Effect of aperture size on irradiance of LED curing units.

OBJECTIVE: The aim of this study was to evaluate the light output from LED-curing units measured according to the current ISO standards. The effect of aperture size on irradiance was also evaluated. METHOD: The irradiance of light-curing units and the depths of cure of composites exposed to these units were determined using the methods outlined in ISO standards, ISO/TS10650 and ISO 4049, respectively. The irradiance measured through two different sized apertures was also measured. RESULTS: The irradiance measured with an aperture was greater than that without an aperture. For each light-curing unit and material, there was a linear relationship between the depth of cure and the logarithm of the amount of exposure, which is defined as the product of the irradiance and irradiation time. The correlation coefficients of these linear relationships, using data obtained from the different units was only moderate when the irradiance was measured without an aperture. The correlations improved with decreasing aperture size. SIGNIFICANCE: Since the irradiance is affected by the angular aperture of the light guide and the size of the mold for measuring depth of cure of resin in ISO 4049 is 4-mm diameter, the irradiance through a 4-mm aperture should be used in the determination of the relationship between depth of cure and light exposure.     

Depth of cure and compressive strength of dental composites cured with blue light emitting diodes (LEDs).

OBJECTIVE: The primary objective of this pilot study was to test the hypotheses that (i) depth of cure and (ii) compressive strength of dental composites cured with either a light emitting diode (LED) based light curing unit (LCU) or a conventional halogen LCU do not differ significantly. The second objective of this study was to characterise irradiance and the emitted light spectra for both LCUs to allow comparisons between the units. METHODS: Dental composite (Spectrum TPH, shades A2 and A4) was cured for 40 s with either a commercial halogen LCU or a LED LCU, respectively. The LED LCU uses 27 blue LEDs as the light source. The composites' depth of cure was measured for 10 samples of 4 mm diameter and 8 mm depth for each shade with a penetrometer. The results were compared using a Student's t-test. Compressive strengths were determined after 6 and 72 h, for six samples of 4 mm diameter and 6 mm depth for each shade after being polymerised for 40 s from each end of the mould. Groups were compared using a three way ANOVA. RESULTS: The conventional halogen LCU cured composites significantly (p < 0.05) deeper (6.40 mm A2, 5.19 mm A4) than did the LED LCU (5.33 mm A2, 4.27 mm A4). Both units cured the composite deeper than required by both ISO 4049 and the manufacturer. A three way ANOVA showed that there were no significant differences in the compressive strengths of samples produced with either the LED LCU or the halogen LCU (p = 0.460). Significant differences in compressive strength of samples stored for 6 and 72 h (p = 0.0006) and of samples of different shades (p = 0.035) were found as confirmed by the three way ANOVA. The light spectra of both units differed strongly. While the halogen LCU showed a broad distribution of wavelengths with a power peak at 497 nm, the LED LCU emitted most of the generated light at 465 nm. The LED LCU produced a total irradiance of 350 mW cm-2 whereas the halogen LCU produced a total irradiance of 755 mW cm-2. SIGNIFICANCE: The results showed that both units provided sufficient output to exceed minimum requirements in terms of composites' depth of cure according to ISO 4049 and the depth of cure and the composites' compressive strength stated by the manufacturer. Compressive strengths of dental composites cured under laboratory conditions with a LED LCU were statistically equivalent to those cured with a conventional halogen LCU. With its inherent advantages, such as a constant power output over the lifetime of the diodes, LED LCUs have great potential to achieve a clinically consistent quality of composite cure.     

Depth of cure and surface microhardness of composite resin cured with blue LED curing lights.

OBJECTIVES: This study examined the depth of cure and surface microhardness of Filtek Z250 composite resin (3M-Espe) (shades B1, A3, and C4) when cured with three commercially available light emitting diode (LED) curing lights [E-light (GC), Elipar Freelight (3M-ESPE), 475H (RF Lab Systems)], compared with a high intensity quartz tungsten halogen (HQTH) light (Kerr Demetron Optilux 501) and a conventional quartz tungsten halogen (QTH) lamp (Sirona S1 dental unit). METHODS: The effects of light source and resin shade were evaluated as independent variables. Depth of cure after 40 s of exposure was determined using the ISO 4049:2000 method, and Vickers hardness determined at 1.0 mm intervals. RESULTS: HQTH and QTH lamps gave the greatest depth of cure. The three LED lights showed similar performances across all parameters, and each unit exceeded the ISO standard for depth of cure except GC ELight for shade B1. In terms of shade, LED lights gave greater curing depths with A3 shade, while QTH and HQTH lights gave greater curing depths with C4 shade. Hardness at the resin surface was not significantly different between LED and conventional curing lights, however, below the surface, hardness reduced more rapidly for the LED lights, especially at depths beyond 3 mm. SIGNIFICANCE: Since the performance of the three LED lights meets the ISO standard for depth of cure, these systems appear suitable for routine clinical application for resin curing.     

