Does the Transillumination Technique Using a Diagnostic White Tip Influence the Degree of Conversion of the Infiltrant Resin? A Case Report With In Vitro Insights: A New Technique to Improve the Predictability During the Application of Resin Infiltration: Transillumination Using a Diagnostic White Tip.

OBJECTIVE: This study aimed to evaluate, through a case report combined with in vitro study, whether a new diagnostic white tip for the transillumination technique during resin infiltration influences the procedure and degree of conversion (DC). MATERIALS AND METHODS: A clinical case report demonstrated resin infiltration using the transillumination technique with a new white diagnostic tip (Radii Xpert LED diagnostic tip, SDI, Bayswater, VIC, AU) along with a light-curing device to enhance aesthetic results. An in vitro study assessed the DC of two diagnostic white tips (Radii Xpert LED diagnostic tip [SDI, Bayswater, VIC, AU] and Valo Grand White Light Lens [Ultradent Prod., South Jordan, UT, USA]) compared to that achieved using conventional tips of both light-curing devices. Statistical analysis was performed using two-way ANOVA and Tukey's test (α = 0.05). RESULTS: The clinical case achieved complete masking of the white spot lesion. In vitro, the diagnostic white tips exhibited significantly lower DC values compared to conventional tips (p = 0.001), regardless of the light-curing unit. CONCLUSIONS: The diagnostic white tip used in the transillumination technique improves resin infiltration visibility without compromising the degree of conversion. CLINICAL SIGNIFICANCE: The transillumination technique with the diagnostic white tip enables monitoring of resin infiltration while maintaining effective polymerization.

Effects of CAD/CAM restorative materials and thickness on the depth of cure of various light-cured resin composite materials.

The study assessed the depth of cure (DOC) of different resin composites light-cured through different types of CAD/CAM materials of variable thickness. Three CAD/CAM materials (multilayer zirconia, lithium disilicate glass ceramic, composite) of three thicknesses (2-, 3-, and 4-mm) were prepared and their translucency parameter (TP) were measured. A light-curable and a dual-curable resin cement (Variolink Esthetic LC and DC) and a bulk-fill resin composite with a higher Ivocerin concentration (Tetric PowerFill) were used to mimic luting agents. DOC was assessed via Vickers microhardness testing. Increased thickness of CAD/CAM specimen was associated with decreased DOC. The chemical composition of the resin composites affected their curing performance depending on the light curing mode. Tetric PowerFill presented the greater DOC among the other resin composites. Receiver operating characteristic models of curing status appeared to provide better insight in predicting the DOC of luting agent according to TP than linear regression.

Wear and roughness analysis of two highly filled flowable composites.

This in vitro study aimed to evaluate surface roughness and wear of highly filled flowables and traditional packable composites. Additionally, the effect of polymerization time on these parameters was evaluated. Two flowable higly filled composites (CMf-Clearfil Majesty ES flow-low viscosity, Kuraray and GUf-Gaenial Universal Injectable, GC) and two packable composites (CM-Clearfil Majesty ES-2, Kuraray and GU-Gaenial A'CHORD, GC) were used to create 160 specimens (n = 40;8 × 6 × 4mm). For each tested material, two subgroups were considered according to the polymerization time (n = 20): 10 s or 80 s. After setting, the specimens were subjected to chewing simulations (240.000 cycles, 20N), and wear was measured by the laser integrated in the chewing simulator. The surface roughness was measured using a rugosimeter, before and after chewing cycles. Two representative specimens per group were observed under scanning electron microscope (SEM). Data were collected and statistically analyzed (p < 0.05). Wear analysis highlighted statistically significant differences between the groups: CMf10-CMf80 (p = 0.000), CMf10-CM10 (p = 0.019), CMf10-GUf10 (p = 0.002), CM10-CM80 (p = 0.000), CM80-GUf80 (p = 0.02), GUf10-GUf80 (p = 0.000), GUf10-GU10 (p = 0.043) and GU10-GU80 (p = 0.013). Statistically significant differences in surface roughness were highlighted between the groups: CMf10-CMf80 (p = 0.038), CMf80-CM80 (p = 0.019), CMf80-GU80 (p = 0.010), CM80-GUf80 (p = 0.34) and GUf80-GU80 (p = 0.003). Surface roughness and wear of highly filled flowable composites were comparable to that of traditional paste composites. Furthermore, a longer curing time leads to an improvement in the mechanical properties of the composites. Highly filled flowables can be a valid alternative to paste composites in occlusal areas due to its similar surface roughness and wear values, especially when overcured.

