Depth of cure of 10 resin-based composites light-activated using a laser diode, multi-peak, and single-peak light-emitting diode curing lights.
J Dent 2022;
122:104141. [PMID:
35483497 DOI:
10.1016/j.jdent.2022.104141]
[Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/19/2022] [Accepted: 04/21/2022] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES
To evaluate the depth of cure (DOC) of ten contemporary resin-based composites (RBCs), light-cured using different LCUs and exposure times.
METHODS
The power, radiant emittance, irradiance, radiant exposure (RE), and beam profiles from a laser (M, Monet), a multi-peak (V, Valo Grand), and single-peak (S, SmartLite Pro) LCU were measured. The DOC was measured using a 6-mm diameter metal mold and a solvent dissolution method to remove the uncured RBC. The length of the remaining RBC was divided by 2. The exposure times were: 1s and 3s for M, 10s and 20s for V, and 10s and 20s for S. Data were analyzed using: Bland-Altman distribution, Pearson's Correlation, and an artificial neural network (ANN) to establish the relative importance of the factors on the DOC (α=0.05; β=0.2).
RESULTS
Significant differences were found in the DOC of the different LCUs and composites. The laser LCU emitted the highest power, radiant emittance, and irradiance. However, this LCU used for 1 s delivered the lowest RE and produced the shortest DOC in all ten RBCs. The ANN demonstrated that the RE is the most critical factor for the DOC. Bland-Altman comparisons showed that the DOCs achieved with the laser LCU used for 1s were between 17 - 34 % shorter than the other conditions.
CONCLUSIONS
Although the laser LCU cured all 10 RBCs when used for 1s, it produced the shallowest DOC, and some RBCs did not achieve the minimum DOC threshold. The RE and not the irradiance was the most important factor in determining the DOC of RBCs.
CLINICAL SIGNIFICANCE
Despite delivering high power and irradiance, the laser used for l s delivered a lower radiant exposure than the conventional LCUs used for 10 s. This resulted in a shorter DOC.
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