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Research Article
Assessment of the radiant emittance of damaged/contaminated dental light-curing tips by spectrophotometric methods
Abdulrahman A. Balhaddad, Isadora Garcia, Fabrício Collares, Cristopher M. Felix, Nisha Ganesh, Qoot Alkabashi, Ward Massei, Howard Strassler, Mary Anne Melo
Restor Dent Endod 2020;45(4):e55.   Published online November 3, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e55
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the effects of physically damaged and resin-contaminated tips on radiant emittance, comparing them with new undamaged, non-contaminated tips using 3 pieces of spectrophotometric laboratory equipment.

Materials and Methods

Nine tips with damage and/or resin contaminants from actual clinical situations were compared with a new tip without damage or contamination (control group). The radiant emittance was recorded using 3 spectrophotometric methods: a laboratory-grade thermopile, a laboratory-grade integrating sphere, and a portable light collector (checkMARC).

Results

A significant difference between the laboratory-grade thermopile and the laboratory-grade integrating sphere was found when the radiant emittance values of the control or damaged/contaminated tips were investigated (p < 0.05), but both methods were comparable to checkMARC (p > 0.05). Regardless of the method used to quantify the light output, the mean radiant emittance values of the damaged/contaminated tips were significantly lower than those of the control (p < 0.05). The beam profile of the damaged/contaminated tips was less homogeneous than that of the control.

Conclusions

Damaged/contaminated tips can reduce the radiant emittance output and the homogeneity of the beam, which may affect the energy delivered to composite restorations. The checkMARC spectrophotometer device can be used in dental offices, as it provided values close to those produced by a laboratory-grade integrated sphere spectrophotometer. Dentists should assess the radiant emittance of their light-curing units to ensure optimal curing in photoactivated, resin-based materials.

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Review Article
Thermal irritation of teeth during dental treatment procedures
Su-Jung Kwon, Yoon-Jung Park, Sang-Ho Jun, Jin-Soo Ahn, In-Bog Lee, Byeong-Hoon Cho, Ho-Hyun Son, Deog-Gyu Seo
Restor Dent Endod 2013;38(3):105-112.   Published online August 23, 2013
DOI: https://doi.org/10.5395/rde.2013.38.3.105
AbstractAbstract PDFPubReaderePub

While it is reasonably well known that certain dental procedures increase the temperature of the tooth's surface, of greater interest is their potential damaging effect on the pulp and tooth-supporting tissues. Previous studies have investigated the responses of the pulp, periodontal ligament, and alveolar bone to thermal irritation and the temperature at which thermal damage is initiated. There are also many in vitro studies that have measured the temperature increase of the pulp and tooth-supporting tissues during restorative and endodontic procedures. This review article provides an overview of studies measuring temperature increases in tooth structures during several restorative and endodontic procedures, and proposes clinical guidelines for reducing potential thermal hazards to the pulp and supporting tissues.

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Basic Research
Power density of light curing units through resin inlays fabricated with direct and indirect composites
Hoon-Sang Chang, Young-Jun Lim, Jeong-Mi Kim, Sung-Ok Hong
J Korean Acad Conserv Dent 2010;35(5):353-358.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.353
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to measure the power density of light curing units transmitted through resin inlays fabricated with direct composite (Filtek Z350, Filtek Supreme XT) and indirect composite (Sinfony).

Materials and Methods

A3 shade of Z350, A3B and A3E shades of Supreme XT, and A3, E3, and T1 shades of Sinfony were used to fabricate the resin inlays in 1.5 mm thickness. The power density of a halogen light curing unit (Optilux 360) and an LED light curing unit (Elipar S10) through the fabricated resin inlays was measured with a hand held dental radiometer (Cure Rite). To investigate the effect of each composite layer consisting the resin inlays on light transmission, resin specimens of each shade were fabricated in 0.5 mm thickness and power density was measured through the resin specimens.

Results

The power density through the resin inlays was lowest with the Z350 A3, followed by Supreme XT A3B and A3E. The power density was highest with Sinfony A3, E3, and T1 (p < 0.05). The power density through 0.5 mm thick resin specimens was lowest with dentin shades, Sinfony A3, Z350 A3, Supreme XT A3B, followed by enamel shades, Supreme XT A3E and Sinfony E3. The power density was highest with translucent shade, Sinfony T1 (p < 0.05).

