Composite cure and shrinkage associated with high intensity curing light

This study investigated the effectiveness of cure and post-gel shrinkage of three visible light-cured composite resins (In Ten-S [IT], Ivoclar Vivadent; Z100 [ZO], 3M-ESPE; Tetric Ceram [TC], Ivoclar Vivadent) when polymerized with a very high intensity (1296 +/- 2 mW/cm2) halogen light (Astralis 10, Ivoclar Vivadent) for 10 seconds. Irradiation with a conventional (494 +/- 3 mW/cm2) halogen light (Spectrum, Dentsply) for 40 seconds was used for comparison. The effectiveness of cure was assessed by computing the hardness gradient between the top and bottom surfaces of 2-mm composite specimens after curing. A strain-monitoring device was used to measure the linear polymerization shrinkage associated with the various composites and curing lights. A sample size of five was used for both experiments. Data was analyzed using ANOVA/Scheffe's post-hoc and Independent Samples t-tests at significance level 0.05. Results showed that the effect of the curing method on the effectiveness of cure and shrinkage was material-dependent. Polymerization of IT and TC with Spectrum for 40 seconds resulted in significantly more effective cure than polymerization with Astralis for 10 seconds. Polymerization of ZO with Spectrum for 40 seconds resulted in significantly more shrinkage than polymerization with Astralis for 10 seconds. In view of the substantial time saving, using high intensity lights may be a viable method to polymerize composites.     

Effectiveness of composite cure associated with different curing modes of LED lights

This study compared the effectiveness of cure of two LED (light-emitting diodes) lights (Elipar FreeLight [FL], 3M-ESPE; GC e-Light [EL], GC) to conventional (Max [MX], Dentsply-Caulk [control]), high intensity (Elipar TriLight [TL], 3M-ESPE) and very high intensity (Astralis 10 [AS], Ivoclar Vivadent) halogen lights. The 10 light-curing regimens investigated were: FL1 400 mW/cm2 [40 seconds], FL2 0-400 mW/cm2 [12 seconds] --> 400 mW/cm2 [28 seconds], EL1 750 mW/cm2 [10 pulses x 2 seconds], EL2 350 mW/cm2 [40 seconds], EL3 600 mW/cm2 [20 seconds], EL4 0-600 mW/cm2 [20 seconds] --> 600 mW/cm2 [20 seconds], TL1 800 mW/cm2 [40 seconds], TL2 100-800 mW/cm2 [15 seconds] --> 800 mW/cm2 [25 seconds], AS1 1200 mW/cm2 [10 seconds], MX 400 mW/cm2 [40 seconds]. Effectiveness of cure with the different modes was determined by measuring the top and bottom surface hardness (KHN) of 2-mm thick composite (Z100, [3M-ESPE]) specimens using a digital microhardness tester (n=5, load=500 g; dwell time=15 seconds). Results were analyzed using one-way ANOVA/Scheffe's post-hoc test and Independent Samples t-test (p<0.05). At the top surface, the mean KHN observed with LED lights ranged from 55.42 +/- 1.47 to 68.54 +/- 1.46, while that of halogen lights was 62.64 +/- 1.87 to 73.14 +/- 0.97. At the bottom surface, the mean KHN observed with LED and halogen lights ranged from 46.90 +/- 1.73 to 66.46 +/- 1.18 and 62.26 +/- 1.93 to 70.50 +/- 0.87, respectively. Significant differences in top and bottom KHN values were observed between different curing regimens for the same light, and between LED and halogen lights. Although curing with most modes of EL resulted in significantly lower top and bottom KHN values than the control, no significant difference was observed for the different modes of FL. Hence, the effectiveness of composite cure with LED LCUs is product dependent.     

The effectiveness of cure of LED and halogen curing lights at varying cavity depths