Preparation and Properties Study of CsPbX3@PMMA Luminescent Resin.

Perovskite as an emerging semiconductor luminescent material has attracted widespread attention due to its simple preparation, high luminescence quantum yield, high color purity, tunable spectrum, and ability to cover the entire visible light band. However, due to the influence of water or other highly polar solvents, oxygen, temperature, and radiation, perovskite nanocrystals will aggregate or collapse in the lattice, eventually leading to luminescence quenching. This study starts from the postprocessing of perovskite, uses methyl methacrylate as the monomer and TPO as the photoinitiator, and encapsulates the perovskite powder prepared by the hot injection method through ultraviolet light initiation. A method is proposed to improve the luminescence and crystal structure stability of perovskite. By eliminating the influence of environmental factors on perovskite nanocrystals through the dense structure formed by organic polymers, the resistance of perovskite to strong polar solvents such as water will be greatly improved, and it has great potential in the protection of perovskite. Finally, by changing the proportion of halogen elements in the perovskite resin to change the color of the luminescent resin, a fluorescent coating emitting light in all visible light bands is prepared. Fluorescent coatings are widely used in life and industry fields such as plastics, sol, and paper.

Effect of duration and infection control barriers of light curing unit on hardness of Bulk Fill composite resin.

Background: This study aimed to investigate the impact of the duration of light curing unit (LCU) usage and the use of infection control barriers on the hardness of Bulk Fill composite resin after curing. The hypotheses were that extended usage of the LCU would not reduces its output power and resin hardness, and that the presence of polyethylene film barriers exacerbates the reduction in resin hardness. Methods: Based on the absence or presence of polyethylene film (PE) and the number of layers used, a 3M LED curing light (EliparTM DeepCure-S; 3M ESPE, St Paul, MN, USA) was divided into three groups: PE0, PE1, and PE3. The curing light was used 30 times daily for 20 s per exposure, at frequencies of 0, 6, and 12 months. Maximum output power tests were conducted for each group of curing lights. Custom-made plastic modules were used to stack Bulk Fill composite resin (Filtek Bulk Fill Posterior Restorative; 3M ESPE) to a thickness of 4 mm. Each group of curing lights was used to cure the modules in a direct contact manner for 20 s. Vickers hardness measurements were taken at the top and bottom surfaces of the resin specimens using a digital microhardness tester. A one-way or two-way ANOVA analyzed the power of LCUs, Vickers hardness of Bulk Fill composite resin, and hardness decrease percentage across groups. Pairwise comparisons used the Tukey test (α = 0.05). Results: As the duration of usage increased, both the power of the curing light and the hardness of the resin significantly decreased. Significant differences were observed in power and resin hardness among the PE0, PE1, and PE3 groups. When the duration of usage was 6 months or less, only multi-layered PE films led to a significant increase in the percentage decrease of hardness of cured resin from top to bottom. However, at 12 months, both single-layer and multi-layered PE films resulted in a significant increase in the percentage decrease of hardness of cured resin from top to bottom. Conclusion: The output power of the light curing unit decreases with prolonged usage, thereby failing to meet the curing requirements of Bulk Fill composite resin. The use of single-layer PE as an infection control barrier is recommended.

Equilibrium and self-assembly of Janus particles at liquid-liquid interfaces for the film formation.

This article investigates the equilibrium arrangement, self-assembly process, and subsequent curing of amphiphilic snowman-shaped Janus particles at the oil-water interface. The independent Janus particles are in vertical equilibrium state and the contact position of the oil-water interface is at the largest cross section of the particle's hydrophobic phase. Under the effect of the surface tension and the adsorption of materials, Janus particles may form particle combinations including the particle pairs and the particle triangle, whose inner and outer sides have the liquid surface exhibiting completely opposite contact angles. Particle combinations form stable parallel double-chain structures with diverse shapes after the self-assembly process. However, the single Janus particles attain a state of mechanical equilibrium under the influence of surrounding particles, enabling them to assemble into regular array structures. The relationship of interfacial tension coefficient between phases can be changed by adjusting the oil-water system, which leads to variations in the self-assembly speed and the final arrangement results. The thin-film with uniformly distributed vertical particles is achieved by replacing the underlying deionized water with a curing agent. Based on the understanding of the interactions between irregularly shaped Janus particles at the oil-water interface, it will be convenient to achieve the controllable self-assembly and widely applications of these particles.