Conclusions

Using indirect lab composites with dentin, enamel, and translucent shades rather than direct composites with one or two shades could be advantageous in transmitting curing lights through resin inlays.

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Original Articles
The effect of intermittent composite curing on marginal adaptation
Yong-Hwan Yun, Sung-Ho Park
J Korean Acad Conserv Dent 2007;32(3):248-259.   Published online May 31, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.3.248
AbstractAbstract PDFPubReaderePub

The aim of this research was to study the effect of intermittent polymerization on marginal adaptation by comparing the marginal adaptation of intermittently polymerized composite to that of continuously polymerized composite.

The materials used for this study were Pyramid (Bisco Inc., Schaumburg, U.S.A.) and Heliomolar (Ivoclar Vivadent, Liechtenstein). The experiment was carried out in class II MOD cavities prepared in 48 extracted human maxillary premolars. The samples were divided into 4 groups by light curing method; group 1- continuous curing (60s light on with no light off); group 2- intermittent curing (cycles of 3s with 2s light on & 1s light off for 90s); group 3- intermittent curing (cycles of 2s with 1s light on & 1s light off for 120s); group 4- intermittent curing (cycles of 3s with 1s light on & 2s light off for 180s). Consequently the total amount of light energy radiated was same in all the groups. Each specimen went through thermo-mechanical loading (TML) which consisted of mechanical loading (720,000 cycles, 5.0 kg) with a speed of 120 rpm for 100 hours and thermocycling (6000 thermocycles of alternating water of 50℃ and 55℃). The continuous margin (CM) (%) of the total margin and regional margins, occlusal enamel (OE), vertical enamel (VE), and cervical enamel (CE)) was measured before and after TML under a × 200 digital light microscope.

Three-way ANOVA and Duncan's Multiple Range Test was performed at 95% level of confidence to test the effect of 3 variables on CM (%) of the total margin: light curing conditions, composite materials and effect of TML. In each group, One-way ANOVA and Duncan's Multiple Range Test was additionally performed to compare CM (%) of regions (OE, VE, CE).

The results indicated that all the three variables were statistically significant (p < 0.05). Before TML, in groups using Pyramid, groups 3 and 4 showed higher CM (%) than groups 1 and 2, and in groups using Heliomolar, groups 3 and 4 showed higher CM (%) than group 1 (p < 0.05). After TML, in both Pyramid and Heliomolar groups, group 3 showed higher CM (%) than group 1 (p < 0.05). CM (%) of the regions are significantly different in each group (p < 0.05). Before TML, no statistical difference was found between groups within the VE and CE region. In the OE region, group 4 of Pyramid showed higher CM (%) than group 2, and groups 2 and 4 of Heliomolar showed higher CM (%) than group 1 (p < 0.05). After TML, no statistical difference was found among groups within the VE and CE region. In the OE region, group 3 of Pyramid showed higher CM (%) than groups 1 and 2, and groups 2,3 and 4 of Heliomolar showed higher CM (%) than group 1 (p < 0.05).

It was concluded that intermittent polymerization may be effective in reducing marginal gap formation.

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The polymerization rate and the degree of conversion of composite resins by different light sources
Joo-Hee Ryoo, In-Bog Lee, Hyun-Mee Yoo, Mi-Ja Kim, Chang-In Seok, Hyuk-Choon Kwon
J Korean Acad Conserv Dent 2004;29(4):386-398.   Published online July 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.4.386
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to observe the reaction kinetics and the degree of polymerization of composite resins when cured by different light sources and to evaluate the effectiveness of the blue Light Emitting Diode Light Curing Units (LED LCUs) compared with conventional halogen LCUs.

Materials and Methods

First, thermal analysis was performed by a differential scanning calorimeter (DSC). The LED LCU (Elipar Freelight, 320 mW/cm2) and the conventional halogen LCU (XL3000, 400 mW/cm2) were used in this study for curing three composite resins (SureFil, Z-250 and AEliteFLO). Second, the degree of conversion was obtained in the composite resins cured according to the above curing mode with a FTIR. Third, the measurements of depth of cure were carried out in accordance with ISO 4049 standards. Statistical analysis was performed by two-way ANOVA test at 95% levels of confidence and Duncan's procedure for multiple comparisons.

