and were irradiated with either the QTH (Elipar 2500; 600 mW/cm²) for 20 seconds or an LED (Bluephase G2; 1,200 mW/cm²) for 40 seconds. The microhardness values were recorded using a Vickers hardness tester at a 300 g load for 15 seconds, immediately after polymerization, after 24 hours, and after three months of dark aging in distilled water at 37°C. Statistical analysis was performed using a two-way analysis of variance (ANOVA) and the Tukey's test.

Results:

The baseline values demonstrated a significant effect of the composite and the interaction composite-LCU on the microhardness (P < 0.05). At 24 hours, only the composite variable showed a significant effect on the hardness values (P < 0.05). After three months, the composite, LCU, and the interaction composite-LCU all demonstrated a significant effect on the microhardness (P < 0.05).

Conclusions:

The effectiveness of polymerization, measured in terms of surface hardness, was shown to be dependent not only on the type of light curing unit, but also on the type of composite. Moreover, the choice of composite was shown to affect the performance of the light curing unit.

Evaluation of contraction stress, conversion degree, and cross-link density in low-shrinkage composites

OBJECTIVE

The contraction stress, degree of conversion, and cross-link density (CLD) of the Venus Diamond (low-shrinkage), Filtek P90 (low-shrinkage) and Filtek Z350 XT composites were evaluated after photopolymerization by quartz tungsten halogen or light-emitting diode light curing units.

MATERIALS AND METHODS

Contraction stress measurements were performed on 60 samples fabricated in rings of photoelastic resin. The adhesive was applied and photoactivated, followed by insertion and photoactivation of the composites. The contraction stress (MPa) was measured using a polariscope. The measurements of degree of conversion (%DC) were determined from Fourier transform infrared (FTIR) spectra of the top and bottom surfaces on 60 specimens. Cross-link density was estimated from hardness measurements performed at the top and bottom surfaces on 60 specimens. The Knoop hardness number was measured, and the specimens were placed in absolute ethanol for 24 h. The hardness was again determined and the CLD was estimated from the percentage decrease in hardness (PD) occurring during ethanol exposure for each surface. The contraction stress and PD data were subjected to ANOVA and Tukey's test (5%). The DC data were subjected to one way analysis of variance on ranks followed by pairwise multiple comparisons using Tukey's test (5%).

RESULTS

The Venus Diamond composite exhibited lower contraction stress than other composites, with degrees of conversion similar to those of Filtek Z350 XT at both surfaces, and independent of the light curing unit. The PD value of Venus Diamond was also lower than that for the other composites.

CONCLUSIONS

The low-shrinkage Venus Diamond composite may potentially reduce stress at the restoration/tooth interface.

Curing characteristics of a composite. part 2: the effect of curing configuration on depth and distribution of cure

OBJECTIVE

The objective of this study was to examine the effect different configurations of curing would have on the depth and distribution of the cure within each configuration, for a specific resin-based composite (RBC).

METHODS

RBC was cured in a variety of configurations, consisting of 6mm molds of three different colors; large molds that simulated the condition of no mold at all; and 3-6mm diameter molds to check the effect of size. All specimens were cured for 20s with a quartz-halogen lamp and were allowed to cure for 24h in the dark. Transmission measurements were made for these same configurations. Knoop hardness measurements were made across the central plane of some configurations to determine the distribution of curing.

RESULTS

Depths of cure and distribution of curing were significantly affected by changes in configuration. Under the configuration of no mold, the cure extended well beyond the periphery of the light guide due to scattering of the light. When a mold was used, a pronounced effect by the walls resulted in decreased hardness as the mold wall was approached, and the severity of this effect was dependent on the color of the mold. It is believed that this is due to absorption/reflection characteristics of light by the walls, with the white molds showing the least effect. Reducing the diameter of the molds resulted in significant decreases in depth of cure, which are attributed to light absorption by the walls that limits the penetration of light during the curing procedure.

SIGNIFICANCE

Configuration of curing has a significant effect on the depth of cure, but also significantly reduces the cure near the mold wall. This can have clinical ramifications for the cure along a stainless steel matrix band for Class II restorations, and for test procedures in general, where there is no standardization regarding configuration or where measurements are made on specimens.

