Influence of light-curing mode on the cytotoxicity of resin-based surface sealants.

BACKGROUND: Surface sealants have been successfully used in the prevention of erosive tooth wear. However, when multiple tooth surfaces should be sealed, the light-curing procedure is very time-consuming. Therefore, the aim of this study was to investigate whether reduced light-curing time (while maintaining similar energy density) has an influence on resin-based surface sealant cytotoxicity. METHODS: Bovine dentine discs were treated as follows: group 1: untreated, groups 2-5: Seal&Protect and groups 6-9: experimental sealer. Groups 2 and 6 were light-cured (VALO LED light-curing device) for 40 s (1000 mW/cm2), groups 3 and 7 for 10 s (1000 mW/cm2), groups 4 and 8 for 7 s (1400 mW/cm2) and groups 5 and 9 for 3 s (3200 mW/cm2). Later, materials were extracted in culture medium for 24 h, and released lactate dehydrogenase (LDH) activity as a measure of cytotoxicity was determined photometrically after cells (dental pulp cells and gingival fibroblasts) were exposed to the extracts for 24 h. Three independent experiments, for both sample preparation and cytotoxicity testing, were performed. RESULTS: Overall, lowest cytotoxicity was observed for the unsealed control group. No significant influence of light-curing settings on the cytotoxicity was observed (p = 0.537 and 0.838 for pulp cells and gingival fibroblasts, respectively). No significant difference in the cytotoxicity of the two sealants was observed after light-curing with same light-curing settings (group 2 vs. 6, 3 vs. 7, 4 vs. 8 and 5 vs. 9: p > 0.05, respectively). CONCLUSIONS: Shortening the light-curing time, while maintaining constant energy density, resulted in no higher cytotoxicity of the investigated sealants.

Effect of artificial aging on the bond durability of fissure sealants.

PURPOSE: To evaluate the effect of artificial aging on the bond durability of fissure sealants in vitro. MATERIALS AND METHODS: Twenty bovine incisors received 4 different sealant treatments and were divided into four groups: 1. Ultraseal XT plus (UX); 2. Enamel Loc (EL); 3. 35% phosphoric acid plus Enamel Loc (PEL); 4. Adper Prompt L-Pop plus Clinpro (PPC). Beam-shaped specimens were prepared and randomly divided into three subgroups. One subgroup underwent the microtensile bond strength (µTBS) test after 24-h storage in 37°C water. The other two subgroups were also subjected to the microtensile bond strength test after 5000 and 10,000 thermal cycles, respectively. Another twelve intact human third molars were sealed using 1 of 3 methods and were divided into 3 groups of 4 each: 1. Ultraseal XT plus; 2. Adper Prompt L-Pop plus Clinpro; and 3. Enamel Loc. Two specimens from each group were immersed in a 50% silver nitrate solution for 24 h, followed by exposure to fluorescent light for 8 h, before being scanned in a micro-CT (microcomputer tomography) machine. The other two were handled in the same way after undergoing 10,000 thermal cycles. The CT images obtained were evaluated. RESULTS: All samples from the EL group were broken during preparation, so no µTBS results were available. After 5000 thermal cycles, the bond strengths of the three other groups (UX, PEL, PPC) decreased significantly (p < 0.05). Longer thermocycling (10,000 cycles) resulted in more decreases in µTBS for group PEL and PPC, while the strength of the UX group remained relatively unchanged. After thermocycling, considerable silver penetration could be seen at the sealant/enamel interface of the EL group in micro-CT images. CONCLUSIONS: The etch-and-rinse procedure for sealant application promotes higher bond strength under artificial aging. Micro-CT, a nondestructive analytical tool, may be used to evaluate the sealant/enamel interface effectively.

Comparison of halogen versus LED light-cured temporary endodontic filling materials for sealing.