Curing depths of a universal hybrid and a flowable resin composite cured with quartz tungsten halogen and light-emitting diode units

This in vitro study evaluated curing depths of a universal hybrid resin composite with two viscosities (Tetric Ceram and Tetric Flow) after curing with 6 different quartz tungsten halogen and light-emitting diode curing units. Irradiance (light intensity) of the curing units varied between 200 and 700 mW/cm2. The curing units were used for standard, soft-start, or pulse curing. Curing times were 20 and 40 s for standard curing, 3 + 10 s and 3 + 30 s for pulse curing, and 40 s for soft-start. Resin composite specimens, 5 in each group, with a diameter of 4 mm and a height of 6 mm, were made in brass molds and cured from one side at a distance of 6 mm. After 2 weeks, the specimens were ground longitudinally half through the specimen. Curing depth was then determined by measurement of Wallace hardness for each half millimeter starting at 0.5 mm from the top surface. For all curing units and for both resin composites an increased curing time led to statistically significantly higher depth of cure (P < 0.0005). Tetric Flow showed a statistically significantly higher depth of cure than Tetric Ceram (P < 0.0005). All curing units cured more than 2.0 mm of both composites from a distance of 6 mm at 20 s curing time. The value for 40 s was 3.0 mm. The composite closer to the surface than the depth of cure value was equally well cured with all curing units investigated. There was a significant linear correlation between the determined irradiance of the curing units and the depths of cure obtained (20s: r = 0.89, P < 0.025; 40 s: r = 0.91, P < 0.01).     

Curing performance of a new-generation light-emitting diode dental curing unit

BACKGROUND; Recent technological advances have resulted in the marketing of high-powered, or HP, battery-operated light-emitting diode, or LED, dental curing lights. The authors examine the curing efficiency and peak polymerization temperature, or Tp, of a new HP LED curing light. METHODS: The authors studied four visible light-curing, or VLC, units: HP LED (A), first-generation LED (B), conventional halogen (C) and high-intensity halogen (D). They determined the depth of cure, or DOC; adhesion; and Tp of three types of VLC resin-based composites after exposure to each light. The exposure times for units A and D were one-half those for units B and C. RESULTS: The power density of unit A was 1,000 milliwatts per square centimeter, which was comparable to that of unit D with turbo charge. The DOC and adhesion attained for all three resin-based composites after being light cured by unit A for a 10-second exposure time were equivalent to those after being light cured by unit D for a 10-second exposure time and to those after being light cured by units B and C for 20-second exposure times. The resin-based composites light cured by unit A attained significantly lower Tps than did those light cured by unit D at equivalent cure, or exposure, times and by unit C at twice the cure time. CONCLUSIONS: The authors found that Unit A effectively cured the resin-based composites at one-half the cure time of units B and C and at the same time as unit D, while maintaining low Tp. CLINICAL IMPLICATIONS: The battery-operated HP LED curing light might be an effective, time-saving alternative for clinicians to use in light curing resin-based composites.     

Effect of distance from curing light tip to restoration surface on depth of cure of composite resin

AIMS: While light-activating composite resins, the light tip may not always be close to the surface of the restoration. This may be intentional in an attempt to create a ramp cure. The aim of this study was to determine the effect of a range of separation distances between the light tip and the restoration surface on the depth of composite cure for different types of light-curing units with a broad range of outputs. METHODS: Three halogen light units, one plasma arc-curing (PAC) light unit and two light-emitting diode (LED) curing lights in clinical use were tested, and a total of 570 restorations cured in a two-part human tooth model at separations ranging from 0 to 15 mm. The tooth was disassembled and depth of cure determined using the scrape test ISO 4049. Light intensity was also measured at each separation distance for each light. RESULTS: The depth of cure was generally found to decrease as the separation distance increased for all lights at the various cure times. However, the effect of increasing the separation distance was less than anticipated. The depth of cure was also related to the light output. CONCLUSIONS: Depth of composite cure was directly related to intensity and duration of light exposure and inversely related to distance of the light source from the surface for halogen and plasma lights. However, the effect of increasing the separation distance up to 15 mm was less than expected. Altering the separation distance in order to modify the polymerisation characteristics is unlikely to be effective.     

