A survey of the efficiency of visible light curing units

The Effect of Different Light-curing Units and Tip Distances on the Polymerization Efficiency of Bulk-fill Materials

PROBLEM STATEMENT

In an average class II posterior preparation, the curing light tip is placed at a distance from the restoration surface that far exceeds the 1-mm manufacturer's recommendation. This distance can have potentially detrimental effects on the curing efficiency of the light-curing unit as well as the properties of the resin-based composite restoration, especially at the bottom of the cavity preparation.

PURPOSE

The purpose of this study was to evaluate the effects of various types of light-curing units (LCUs) and the different curing distances on the degree of conversion (DC) and the surface hardness of bulk-fill composite materials.

METHODS AND MATERIALS

A total of 390 specimens of three resin-based composites (RBCs) were fabricated. Two bulk-fill RBCs, including Filtek Bulk Fill Posterior (3M ESPE GmbH, Seefeld, Germany) and Tetric N-Ceram Bulk Fill (Ivoclar Vivadent AG, Schaan, Liechtenstein), as well as a Filtek Z350 XT nano-filled composite (3M ESPE GmbH, Seefeld, Germany), were utilized. In this study, the Vickers microhardness number (VMN) and the DC were evaluated at 2 and 4 mm thicknesses. Polymerization for 20 seconds was performed using two high-power light-curing units, namely the polywave Bluephase G2 light-emitting diode (LED) LCU (Ivoclar Vivadent AG, Schaan, Liechtenstein) and the monowave Elipar Deep Cure S LED LCU (3M Oral Care, St Paul, MN, USA) at 0, 2, and 4 mm distance between the curing tip and the RBC surface. The results were analyzed using the two-way analysis of variance method. Scheffe's post-hoc multiple comparison tests were used to determine significant differences between the materials, the LCU, and the tip distances.

RESULTS

The highest DC (70.17) was shown by Filtek Bulk Fill Posterior at a distance of 0 mm, whereas the lowest DC (45.99) was measured for the conventional Filtek Z350 XT at a 4 mm distance. Moreover, higher VMNs were shown by Filtek Bulk Fill and Filtek Z350 composites at 0 mm distance than by the Tetric N-Ceram Bulk Fill composite material when cured with a Bluephase G2 LCU. For all materials, a significant decrease in the DC and mean VMN values was observed at a 4 mm distance in comparison with 0 and 2 mm distances.

CONCLUSIONS

The DC and VMN values among the studied bulk fill materials were more significantly affected by the material composition and curing protocols. The increased distance from the light tip has a detrimental effect on the mechanical properties of composite resin materials. Significant differences were observed in the curing efficiency of the two LCUs investigated.

The Effect of Different Light Curing units and Tip Distances on Translucency Parameters of Bulk Fill Materials

Objectives

To evaluate the effect of light curing unit (LCU) types and distance from light curing unit tip on the translucency parameters (TP) of bulk fill composite materials.

Materials and Methods

Two bulk-fill resin composites and one nanohybrid composite were used in this study. The specimens were divided into groups based on the type of curing unit used, and further subdivided based on the distance of the curing source to the surface of the resin composite. Translucency was evaluated at 4 mm thickness (for the bulk-fill) and 2 mm thickness (for nanohybrid) after curing using two different light curing units at zero, 2 mm, and 4 mm distance. The results were analyzed using two-way ANOVA at the significance level of a p-value of < 0.05.

Results

Among all the tested materials, Filtek Bulk Fill Posterior RBC showed the highest TP at 0 mm distance when cured with Blue phase G2 LED LCU and it was the least affected by the differences in distances. However, Filtek Z350 nanohybrid composite had no significant differences between the three distances when cured with Blue phase G2 LCU.

Conclusion

Translucency values among the studied bulk-fill materials are affected by material composition, curing units and the distance of the tip of the light source to the restoration surface.

Knowledge and Attitude of Dental Clinicians towards Light-Curing Units: A Cross-Sectional Study

Objectives

Light curing is crucial when applying composite resin restorations. Complete polymerization of the resin depends on delivering adequate light energy to it. Dental clinicians may be unaware of the importance of proper light-curing techniques. This study aimed at evaluating and comparing the level of knowledge of general practitioners (GPs) and specialists (SPs) regarding light-curing units.

Materials and Methods

An electronic survey was conducted online among GPs and SPs of various specialties, working in the governmental sector in Riyadh, Saudi Arabia. Collected data were analyzed for statistical significance.

Results

310 dentists were included in the study. Nearly half of the GPs (45.9%) and more than half of SPs (56.8%) use light-emitting diode (LED) type light-curing units (LCUs). 36.9% of GPs and 29.6% of SPs were unsure about the type of LCUs they use in their dental clinics. 10.8% of GPs and 8.5% of SPs knew the proper term of the power output of LCU. 52.2% of the GPs and 55.7% of SPs were wrong about advancements in technology of LED LCUs. Regarding the use of radiometer, 48.2% of SPs and 35.1% of GPs had responded wrongly, and 37.7% of SPs and 52.3% of GPs were not familiar with the device, showing a statistical significance (p=0.040). There was no statistical significance observed in the responses pertaining to their years of experience, expected for two questions.

Conclusion

Both GPs and SPs displayed inadequate knowledge regarding the use of LCUs. Further educational programs are recommended to spread awareness about the handling of LCUs among dental clinicians.

Intensity output and effectiveness of light curing units in dental offices

BACKGROUND

The aims of the study were measuring the light intensity of light curing units used in Qazvin's dental offices, determining the relationship between the clinical age of these units and their light intensity, and identifying the reasons for repairing them.

MATERIAL AND METHODS

In this cross-sectional study, the output intensity of 95 light curing devices was evaluated using a radiometer. The average output intensity was divided up into four categories (less than 200, 200-299, 300-500, and more than 500 mW/cm2). In addition, a questionnaire was designed to obtain information mainly about the type, clinical age, and frequency of maintenance of the units and the reasons for fixing them. Data were analyzed using Kolmogorov-Smirnov, chi-squared, and t-tests (p< 0.05) on SPSS 24.

RESULTS

A total of 95 light curing units were examined, with 61 (64.2%) of them being of the LED type and 34 (35.8%) of the QTH type. While average light intensity in LED units was significantly higher than in QTH devices, the two device types were not significantly different regarding desirable light intensity (i.e., ≥ 300 mw/cm2). A negative correlation was observed between clinical age and light intensity. In addition, bulb replacement in QTH devices was over three times as much as in LED units. Also, repairing QTHs was more than twice as much frequent as fixing LEDs. The most common reason for repair was the breakage of the tip of the device.

CONCLUSIONS

The light intensity of LED units is significantly higher than that of QTH devices, and the frequency of repairing in QTHs was significantly more than in LEDs. Furthermore, light intensity decreases with aging, and dentists should regularly monitor the conditions of light units. Key words:Light curing unit, radiometer, light intensity, dental equipment, dental offices.