AIM: The purpose of this study was to compare the sealing ability of the three light-cured temporary restorative materials curing with two different light curing devices; halogen and LED. METHODS: After the preparation of standard endodontic access cavities, the canal systems were instrumented by using a step-back technique irrigated with sodium hypochlorite and EDTA. Light-cured temporary restorative materials; First fill, Bioplic, and Diatemp were applied and polymerized with either of the LED or Halogen light-curing devices. The specimens were immersed in 2% methylene blue solution for four days in an incubator for the leakage assessment. RESULTS: The first fill presented the least microleakage values for both the LED (2.54±0.53) and halogen (2.84±0.48) treated groups whereas; Diatemp presented the highest microleakage values for both the LED (2.83±0.59) and halogen (3.28±0.56) groups. The leakage values of all light-cured temporary filling materials for the LED-treated groups were lower than the halogen treated ones. However, there were statistically no significant differences among the three groups (P>0.05). CONCLUSION: It is concluded that light curing temporary filling materials can achieve a good and comparable sealing capacity when cured by both LED and halogen LCUs.

Removal of organic debris with Er:YAG laser irradiation and microleakage of fissures sealants in vitro.

The current study was conducted to improve fissure sealing by pre-treatment with Er:YAG laser irradiation in order to remove organic debris. The surface morphology, surface roughness of fissure cavities, and the degree of microleakage after laser treatment were compared with those after bristle brush treatment in vitro. Sixty extracted human teeth were used in this study. The teeth were randomly divided into two groups of 30 each. Artificial fissures were prepared in all teeth into which artificial organic debris was placed. The debris in 30 teeth of one group was removed by means of Er:YAG laser system and the remaining 30 teeth were cleaned using a bristle brush with prophylaxis paste. Surface morphology and surface roughness of were analyzed in ten samples from each group by color laser three-dimensional (3D) microscopy and by scanning electron microscopic examination. The remaining samples were then filled with sealant and subjected to a microleakage test under thermocycling. Statistical analysis was performed using the Mann-Whitney U test; a value of p < 0.05 was considered significant. Morphologically, most of the debris was removed by Er:YAG laser treatment, whereas some fissures were not cleaned by bristle brush. However, microleakage test of both laser and etched brush methods showed similar results. Laser technique might facilitate good adaptation of resin sealant to enamel, because of an increase in surface roughness and favorable surface characteristics.

Tensile bond strength of sealants following Er:YAG laser etching compared to acid etching in permanent teeth.

The aim of this in vitro study was to assess the effect of Er:YAG laser surface treatment on the tensile bond strength of a sealant in permanent teeth. A total of 30 sound third molars were selected and embedded in cold-cure acrylic resin. The enamel surfaces were flattened by a grinding. The teeth were randomly divided into three groups and pretreated as follows: (1) 37% phosphoric acid; (2) Er:YAG laser (1.5 ml/min water spray, 100 mJ energy output, 10 Hz frequency, focal distance 17 mm); (3) Er:YAG laser + 37% phosphoric acid. The treated surfaces were isolated by double adhesive Sellotape and after insertion of a split Teflon matrix at an isolated site, sealant was applied. The specimens were thermocycled and stored at 37°C in distilled water for 72 h, then subjected to a tensile bond strength test (50 kgf at 0.5 mm/min). The mean tensile bond strengths (± SD, in megapascals) were: 18.51 ± 5.68 in group 1, 8.06 ± 2.69 in group 2, and 17.33 ± 5.04 in group 3. Data were submitted to analysis of variance and the Tukey test. No significant difference were found between groups 1 (37% phosphoric acid) and group 3 (Er:YAG laser + 37% phosphoric acid) but treatment with the Er:YAG laser alone (group 2) resulted in significantly lower tensile bond strength than seen in the other groups. In this setting, the Er:YAG laser prepared the enamel surface for sealing but did not eliminate the need for acid etching before sealant application.

Impact of extended radiant exposure time on polymerization depth of fluoride-containing fissure sealer materials.

Physical properties such as surface hardness of dental materials are directly linked to their clinical behavior. The aim of this study was to investigate the influence of extended curing time on the polymerization depth offluoride-containing materials used as pit and fissure sealants. Conventional and extended exposure times (20 and 60 seconds) were used to photoactivate a gold-standard pit and fissure sealant (Fluroshield, Dentsply) and a flowable composite (PermaFlo, Ultradent). Twenty square-shaped samples (n=5) were prepared using a LED device (Bluephase 16i, Ivoclar). The Knoop Hardness Number (KHN) was calculated for the top and bottom surface of each sample 24 hours after polymerization. Bottom/top hardness ratio (B/T KHN) was than calculated. Averages were analyzed by two-way ANOVA and Tukey test (alpha=0.05). The flowable composite had higher KHN than conventional pit and fissure sealant for all experimental conditions (p<0.05). The 60-second photoactivation time increased KHN at the bottom surface and B/T KHN only of composite specimens. The flowable composite had better physical properties than the pit and fissure sealant, and they were improved by extended curing time.