Color-Stable Formulations for 3D-Photoprintable Dental Materials.

Color stability is crucial for dental materials to ensure they perfectly match a patient's tooth color. This is particularly challenging in photoresist-based additive manufacturing. Although some studies have addressed this issue, the exact causes of discoloration and ways to minimize it remain unclear. In this study, the intrinsic causes of discoloration in materials intended for 3D printing are investigated by examining thin-film samples (1200 µm) of various compositions, which are stored under different conditions. The samples are evaluated by measuring the UV-Vis absorption spectra at regular intervals to monitor changes. The findings reveal that both the composition of the formulations and the storage conditions significantly influence the discoloration behavior. Furthermore, methods have been developed to reduce or completely prevent discoloration. The use of photoinitiators with sterically demanding benzoyl moieties, as well as the addition of stabilizers, effectively decreases the intensity of emerging discoloration. Furthermore, incorporating the oxidizing agent cumene hydroperoxide (CHP) results in materials that maintain color stability.

The Effect of Light-emitting Diode Light Intensities and Duration of Cure on Pulpal Wall Temperature among Different Classes of Teeth.

Introduction: The thermal changes during light curing of resin-based composites (RBCs) are recognized, but there is a lack of information about temperature changes in pulp tissue under different curing protocols, especially during bonding of orthodontic brackets onto the tooth surface. In the present study, pulpal temperature (PT) variation induced by the use of four different light cure intensities and different durations of cure among different classes of teeth was measured. Materials and methods: A total of 80 different classes of human extracted teeth (maxillary and mandibular central incisor, lateral incisor, canine, premolar, and molar) were irradiated at the same distances with four visible light curing intensities. Brackets (3M Unitek) were bonded with Transbond XT (3M Unitek, Monrovia, California) adhesive and light cured with a light-emitting diode (LED) light cure unit (LCU) (Bluephase). A J-type thermocouple wire was positioned in the center of the pulp chamber to assess the temperature difference. The results were analyzed with analysis of variance (ANOVA) and the Tukey's honestly significant difference (HSD) test. Results: Light-emitting diode with higher intensity induced significantly higher intra-PT changes than did the LED with lower intensity (p < 0.001). Mandibular central incisors had the highest intra-PT of about 45°C at 3000 mW/cm2, 3 seconds. Maxillary central incisors had the highest intra-PT of about 40°C at 3000 mW/cm2, 3 seconds. Mandibular and maxillary canines and molars had the lowest intra-PT of about 10°C at 800 mW/cm2, 20 seconds. Conclusion: Pulp chamber temperature changes were influenced by the intensity and duration of curing and the anatomy of the tooth (class/type of tooth). How to cite this article: S S, Anbarasu P, S SK, et al. The Effect of Light-emitting Diode Light Intensities and Duration of Cure on Pulpal Wall Temperature among Different Classes of Teeth. Int J Clin Pediatr Dent 2024;17(4):467-471.

Influence of radiant exposure and material shade on the degree of conversion and microhardness of a resin-based composite.

This in vitro study evaluated the influence of radiant exposure and material shade on the degree of conversion (DC) and microhardness of a resin-based composite (RBC). Sixty-four RBC specimens in shades A1E (enamel) and A4D (dentin) were light cured at a calibrated exitance of 1000 mW/cm2 for 5, 10, 15, or 20 seconds, resulting in radiant exposure levels of 5, 10, 15, or 20 J/cm2. The DC was determined using Fourier-transform infrared spectroscopy (n = 3 per shade per exposure level). The Knoop hardness number (KHN) was measured on the top and bottom surfaces of each specimen (n = 5 per shade per exposure level). Data were analyzed using 2- and 3-way analyses of variance and post hoc Tukey tests (α = 0.05). The RBC shade did not affect the DC (P = 0.860), and the lowest DC values were achieved with an exposure level of 5 J/cm2 (P < 0.001). The shade did not affect the KHN on the top surface, but the radiant exposure level did, with the application of 5 J/cm2 resulting in significantly lower values (P < 0.05). For the bottom surface, shade A1E showed significantly higher KHN values than A4D (P < 0.001). An increase in the radiant exposure led to increased DC and KHN for both shades of RBC until reaching a saturation point of 10 J/cm2 for A1E and the top surface of A4D. The darker and more opaque shade was not adequately polymerized at a 2-mm depth, even when the highest radiant exposure level was applied.