Light intensity output of visible light communication units and clinicians' knowledge and attitude among Riyadh private clinics

Background:

With the evolution of bonded restorations, visible light-curing units became inseparable from the practice of dentistry. This study was designed to evaluate light intensity output of light-emitting diode (LED) units used in private clinics in Riyadh, Saudi Arabia, and to investigate dentists' knowledge and attitude regarding the usage of light-curing units.

Methodology:

Two hundred randomly selected LED units' light intensity output was evaluated using Demetron ^® LED Radiometer-Kerr among evenly distributed private clinics in Riyadh, Saudi Arabia. Three measurements of 20 s were taken, and average values were obtained. Furthermore, Output intensity measurements were subcategorized into three groups; <400 mW/cm²– inadequate intensity, 400–850 – marginal intensity, and more than 850 – adequate intensity. In addition, 100 questionnaires of ten close-ended questions, investigating demographics, knowledge, and attitude toward visible light communication (VLC) units, were filled by the same private clinics' dentists and data were collected and analyzed by SPSS. The investigation was started after official processing and agreement achieved between the investigators and the private clinics' administrators to get their full cooperation.

Results:

Majority of dentists (78%) reported that they do not measure the light intensity output and 9% of the measured light intensity output of LED units was found of inadequate intensity, 40.5% of marginal intensity, and 50.5% of adequate intensity. Moreover, only 31% knew the minimum accepted wavelength of VLC units.

Conclusion:

Dentists among private clinics express poor knowledge, maintenance, and attitude toward VLC units. Educational programs are advisable, and routinely monitoring of VLC units is recommended.

Battery Charge Affects the Stability of Light Intensity from Light-emitting Diode Light-curing Units

This study investigated the influence of battery charge levels on the stability of light-emitting diode (LED) curing-light intensity by measuring the intensity from fully charged through fully discharged batteries. The microhardness of resin composites polymerized by the light-curing units at various battery charge levels was measured. The light intensities of seven fully charged battery LED light-curing units—1) LY-A180, 2) Bluephase, 3) Woodpecker, 4) Demi Plus, 5) Saab II, 6) Elipar S10, and 7) MiniLED—were measured with a radiometer (Kerr) after every 10 uses (20 seconds per use) until the battery was discharged. Ten 2-mm-thick cylindrical specimens of A3 shade nanofilled resin composite (PREMISE, Kerr) were prepared per LED light-curing unit group. Each specimen was irradiated by the fully charged light-curing unit for 20 seconds. The LED light-curing units were then used until the battery charge fell to 50%. Specimens were prepared again as described above. This was repeated again when the light-curing units' battery charge fell to 25% and when the light intensity had decreased to 400 mW/cm2. The top/bottom surface Knoop hardness ratios of the specimens were determined. The microhardness data were analyzed by one-way analysis of variance with Tukey test at a significance level of 0.05. The Pearson correlation coefficient was used to determine significant correlations between surface hardness and light intensity. We found that the light intensities of the Bluephase, Demi Plus, and Elipar S10 units were stable. The intensity of the MiniLED unit decreased slightly; however, it remained above 400 mW/cm2. In contrast, the intensities of the LY-A180, Woodpecker, and Saab II units decreased below 400 mW/cm2. There was also a significant decrease in the surface microhardnesses of the resin composite specimens treated with MiniLED, LY-A180, Woodpecker, and Saab II. In conclusion, the light intensity of several LED light-curing units decreased as the battery was discharged, with a coincident reduction in the units' ability to polymerize resin composite. Therefore, the intensity of an LED light-curing unit should be evaluated during the life of its battery charge to ensure that sufficient light intensity is being generated.

Influence of physical assessment of different light-curing units on irradiance and composite microhardness top/bottom ratio

The aim of this study was to evaluate the influence of the physical assessment of different light-curing units from 55 dental offices on the irradiance and composite microhardness top/bottom ratio, and the influence of the radiometers for LED or QTH light sources on irradiance measurement. The irradiance of each light-curing unit was evaluated with two radiometers, either for LED or QTH light. A questionnaire regarding the type of source (LED or QTH), time of use, date of last maintenance and light-curing performance assessment applied. The physical assessments were evaluated regarding damage or debris on the light tip. For each light-curing unit, three composite specimens were made (diameter = 7 mm; thickness = 2 mm) with polymerizing time of 20 s, in order to perform the microhardness (Knoop) test. Data were analyzed by Kruskal-Wallis and Dunn test (α = 0.01). There was wide variation in irradiance (0-1000 mW/cm(2)). Approximately 50 % of the light-curing units presented radiation lower than 300 mW/cm(2); 10 % of light-curing units, especially those with LED source, presented values higher than 800 mW/cm(2), and 43 % of light-curing units worked with adequate irradiance between 301 and 800 mW/cm(2). In almost 60 % of cases, no maintenance of light-curing units was performed in a period of 3 to 10 years. The age of the light-curing units and the use of inadequate tips interfered negatively in irradiance. The data emphasize the importance of periodic maintenance of light-polymerizing, light-curing units.

Post-cure depth of cure of bulk fill dental resin-composites

OBJECTIVES

To determine the post-cure depth of cure of bulk fill resin composites through using Vickers hardness profiles (VHN).

METHODS

Five bulk fill composite materials were examined: Tetric EvoCeram(®) Bulk Fill, X-tra base, Venus(®) Bulk Fill, Filtek™ Bulk Fill, SonicFill™. Three specimens of each material type were prepared in stainless steel molds which contained a slot of dimensions (15 mm × 4 mm × 2 mm), and a top plate. The molds were irradiated from one end. All specimens were stored at 37°C for 24h, before measurement. The Vickers hardness was measured as a function of depth of material, at 0.3mm intervals. Data were analysed by one-way ANOVA using Tukey post hoc tests (α=0.05).

RESULTS

The maximum VHN ranged from 37.8 to 77.4, whilst the VHN at 80% of max.VHN ranged from 30.4 to 61.9. The depth corresponding to 80% of max.VHN, ranged from 4.14 to 5.03 mm. One-way ANOVA showed statistically significant differences between materials for all parameters tested. SonicFill exhibited the highest VHN (p<0.001) while Venus Bulk Fill the lowest (p≤0.001). SonicFill and Tetric EvoCeram Bulk Fill had the greatest depth of cure (5.03 and 4.47 mm, respectively) and was significant's different from X-tra base, Venus Bulk Fill and Filtek Bulk Fill (p≤0.016). Linear regression confirmed a positive regression between max.VHN and filler loading (r(2)=0.94).

SIGNIFICANCE

Bulk fill resin composites can be cured to an acceptable post-cure depth, according to the manufacturers' claims. SonicFill and Tetric EvoCeram Bulk Fill had the greatest depth of cure among the composites examined.