This study compared the effectiveness of cure of two LED (light-emitting diodes) lights (Elipar FreeLight [FL], 3M-ESPE and GC e-Light [EL], GC) to conventional (Max [MX] (control), Dentsply-Caulk), high intensity (Elipar TriLight [TL], 3M-ESPE) and very high intensity (Astralis 10 [AS], Ivoclar Vivadent) halogen lights at varying cavity depths. Ten light curing regimens were investigated. They include: FL1-400 mW/cm2 [40 seconds], FL2-0-400 mW/cm2 [12 seconds] --> 400 mW/cm2 [28 seconds], EL1-750 mW/cm2 [10 pulses x 2 seconds], EL2-350 mW/cm2 [40 seconds], EL3-600 mW/cm2 [20 seconds], EL4-0-600 mW/cm2 [20 seconds] --> 600 mW/cm2 [20 seconds], TL1-800 mW/cm2 [40 seconds], TL2-100-800 mW/cm2 [15 seconds] --> 800 mW/cm2 [25 seconds], AS1-1200 mW/cm2 [10 seconds], MX-400 mW/cm2 [40 seconds]. The effectiveness of cure of the different modes was determined by measuring the top and bottom surface hardness (KHN) of 2-mm, 3-mm and 4-mm thick composite (Z100, [3M-ESPE]) specimens using a digital microhardness tester (n = 5, load = 500 g; dwell time = 15 seconds). Results were analyzed using ANOVA/Scheffe's post-hoc test and Independent Samples t-Test (p < 0.05). For all lights, effectiveness of cure was found to decrease with increased cavity depths. The mean hardness ratio for all curing lights at a depth of 2 mm was found to be greater than 0.80 (the accepted minimum standard). At 3 mm, all halogen lights produced a hardness ratio greater than 0.80 but some LED light regimens did not; and at a depth of 4 mm, the mean hardness ratio observed with all curing lights was less than 0.80. Significant differences in top and bottom KHN values were observed among different curing regimens for the same light and between LED and halogen lights. While curing with most modes of EL resulted in significantly lower top and bottom KHN values than the control (MX) at all depths, the standard mode of FL resulted in significantly higher top and bottom KHN at a depth of 3 mm and 4 mm. The depth of composite cure with LED LCUs was, therefore, product and mode dependent.     

Shrinkage behavior of a resin-based composite irradiated with modern curing units.

OBJECTIVE: The present study determined the influence of different light curing regimes (four light-emitting diode (LED) units (Freelight 1 and 2, 3M-ESPE; e-light, GC; Bluephase (prototype), Ivoclar Vivadent), two quartz-tungsten-halogen (QTH) lights (Astralis 10, Ivoclar Vivadent; Swiss Master Light, EMS) and one plasma-light curing unit (Easy Cure, DMDS)) on the curing behavior of a resin-based composite material (InTen-S, Ivoclar Vivadent). METHODS: Polymerization shrinkage was induced by light curing the tested material with 14 different regimes of the curing units mentioned above. The contraction stress was recorded for 300 s at room temperature with a Stress-Strain-Analyzer (c(FACTOR)=0.3). The maximum contraction stresses after 300 s, the time until gelation (t(0.5N)), and the coefficient of near linear fit of contraction force/time (gradient) were analyzed. The statistical analysis was conducted using ANOVA (alpha=0.05) and Tukey's post hoc test. RESULTS: The five tested regimes of the LED unit e-light revealed the lowest statistically significantly maximum contraction stress followed by the low intensity LED unit Freelight 1 and the plasma curing unit Easy Cure. The high intensity LED unit Freelight 2 exhibited a significantly higher contraction stress compared to Freelight 1. No significant differences between the standard and exponential modes within these curing units were found. No significant differences were found between the LED unit Freelight 2 and the pulse program of the halogen light curing unit Astralis 10. The highest polymerization stresses were observed for the high energy curing units, either QTH (Swiss Master Light and Astralis 10) or LED (Bluephase). SIGNIFICANCE: Fast contraction force development, high contraction stress and an early start of stress build-up cause tension in the material with possible subsequent distortion of the bond to the tooth structure. The lowest polymerization stress was observed for the low energy LED lamps, while the plasma unit and the high energy QTH and LED curing units produced two to three times higher stress.     