Light transmittance characteristics and refractive indices of light-activated pit and fissure sealants.

We examined the light transmittance characteristics and refractive indices of light-activated pit and fissure sealants. Five commercial pit and fissure sealants and human enamel were studied, along with the CIE L*a*b* color values of the materials and enamel. The light transmittance spectra of the pit and fissure sealants showed a similar trend to the enamel, especially at wavelengths below 530 nm. The average light transmittance values from 400 to 500 nm of the materials at 0.5-mm-thick ranged from 10.0% to 40.4%. The refractive indices at 589.3 nm ranged from 1.504 to 1.546, and were approximately 4-8% lower than that of enamel. The measurements for the surface hardness of materials indicate that the light-attenuating effect of enamel and the material itself reduced the polymerization efficiency of the material. For all materials, chromatic a* showed negative and b* showed positive values, as did enamel. Significant differences in light transmittance characteristics and refractive indices between the materials and enamel may affect color matching between them.

A comparative study to evaluate the effect of fluoride releasing sealant cured by visible light, argon lasers, and light emitting diode curing units: an in vitro study.

In Pediatric Dentistry, the use of pit and fissure sealant is one of the essential forms of prevention. Pit and fissure caries may be substantially decreased by obliteration of these developmental defects in occlusal, buccal and lingual surfaces with resin based dental sealants. Visible light-curing units, or LCUs, are an integral part of modern adhesive dentistry" They are used to cure resin based composite restoration materials, resin modified glass-ionomer and pit and fissure sealants, as well as to bond orthodontic teeth. Most recently, the argon laser has been approved for initiating the setting reaction with visible light cured-resins. Argon curing of resin materials has been show to enhance the physical properties and degree of polymerization of the resin, while reducing the polymerization time by 75 percent. The study is undertaken considering the inadequate research reports of regarding the comparison of curing ability using argon laser. LEDs and visible light as well as the resistant towards caries activity of the preventive fluoride releasing pit and fissure sealant cured by above mentioned curing units.

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.

Comparative evaluation of the microhardness of 4 dental sealants.

AIM: Aim of this study was the evaluation of the microhardness of 4 dental sealants polymerised with two different curing units. METHODS: Twenty samples (5 x 5x 2 mm) were prepared with 4 different sealants; 10 samples for each group were polymerised with a plasma curing unit (Apollo 95 E DMD) and 10 with a halogen curing light (Heliolux DLX Vivadent ETS, Schaan, Liechtenstein). For each section 6 Vickers microhardness measurements were performed (VMHT 30A, Leica Wien, Austria), 3 on the surface exposed to the light and 3 on the opposite surface. After the baseline assessment all samples were stored in artificial saliva at 37 degrees C for 30, 60, 90, 180 and 360 days, and then analysed again with the microhardness indenter and observed under steromicroscope 10X (Leica DM2500 Wien, Austria). Data were then statistically analysed. RESULTS: The hybrid composite Tetric flow (group IV) showed the higher microhardness values compared to the other tested materials (group I, II, III); surfaces exposed to curing light showed higher microhardness values than opposite surfaces. Moreover, a significant microhardness reduction was observed after 30 days; values remained unmodified after 60, 90, 180 and 360 days. STATISTICS: Data were then statistically analysed with Anova test for repeated measures, with a global significance level of 0.05. CONCLUSION: Because of the good mechanical properties of dental sealants they represent the first choice materials in pits and fissures sealing.

Influence of surface sealing on color stability and roughness of composite submitted to ultraviolet-accelerated aging.

AIM: In the present study, we evaluated the influence of surface sealing on color stability and surface roughness of a composite resin after accelerated artificial aging. METHODS: Thirty-two specimens of a composite were prepared. After 24 h, the specimens were polished and divided into four groups (n = 8), according to the surface sealant used, including the control, which had no sealant application. Baseline color was measured according to the CIELab system using a reflection spectrophotometer. Surface roughness was determined using a profilometer with a cut-off of 0.25 mm. After these tests, specimens were aged for 252 h in an ultraviolet (UV)-accelerated aging chamber. Color stability was determined by difference between coordinates obtained before and after the aging procedure. Data of color change and roughness were evaluated by anova and Fisher's exact test (α = 0.05). RESULTS: The results showed that the unsealed group had the highest color change compared to other groups (P = 0.0289), and there was no significant difference between groups sealed with surface sealant (P > 0.05). The artificial aging caused an increase in roughness values independent of the experimental group studied (P = 0.0015). CONCLUSION: The sealed composites showed lower color change after UV aging, but all groups showed clinically-acceptable color change, and only liquid polish decreased roughness.