Evaluation of the information provided in the instruction manuals of dental light-curing units.

OBJECTIVE: This study evaluated the completeness and accuracy of information in LCU instruction manuals from 40 manufacturers. MATERIALS AND METHODS: Instruction manuals from 40 LCUs (20 from leading manufacturers and 20 budget units) were reviewed. Twenty-eight parameters across five categories were assessed using a binary scale (0=incorrect/missing, 1=correct). The categories and their respective evaluation scores were: LCU characteristics (43%), instructions for use (7%), safety precautions (14%), maintenance recommendations (29%), and regulatory certification (7%). These scores were combined to produce a final score. RESULTS: Scores from leading manufacturers ranged between 46-86%, while the budget category ranged from 18-68%. All manuals provided information about the wavelength/spectrum of the LCU. Only Valo X and Valo Cordless reported power values and used the term "irradiance" instead of "intensity." Details such as LED type and active tip emission area were often missing. Instructions on how to use the LCU to photo-cure resins were frequently limited. Although most manuals addressed safety precautions, several lacked details on heat issues and general health precautions. All manuals included maintenance instructions, though information on replacement parts was often missing. Among the LCUs, 85% stated they were CE certified, 32% held both FDA and CE certification, and 63% claimed compliance with ISO and/or IEC standards. CONCLUSIONS: There were notable differences in the completeness and accuracy of the instruction manuals. Manuals from major manufacturers generally provided more comprehensive information than their budget counterparts. CLINICAL SIGNIFICANCE: Instruction manuals should contain accurate information to help clinicians deliver the highest standard of care. The lack of important information about the LCUs in the manuals is concerning.

A Historical Perspective on Dental Composite Restorative Materials.

This review article will discuss the origin of resin-based dental composite materials and their adoption as potentially useful adjuncts to the primary material used by most dentists for direct restorations. The evolution of the materials, largely driven by the industry's response to the needs of dentists, has produced materials that are esthetic, strong, and versatile enough to be used in most areas of the oral cavity to replace or restore missing tooth structures. Significant advancements, such as the transition from chemical to light-curing materials, refinements in reinforcing particles to produce optimum polishing and wear resistance, formulating pastes with altered viscosities to create highly flowable and highly stiff materials, and creating materials with enhanced depth of cure to facilitate placement, will be highlighted. Future advancements will likely reflect the movement away from simply being a biocompatible material to one that is designed to produce some type of beneficial effect upon interaction within the oral environment. These new materials have been called "bioactive" by virtue of their potential effects on bacterial biofilms and their ability to promote mineralization of adjacent tooth structures.

Relationship between the polymerization distance of monowave and polywave light-curing units and the irradiance and physical properties of dental resin-based composites.

PURPOSE: To evaluate the influence of the polymerization distance of monowave and polywave light curing units (LCUs) on the measured irradiance relative to the value reported by the manufacturer in relation to the physical properties of resin-based composites (RBCs). METHODS: Four LCUs were used: one monowave and three polywave. The irradiance was measured with a digital radiometer. Depth of cure (DC) and flexural strength (FS) tests were performed according to ISO 4049:2019 at polymerization distances of 0 mm and 5 mm. RESULTS: The irradiance of all LCUs was higher than that reported by the manufacturer (>25-64%). The irradiance of the four LCUs was reduced when polymerization was performed at between 0 to 5 mm (paired t-test, P < 0.001). The DC at 0 mm was similar in all groups but was significantly decreased at 5 mm distance (ANOVA P < 0.001). FS showed differences among the LCUs at 0 mm (ANOVA P < 0.001) and was affected by the polymerization distance. The elastic modulus was unaffected by the LCU used or the distance (ANOVA P > 0.001). CONCLUSIONS: The LCU must be positioned as near as possible to RBCs during the polymerization process, as increased distance negatively affects the depth of cure and flexural strength.

Effect of shade and thickness on the microhardness of resin-based composite specimens at different points considering curing light beam's inhomogeneity.