A survey of power density of light-curing units used in private dental offices in Changchun City, China

This study investigated power density and relevant information related to light-curing units used in private dental offices in Changchun City, China. The power density of 196 light-curing units used in private dental offices in Changchun City was measured using a simple random sampling method. Relevant information included the brand, type, years of operation, frequency of use, model numbers and types of light guide, resin buildup on the light guides, damage caused by the light guides, required maintenance of the curing lights, and ratio of the unit and chair number. There were 132 quartz tungsten halogen (QTH) units and 64 light-emitting diode units. The power density range was defined as 0-1,730 mW/cm(2). The mean power density was 453.1 mW/cm(2). The mean years of operation of the light-curing units were 3.96. The majority of dentists never tested the power density of the light-curing units and a considerable number of light guide surfaces showed resin buildup and damage. In Changchun City, the majority of light-curing units were QTH. Some units needed to be replaced due to aging. The majority of dentists were not aware that the light-curing units require periodic testing and maintenance. The data herein indicate the importance of periodic testing of the power density of light-curing units and timely replacement of the components and then guarantee the quality of medical services and their benefits to patients.

Characterization of heat emission of light-curing units

OBJECTIVES

This study was designed to analyze the heat emissions produced by light-curing units (LCUs) of different intensities during their operation. The null hypothesis was that the tested LCUs would show no differences in their temperature rises.

METHODS

FIVE COMMERCIALLY AVAILABLE LCUS WERE TESTED: a "Flipo" plasma arc, "Cromalux 100" quartz-tungsten-halogen, "L.E. Demetron 1" second-generation light-emitting diode (LED), and "Blue Phase C5" and "UltraLume 5" third-generation LED LCUs. The intensity of each LCU was measured with two radiometers. The temperature rise due to illumination was registered with a type-K thermocouple, which was connected to a computer-based data acquisition system. Temperature changes were recorded in continues 10 and 20 s intervals up to 300 s.

RESULTS

The Flipo (ARC) light source revealed the highest mean heat emission while the L.E. Demetron 1 LED showing the lowest mean value at 10 and 20 s exposure times. Moreover, Cromalux (QTH) recorded the second highest value for all intervals (12.71, 14.63, 14.60) of heat emission than Blue Phase C5 (LED) (12.25, 13.87, 13.69), interestingly at 20 s illumination for all intervals the highest results (18.15, 19.27, 20.31) were also recorded with Flipo (PAC) LCU, and the lowest (6.71, 5.97, 5.55) with L.E. Demetron 1 LED, while Blue Phase C5 (LED) recorded the second highest value at the 1st and 2nd 20 s intervals (14.12, 11.84, 10.18) of heat emission than Cromalux (QTH) (12.26, 11.43, 10.26). The speed of temperature or heat rise during the 10 and 20 s depends on light intensity of emitted light. However, the QTH LCU was investigated resulted in a higher temperature rise than LED curing units of the same power density.

CONCLUSION

The PAC curing unit induced a significantly higher heat emission and temperature increase in all periods, and data were statistically different than the other tested groups (p < .05). LED (Blue Phase C5) was not statistically significant (p < .05) (at 10 s) than QTH units, also LED (Blue Phase C5, UltraLume 5) generates obvious heat emission and temperature rises than QTH units (at 20 s) except for those which have lower power density of LED curing units (first generation). Thus, the null hypothesis was rejected.

Evaluation of Light Intensity Output of QTH and LED Curing Devices in Various Governmental Health Institutions

Evaluating the intensity of a light curing unit regularly prior to the application of tooth-colored restorative materials is essential to assure the quality of restorative procedures.

Curing Efficiency of Three Different Curing Modes at Different Distances for Four Composites

Doubling the exposure time of a high-intensity light-emitting diode curing light with a turbo tip and autofocus capability does not predictably compensate for distance in deep cavities.

Influência do tipo de ponteira condutora de luz na microdureza de uma resina composta

O objetivo desta pesquisa foi avaliar a influência do tipo de ponteira condutora de luz na microdureza de uma resina composta micro-híbrida. Foram confeccionados 14 corpos de prova da resina composta Opallis (FGM) com dimensões: 5 x 2 mm, divididos em dois grupos de acordo com a ponteira condutora de luz do aparelho fotoativador de lâmpada halógena Optilight Plus - GNATUS/300 mW.cm-2. GI - ponteira condutora de luz de fibra óptica; GII - ponteira condutora de luz de polímero. Após 24 horas, as medidas de microdureza foram efetuadas com um microdurômetro HMV 2000 (Shimadzu Japão). Cinco penetrações foram efetuadas em cada superfície (topo e base) totalizando 10 penetrações para cada corpo de prova. A análise estatística dos resultados realizada por meio do teste de ANOVA não apresentou diferenças significativas entre os tipos de ponta condutora de luz nas superfícies avaliadas. A análise estatística demonstrou diferença significativa nos valores médios de microdureza superficial entre as superfícies de topo e de base, para ambas as ponteiras. Com base nos resultados obtidos, foi possível concluir que as ponteiras de luz não interferem na microdureza da resina composta, e que ambas apresentaram diferenças estatisticamente significativas nos valores de microdureza das superfícies topo e base.

Microbial contamination of light curing units: a pilot study

Visible light units (LCU) used in routine dentistry to cure light activated materials may become contaminated with oral micro-organisms. This pilot study was designed to investigate whether the fan, handle and base unit mains on/off button areas of three different designs of quartz tungsten halogen LCUs (3M Unitek 2500, Elipar Highlight, Demetron Optilux 401) were effectively disinfected after use in a dental teaching hospital. Over a period of seven days 52 LCUs were swabbed before clinics in the morning and 28 were swabbed again after clinics in the afternoon. Bacterial contamination was detected on approximately 40% (20/52) of units before use and 64% (18/28) after use: few viable organisms were detected on the fan or handle areas, but many were isolated from the mains button, including Staphylococus aureus. These findings highlight the need for greater awareness of the potential risk of contamination of the base unit and compliance with recommendations to clean and disinfect all areas of the units.

Curing efficiency of high-intensity light-emitting diode (LED) devices

We evaluated the curing efficiency of 4 high-intensity light-emitting diode (LED) devices by assessing percentage of residual C=C (%RDB), surface microhardness (SM), depth of cure (DC), percentage of linear shrinkage-strain (%LS), and percentage of wall-to-wall contraction (%WWC). The light-curing units tested were a QTH light, the Elipar TriLight (3M/ESPE), and 4 LED devices - the Allegro (Denmat), the Bluephase (Ivoclar/Vivadent), the FreeLight2 (3M/ESPE), and The Cure TC-01 (Spring Health Products). The %RDB was measured by microFTIR spectroscopy. Microhardness measurements (Vickers) were performed at the surface (H0) and at depths of 3 mm (H3) and 5 mm (H5) of cylindrical specimens. Depth of cure was expressed as the ratio of microhardness at each depth, relative to the corresponding surface value (H3/H0 and H5/H0). The bonded disc method was used to evaluate %LS. For the %WWC evaluation, cylindrical resin restorations were imaged by high resolution micro-CT and the %WWC was calculated at depths of 0 mm and 2 mm. There were no statistical differences among the LEDs in %RDB or %LS. The Bluephase and Allegro had the highest SM values. As compared with the other LEDs, the Bluephase and The Cure TC-01 had lower values for depth of cure at depths of 3 mm and 5 mm. There were no significant differences in %WWC among the LEDs at either depth, and the QTH had the lowest %WWC at both depths.