Comparative depths of cure among various curing light types and methods

This study evaluated the depth of cure associated with commercial LEDs (light-emitting diodes) (Elipar FreeLight [FL], 3M-ESPE; GC e-Light [EL], GC), high intensity (Elipar TriLight [TL], 3M-ESPE) and very high intensity (Astralis 10 [AS], Ivoclar Vivadent) Quartz Tungsten Halogen (QTH) curing lights. Depth of cure of the various lights/curing modes were compared to a conventional QTH light (Max [Mx], Dentsply-Caulk). Ten exposure regimens were investigated: FL1 - 400 mW/cm2 [40 seconds]; FL2 - 0-400 mW/cm2 [12 seconds] --> 400 mW/cm2 [28 seconds]; EL1 - 750 mW/cm2 [10 pulses x 2 seconds], EL2 - 350 mW/cm2 [40 seconds]; EL3 - 600 mW/cm2 [20 seconds]; EL4 - 0 - 600 mW/cm2 [20 seconds] --> 600 mW/cm2 [20 seconds]; TL1 - 800 mW/cm2 [40 seconds]; TL2 - 100- 800 mW/cm2 [15 seconds] --> 800 mW/cm2 [25 seconds]; AS1 - 1200 mW/cm2 [10 seconds]; MX - 400 mW/cm2 [40 seconds]. Depth of cure was determined by penetration, scraping and microhardness techniques. The results were analyzed using one-way ANOVA/Scheffe's post-hoc test and Pearson's correlation at significance level 0.05 and 0.01, respectively. All light curing regimens met the ISO depth of cure requirement of 1.5 mm with the exception of EL1-EL3 with the microhardness technique. Curing with most modes of EL resulted in significantly lower depths of cure than the control [MX]. No significant difference in depth of cure was observed among the control and the two modes of FL. Curing with TL1 resulted in significantly greater depth of cure compared to MX with all testing techniques. No significant difference in depth of cure was observed between the control and AS1 for all testing techniques except for the penetration technique. The depth of composite cure is light unit and exposure mode dependent. Scraping and penetration techniques were found to correlate well but tend to overestimate depth of cure compared to microhardness.     

Effect of LED curing modes on the microleakage of a pit and fissure sealant

PURPOSE: To evaluate in vitro the curing effect of a very high intensity light-emitting diode (LED) unit and a conventional LED unit (including "soft-start" modes) on the microleakage of a pit and fissure sealant. METHODS: 120 intact caries-free human molars were randomly divided into six groups (n=20), sealed with Fissurit-F and polymerized using either a conventional halogen unit (Optilux) (Control group) in standard mode (40 seconds @ 600 mW/cm2); a very high intensity LED unit (Mini LED) in fast (10 seconds @ 1,100 mW/cm2) or soft-start mode (pulse mode: ten 1-second flashes @ 1,100 mW/cm2; exponential mode: exponential increase from 0 to 1,100 mW/cm2 within 10 seconds followed by 10 seconds @1,100 mW/cm2); or a conventional LED unit (Elipar Freelight) in standard (40 seconds @ 400 mW/cm2) or exponential mode (exponential increase from 0 to 400mW/cm2 within 12 seconds followed by 28 seconds @ 400 mW/cm2). Restored specimens were stored in distilled water at 37 degrees C for 24 hours. Specimens were then immersed in a 0.5% fuchsin dye solution for 24 hours, with half of the specimens from each group subjected to thermocycling (5/55 degrees C; x 1000) prior to dye immersion. After removal from the dye solution, specimens were sectioned and the degree of dye penetration scored. Data was statistically analyzed using the Kruskal-Wallis H test and the Mann-Whitney U-test (P< 0.05). RESULTS: There was no statistically significant difference in microleakage of pit and fissure sealant polymerized using various curing techniques. Thermocycling regimens had no effect on either LED- or halogen-cured specimens.     

Polymerization efficiency of different photocuring units through ceramic discs

This study compared the ability of a variety of light sources and exposure modes to polymerize a dual-cured resin composite through ceramic discs of different thicknesses by depth of cure and Vickers microhardness (VHN). Ceramic specimens (360) (Empress 2 [Ivoclar Vivadent], color 300, diameter 4 mm, height 1 or 2 mm) were prepared and inserted into steel molds according to ISO 4049, after which a dual-cured composite resin luting material (Variolink II [Ivoclar Vivadent]) with and without self-curing catalyst was placed. The light curing units used were either a conventional halogen curing unit (Elipar TriLight [3M/ESPE] for 40 seconds), a high-power halogen curing unit (Astralis 10 [Ivoclar Vivadent] for 20 seconds), a plasma arc curing unit (Aurys [Degré K] for 10 seconds or 20 seconds) or different light emitting diode (LED) curing units (Elipar FreeLight I [3M/ESPE] for 40 seconds, Elipar FreeLight II [3M/ESPE] for 20 seconds, LuxOmax [Akeda] for 40 seconds, e-Light [GC] for 12 seconds or 40 seconds). Depth of cure under the ceramic discs was assessed according to ISO 4049, and VHN at 0.5 and 1.0 mm distance from the ceramic disc bottom was determined (ISO 6507-1). Medians and the 25th and 75th percentiles were determined for each group (n=10), and statistical analysis was performed using the Mann-Whitney-U-test (p < or = 0.05). The results showed that increasing ceramic disc thickness had a negative effect on the curing depth and hardness of all light curing units, with hardness decreasing dramatically under the 2-mm thick discs using LuxOmax, e-Light (12 seconds) or Aurys (10 seconds or 20 seconds). The use of a self-curing catalyst is recommended over the light-curable portion only, because it produced an equivalent or greater hardness and depth of cure with all light polymerization modes.     