Light-emitting diode curing light irradiance and polymerization of resin-based composite

BACKGROUND: Light-emitting diode (LED) curing lights are becoming popular; however, questions about their efficiency remain. The authors performed a comprehensive analysis of the properties of resin-based composites cured with LED lights. METHODS: The authors evaluated seven LED lights and one quartz-tungsten-halogen light (control). They measured intensity, depth of cure (DOC), degree of conversion (DC), hardness and temperature rise. They used three shades of a hybrid resin-based composite and a microfill composite, as well as one shade of another hybrid composite. RESULTS: Two LED lights required additional cure time to reach a DOC similar to that of the control light. DC at the top of the samples was independent of the light used. At 2.0 millimeters, the DC for several LED lights was significantly lower than that for the control light and was correlated strongly to the light's intensity. The bottom-to-top ratio for hardness of resin-based composites cured by all but one light was greater than 0.80. All LED lights except one had smaller temperature rise than did the control light. CONCLUSIONS: Six of the seven LED curing lights performed similarly to a quartz-tungsten-halogen curing light in curing resin-based composites. Clinical Implications. While LED curing lights and a quartz-tungsten-halogen light could cure resin-based composites, some resin-based composites cured with LED lights may require additional curing time or smaller increments of thickness.     

DEPTH OF CURE AND COMPRESSIVE STRENGTH OF DENTAL COMPOSITES CURED WITH BLUE LIGHT EMITTING DIODES (LEDs)

Objective: The primary purpose of this study was to test the hypothesis that depth of cure and compressive strength of resin composites cured using either an LED curing light or a QTH curing light would not be significantly different. The second objective was to characterize and compare the irradiance and emitted light spectra for the LED and QTH light curing units.     

Curing depths of a universal hybrid and a flowable resin composite cured with quartz tungsten halogen and light‐emitting diode units

This in vitro study evaluated curing depths of a universal hybrid resin composite with two viscosities (Tetric Ceram and Tetric Flow) after curing with 6 different quartz tungsten halogen and light‐emitting diode curing units. Irradiance (light intensity) of the curing units varied between 200 and 700?mW/cm ² . The curing units were used for standard, soft‐start, or pulse curing. Curing times were 20 and 40?s for standard curing, 3?+?10?s and 3?+?30?s for pulse curing, and 40?s for soft‐start. Resin composite specimens, 5 in each group, with a diameter of 4?mm and a height of 6?mm, were made in brass molds and cured from one side at a distance of 6?mm. After 2 weeks, the specimens were ground longitudinally half through the specimen. Curing depth was then determined by measurement of Wallace hardness for each half millimeter starting at 0.5?mm from the top surface. For all curing units and for both resin composites an increased curing time led to statistically significantly higher depth of cure (P?P?r?=?0.89, P?r?=?0.91, P?相似文献   

Depth of cure and microleakage with high-intensity and ramped resin-based composite curing lights

BACKGROUND: The authors conducted a study to determine whether high-intensity curing lights in high and ramped intensity modes affect microleakage of resin-based composite restorations and whether different types of resin-based composites meet American National Standards Institute/American Dental Association Specification no. 27 (1993): 7.7 for depth of cure when polymerized using these lights. METHODS: The authors compared five high-intensity lights, three plasma arc lights and two quartz-tungsten-halogen lights in their regular and ramped intensity modes with a quartz-tungsten-halogen 40-second light. The parameters tested were microleakage one month after bonding and curing depth for different resin-based composite types. The authors measured curing depth using a scratch test. RESULTS: Light curing with Optilux 501 (Kerr/Demetron, Orange, Calif.) for 10 seconds and ADT Power PAC (American Dental Technologies, Corpus Christi, Texas) for 10 seconds resulted in higher microleakage values than light curing with other lights (P < .05). The microhybrid resin-based composite was the only material that met the specification when light cured with all of the lights tested. The flowable resin-based composite did not meet the specification when light cured with all lights tested. Microhybrid resin-based composite had the greatest depth of cure, and flowable resin-based composite had the least depth of cure. CONCLUSIONS: Microhybrid resin-based composite microleakage is affected by some light-curing modes. Different categories of resin-based composites are cured to different depths using high-intensity lights. CLINICAL IMPLICATIONS: Light curing with some high-intensity lights compared with halogen lights may result in higher microleakage values. Use caution when light curing flowable resin-based composite with the high-intensity lights. Place increments less than 2 millimeters in depth when using this material.     