Selective removal of composite sealants with near-ultraviolet laser pulses of nanosecond duration.

It is often necessary to replace pit and fissure sealants and composite restorations. This task is complicated by the necessity for complete removal of the remaining composite to enable suitable adhesion of new composite. Previous studies have shown that 355-nm laser pulses from a frequency-tripled Nd:YAG laser can selectively remove residual composite after orthodontic bracket removal on enamel surfaces. Our objective is to determine if such laser pulses are suitable for selective removal of composite pit and fissure sealants and restorations. Optical coherence tomography is used to acquire optical cross sections of the occlusal topography nondestructively before sealant application, after sealant application, and after sealant removal. Thermocouples are used to monitor the temperature in the pulp chamber during composite removal under clinically relevant ablation rates, i.e., 30 Hz and 30 mJ/pulse. At an irradiation intensity of 1.3 J/cm2, pit and fissure sealants are completely removed without visible damage to the underlying enamel. At intensities above 1.5 J/cm2, incident laser pulses remove the resin layer while at the same time preferentially etching the surface of the enamel. Temperature excursions in the pulp chamber of extracted teeth are limited to less than 5 degrees C if air-cooling is used during the rapid removal (1 to 2 min) of sealants, water-cooling is not necessary. Selective removal of composite restorative materials is possible without damage to the underlying sound tooth structure.

Curing of pit & fissure sealants using Light Emitting Diode curing units.

Light Emitting Diode (LED) curing units are attractive to clinicians, because most are cordless and should create less heat within tooth structure. However, questions about polymerization efficacy have surrounded this technology. This research evaluated the adequacy of the depth of cure of pit & fissure sealants provided by LED curing units. Optilux (OP) and Elipar Highlight (HL) high intensity halogen and Astralis 5 (A5) conventional halogen lights were used for comparison. The Light Emitting Diode (LED) curing units were Allegro (AL), LE Demetron I (DM), FreeLight (FL), UltraLume 2(UL), UltraLume 5 (UL5) and VersaLux (VX). Sealants used in the study were UltraSeal XT plus Clear (Uclr), Opaque (Uopq) and Teethmate F-1 Natural (Kclr) and Opaque (Kopq). Specimens were fabricated in a brass mold (2 mm thick x 6 mm diameter) and placed between two glass slides (n=5). Each specimen was cured from the top surface only. One hour after curing, four Knoop Hardness readings were made for each top and bottom surface at least 1 mm from the edge. The bottom to top (B/T) KHN ratio was calculated. Groups were fabricated with 20 and 40-second exposure times. In addition, a group using a 1 mm-thick mold was fabricated using an exposure time of 20 seconds. Differences between lights for each material at each testing condition were determined using one-way ANOVA and Student-Newman-Keuls Post-hoc test (alpha=0.05). There was no statistical difference between light curing units for Uclr cured in a 1-mm thickness for 20 seconds or cured in a 2 mm-thickness for 40 seconds. All other materials and conditions showed differences between light curing units. Both opaque materials showed significant variations in B/T KHN ratios dependent upon the light-curing unit.

Effect of individual or simultaneous curing on sealant bond strength.