Evaluation of microhardness, surface roughness, and wear behavior of different types of resin composites polymerized with two different light sources

The microhardness, surface roughness and wear resistance of different types of resin composites, polymerized by a Quartz Tungsten Halogen (QTH) or Light Emitting Diode (LED) light curing units (LCU) were evaluated in this in vitro study. Cylindrical blocks were prepared from composites (8 mm in diameter, and 2 mm in thickness) and polymerized by a LED or a QTH LCU. Vickers hardness was measured on the top and bottom surfaces of the specimens. Surface roughness was measured with a surface profilometer on the top of the specimens. For the wear test, specimens were tested in a conventional pin-on-disc tribology machine under 15 N loads. The statistical analyses were performed by one-way analysis of variance (ANOVA) and t-tests, including the Bonferroni correction. Nanocomposite material Clearfil Majesty Posterior showed the highest hardness values in all polymerization types at the top and bottom surfaces (p < 0.05). Microhybrid Clearfil APX and hybrid Quixfil composites demonstrated the greatest surface roughness. Wear resistance of Clearfil Majesty Posterior was found to be the highest among the other tested resin composites. The results indicated that Clearfil Majesty Posterior demonstrated higher microhardness, less surface roughness, and higher wear resistance when compared with the other tested materials for both polymerization types.

Depth of cure of dental composites submitted to different light-curing modes

Objective:

This study evaluated the depth of cure of five dental composites submitted to different light-curing modes.

Material and Methods:

Canal-shaped cavities with 5mm of length were prepared on the buccal surfaces of extracted third molars, and restored using P-60, A-110, Admira, Z-250 and Supreme resin composites. Materials were light-cured from the top, according to three modes (Group 1- Conventional (C): 500 mW/cm²/ 40 s; Group 2 – Soft-Start (SS):250 mW/cm²/ 20 s + 500 mW/cm²/ 20 s + 500 mW/cm²/ 10 s and Group 3 – LED: 250 mW/cm²/ 40 s). After that, cavity longitudinal surfaces were polished and marked with a millimeter scale of 4mm of length. Depth of cure was evaluated by means of Knoop hardness number (KHN), so that five indentations were performed at each millimeter. Original data were submitted to three-way ANOVA and Fisher's LSD test (α = 0.01).

Results:

All materials presented a significant reduction on KHN from first to third millimeter. Regarding depth of cure, the results obtained for Conventional and Soft-Start modes were similar, but statistically superiors to those found for group 3 (LED). Conclusion: This performance may be related to the differences among energy densities obtained with different light-curing modes.

The effect of different light-curing units on tensile strength and microhardness of a composite resin

The aim of this study was to evaluate the influence of different light-curing units on the tensile bond strength and microhardness of a composite resin (Filtek Z250 – 3M/ESPE). Conventional halogen (Curing Light 2500 – 3M/ESPE; CL) and two blue light emitting diode curing units (Ultraled – Dabi/Atlante; UL; Ultrablue IS – DMC; UB3 and UB6) were selected for this study. Different light intensities (670, 130, 300, and 600 mW/cm², respectively) and different curing times (20s, 40s and 60s) were evaluated. Knoop microhardness test was performed in the area corresponding to the fractured region of the specimen. A total of 12 groups (n=10) were established and the specimens were prepared using a stainless steel mold composed by two similar parts that contained a cone-shaped hole with two diameters (8.0 mm and 5.0 mm) and thickness of 1.0 mm. Next, the specimens were loaded in tensile strength until fracture in a universal testing machine at a crosshead speed of 0.5 mm/min and a 50 kg load cell. For the microhardness test, the same matrix was used to fabricate the specimens (12 groups; n=5). Microhardness was determined on the surfaces that were not exposed to the light source, using a Shimadzu HMV-2 Microhardness Tester at a static load of 50 g for 30 seconds. Data were analyzed statistically by two-way ANOVA and Tukey's test (p<0.05). Regarding the individual performance of the light-curing units, there was similarity in tensile strength with 20-s and 40-s exposure times and higher tensile strength when a 60-s light-activation time was used. Regarding microhardness, the halogen lamp had higher results when compared to the LED units. For all light-curing units, the variation of light-exposure time did not affect composite microhardness. However, lower irradiances needed longer light-activation times to produce similar effect as that obtained with high-irradiance light-curing sources.

Depth of cure and hardness of an indirect composite polymerized with three laboratory curing units

This study determined the hardness and curing depth of a light-activated indirect composite polymerized with three laboratory light-polymerizing units for the purpose of comparing the curing performance of the three units. A light-activated composite material for indirect application (Vita Zeta) was polymerized with three light-polymerizing units equipped with the following light sources: 1) one halogen lamp and two fluorescent lamps (alpha-Light II); 2) three halogen lamps (Twinkle HLG); and 3) one metal halide lamp (Twinkle LI). Knoop hardness and curing depth were determined for groups of five specimens using standardized testing methods. The results were compared using analysis of variance (ANOVA) and Scheffé's S intervals (alpha = 0.05). The Knoop hardness number (KHN) generated with the halogen-fluorescent unit (12.5 KHN) was significantly (P < 0.05) lower than those produced by the halogen unit (13.9 KHN) and the metal halide unit (14.2 KHN). Of the three units, the halogen-fluorescent unit exhibited the lowest depth of cure. Both the hardness and curing depth of the composite were influenced by the laboratory polymerizing units employed.

Evaluation of the curing depth of two translucent composite materials using a halogen and two LED curing units

This in vitro study evaluated the influence of one halogen and two light-emitting diode (LED) curing units on the curing depth of a conventional hybrid and two translucent resin composites by measuring the Knoop microhardness. In the first part of the study, a conventional hybrid resin composite and three curing units (one halogen: 40 s polymerization time, two LEDs: 10 and 20 s) were used. Ten cylindrical resin composite samples were prepared for each curing unit and each polymerization time tested. After polymerization, the soft part of the samples was removed. The samples were embedded in a polyacrylic resin and separated in the middle towards the direction, top-bottom. On the section plane, Knoop microhardness measurements were performed every 1 mm, starting at 0.5 mm under the surface. In the second part of the study, two translucent resin composites and a conventional hybrid composite resin were cured with the three curing units, and the microhardness was measured as mentioned above. The difference between the curing units tested was found statistically significant (p = 0.0009), as well as the difference between the materials concerning curing depth (p = 0.0001). Both translucent materials achieved microhardness values equal to the 80% of the surface values, in depths 3.5-5.5 mm, depending on the curing units used.