Residual HEMA and TEGDMA release and cytotoxicity evaluation of resin-modified glass ionomer cement and compomers cured with different light sources

The purpose of this study was first to evaluate the elution of 2-hydroxyethyl methacrylate (HEMA) and triethylene glycol dimethacrylate (TEGDMA) monomers from resin-modified glass ionomer cement (RMGIC) and compomers cured with halogen and light-emitting diode (LED) light-curing units (LCUs). The effect of cured materials on the viability of L929 fibroblast cells was also evaluated. One RMGIC (Ketac N100) and two compomers (Dyract Extra and Twinkystar) were tested. Materials were prepared in teflon disks and light-cured with LED or halogen LCUs. The residual monomers of resin materials in solution were identified using high-performance liquid chromatography. The fibroblast cells' viability was analyzed using MTT assay. The type of LCU did not have a significant effect on the elution of HEMA and TEGDMA. A greater amount of HEMA than TEGMDA was eluted. The amount of TEGDMA eluted from Twinkystar was greater than Dyract Extra (P < 0.05) when cured with a halogen LCU. All material-LCU combinations decreased the fibroblast cells' viability more than the control group (P < 0.01), except for Dyract Extra cured with a halogen LCU (P > 0.05). Curing with the LED LCU decreased the cells' viability more than curing with the halogen LCU for compomers. For Ketac N100, the halogen LCU decreased the cells' viability more than the LED LCU.

Influence of light curing units on failure of directcomposite restorations

Light polymerizable tooth colored restorative materials are most widely preferred for advantages such as esthetics, improved physical properties and operator's control over the working time. Since the introduction of these light polymerizable restorative materials, there has been a concern about the depth of appropriate cure throughout the restoration. Photopolymerization of the composite is of fundamental importance because adequate polymerization is a crucial factor for optimization of the physical and mechanical properties and clinical results of the composite material. Inadequate polymerization results in greater deterioration at the margins of the restoration, decreased bond strength between the tooth and the restoration, greater cytotoxicity, and reduced hardness. Therefore, the dentist must use a light curing unit that delivers adequate and sufficient energy to optimize composite polymerization. Varying light intensity affects the degree of conversion of monomer to polymer and depth of cure.

Silorane-based composite: depth of cure, surface hardness, degree of conversion, and cervical microleakage in Class II cavities

OBJECTIVE

The purpose of this study was to determine the depth of cure, degree of conversion (DC), hardness, and cervical sealing ability of silorane-based composite (Filtek Silorane [FS; 3M, Seefeld, Germany]) and to compare with methacrylate-based composites (MBCs = Filtek Supreme XT [FSXT] and Filtek P60 [FP60]).

MATERIALS AND METHODS

The DC and hardness of every material were evaluated after 1, 7, and 30 days. The depth of cure was determined using the ISO 4049:2000 standard. Microleakage was evaluated by measuring dye penetration across the gingival wall in cross-sectioned specimens.

RESULTS

FS showed lower depth of cure than FSXT and FP60. The DC of FS was significantly lower when compared to FP60 and FSXT. FS exhibited lower hardness than both FSXT and FP60 after 1 day of storage. The hardness of FS remained unchanged during the storage period. FS showed reduced microleakage scores compared to FSXT and showed similar microleakage scores compared to FP60.

CONCLUSIONS

In conclusion, the DC and cure depth of FS are lower than those of MBCs. However, FS revealed stable hardness in water that is comparable to MBCs. The sealing ability of FS is similar or even better than that of MBCs.

Pulpal-temperature Rise and Polymerization Efficiency of LED Curing Lights

This paper provides practitioners with useful information on the importance of aligning the spectra of the LCU and the material in terms of polymerization efficiency and temperature rise in the pulp chamber.

Compressive strength of esthetic restorative materials polymerized with quartz-tungsten-halogen light and blue LED

This study compared the compressive strength of a composite resin and compomer photoactivated with a conventional quartz-tungsten halogen-light (XL 3000, 3M/SPE) and a blue light-emitting diode (LED) (SmartLite PS; Dentsply/De Trey). Forty disc-shaped specimens were prepared using a split polytetrafluoroethylene matrix (4.0 mm diameter x 8.0 mm hight) in which the materials were inserted incrementally. The curing time of each increment was of 40 s with the QTH and 10 s with the LED. The specimens were randomly assigned to 4 groups (n=10), according to the light source and the restorative material. After storage in distilled water at 37 degrees C +/- 2 degrees C for 24 h, the specimens was tested in compressive strength in a universal testing machine with load cell of 500 kgf running at a crosshead speed of 0.5 mm/min. Data (in MPa) were analyzed statistically by ANOVA and Student-Newman-Keuls test (p<0.05). For the composite resin, light curing with the QTH source did not produce statistically significant difference (p>0.05) in the compressive strength when compared to light curing with the LED source. However, light curing of the compomer with the QTH source resulted in significantly higher compressive strength than the use of the LED unit (p>0.05). The composite resin presented significantly higher (p>0.05) compressive strength than the compomer, regardless of the light source. In conclusion, the compressive strength of the tested materials photoactivated with a QTH and a LED light source was influenced by the energy density employed and the chemical composition of the esthetic restorative materials.