Post-gel shrinkage with different modes of LED and halogen light curing units

This study compared the post-gel shrinkage of two LED (light-emitting diodes) lights (Elipar FreeLight [FL], 3M ESPE; GC e-Light [EL], GC), a high intensity (Elipar TriLight [TL], 3M ESPE) and a very high intensity (Astralis 10 [AS], Ivoclar Vivadent) halogen light to a conventional (Max [MX] (control), Dentsply-Caulk) halogen light. Ten light curing regimens were investigated. These included continuous (FL1, EL2, MX, TL1 and AS1), soft-start (FL2, EL4, TL2), pulse activation (EL1) and turbo (EL3) modes. A strain-monitoring device and test configuration was used to measure the linear polymerization shrinkage of a composite restorative (Z100, [3M ESPE]) during and post-light polymerization up to 60 minutes when cured with the different modes. Five specimens were made for each cure mode. Results were analyzed using ANOVA/Scheffe's post-hoc test and independent sample t-tests at significance level 0.05. Shrinkage associated with the various modes of EL was significantly lower than MX immediately after light polymerization and at one-minute post-light polymerization. No significant difference between MX and the various lights/cure modes was observed at 10, 30 and 60-minutes post-light polymerization. At all time intervals, post-gel shrinkage associated with continuous light curing mode was significantly higher than the soft-start light curing mode for FL and TL.     

Cytotoxicity of composite materials polymerized with LED curing units

The proper intensity and illumination time of a curing light is of great importance for the complete polymerization of resin composites and long-lasting resin composite restorations. Inadequately cured resin composites can have a cytotoxic effect on pulp tissue by releasing unreacted monomers. This study determined whether there is any difference in cytotoxicity between composite materials illuminated with different curing modes of LED curing units. Thin layers of two composite materials were polymerized using three different modes of the Bluephase C8 LED curing unit: a high intensity mode (HIP-800 mW/cm2, 20 seconds), a soft-start mode (SOF-650 mW/cm2 first 5 seconds, 800 mW/cm2 next 25 seconds) and a low intensity mode (LOP-650 mW/cm2, 30 seconds). Lymphocyte cultures were treated with both polymerized and unpolymerized composites using one of the modes stated above. Cells were analyzed using the trypan blue exclusion test, the acridine orange/ethidium bromide dying technique and an alkaline comet assay. Significant cytotoxicity was observed for 120 mg of unpolymerized composites and those polymerized with the HIP polymerization mode. A significant level of DNA damage was detected for 120 mg of unpolymerized composites. However, curing via the LOP program exhibited the lowest genotoxicity. Longer curing time with lower intensity results in less cytotoxicity than shorter curing exposure using a higher intensity of light emitted from the curing light source.     

Degree of conversion and temperature rise during polymerization of composite resin samples with blue diodes

To ensure an adequate clinical composite filling light source for photopolymerization is of great importance. In everyday clinical conditions commonly used unit for polymerization of composite material is halogen curing unit. The development of new blue superbright light emitting diodes (LED) of 470 nm wavelengths comes as an alternative to standard halogen curing unit of 450-470 nm wavelengths. The purpose of this study was to compare the degree of conversion (DC) and temperature rise of four hybrid composite materials: Tetric Ceram, Pertac II, Valux Plus and Degufill Mineral during 40 s illumination with standard halogen curing unit Heliolux GTE of 600 mW cm(-2) intensity, Elipar Highlight soft-start curing unit of 100 mW cm(-2) (10 s) and 700 mW cm(-2) (30 s) intensity and 16 blue superbright LED of minimal intensity of 12 mW cm(-2) on the surface and 1 mm depth. The results revealed only a little bit higher DC values in case of polymerization with even 66 times stronger halogen curing units which showed twice higher temperature than blue diodes. Temperature and DC obtained are higher on the surface than on 1 mm depth regardless on the light source used.     