Water sorption of resin-modified glass-ionomer cements photoactivated with LED

The Light Emitting Diodes (LED) technology has been used to photoactivate composite resins and there is a great number of published studies in this area. However, there are no studies regarding resin-modified glass-ionomer cements (RMGIC), which also need photoactivation. Therefore, the aim of this study was to evaluate water sorption of two RMGIC photoactivated with LED and to compare this property to that obtained with a halogen light curing unit. A resin composite was used as control. Five specimens of 15.0 mm in diameter x 1.0 mm in height were prepared for each combination of material (Fuji II LC Improved, Vitremer, and Filtek Z250) and curing unit (Radii and Optilight Plus) and transferred to desiccators until a constant mass was obtained. Then the specimens were immersed into deionized water for 7 days, weighed and reconditioned to a constant mass in desiccators. Water sorption was calculated based on weight and volume of specimens. The data were analyzed by two-way ANOVA and Tukey test (p < 0.05). Specimens photocured with LED presented significantly more water sorption than those photocured with halogen light. The RMGIC absorbed statistically significant more water than the resin composite. The type of light curing unit affected water sorption characteristics of the RMGIC.

In vitro microleakage of a fissure sealant polymerized by either a quartz tungsten halogen curing light or a plasma arc curing light

BACKGROUND

The benefits of using plasma arc curing lights with their shorter curing times in the management of children are potentially great, provided there are no adverse effects.

OBJECTIVE

The aim of this study was to investigate whether the microleakage of a resin-based sealant is influenced by polymerization with either a conventional quartz tungsten halogen or a plasma arc curing light.

DESIGN

This study took the form of an in vitro randomized control trial. Seventy extracted human first and second permanent premolars and molars were randomly allocated into two groups. Their occlusal surfaces were sealed with a light-cured fissure sealant using either a quartz tungsten halogen curing light or a plasma arc curing light. The teeth were then sectioned, resulting in four surfaces per tooth, which were examined for microleakage under x 15 magnification with a light microscope. The principal unit of analysis was the tooth (worst section score) and not the section microleakage score.

RESULTS

No statistical significant difference in microleakage scoring between the two groups was demonstrated.

CONCLUSION

This study found no difference in the degree of microleakage of fissure sealants polymerized by either light source.

Investigation of polymerisation shrinkage strain, associated cuspal movement and microleakage of MOD cavities restored incrementally with resin-based composite using an LED light curing unit

OBJECTIVES

To investigate the polymerisation shrinkage strain, associated cuspal movement, degree of conversion (DC) and cervical gingival microleakage of mesio-occlusal-distal (MOD) cavities restored with four resin-based composite (RBC) filling materials placed incrementally using a light emitting diode (LED) light curing unit (LCU).

METHODS

Standardised extensive MOD cavity preparations on extracted teeth were performed on 40 sound upper premolar teeth. Restoration of the teeth involved the placement of RBCs in eight increments with the appropriate bonding system before irradiation using an LED LCU. Buccal and palatal cusp deflections at each stage of polymerisation were recorded using a twin channel deflection measuring gauge. Following restoration, the teeth were thermocycled, immersed in a 0.2% basic fuchsin dye for 24 h, sagittally sectioned and examined for cervical microleakage. The DC was determined using a Fourier transform infra-red (FT-IR) spectrometer.

RESULTS

No significantly difference (P=0.677) in cuspal movement was recorded for Z100 (13.1+/-3.2 microm) compared with Filtek Z250 (8.4+/-3.5 microm), P60 (7.3+/-3.8 microm) and Admira (6.7+/-2.7 microm). The LED LCU deflections were compared with a halogen LCU used in a conventional (Fleming GJP, Hall D, Shorthall ACC, Burke FJT. Cuspal movement and microleakage in premolar teeth restored with posterior filling materials of varying reported volumetric shrinkage values. Journal of Dentistry, 2005;33:139-146) and soft-start mode (Fleming GJP, Cara RR, Palin WM, Burke FJT. Cuspal movement and microleakage in premolar teeth restored with posterior filling materials cured using 'soft-start' polymerization. Dental Materials, 2006, , in press) and a significant reduction in cuspal movement was identified for curing type and material type (P<0.001 and P=0.002, respectively). No significant differences were noted between the four RBC materials investigated when the DC or microleakage scores were examined for the LED LCU.

SIGNIFICANCE

It would appear that irradiation of RBCs using the LED LCU offered a significant reduction in associated cuspal movement in large MOD cavities. However, the microleakage scores following polymerisation were significantly increased with dye penetration into the pulp chamber from the axial wall evident in teeth restored with the LED LCU.

Curing effectiveness of a light emitting diode on dentin bonding agents

This study tested the hypothesis that dentin bonding agents (DBAs) cured with a light emitting diode (LED) light curing unit (LCU) would not show a statistically significant different dentin shear bond strength (DSBS) relative to a halogen LCU, when the LED and halogen LCUs had a supposedly similar irradiance. Five commercial DBAs were tested: ScotchBond Multipurpose, Single Bond, One Step, Clearfil SE Bond, and Adper Prompt. The LCUs used in this study were a VIP (Bisco) for the halogen light and an Elipar FreeLight (3M ESPE) for the LED. First, the emission spectrum and spectral irradiance of both LCUs were investigated. Next, the DSBS of the DBAs cured with each LCU was measured. Two-way analysis of variance was used to analyze whether there were differences in DSBS resulting from the type of LCU and DBA used. The halogen LCU showed a higher total irradiance value relative to the LED LCU, but the difference of spectral irradiance was reduced in the efficient wavelength ranges for camphoroquinone activation. Although the DBAs cured with both types of LCUs showed similar DSBS values, Clearfil SE Bond showed the highest DSBS value when cured with a halogen light. Therefore, the null hypothesis of this study was rejected, indicating that the curing effectiveness of the LED LCU on some DBAs can be lower than that of a halogen LCU in terms of bond strength.

Effect of light-curing method on marginal adaptation, microleakage, and microhardness of composite restorations

The objective of this study was to investigate the effects of different light-curing methods on microleakage, marginal adaptation, and microhardness of composite restorations. Slot-type preparations were made in bovine teeth, with gingival margins on dentin. Specimens were divided into 12 groups (n = 12) according to composite-light-curing unit (LCU) combinations. Three composites were used: Filtek Supreme, Herculite XRV, and Heliomolar. All restorations were placed using the same adhesive. Four LCUs were used: a quartz-tungsten-halogen (QTH) LCU (Optilux 501), a first-generation light-emitting diode (LED) LCU (FreeLight 1), and two second-generation LED LCUs (FreeLight 2 and Translux Power Blue). After finishing and polishing, specimens were subjected to mechanical load cycling (100,000 cycles). Gingival margin adaptation was determined as a function of gap formation using epoxy replicas. Microleakage was evaluated by measuring dye penetration across the gingival wall in cross-sectioned specimens. Microhardness was measured as Knoop Hardness number (KHN) at different occluso-gingival locations in cross-sectioned specimens. Data were analyzed for statistical significance (p = 0.05) using appropriate statistical tests. Marginal adaptation was affected by load-cycling in most specimens, but no significant differences were observed among composites and LCUs. Microleakage was not affected by LCU, except for Heliomolar specimens which when cured with Optilux 501 resulted in higher microleakage scores than those obtained with the other LCUs. For microhardness, Translux Power Blue generally produced the highest values and the FreeLight 1 produced the lowest. The performance of the second-generation LED LCUs generally was similar to that of the QTH control, and better than that of the first-generation LED unit.