Effect of exposure time on curing efficiency of polymerizing units equipped with light-emitting diodes

A study was conducted to evaluate the top and bottom hardness of two composites cured using polymerizing units equipped with light-emitting diodes [LED] (LEDemetron; Elipar FreeLight, Coltolux LED) and one quartz-tungsten halogen device [QTH] (Optilux 501) under different exposure times (20, 40 and 60 sec). A matrix mold 5 mm in diameter and 2 mm in depth was made to obtain five disc-shaped specimens for each experimental group. The specimens were cured by one of the light-curing units (LCUs) for 20, 40 or 60 sec, and the hardness was measured with a Vickers hardness-measuring instrument (50 g/30 sec). Data were subjected to three-way ANOVA and Tukey's test (alpha = 0.05). LED LCUs were as effective as the QTH device for curing both composites. A significant increase in the microhardness values were observed for all light LCUs when the exposure time was changed from 20 sec to 40 sec. The Z250 composite showed hardness values that were usually higher than those of the Charisma composite under similar experimental conditions. LED LCUs are as efficient for curing composites as the QTH device as long as an exposure time of 40 sec or higher is employed. An exposure time of 40 sec is required to provide composites with a uniform and high Knoop hardness when LED light-curing units are employed.

In vitro effect of light-emitting diode light polymerization on the color stability of three resin-based restorative materials

OBJECTIVE

To investigate the color stability of resin-based restorative materials when polymerized with light-emitting diode (LED) curing light in the constant or exponential mode.

MATERIAL AND METHODS

Eight specimens of Admira (AD), Compoglass F (CO), and Tetric EvoCeram (TE) constantly cured or exponentially cured with a high-powered LED curing light for 10, 20, or 60 s. The CIE-Lab values (L*, a*, b*) were measured prior to and after performing the water storage or color stability test according to EN ISO 7491 (Suntest).

RESULTS

Statistical analysis showed significant changes in the color values after each of the aging processes, as well as between DeltaL, Deltaa, Deltab, and DeltaE of the materials, which were dependent on curing time, mode, and aging condition (p<0.05). CO performed very well during water storage, but AD and TE exceeded the clinically relevant limit DeltaE=1. After the Suntest and 180 d additional water storage, TE showed the highest mean (SD) DeltaE=4.4 (1.1) to 5.4 (1.9). Although AD and CO performed best in the constant mode, they exceeded DeltaE=1. All materials shifted to more red.

CONCLUSIONS

The extent of discoloration depended on (a) the curing mode, (b) the curing time, and (c) the aging condition. Not all materials performed clinically acceptably in all tests; TE even showed unacceptable DeltaE>3.3. The optimal curing time was 20 s for both curing modes and all tested materials.

Effects of irradiance, wavelength, and thermal emission of different light curing units on the Knoop and Vickers hardness of a composite resin

The aim of this study was to evaluate the effects of irradiance, light emission wavelength, and heating of different light curing units on the Knoop and Vickers hardness of a hybrid composite resin. The specimens were irradiated during 40 s with ten different light curing units, LEDs, and halogen lights. The spectral emission of each light curing unit was assessed by a spectrometer, the irradiance was measured by two commercial radiometers, and the heating measured with a thermocouple. After 48 h of storage in a dark recipient under a 100% humidity condition, the Knoop and Vickers hardness tests were carried out. The hardness results were analyzed by ANOVA, and Tukey HSD test (p < 0.05). The results showed that the surface hardness of the composite resin depends not only on the irradiance, but strongly on the emission wavelength and heating of the light curing units. It was observed, a linear correlation between the conversion degree and radiant exposure. In addition, it is suggested that the well known base to top surface hardness ratio convention of 80-90% is not appropriate to evaluate curing efficiency of composites, since the top surface is not always sufficiently polymerized.

Effect of light curing type on cytotoxicity of dentine-bonding agents

AIM

To compare the cytotoxic effects of dentine-bonding agents (DBAs) polymerized with two different curing units at 24 h and 72 h on L-929 cells.