Effect of irradiation type (LED or QTH) on photo-activated composite shrinkage strain kinetics,temperature rise,and hardness

This study compares commercially available light-emitting diode (LED) lights with a quartz tungsten halogen (QTH) unit for photo-activating resin-based composites (RBC). Shrinkage strain kinetics and temperature within the RBC were measured simultaneously using the 'deflecting disc technique' and a thermocouple. Surface hardness (Knoop) at the bottom of 1.5-mm thick RBC specimens was measured 24 h after irradiation to indicate degree of cure. Irradiation was performed for 40 s using either the continuous or the ramp-curing mode of a QTH and a LED light (800 mW cm(-2) and 320 mW cm(-2), respectively) or the continuous mode of a lower intensity LED light (160 mW cm(-2)). For Herculite XRV and Filtek Z250 (both containing only camphoroquinone as a photo-initiator) the QTH and the stronger LED light produced similar hardness, while in the case of Definite (containing an additional photo-activator absorbing at lower wavelength) lower hardness was observed after LED irradiation. The temperature rise during polymerization and heating from radiation were lower with LED compared to QTH curing. The fastest increase of polymerization contraction was observed after QTH continuous irradiation, followed by the stronger and the weaker LED light in the continuous mode. Ramp curing decreased contraction speed even more. Shrinkage strain after 60 min was greater following QTH irradiation compared with both LED units (Herculite, Definite) or with the weaker LED light (Z250).     

Influence of light intensity and curing cycle on microleakage of Class V composite resin restorations

The aim of this study was to determine the effect of a softstart polymerization method from Quartz-Tungsten-Halogen (QTH) and Plasma Arc (PAC) curing units on microleakage of Class V composite resin restorations with dentin cavosurface margins. Seventy-five bovine incisors received standardized class V cavities in all dentin margins. Teeth were divided into 5 equal groups according to the curing cycle. The cavities were incrementally restored with a composite resin (Single Bond/Z-100, 3M). Light curing was applied as follows: Group I: PAC light continuous-cycle curing at 1600 mW/cm2 for 3s; Group II: PAC light step-cycle curing (2s at 800 mW/cm2 then 4s at 1600 mW/cm2); Group III: QTH light continuous-cycle curing at 400 mW/cm2 for 40s; Group IV: QTH light ramp-cycle curing (from 100 to 600 mW/cm2 in 15s followed by 25s at 600 mW/cm2); Group V: QTH light pulse-delay curing (200 mW/cm2 for 3s followed by 3 min delay then 600 mW/cm2 for 30s). Teeth were stored in distilled water at 37oC for 30 days and then subjected to thermocycling for 500 cycles at 5 and 55oC. Root apices were sealed and teeth coated with nail varnish before they were immersed in 0.5% fuchsine red dye solution. Teeth were then sectioned and slices were scanned with a computer scanner to determine the area of dye leakage using a computer program (Image Tools). Images of tooth slices were also visually examined under magnification and dye penetration along the tooth/restoration interface was scored. Significant differences in the degree of dye penetration and leakage were detected between groups (p<.05). Groups I and II had significantly higher values of dye penetration and leakage than groups III, IV and V. In conclusion, the use of PAC light curing in a continuous or step cycle modes resulted in increased microleakage of Class V resin composite restorations compared with medium intensity QTH light curing. Pulse, ramp and continuous-cycle curing modes with QTH light resulted in similar degrees of microleakage.     

Polymerization and polymerization shrinkage stress: fast cure versus conventional cure.

Dentists nowadays have a choice of conventional halogen lights, halogen lights with more sophisticated curing cycles (step-cure, rapid-cure, ramp-cure & pulse-cure), fast halogen lights, laser lights, plasma arc lights (PAC) and, lately, LED lights. While the manufacturers of some of the curing units try to improve on the operational reliability of their lights with a slower initial rate of cure, other manufacturers simply wish to offer as fast a curing time as possible. The conventional approach to cure accepts that sufficient light intensity of at least 400 mW/cm2 at a wavelength of 400-500 nm, and an exposure time of at least 40 seconds is needed to cure a 2-mm layer of composite. When a halogen light with higher or very high intensity is used, alternative curing strategies provide for an initial slower cure to allow flow, and after that a higher-intensity cure to improve the degree of cure. In contrast, in the fast-cure or rapid-cure approach it is suggested that a layer of composite can be cured for only 5- 10 seconds at >2000 mW/cm2. Some go so far as to say that an exposure time of 3 seconds per layer may be enough. This contradictory approach is compounded by the fact that this support for fast cure does not seem to consider the negative consequences. Therefore, to address these concerns, this review discusses the possible effects of a fast cure approach compared to a more conventional approach in polymerization and polymerization shrinkage, and the consequences there-off. Other factors that play an influencing role in polymerization shrinkage stress are also included in the discussion.     