PURPOSE: The objective of this study was to assess the shear bond strength of resin sealants to saliva-contaminated and noncontaminated enamel, comparing 2 curing protocols: (1) individual light-curing of the intermediate bonding agent layer and the sealant; or (2) simultaneous curing of both materials. METHODS: Seventy-two enamel test surfaces were obtained from 24 third molars and randomly assigned to 2 groups (N=36): (A) saliva-contaminated; (B) noncontaminated. Each group was divided into 3 subgroups, according to the bonding technique: (1) Prime&Bond and Fluroshield were light cured separately; (2) Prime&Bond and Fluroshield were light cured together; (3) Fluroshield was applied alone. Shear bond strength was tested at a crosshead speed of 0.5 mm/minute. RESULTS: Means (MPa) were: IA-15.61(+/-4.74); IIA-15.71(+/-6.18); IIIA-13.83(+/-1.50); IB-24.73(+/-4.34); IIB-22.41(+/-4.16); IIIB-18.20(+/-3.58). Statistical analysis revealed that overall bond strength to saliva-contaminated enamel was remarkably lower (P < .05) than that recorded under dry conditions. In both contaminated and noncontaminated groups, significantly higher shear bond strength (P < .05) was observed when the bonding agent was applied underneath the sealant. Comparing the curing protocols for contaminated specimens, no statistically significant difference (P > .05) was observed between individual and simultaneous curing. Conversely, for noncontaminated specimens, bond strength was higher and statistically different (P < .05) when the materials were light cured separately. CONCLUSIONS: Individual or simultaneous curing of the intermediate bonding agent layer and the resin sealant does not seem to affect bond strength to saliva-contaminated enamel. When dry, noncontaminated conditions are maintained, however, the intermediary and the sealing materials should preferably be light cured separately.

Can Increasing the Manufacturer's Recommended Shortest Curing Time of High-intensity Light-emitting Diodes Adequately Cure Sealants?

PURPOSE: To investigate sealant depth of cure after increasing the curing times of high-intensity light-emitting diode units (LEDs). METHODS: Three sealants (opaque-unfilled, opaque-filled, and clear-filled) were light cured in a covered-slot mold with: (a) three LEDs (VALO, SmartLite, Fusion) for six to 15 seconds; and (b) a quartz-tungsten halogen (QTH) light for 40 seconds as a control (N=10). Twenty-four hours after light curing, microhardness was measured at the sealant surface and through the depth at 0.5 mm increments. Results were analyzed via analysis of variance followed by the Student-Newman-Keuls test (significance level 0.05). RESULTS: The opaque-filled and clear-filled sealants cured with VALO for six or nine seconds had hardness values that were statistically equivalent to or better than the QTH to a depth of 1.5 mm. Using Fusion for 10 seconds (exposure limit) did not adequately cure the three sealants beyond one mm. SmartLite at 15 seconds (maximum exposure period without overheating) did not adequately cure the sealants beyond 0.5 mm. CONCLUSIONS: Among the tested high-intensity LEDs, only VALO at double or triple the manufacturers' shortest curing time (six or nine seconds) provided adequate curing of opaque-filled and clear-filled sealants at 1.5 mm depth compared to the 40-second QTH light.

Effect of curing method and curing time on the microhardness and wear of pit and fissure sealants.

OBJECTIVE: To evaluate the effects of a light source, polymerization time and storage time on the microhardness and wear of pit and fissure sealants. METHODS: Five commercial pit and fissure sealants (Fissurit F [FF], Teethmate F1 [TF], Apollo Seal [AS], Concise [CC], and Ultraseal XT Plus [US]) were used. Specimens were cured with a conventional visible light curing unit (Curing Light XL 3000) for 10, 20, 30, 40s or with a plasma arc light curing unit (Apollo 95E) for 3, 6, 9, 12s. The specimens were kept dry in light-shielded bottles at 37 degrees C for 1 week, then half of them were thermocycled. The rest of them were stored in distilled water in light-shielded bottles for another 30 days, which were kept in an incubator at 37 degrees C, followed by thermocycling. Microhardness and wear of the specimens were measured. RESULTS: Similar degree of microhardness was achieved with the shorter curing time with the plasma arc light curing unit as with the conventional visible light-curing unit. With conventional visible light curing, the microhardness of the top surface was higher than that of the bottom surface (P<0.05). With plasma arc light curing, the microhardness of the top surface was higher than that of the bottom surface for AS and CC, but for FF, TF and US, the microhardness of the top surface was lower than that of the bottom surface, except in the 3-s curing of US. For FF, AS, CC and US, wear in the 6s curing with plasma arc light was similar to or less than that of the 30s curing with conventional visible light, but for TF, wear of the 9s curing with plasma arc light was similar to that of the 20s curing with conventional visible light. After storage in distilled water for 30 days followed by thermocycling, there was a tendency towards a decrease in microhardness and an increase in wear. There was a significant negative correlation between microhardness and wear (P<0.01). SIGNIFICANCE: The tested curing methods differed significantly in their curing capacity. This study suggested that a plasma arc light curing unit needs shorter curing time than a visible light curing unit to achieve similar mechanical properties of the pit and fissure sealants tested.