Curing depth of a composite veneering material polymerized with seven different laboratory photo‐curing units

Properties of laboratory‐cured composite materials are affected by the type of activation system as well as by the photo‐curing unit light source. This study examined curing depth of a composite veneering material polymerized by means of various photo‐curing units with the aim of evaluating the curing performance of the light sources. A microfilled composite material designed for prosthetic veneer was cured with seven photo‐curing units. The light sources of the units were halogen/fluorescent, xenon, metal halide, fluorescent, halogen, halogen and mercury lamps. Exposure periods were 20, 30, 60 and 90 s. The curing depth of the material was determined using the method described by the International Organization for Standardization (ISO 4049). Two‐factor analysis of variance revealed that the depth of cure was influenced both by the type of curing unit and by the exposure period ( P = 0.0001). Among the seven photo‐curing units, a metal halide curing unit consistently exhibited the greatest depth of cure. For all units, longer exposure increased the depth of cure.     

Polymerization Depths of Contemporary Light-Curing Units Using Microhardness

Purpose: This research investigated composite depths of cure using a variety of light‐curing units and exposure protocols. Materials and Methods: Composite (Herculite XRV, shade A2, Kerr, Orange, California) was exposed in opaque compules to conventional quartz tungsten halogen (QTH) units, soft‐start units, high‐intensity QTH and plasma arc (PAC) curing lights, and one argon laser. Cured compules were sonicated to remove uncured composite and were sectioned and polished along the long axis to expose cured composite. Knoop hardness was measured 0.5 mm from the irradiated, top surface and then at 1.0 mm and in 1.0‐mm increments until reliable readings could no longer be obtained. Hardness values were compared by analysis of variance at similar depths within a specific curing‐light classification, using the hardness of the standard 40‐second conventional QTH exposure as comparison (Dunnett's t‐test). Depth of cure was defined as the deepest hardness value found equivalent to that at 0.5‐mm depth for a specific curing light and scenario. Results: Conventional QTH lights provided similar hardness profiles. At 2‐mm depth, use of a different unit or curing tip made no difference in hardness compared with the standard. At this depth, soft‐start (pulse‐delay and step‐cure) methods yielded hardness similar to that of the standard. High‐intensity QTH lights provided similar hardness at 2‐mm depth in 10 seconds to that of the standard 40‐second exposure. Plasma arc exposure for less than 10 seconds produced inferior hardness compared with the standard. A 10‐second PAC and a 5‐second laser exposure gave hardness at 2‐mm depth equivalent to that of the 40‐second standard. Depth of cure for almost all curing scenarios was not greater than 2 mm. CLINICAL SIGNIFICANCE Similar‐type conventional QTH lights with different tip diameter (8 and 12 mm) provide similar composite cure characteristics. Soft‐start techniques provide similar cure profiles to those achieved with conventional QTH technique when used according to manufacturer's recommendations. High‐intensity QTH units and the argon laser can reduce exposure time while providing composite with similar hardness to that of conventional QTH curing. Plasma arc exposure should be at least of 10 seconds duration to provide hardness equivalent to that achieved with conventional 40‐second QTH exposure. Even with consideration of high‐intensity curing units, composite increments should still be no greater than 2 mm to provide homogeneous hardness.     

Curing depth of four composite veneering materials polymerized with different laboratory photo‐curing units

Post‐curing properties of composite materials are influenced by the type of base monomer, activation system, filler content, and also by the type of light source employed. This study examined curing depth of four composite veneering materials polymerized by means of two different high‐intensity photo‐curing units for the purpose of evaluating the curing performance of the combinations of composite material and photo‐curing unit. Two microfilled and two hybrid composite materials designed for prosthetic veneer were assessed. The composite materials were cured using two photo‐curing units, one with a xenon light source and one with two metal halide light sources, and exposure periods varied from 20 to 90 s. Curing depth of the materials was determined with a scraping technique described by the International Organization for Standardization (ISO 4049). Three‐factor analysis of variance revealed that the depth of cure was influenced by the type of composite material as well as by the photo‐curing unit, and also by the exposure period ( P = 0.0001). A microfilled composite material (Dentacolor) demonstrated the greatest depth of cure (4.69 mm) after 90 s irradiation with a metal halide unit (Hyper LII). of the two photo‐curing units, the metal halide curing unit consistently exhibited greater depth of cure than the xenon curing unit (Dentacolor XS). Longer exposure increased the depth of cure for all combinations.     