Evaluation of curing light distance on resin composite microhardness and polymerization

This study evaluated the influence of the curing tip distance on cure depth of a resin composite by measuring Vickers microhardness and determining the degree of conversion by using FT-Raman spectroscopy. The light curing units used were halogen (500mW/cm2) and LED (900mW/cm2) at a conventional intensity and an Argon laser at 250mW. The exposure time was 40 seconds for the halogen light, 20 seconds for the LED and 20 and 30 seconds for the Argon laser. The curing tip distances of 0, 3, 6 and 9 mm were used and controlled via the use of metal rings. The composite was placed in a black matrix in one increment at a thickness of 1 mm to 4 mm. The values of microhardness and the degree of conversion were analyzed separately by ANOVA (Analysis of Variance) and Tukey test, with a significance level set at 5%. Correlations were analyzed using the Pearson test. The results obtained conclude that greater tip distances produced a decrease in microhardness and degree of conversion values, while increasing the resin thickness decreased the microhardness and degree of conversion values. A higher correlation between microhardness and the degree of conversion was shown. This study suggests that the current light curing units promote a similar degree of conversion and microhardness, provided that the resin is not thicker than 1 mm and the light source is at a maximum distance of 3 mm from the resin surface.     

The Knoop hardness of a composite resin polymerized with different curing lights and different modes

AIM: The purpose of this study was to compare the surface hardness of a hybrid composite resin polymerized with different curing lights. METHODS AND MATERIALS: Two 3.0 mm thick composite resin discs were polymerized in a prepared natural tooth mold using: (1) a conventional quartz-tungsten halogen light (QTH- Spectrum 800); (2) a high-intensity halogen light, Elipar Trilight (TL)-standard/exponential mode; (3) a high-intensity halogen light, Elipar Highlight (HL)-standard/soft-start mode; (4) a light-emitting diode, Elipar Freelight (LED); and (5) a plasma-arc curing light, Virtuoso (PAC). Exposure times were 40 seconds for the halogen and LED lights, and three and five seconds for the PAC light. Following polymerization, the Knoop hardness was measured at the bottom and the top surfaces of the discs. RESULTS: Significant differences were found between top and bottom Knoop Hardness number (KHN) values for all lights. The hardness of the top and bottom surfaces of both specimens cured by the PAC light was significantly lower than the other lights. No significant hardness differences were observed between the remaining curing units at the top of the 2.0 mm specimens. Significant differences were found between the LED and two modes of HL on the bottom surfaces. For the 3.0 mm thick samples, while significant differences were noted between LED and TL standard mode and between the two TL curing modes on the top, significant differences were only observed between QTH and the standard modes of TL and HL at the bottom.     

Influence of curing lights and modes on cross-link density of dental composites

This study investigated the influence of curing lights and modes on the cross-link density of dental composites. Four LED/halogen curing lights (LED-Elipar Freelight [FL], 3M-ESPE and GC e-light [EL], GC; high intensity halogen-Elipar Trilight [TL], 3M-ESPE; very high intensity halogen-Astralis 10 [AS], Ivoclar Vivadent) were selected for this study. Pulse (EL1), continuous (FL1, EL2, TL1), turbo (EL3, AS) and soft-start (FL2, EL4, TL2) curing modes of the various lights were examined. A conventional, continuous cure halogen light (Max [MX], Dentsply-Caulk) was used for comparison. Six composite (Z100, 3M-ESPE) specimens were made for each light-curing mode combination. After polymerization, the specimens were stored in air at 37 degrees C for 24 hours and subjected to hardness testing using a digital microhardness tester (load=500 g; dwell time=15 seconds). The specimens were then placed in 75% ethanol-water solution at 37 degrees C for 24 hours and post-conditioning hardness was determined. Mean hardness (HK)/change in hardness (deltaHK) was computed and the data subjected to analysis using one-way ANOVA/Scheffe's test and Independent Samples t-test (p<0.05). Softening upon storage in ethanol (deltaHK) was used as a relative indication of cross-link density. Specimens polymerized with AS, TL2 and all modes of both LED lights were significantly more susceptible to softening in ethanol than specimens cured with MX. No significant difference in cross-link density was observed among the various modes of EL and FL. For TL, curing with continuous mode resulted in specimens with significantly higher cross-link density than curing with the soft-start mode.     