Curing capability of halogen and LED light curing units in deep class II cavities in extracted human molars

Class II cavities were prepared in extracted lower molars filled and cured in three 2-mm increments using a metal matrix. Three composites (Spectrum TPH A4, Ceram X mono M7 and Tetric Ceram A4) were cured with both the SmartLite PS LED LCU and the Spectrum 800 continuous cure halogen LCU using curing cycles of 10, 20 and 40 seconds. Each increment was cured before adding the next. After a seven-day incubation period, the composite specimens were removed from the teeth, embedded in self-curing resin and ground to half the orofacial width. Knoop microhardness was determined 100, 200, 500, 1000, 1500, 2500, 3500, 4500 and 5500 microm from the occlusal surface at a distance of 150 microm and 1000 microm from the metal matrix. The total degree of polymerization of a composite specimen for any given curing time and curing light was determined by calculating the area under the hardness curve. Hardness values 150 microm from the metal matrix never reached maximum values and were generally lower than those 1000 microm from the matrix. The hardest composite was usually encountered between 200 microm and 1000 microm from the occlusal surface. For every composite-curing time combination, there was an increase in microhardness at the top of each increment (measurements at 500, 2500 and 4500 microm) and a decrease towards the bottom of each increment (measurements at 1500, 3500 and 5500 microm). Longer curing times were usually combined with harder composite samples. Spectrum TPH composite was the only composite showing a satisfactory degree of polymerization for all three curing times and both LCUs. Multiple linear regression showed that only the curing time (p < 0.001) and composite material (p < 0.001) had a significant association with the degree of polymerization. The degree of polymerization achieved by the LED LCU was not significantly different from that achieved by the halogen LCU (p = 0.54).

Microhardness of resin-based materials polymerized with LED and halogen curing units

The purpose of this study was to evaluate the microhardness of resin-based materials polymerized with a LED (light-emitting diode) light-curing unit (LCU) and a halogen LCU. Twenty cylindrical specimens (3.0 mm in diameter and 2.0 mm high) were prepared for each tested material (Z100, Definite and Dyract). Specimens were light-cured with two LCUs (Ultraled and Curing Light 2500) for either 40 or 60 s on their top surfaces. Hardness was measured on top and bottom surfaces of each specimen. Statistical analysis was done by ANOVA and Tukey's test (p<0.05). There was no significant difference in hardness between LED LCU and halogen LCU for Z100 and Dyract on top surface. Conversely, lower hardness was recorded when Definite was light-cured with the LED LCU than with the halogen lamp. On bottom surface, hardness was significantly lower for all materials light-cured with LED LCU. Z100 was harder than Dyract and Definite regardless of the light curing unit. There was no significant difference in hardness between the exposure times on top surface. Higher hardness was obtained when the materials were light-cured for 60 s on bottom surface. The tested LED was not able to produce the same microhardness of resin-based materials as the halogen LCU.

Intensity of quartz-tungsten-halogen light-curing units used in private practice in Toronto

BACKGROUND

The authors conducted a study to determine light intensity and heat/glare measurements of quartztungsten-halogen (QTH) light polymerization units used in dental offices.

METHODS

Research assistants visited 100 dental offices and assessed 214 QTH light units. They recorded each unit's model, age, service history, light intensity and heat/glare emissions.

RESULTS

Mean light intensity was 526 milliwatts per square centimeter (120-1,000 mW/cm2), with 26 units having intensity less than 300 mW/cm2. The mean light unit age was 5.6 years. Light units older than three years had significantly lower output intensities than those that were one, two or three years old. The authors found a wide range of heat/glare measurements (3-300 mW/cm2), with 4.6 percent of the units having values greater than 50 mW/cm2, including three with values of more than 200 mW/cm2. The mean light intensity of units serviced in the preceding year was 539 mW/cm2; it was 418 mW/cm2 for units serviced from one to six years previously.

CONCLUSIONS

Light intensity and heat/glare values varied among the 214 units; some units had values well outside the recommended levels. Each unit's age and service history significantly affected its intensity. An awareness campaign is needed to promote testing, repair or replacement of light polymerization units. Periodic testing of light polymerization units should be considered by regulatory bodies to ensure optimum quality of composite restorations.

CLINICAL IMPLICATIONS

Light polymerization units in some private dental offices in Toronto had intensities that may result in composites restorations with inferior properties. Dentists need to regularly monitor the intensity of the light polymerization units and maintain the units to ensure quality composite restorations.

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

This study compared a high-power light-emitting-diode (LED) curing light (FreeLight 2, 3M ESPE) with a quartz-tungsten-halogen (QTH) light (TriLight, 3M ESPE) to determine which was the better at photo-polymerising 10 resin composites. Class I preparations were prepared 4-mm deep into human teeth and filled with 10 different composites. The composites were irradiated for 50% or 100% of their recommended times using the LED light, and for 100% of their recommended times with the QTH light on either the high or medium power setting. Fifteen minutes later, the Knoop hardness of the composites was measured to a depth of 3.5 mm from the surface. When irradiated by the LED light for their recommended curing times, the Knoop hardness of all 10 composites stayed above 80% of the maximum hardness of the composite to a depth of at least 1.5 mm; three composites maintained a Knoop hardness that was more than 80% of their maximum hardness to a depth of 3.5 mm. Repeated measurements analysis of variance indicated that all the two-way and three-way interactions between the curing light, depth, and composite were significant (p < 0.01). To eliminate the choice of composite as a factor, an overall comparison of the lights was performed using the Kruskal-Wallis test and distribution free multiple comparisons of the ranked hardness values. The LED light, used for the composite manufacturer's recommended time, was ranked the best at curing the composites to a depth of 3mm (p < 0.01). The LED light used for 50% of the recommended time was not significantly different from the QTH light used for 100% of the recommended time on the high power setting.

Time dependence of composite shrinkage using halogen and LED light curing

OBJECTIVES

The polymerization shrinkage of light cured dental composites presents the major drawback for these aesthetically adaptable restorative materials. LED based light curing technology has recently become commercially available. Therefore, the aim of the present study was to investigate if there was a statistically significant difference in linear and volumetric composite shrinkage strain if a LED LCU is used for the light curing process rather than a conventional halogen LCU.

METHODS

The volumetric shrinkage strain was determined using the Archimedes buoyancy principle after 5, 10, 20, 40 s of light curing and after 120 s following the 40 s light curing time period. The linear shrinkage strain was determined with a dynamic mechanical analyzer for the composites Z100, Spectrum, Solitaire2 and Definite polymerized with the LCUs Trilight (halogen), Freelight I (LED) and LED63 (LED LCU prototype). The changes in irradiance and spectra of the LCUs were measured after 0, 312 and 360 min of duty time.