Results

The heat of cure was not statistically different among the LCUs (p > 0.05). The composites cured by the LED (Exp) LCUs were statistically more slowly polymerized than by the halogen LCU and the LED (Std) LCU (p < 0.05). The composite resin groups cured by the LED (Exp) LCUs had significantly greater degree of conversion value than by the halogen LCU and the LED (Std) LCU (p = 0.0002). The composite resin groups cured by the LED (Std) LCUs showed significantly greater depth of cure value than by the halogen LCU and the LED (Exp) LCU (p < 0.05).

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Influence of the curing time for the adhesive on the oxygen-inhibited layer thickness and the shear bond strength to dentin
Yong-Hoon Choi, Ji-Hyun Bae, Ho-Hyun Son, In-Bog Lee, Chung-Moon Um, Seung-Ho Baek, Oh-Young Kim, Chang-Keun Kim, Byeong-Hoon Cho
J Korean Acad Conserv Dent 2004;29(2):177-184.   Published online January 14, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.2.177
AbstractAbstract PDFPubReaderePub
ABSTRACT Objectives:

This study investigated the hypothesis that increasing light-curing time would leave the oxygen-inhibited layer (OIL) of the adhesive thinner, and in turn, result in lower shear bond strength (SBS) than those obtained by the routine curing procedures.

Methods:

120 human extracted posterior teeth were randomly divided into three groups for bonding with three adhesives: All Bond 2®, One Step®, and Adper Prompt®. They were subsequently divided into four subgourps with different light-curing time (10, 20, 30 and 60 s). The assigned adhesives were applied on superficial occlusal dentin according to the manufacturer’s instructions and cured with one of the four curing times. Composite resin cylinder, 2.35 mm in diameter, were built on the cured adhesive and light-cured for 40 s. SBS were measured after 24 h from the bonding using a universal testing machine (crosshead speed 1.0 mm/min). The relative thickness of the OIL and the degree of conversion (DC) were determined from the adhesive on a slide glass using FT-NIR in an absorbance mode. Data were analysed with One-way ANOVA and Duncan’s multiple test (p < 0.05).

Results:

With increasing cure time, although there were no significant difference in th SBS of One-step and Adper Prompt (p > 0.05), those of All Bond 2 decreased significantly (p < 0.05). The relative thicknesses of the OIL on each adhesive were not affected by the cure time (p > 0.05). Although the DC of All-Bond 2 were statistically not different with increasing cure time (p > 0.05), those of One-Step and Adper Prompt showed an increasing trends with increasing cure time (p < 0.05).

Conclusions:

Increasing light-curing time did not affect on the relative thickness of the OIL of the adhesives, and in turn, on the SBS to dentin.

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Color changes in composites according to various light curing sources
Young-Gon Cho, Myung-Cho Kim
J Korean Acad Conserv Dent 2002;27(1):87-94.   Published online January 31, 2002
DOI: https://doi.org/10.5395/JKACD.2002.27.1.087
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the color changes of composite resin polymerized with three type of light curing units. Composite resin (Z100, shade A2) were applied in a cylindrical metal mold(2 mm thick, 7 mm diameter).

Twenty specimens according to light curing units were made.

Group1: the specimens were polymerized with Apollo 95E for 3seconds(1370 mW/cm2).

Group2: the specimens were polymerized with XL 3000 for 40seconds(480 mW/cm2).

Group3: the specimens were polymerized with Spectrum 800 for 10 seconds(250 mW/cm2) and 30 seconds(700 mW/cm2).

The microhardness values(VHN) of upper and lower surfaces specimens after light polymerization were measured for the degree of polymerization. All specimens were stored in distilled water at 60℃ for 30 days.

The color characteristics(L*, a*, b*) of the specimens before and after immersion were measured by spectrophotometer and the total color difference (ΔE*) was computed.

The results obtained were as follows:

1. The microhardness values of Group I showed significantly lower than those of Group II and III(p<0.05).

2. In all groups the ΔE* values presented below 2.0.

3. Group I showed the highest ΔE* values followed order from highest to lowest by Group II and III (p<0.05).

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