Microhardness of a Resin Cement Polymerized by Light-Emitting Diode and Halogen Lights through Ceramic

Purpose: This study evaluated the curing efficiency of light-emitting diode (LED) and halogen [quartz tungsten halogens (QTH)] lights through ceramic by determining the surface microhardness of a highly filled resin cement.
Materials and Methods: Resin cement specimens (Variolink Ultra; with and without catalyst) (5-mm diameter, 1-mm thick) were condensed in a Teflon mold. They were irradiated through a ceramic disc (IPS Empress 2, diameter 5 mm, thickness 2 mm) by high-power light-curing units as follows: (1) QTH for 40 seconds (continuous), (2) LED for 20 seconds, and (3) LED for 40 seconds (5-second ramp mode). The specimens in control groups were cured under a Mylar strip. Vickers microhardness was measured on the top and bottom surfaces by a microhardness tester. Data were analyzed using analysis of variance (ANOVA) and a post hoc Bonferroni test at a significance level of p < 0.05.
Results: The mean microhardness values of the top and bottom surfaces for the dual-cured cement polymerized beneath the ceramic by QTH or LED (40 seconds) were significantly higher than that of light-cured cement ( p < 0.05). The top and bottom surface microhardness of dual-cured cement polymerized beneath the ceramic did not show a statistically significant difference between the LED and QTH for 40 seconds ( p > 0.05).
Conclusions: The efficiency of high-power LED light in polymerization of the resin cement used in this study was comparable to the high-power QTH light only with a longer exposure time. A reduced curing time of 20 seconds with high-power LED light for photopolymerizing the dual-cured resin cement under ceramic restorations with a minimum 2-mm thickness is not recommended.     

Effect of ramped light intensity on polymerization force and conversion in a photoactivated composite

PURPOSE: This study evaluated the effect of ramped light intensity on the polymerization shrinkage forces and degrees of conversion (DC) of a hybrid composite. MATERIALS AND METHODS: Composite samples were bonded between two steel rods (2.50 mm diameter, 1.25 mm apart, configuration factor = 1.0) mounted in a universal testing machine using a constant displacement mode. Polymerization contraction force was recorded for 250 seconds under four light exposure conditions: group 1, STD: (40 s x 800 mW/cm2); group 2, EXP: (150 mW/cm2 logarithmic increase to 800 mW/cm2 over 15 s) + (25 s x 800 mW/cm2); group 3, 2-STEP: (10 s x 150 mW/cm2) + (30 s x 800 mW/cm2); group 4, MED: (80 s x 400 mW/cm2). Maximum curing force (N250s) and maximum force rate of the four groups were compared using one-way analysis of variance (ANOVA) (alpha = 0.05) and the Tukey test. Degrees of conversion obtained with STD, EXP, and MED cure modes were evaluated at three depths (top surface, 1 mm, and 2 mm) using Fourier transform infrared spectroscopy (FTIR). RESULTS: Maximum rates of polymerization shrinkage force development and standard deviations (SD), in ascending order, were group 4, MED: 0.33 +/- 0.03 N/s; group 2, EXP: 0.35 +/- 0.06 N/s; group 1, STD: 0.44 +/- 0.03 N/s; and group 3, 2-STEP: 0.46 +/- 0.07 N/s. Maximum rates of polymerization shrinkage force development of group 2, EXP and group 4, MED were statistically equivalent and lower than those of group 1, STD and group 3, 2-STEP. Maximum shrinkage forces (+/- SD), in ascending order, were group 2, EXP: 20.4 +/- 2.5 N; group 4, MED: 25.8 +/- 1.0 N; group 3, 2-STEP: 27.4 +/- 5.8 N, and group 1, STD: 30.5 +/- 2.7 N. Maximum force of the EXP mode was statistically lower than MED, 2-STEP, and STD curing modes. The EXP ramp was successful in reducing the conversion rate at the top surface and at 1.0-mm depth, but it did not affect the total conversion compared to the STD 40-second cure mode. There was no difference in DC at the top surface and 1-mm depth with mode of cure. The MED cure mode resulted in a higher DC than the EXP mode at a depth of 2 mm. CLINICAL SIGNIFICANCE: Maximum shrinkage force and force rate exhibited during the first 250 seconds of polymerization were significantly lower using a ramped light intensity exposure. Ramped light intensity decreased conversion rate at the top surface and at 1.0-mm depth and did not affect the total extent of conversion compared to a standard 40-second, single-intensity cure mode. The slower conversion rate resulting from ramped light intensity helped to reduce the rate and maximum polymerization stress, but would not be expected to compromise the physical properties for the restorative material, since similar degrees of conversion were obtained.     