RESULTS

In general there was no considerable difference in shrinkage of the composites Z100, Spectrum or Solitaire2 when the LED63 was used instead of the Trilight. There was, however, a statistically significant difference in shrinkage strain when the composite Definite was polymerized with the LED63 instead of the Trilight. The spectrum of the Trilight changed during the experiment considerably whereas the LED63 showed an almost constant light output. The Freelight I dropped considerably in irradiance and had to be withdrawn from the study because of technical problems.

SIGNIFICANCE

The composites containing only the photoinitiator camphorquinone showed similar shrinkage strain behaviour when a LED or halogen LCU is used for the polymerization. The irradiance of some LED LCUs can also decrease over time and should therefore be checked on a regular basis.

Effectiveness of composite resin polymerization using light-emitting diodes (LEDs) or halogen-based light-curing units

The clinical performance of composite resins is greatly influenced by the quality of the light-curing unit used. The aim of this study was to compare the efficiency of a commercial light-emitting diode (LED) with that of a halogen-based light-curing unit by means of dye penetration of a micro hybrid composite resin. The composite resin evaluated was Filtek Z250 (3M Dental). The composite was filled into acrylic moulds that were randomly polymerized for 40 seconds by each of the light-emitting systems: light-emitting diode Ultraled (Dabi Atlante) or halogen light Degulux (Degussa Hüls) curing units. Immediately after polymerization, each specimen was individually immersed in 1 ml of 2% methylene blue solution at 37°C ± 2°C. After 24 hours, the specimens were rinsed under running distilled water for 1 minute and stored at 37°C ± 2°C at relative humidity for 24 hours. The composite resins were removed from the moulds and individually triturated before being immersed in new test tubes containing 1 ml of absolute alcohol for 24 hours. The solutions were filtered and centrifuged for 3 minutes at 4,000 rpm and the supernatant was used to determine absorbance in a spectrophotometer at 590 nm. To verify the differences between groups polymerized by LED or halogen light t-test was applied. No significant differences were found between composite resins light-cured by LED or halogen light-curing unit (p > 0.05). The commercially LED-based light-curing unit is as effective to polymerize hybrid composite resins as the halogen-based unit.

Effects of resin composite composition and irradiation distance on the performance of curing lights

This study determined the effect of using five resin composites and two irradiation distances to test the performance of dental curing lights. Three types of curing lights with similar spectral distributions, but each delivering a different power density, were used for irradiation times ranging from 3 to 60 s. Power densities were measured at 2 and 9 mm from the tip of the light guide. Five composites 1.6 mm thick and of the same shade were irradiated at 2 and 9 mm from the light guide with energy densities of 1.2-38.0 J/cm(2). The Knoop hardness at the top and bottom of the composite specimens was measured 15 min after irradiation and again after immersion in water at 37 degrees C for 24 h. There was a linear relationship between the hardness and the logarithm of the energy density received by the composite (r2 > 0.81). The analysis of variance showed that the composite, the side tested, the distance from the light guide, and the curing light/irradiation time combination all had a significant effect on the hardness (p < 0.01). Plots of the hardness at the bottom 15 min after irradiation by each light were generated for all the composites. These plots illustrated that the effects of the different curing light/irradiation time combinations on hardness were not the same for each composite. The effects of each curing light/time combination on hardness were also different at 2 and 9 mm from the light guide. In conclusion, when comparing the effects of different light sources on resin polymerization, several different composites should be irradiated at clinically relevant distances from the light guide. Using high-powered curing lights for 3 or 5 s did not deliver sufficient energy to cure the 1.6-mm thick specimens of composites used in this study.

Vicker's hardness and Raman spectroscopy evaluation of a dental composite cured by an argon laser and a halogen lamp

We present the results of the Vicker's hardness test and the use of near-infrared Raman spectroscopy (RS) to measure in vitro the degree of conversion (DC) of a bis(phenol)-A-glycidyl-dimethacrylate-based composite resin, photoactivated by both a halogen lamp (power density=478 mW/cm(2); 8-mm diameter spot) and an argon laser (power density=625 mW/cm(2); 7-mm diameter spot). The degree of conversion was estimated by analyzing the relative intensities between the aromatic C=C stretching Raman mode at 1610 cm(-1) and the methacrylate C=C stretching Raman mode (1640 cm(-1)) on top and bottom surfaces. For the hardness evaluation, the samples were embedded in polyester resin and three indentations with a 50-g load for 10 s were made on the top surface. The higher relative DC values achieved by the photoactivation of a composite resin by the argon laser suggest a better biocompatibility in the bottom surface. The correlation test showed that the higher Vicker's hardness number (VHN) values were associated with higher DC values. The derivative analysis showed a greater curing rate from 5 to 20 s of exposure. The comparison of VHN and DC values with both light sources at each curing time showed that a small change in conversion is related to a large change in hardness. Raman spectroscopy is more sensitive to changes in the first stages of curing reaction than later ones, and the Vicker's hardness assay is more sensitive to changes in the last stages.

Performance of two blue light-emitting-diode dental light curing units with distance and irradiation-time

OBJECTIVES

To assess the performance of two blue light-emitting-diode (LED) curing units, in terms of their spectral output and irradiance and the depth of cure (dcure) produced in standard hybrid and modified composites, compared with a conventional quartz tungsten halogen (QTH) light curing unit.

METHODS

The following light curing units (LCUs) were studied: Elipar-Freelight-1 LED (LED-1) 3 M-ESPE, Ultralume-2 LED (LED-2) Optident, and the Optilux-500 QTH (QTH-1) Sybron-Kerr. For each LCU, using a UV-visible spectrophotometer, the output spectrum was measured and the irradiance of emitted light as a function of source-detector distance. Three composites were studied of similar formulation but differing in their initiator concentrations and/or opacity. These were: Tetric Ceram (A3), Tetric Ceram HB containing an additional photoinitiator responding to approximately 435 nm (A3) and Tetric Ceram Bleach (L). dcure was measured using a calibrated digital needle-penetrometer, as a function of source-specimen distance and for irradiance periods of 10, 20 and 40 s.

RESULTS

Each unit delivered a single peak in the blue region of the visible spectrum. The wavelength maxima for LED-1, LED-2 and QTH-1 were 486.4, 458.2 and 495.2 nm, respectively. Cure-depth (dcure) values varied significantly (p<0.001) with irradiance times and source-specimen distance for both LED and QTH sources. The percentage reduction in dcure values resulting from LED versus QTH irradiance increased with source-specimen distance.

SIGNIFICANCE

The LED-LCUs had an energy-efficient spectral output for conventional composite curing but had a lower irradiance compared with the QTH-LCU, leading to reduced performance in depths of cure. Design improvements to provide greater irradiance from the LED-1 and to a lesser extent LED-2, should result in increased performance.

Polymerization of resin composite restorative materials: exposure reciprocity

OBJECTIVE

To examine whether there is reciprocity between irradiation time and irradiance with regard to the mechanical properties of filled, resin composite restorative materials (RCs).