METHODOLOGY

Disc-shaped test samples of light-activated DBAs were prepared according to manufacturers' instructions and cured with either conventional quartz tungsten halogen or light-emitting diode light curing units (LCUs). After curing, the samples were transferred into a culture medium for 24 h. Eluates were obtained and pipetted onto L-929 mouse fibroblast cultures (3 x 10(4) cells per well), incubated for evaluation after 24 and 72 h. After both incubation periods, measurements were performed by an dimethylthiazol diphenyltetrazolium assay. The degree of cytotoxicity for each sample was determined according to the reference value represented by the cells with a control (culture without sample). Statistical significance was determined by a three-way analysis of variance followed by the Mann-Whitney U-test.

RESULTS

No significant three-factor interaction occurred amongst LCUs, DBAs and time factors (P = 0.955). LCUs and DBAs had a significant two-factor interaction (P < 0.001). In general, the test materials cured with the light-emitting diode LCU demonstrated higher cell survival rates when compared with the those cured with the quartz tungsten halogen.

CONCLUSIONS

Differential toxic effects of the DBAs cured with the quartz tungsten halogen or the light-emitting diode on the fibroblast cells may prove to be very important when suitable DBAs or LCUs are used for operative restorations.

Composite Depth of Cure Obtained with QTH and LED Units Assessed by Microhardness and Micro-Raman Spectroscopy

Lower depth of cure with the LED unit, compared to the QTH unit, is associated with different light scattering due to differences in spectral emission.

Effect of time and polymerization cycle on the degree of conversion of a resin composite

The aim of this investigation was to verify the influence of 3 light curing units on the degree of conversion, using different irradiation conditions: 1) manufacturers' recommended times of photo-activation, 2) standardizing total energy density among the units and 3) standardizing energy density at the 450-490 nm wavelength range among the units and the effect of these irradiation conditions on the post-cure. Three light curing units were used: halogen, light emitting diodes (LED) and xenon plasma. Seven groups were tested (n=6). Twenty-four hours after the photo-activation procedures, half of the composite specimens were submitted to Fourier Transformed Infrared Spectroscopy analysis. The other half was analyzed after 1 month. The results were submitted to 2-way ANOVA and Tukey's test (5%). Twenty-four hour analysis revealed that the second set of irradiation conditions produced a similar degree of conversion among the LCUs. After 1 month, the conversion values were statistically higher for 20 seconds of halogen exposure (increased from 46.78 to 49.66%), 20 seconds of LED exposure (from 46.20 to 51.15%), 30 seconds of LED exposure (from 48.29% to 50.68%) and 3 seconds of PAC exposure (from 42.57 to 51.39%). The initial degree of conversion and post-cure depended on the photo-activation condition applied.

Halogen and LED light curing of composite: temperature increase and Knoop hardness

This study assessed the Knoop hardness and temperature increase provided by three light curing units when using (1) the manufacturers' recommended times of photo-activation and (2) standardizing total energy density. One halogen--XL2500 (3M/ESPE)--and two light-emitting diode (LED) curing units--Freelight (3M/ESPE) and Ultrablue IS (DMC)--were used. A type-K thermocouple registered the temperature change produced by the composite photo-activation in a mold. Twenty-four hours after the photo-activation procedures, the composite specimens were submitted to a hardness test. Both temperature increase and hardness data were submitted to ANOVA and Tukey's test (5% significance). Using the first set of photo-activation conditions, the halogen unit produced a statistically higher temperature increase than did both LED units, and the Freelight LED resulted in a lower hardness than did the other curing units. When applying the second set of photo-activation conditions, the two LED units produced statistically greater temperature increase than did the halogen unit, whereas there were no statistical differences in hardness among the curing units.

Polymerization contraction of resin composite vs. energy and power density of light-cure

This study measured the polymerization contraction of a resin composite cured at three levels of energy density, each attained at six different levels of power density. The polymerization contraction of the composite was recorded by the method of the deflecting disc (n = 5) for 1 h following the start of irradiation. Power densities of 50, 100, 200, 400, 800 and 1,000 mW cm(-2), as measured on a dental radiometer, were obtained by variation of distance and supply voltage of a commercial light-curing unit. The spectral distribution at each power density was recorded using a spectrophotometer. The absorption spectrum of camphorquinone was also recorded, and the efficiency of the radiation at each power density was calculated as the integral over wavelength of the product of absorption and emission. From the slope of the contraction curves, an approximation to the initial rate of polymerization, Rp, was calculated and was taken as an alternative measure of power density. Statistical analyses showed that polymerization contraction increased significantly with increasing levels of energy density received by the resin composite, and, for each level of energy density, that the contraction decreased significantly with increasing power density.