Influence of curing rate of resin composite on the bond strength to dentin

This study determined whether the strength with which resin composite bonds to dentin is influenced by variations in the curing rate of resin composites. Resin composites were bonded to the dentin of extracted human molars. Adhesive (AdheSE, Ivoclar Vivadent) was applied and cured (10 seconds @ 1000 mW/cm2) for all groups. A split Teflon mold was clamped to the treated dentin surface and filled with resin composite. The rate of cure was varied, using one of four LED-curing units of different power densities. The rate of cure was also varied using the continuous or pulse-delay mode. In continuous curing mode, in order to give an energy density totaling 16 J/cm2, the power densities (1000, 720, 550, 200 mW/cm2) emitted by the various curing units were compensated for by the light curing period (16, 22, 29 or 80 seconds). In the pulse-delay curing mode, two seconds of light curing at one of the four power densities was followed by a one-minute interval, after which light cure was completed (14, 29, 27 or 78 seconds), likewise, giving a total energy density of 16 J/cm2. The specimens produced for each of the eight curing protocols and two resin composites (Tetric EvoCeram, Ivoclar Vivadent; Filtek Supreme XT, 3M ESPE) were stored in water at 37 degrees C for seven days. The specimens were then either immediately subjected to shear bond strength testing or subjected to artificial aging (6,000 cycles between 5 degrees C and 55 degrees C baths) prior to testing. Failure modes were also assessed. The shear bond strengths were submitted to factorial analysis of variance, and the failure modes were submitted to a Chi-square test (alpha = 0.05). All but power density (curing mode, resin composite material and mode of aging) significantly affected shear bond strength. The curing mode and resin composite material also influenced the failure mode. At the selected constant energy density, pulse-delay curing reduced bonding of the resin composite to dentin.     

Post-gel shrinkage with pulse activation and soft-start polymerization

This study investigated the influence of pulse activation and soft-start polymerization regimens on the post-gel shrinkage of a visible light-activated composite resin (Z100). A light-cure unit (BISCO VIP) that allowed for independent command over time and intensity was used. The six light-curing modes that were examined include: Control (C)-400 mW/cm2 [40 seconds]; Pulse Delay I (PDI)-100 mW/cm2 [3 seconds], delay [3 minutes], 500 mW/cm2 [30 seconds]; Pulse Delay II (PDII)-200 mW/cm2 [20 seconds], delay [3 minutes], 500 mW/cm2 [30 seconds]; Soft-start (SS)-200 mW/cm2 [10 seconds], 600 mW/cm2 [30 seconds]; Pulse Cure I (PCI)--two 400 mW/cm2 [10 seconds] and one 400 mW/cm2 [20 seconds] pulses with 10 seconds interval between; and Pulse Cure II (PCII)-two 400 mW/cm2 [20 seconds] pulses with 20 seconds interval between. A strain-monitoring device measured the linear polymerization shrinkage associated with the various cure modes during and post light polymerization up to 60 minutes. Five specimens were made for each cure mode. Data was analyzed using one-way ANOVA and Scheffe's post-hoc test at significance level 0.05. Post-gel shrinkage associated with PDI was significantly lower than with PDII, SS and PCI immediately post light-polymerization. At one-minute post light polymerization, PDI had significantly lower shrinkage compared to PDII and SS. Significant differences in shrinkage were observed between PDI and SS only at 10, 30 and 60 minutes. At all time intervals, no significance in post-gel shrinkage was observed between the control and all-pulse activation/soft-start polymerization regimens.