METHODS

Four visible light-cured RCs, all of shade A3, were used: Heliomolar Radiopaque (HR) and Tetric Ceram (TC) (Ivoclar, Schaan, Liechtenstein), Filtek Z250 (FZ) (3M, St Paul, MN, USA) and Prodigy condensable (PR) (Kerr, Orange, CA, USA). Bar specimens (1.0 x 1.5 x 16.0 mm(3)) were cured at irradiances (I) ranging from 25-1500 mW/cm(2) and irradiation times (t) of 1-3000 s. Six specimens at 250 combinations of t and I were prepared and stored in artificial saliva of pH 6, at 37 degrees C for 7d before performing three-point bend tests for flexural strength (F), flexural modulus (E) and total energy to failure (W). Contour plots of property value vs. t and I on log scales were prepared.

RESULTS

The contour plots showed three regions: unset at low I.t, a plateau corresponding to more or less full property development, and connecting ramp. The boundary between the plateau and the ramp suggests the minimum acceptable exposure. No practical lower limit to irradiance was detected, but there may be no benefit from increasing I beyond about 1,000 mW/cm(2). The slopes of the contours in the log-log plots provided a test of the hypothesis of reciprocity. These slopes were approximately -1.5 for HR, TC and PR; and approximately -1 for FZ, compared with the expected value of -1. The general hypothesis therefore fails. The existence of localized maxima in property values is further evidence of that failure, even for FZ.

SIGNIFICANCE

Dentists may use any lamp, including LED sources, and attain satisfactory results providing irradiation time is long enough. Manufacturers ought to supply a graph indicating the minimum acceptable exposure for each product for specified curing lamps. Calculations based on total energy delivered to guide irradiation protocols are invalid and do not recognize product behavior.

Thermal analysis of dental resins cured with blue light-emitting diodes (LEDs)

Thermal analysis was used to measure the characteristics of dental resins cured with the use of a new light-activation unit equipped with high illuminant blue light-emitting diodes (LEDs). The characteristics were compared with those of resins cured with the use of two conventional halogen lamp units. The prepared base monomer consisted of a mixture of Bis-GMA and TEGDMA (60:40 by weight), with 0.5 wt% CQ/DMPT or CQ/DMAEMA. The two experimental visible-light-cured resins were polymerized for 40 s. Differential scanning calorimetry (DSC) was used to examine the thermal characteristics of the cured resins. The activation energy for the decomposition of the dental resin was calculated from the peaks of the endothermic curves obtained when the specimens were heated at three different rates (5, 10, and 15 C/min) during DSC. The activation energies calculated for the LED-cured specimens were more than 220 kJ/mol; specimens cured with the use of the halogen units had activation energies of less than 192 kJ/mol. The Knoop hardness number (KHN) of the same specimens was measured, and was higher with the blue LED units than with halogen lamp units. Therefore, dental resins cured using blue LEDs have a higher degree of polymerization and more stable three-dimensional structures than those cured with halogen lamps.

Properties of a new photo-activated composite polymerized with three different laboratory photo-curing units

This study determined the hardness, solubility and curing depth of a new photo-activated composite polymerized with three different laboratory photo-curing units for the purpose of evaluating the post-curing properties of the material. A new photo-activated composite material for both direct and indirect applications (DiamondCrown) was polymerized with three photo-curing units equipped with the following light sources: (i) two halogen lamps (DiamondLite-VL. Halogen Light Curing Booth); (ii) two metal halide lamps (Hyper LII) and (iii) two xenon stroboscopic tubes (UniXS II). Knoop hardness, water solubility and curing depth were determined for groups of five specimens according to standardized testing methods. All data were compared using analysis of variance (anova) and Scheffe's S intervals (P < 0.05). The Knoop hardness number (KHN) generated with the metal halide unit (63.3 +/- 2.4 KHN) was statistically (P < 0.05) greater than those produced by the other two curing units. Water solubility values for both the halogen unit (2.5 +/- 0.5 microg mm(-3)) and the metal halide unit (2.5 +/- 0.5 microg mm(-3)) were significantly (P < 0.05) lower than for the xenon unit (3.8 +/- 0.5 microg mm(-3)). Of the three photo-curing units, the metal halide curing-unit consistently exhibited the greatest depth of cure. The composite material appears to be reliable, although its post-curing properties were found to be influenced by the type of curing unit.

Knoop hardness depth profiles and compressive strength of selected dental composites polymerized with halogen and LED light curing technologies

After the first light-emitting diode (LED) light curing units (LCUs) became available commercially, a comparison of mechanical properties between materials polymerized with conventional halogen lamps and this new technology was required. This study, therefore, investigated the curing performance of two conventional commercial halogen LCUs (Translux CL, Spectrum800), a custom-made LED LCU prototype, and one of the first commercially available LED LCUs (LUXoMAX). The Spectrum800 was adjusted to a similar irradiance to the custom-made LED LCU prototype. Both technologies were compared by measuring compressive strength and Knoop hardness depth profiles for selected dental composites polymerized for 20 or 40 s. Four dental composites (Z100, Spectrum TPH, Solitaire2, and Definite) were used. Two of these composites (Solitaire2 and Definite) contain co-initiators in addition to the standard photoinitiator camphorquinone. In general, the material hardness obtained with the LUXoMAX was statistically significantly (p < 0.05) lower at the depths of 0.1, 1.0, 1.9, and 3.1 mm, for all composites and curing times, than for the other three LCUs. The LED LCU prototype achieved, with one exception, up to a depth of 1.9 mm a material hardness for the composites Z100, Spectrum TPH and Solitaire2 that was not statistically significant different (p < 0.05) from the hardness obtained with the halogen LCUs. At a greater depth (3.1 mm), however, the LED LCU prototype showed statistically significantly lower hardness values than the halogen units. The compressive strength test showed at a 95% confidence level that similar compressive strengths were achieved with the LCUs LUXoMAX and Spectrum800, and the Translux and LED LCU prototype.

ESR study of camphorquinone/amine photoinitiator systems using blue light-emitting diodes

New light-activation units equipped with high-illuminant blue light-emitting diodes (LEDs) have recently been proposed as a replacement for the halogen units that are widely used in dentistry to polymerize light-cured resins. The photoinitiators in light-cured dental resins, typified by the camphorquinone (CQ)/amine photoinitiator system, generate primary radicals with light irradiation that attack the double bonds of resin monomers. The physical properties of the cured resins are affected by the generation of primary radicals during the initial stage of polymerization. This study examined two types of photoinitiator systems, CQ/DMPT and CQ/DMAEMA, and three types of curing units, a new LED unit and two conventional halogen units. The primary radicals generated by irradiation were quantified using electron spin resonance (ESR) spectroscopy with a trapping method, using phenyl-tert-butyl nitrone as the trapping agent. The energy efficiencies of the LED and halogen units were compared by quantifying the generated radicals and emitted light energy (J/cm(2)). The energy required to generate a given amount of radicals using the LED unit was smaller than that using the halogen units (p<0.05). These results suggest that the new LED unit performs better than conventional halogen units with respect to light energy.