Curing-light intensity and depth of cure of resin-based composites tested according to international standards

BACKGROUND: Several factors control the light curing of a resin-based composite: the composition of the composite, the shade of the composite, the wavelength and bandwidth of the curing light, the distance of the light from the composite, the intensity of the curing light and the irradiation time. The authors investigated the depth of cure of several shades of five brands of resin-based composites when irradiated via light in the 400- to 515-nanometer wavelength bandwidth at the International Organization for Standardization, or ISO, recommended intensity of 300 milliwatts per square centimeter. The resin-based composites were irradiated for the times recommended by the products' manufacturers. METHODS: The authors used a curing light adjusted to emit 300 mW/cm2 in the 400-nm to 515-nm wavelength bandwidth to polymerize five samples of each composite brand type and shade. They measured depth of cure using a scraping method described in the ISO standard for resin-based composites. Depth of cure was defined as 50 percent of the length of the composite specimen after uncured material was removed by manual scraping. The authors determined a mean from the five samples of each composite brand and shade. RESULTS: Thirteen (62 percent) of 21 composite materials met the ISO standard depth-of-cure requirement of 1.5 millimeters. Six of the eight remaining materials met the depth-of-cure requirement when the authors doubled the irradiation time recommended by the product manufacturers. CONCLUSIONS AND CLINICAL IMPLICATIONS: Curing lights with an intensity of 300 mW/cm2 appear to effectively cure most resin-based composite materials when appropriate curing times are used, which, in some cases, are longer than those recommended by the manufacturers. Dentists should verify the depth of cure of a composite material as a baseline measure, and then check depth of cure periodically to confirm light and material performance. The ISO depth-of-cure measurement method can be used for this purpose.     

Relative efficiency of radiation sources for photopolymerization

The aim of this study was to evaluate the characteristics of new-generation light-emitting diode (LED) units in comparison with the conventional tungsten-halogen, plasma arc, and first-generation LED units reported in our previous study. The irradiance of light from new-generation LED units, the temperature rise of the bovine enamel surface, and the depth of cure of composites exposed to each unit were investigated. The irradiances in the range 400–515 nm emitted from the new-generation LED units were greater than those from the first-generation LED units. The temperature increase was 15–25°C for new-generation LED units compared with a typical value of 5°C for the first-generation LED units at 10 s of irradiation. The relationship between the depth of cure and the logarithm of total exposure energy suggested that LED units can cure light-cured composite resins more efficiently than tungsten-halogen or plasma arc units.     

A Fourier transform Raman spectroscopy analysis of the degree of conversion of a universal hybrid resin composite cured with light-emitting diode curing units

The degree of conversion (DC), of a universal hybrid resin composite cured with LED curing units with low and high power densities and a 510 mW/cm2 quartz tungsten halogen unit, was investigated with Fourier Transform Raman spectroscopy. Three curing depths (0, 2, 4mm) and 0 and 7 mm light guide tip - resin composite (LT - RC) distances were tested. The DC of the LED units varied between 52.3% - 59.8% at the top surface and 46.4% - 57.0% at 4 mm depth. The DC of specimen cured with a 0 mm LT- RC distance at 4 mm depth varied between 50.8% - 57.0% and with 7 mm distance between 46.4% - 55.4%. The low power density LED unit showed a significantly lower DC for both distances at all depth levels compared to the other curing units (p < 0.05). Significant differences between the other curing units were only found at the 4 mm depth level cured from 7 mm distance (p < 0.05). The reduction in DC by increasing LT- RC distance was less than 10% for all curing units. It can be concluded that the improved LED curing units could cure the studied resin composite to the same DC as the control unit.     

影响光固化复合树脂固化深度的有关因素探讨

目的:探讨不同树脂、不同光固化灯、不同投照距离、不同投照时间等因素对光固化复合树脂固化深度的影响。方法:制备底面直径4mm,高6mm的圆柱形试件模具,采用多因素不同水平的析因实验设计,共制备192例试件。用Planmeca曲面断层机扫描试件,并测量其固化深度。实验数据采用SPSS11.5软件包进行方差分析。结果:4种处理因素自身不同水平比较,差异具有统计学意义(P<0.01),且4个因素之间存在交互作用(P<0.01)。结论:2种光固化灯、2种树脂、4个投照距离、4个投照时间对光固化深度均有影响。对每种因素的优化,必将对固化深度产生叠加效果。     