Marginal integrity of pit and fissure sealants. Qualitative and quantitative evaluation of the marginal adaptation before and after in vitro thermal and mechanical stressing.

This research quantitatively evaluated the marginal adaptation of pit and fissure sealants. The occlusal surfaces of 48 intact, caries-free human molars were cleaned with an air-abrasion unit. The teeth were then randomly divided into eight groups of six teeth each according to the type of enamel conditioning, sealant material applied and curing unit used. After applying either 40% phosphoric acid gel (K-etch, Kuraray Co) or a self-etching primer adhesive system (Clearfil SE Bond, Kuraray Co), sealant materials of two viscosities were applied (Teethmate F-1 and Protect-Liner-F, Kuraray Co) and cured with halogen (Optilux 500, Demetron) or plasma arc (Apollo-95E, Dental & Medical Diagnostic Systems, Ltd) curing units. The marginal adaptation of the pit and fissure sealant restorations was evaluated by using a computer-assisted quantitative margin analysis in a scanning electron microscope (SEM) on epoxy replicas before and after thermal and mechanical stressing of the teeth. The results were statistically analyzed with one-way analysis of variance (ANOVA) at a confidence level of 95% (p=0.05). A post-hoc Tukey HSD-test was used for multiple pairwise comparisons between groups. The null hypothesis was that there was no statistically significant difference between the groups that were tested in this study. The statistically significant differences between groups were more pronounced after loading. In most cases, the self-etching adhesive system (SE Bond) proved as effective as phosphoric acid etching (K-etch). The low viscosity sealant material (Teethmate F-1), in most cases, exhibited better marginal adaptation than the high viscosity material (Protect-Liner F). The high viscosity material performed equally well only when used in combination with the self-etching primer adhesive system as an intermediate layer. The halogen curing unit (Optilux 500) led to better marginal adaptation than the plasma arc curing unit (Apollo 95E), especially after thermal and mechanical stressing.

Curing kinetics of a photo-polymerized dental sealant.

PURPOSE: To evaluate the effect of using a variety of light-curing sources on the extent (monomer conversion) and rate of cure of a light-cured dental sealant. METHODS: Infrared spectroscopy recorded real-time polymerization of a self-cured and a light-cured sealant when the latter was exposed using manufacturer's recommendations [quartz-tungsten-halogen (QTH)] for 20 seconds as well as to other light sources: high intensity QTH, plasma arc light (PAC), and second-generation blue light emitting diode (LED) units. Specimens were heated to 37 degrees C and the degree and rate of conversion were recorded at each second for 300 seconds. Conversion extent and rate were compared among light units as well as to the self-curing product. Five replications for each test condition were performed. RESULTS: After 300 seconds, self-curing product conversion was equivalent to all light-exposed specimens. The self-cured rate of cure was significantly lower than all light-cured scenarios. The high intensity QTH light provided equivalent conversion as conventional 20-second QTH exposure (control) in only 10 seconds. The PAC light required similar exposure time as conventional QTH treatment. Second-generation blue LED units reached conversion similar to control in only 10 seconds, while one light required only 5 seconds' exposure.

Effect of acid etching and different Er:YAG laser procedures on microleakage of three different fissure sealants in primary teeth after aging.

The purpose of this study was to evaluate the effects of different surface conditioning procedures on microleakage and unfilled area proportions of three fissure sealants(Aegis, Helioseal and Helioseal F) in primary molar teeth. One hundred and fifty teeth were randomly divided into five main groups according to surface conditioning procedures. Main groups were; acid-etching(Group A); laser 3.75 W(Group B) and 5 W(Group D); acid-etching combined with laser 3.75 W(Group C) and 5 W(Group E). Samples were aged by thermocycling and water bath. Afterwards, they were immersed in basic fuchsin solution for 24 h and bucco-lingual sections were obtained from each tooth. Digital images were taken using a stereo-microscope and the microleakage and unfilled area proportions were assessed by using a software system. Consequently, Aegis FS containing amorphous calcium phosphate was found to exhibit the lowest microleakage in all surface conditioning procedures. Unfilled areas were not detected in Groups C and E of all FSs.