Comparison of halogen, plasma and LED curing units

This study evaluated the characteristics of two kinds of recently developed light-curing unit; plasma arc and blue light emitting diodes (LED), in comparison with a conventional tungsten-halogen light-curing unit. The light intensity and spectral distribution of light from these light-curing units, the temperature rise of the bovine enamel surface and the depth of cure of composites exposed to each unit were investigated. The light intensity and depth of cure were determined according to ISO standards. The spectral distributions of emitted light were measured using a spectro-radiometer. The temperature increase induced by irradiation was measured by using a thermocouple. Generally, light intensities in the range 400-515 nm emitted from the plasma arc were greater than those from other types. Light in the UV-A region was emitted from some plasma arc units. The required irradiation times were six to nine seconds for the plasma arc units and 40 to 60 seconds for the LED units to create a depth of cure equal to that produced by the tungsten-halogen light with 20 seconds of irradiation. The temperature increased by increasing the irradiation time for every light-curing unit. The temperature increases were 15 degrees C to 60 degrees C for plasma arc units, around 15 degrees C for a conventional halogen unit and under 10 degrees C for LED units. Both the plasma arc and LED units required longer irradiation times than those recommended by their respective manufacturers. Clinicians should be aware of potential thermal rise and UV-A hazard when using plasma arc units.     

Evaluation of curing performance of light-emitting polymerization units

The depth of cure of resin composites is affected by material physical qualities and polymerization source variables. This study evaluated the spectral distribution and intensity of light-emitting diode (LED) and conventional quartz-tungsten halogen curing units, with depth of cure as the testing parameter. The depth of cure was determined using a scraping test, modified from an International Organization for Standards protocol. The light energy spectral distribution (peak wavelength) from each curing unit was determined using a visible-ultraviolet light spectrophotometer. The intensity of each unit (LED and halogen) was measured using LED and conventional radiometers. Data analysis using ANOVA revealed significant differences between the curing units. Based upon depth of cure measurements, the LED units generally were more effective than the conventional halogen unit at polymerizing resin composite. Dentists should be aware that LED curing units offer portability, reduced heat production, and more consistent intensity output per life of the unit.     

Polymerization depths of contemporary light-curing units using microhardness

PURPOSE: This research investigated composite depths of cure using a variety of light-curing units and exposure protocols. MATERIALS AND METHODS: Composite (Herculite XRV, shade A2, Kerr, Orange, California) was exposed in opaque compules to conventional quartz tungsten halogen (QTH) units, soft-start units, high-intensity QTH and plasma arc (PAC) curing lights, and one argon laser. Cured compules were sonicated to remove uncured composite and were sectioned and polished along the long axis to expose cured composite. Knoop hardness was measured 0.5 mm from the irradiated, top surface and then at 1.0 mm and in 1.0-mm increments until reliable readings could no longer be obtained. Hardness values were compared by analysis of variance at similar depths within a specific curing-light classification, using the hardness of the standard 40-second conventional QTH exposure as comparison (Dunnett's t-test). Depth of cure was defined as the deepest hardness value found equivalent to that at 0.5-mm depth for a specific curing light and scenario. RESULTS: Conventional QTH lights provided similar hardness profiles. At 2-mm depth, use of a different unit or curing tip made no difference in hardness compared with the standard. At this depth, soft-start (pulse-delay and step-cure) methods yielded hardness similar to that of the standard. High-intensity QTH lights provided similar hardness at 2-mm depth in 10 seconds to that of the standard 40-second exposure. Plasma arc exposure for less than 10 seconds produced inferior hardness compared with the standard. A 10-second PAC and a 5-second laser exposure gave hardness at 2-mm depth equivalent to that of the 40-second standard. Depth of cure for almost all curing scenarios was not greater than 2 mm. CLINICAL SIGNIFICANCE: Similar-type conventional QTH lights with different tip diameter (8 and 12 mm) provide similar composite cure characteristics. Soft-start techniques provide similar cure profiles to those achieved with conventional QTH technique when used according to manufacturer's recommendations. High-intensity QTH units and the argon laser can reduce exposure time while providing composite with similar hardness to that of conventional QTH curing. Plasma arc exposure should be at least of 10 seconds duration to provide hardness equivalent to that achieved with conventional 40-second QTH exposure. Even with consideration of high-intensity curing units, composite increments should still be no greater than 2 mm to provide homogeneous hardness.