BACKGROUND: Recent studies have reported the inhomogeneity in the light emitted by dental light-curing units (LCUs). It is essential to understand how this uneven light distribution affects the physical properties of resin-based composites (RBCs) at various points across their surfaces. This study aimed to evaluate the effect of LCU beam's inhomogeneity on the microhardness of RBCs with different shades and thicknesses. METHODS: Four body (A1B, A2B, A3B, and A4B), one dentin (A3D), and one enamel shade (A3E) of RBC (Filtek Z350 XT) were examined. The specimens were fabricated in four thicknesses (1, 2, 3, and 4 mm) and subjected to a 40-second light-curing. Vickers microhardness testing was performed at the center point, and 3 mm left and right from the center at the bottom surface of each sample. The LCU beam profile was characterized using a beam profiler, while irradiance after specimen passage was measured using a spectrometer. One-way analysis of variance (ANOVA) and Tukey's post-hoc tests were used to analyze the effects of shades and thicknesses on irradiance and microhardness, respectively. One-way repeated-measures ANOVA was used to compare the microhardness across different points. Pearson's correlation analysis examined the relationship between irradiance and microhardness. RESULTS: The beam profile of LCU revealed inhomogeneous light distribution. Light irradiance was decreased with both the increase in thickness and darker shade of the specimens (p < 0.05). Microhardness was found to decline with an increase in sample thickness (p < 0.05), and was consistently higher at the center point compared to the periphery, particularly in thicker (3 and 4 mm) and darker shades (A3B, A4B, and A3D). A positive correlation was found between the irradiance and microhardness across all evaluated points (p < 0.05). CONCLUSIONS: Inhomogeneous light emission from LCU significantly influences the microhardness of RBC samples, depending on the thicknesses and shades. The findings underline the importance of considering LCU beam inhomogeneity in clinical settings to ensure optimal polymerization of RBC.

New Perspectives in Overcoming Bulk-Fill Composite Polymerization Shrinkage: The Impact of Curing Mode and Layering.

BACKGROUND: The purpose of this study was to investigate the effect of different light curing modes on the polymerization shrinkage of a bulk-fill composite and to evaluate the impact of two layering techniques on the cuspal deflection. METHODS: Nine different light curing modes were tested on bulk-fill composite samples in aluminum MOD cavities. Intensity, duration, and illumination distance were the factors that changed during the different curing modes. The digital image correlation method was used to visually represent the displacement of carbon particles on the materials' surface caused by shrinkage along both the horizontal and vertical axes. For simulating cuspal deflection, a separate protocol was used, with a bulk and horizontal layering technique. RESULTS: The results showed that the largest horizontal displacements were present in the soft start group (6.00 ± 0.82 µm) and in the X-tra power group (5.67 ± 1.21 µm). The smallest horizontal displacements were detected in normal curing modes (4.00 ± 1.58 µm; 4.00 ± 2.68 µm). The largest vertical displacements, at the bottom layer, were present in the normal curing mode group with a 20 s curing time (5.22 ± 1.56 µm), while the smallest vertical displacements were shown in the X-tra power group (2.89 ± 0.60 µm). The observed particle displacements showing the shrinkage of the composite were correlated with the curing mode. The bulk-fill group showed less cuspal deflection than the horizontal layering group did, but the difference was not statistically significant (p = 0.575). CONCLUSIONS: Within the limitations of this in vitro study, it can be concluded that lower intensities of curing lights (1200 mW/cm2) may perform better from the point of view of material shrinkage than high and extreme light intensities do. The pulse delay mode might be recommended in the case of bulk-fill materials. The number of layers did not significantly affect the cuspal deflection in the case of the studied composite.

Characterization of dental light-curing resin composites incorporating multiple modified low-shrink monomers.

OBJECTIVE: Polymerization shrinkage poses a significant challenge in dental resin composites. The objective of this study is to introduce spiroorthocarbonate monomer 3,9-dimethylene-1,3,5,7-tetraoxa-spiro[5,5]undecane (BMSOC) and epoxy resin monomer 3,4-epoxycyclohexylmethyl-3,4-epoxycyclohexane carboxylate (ECHM-ECHC) into bisphenol-S-bis(3-methacrylato-2-hydroxy propyl)ether (BisS-GMA) based resin composites to develop composites with reduced shrinkage properties. METHODS: BMSOC and BisS-GMA were synthesized and thoroughly mixed with ECHM-ECHC, followed by inorganic fillers and photoinitiators. Based on the composition of the resin matrix, five groups of experimental composites were prepared, with traditional bisphenol A-dimethacrylate glycidyl ester (Bis-GMA)/triethylene glycol dimethacrylate (TEGDMA) based composite serving as the control. The polymerization properties, including degree of conversion (DC) and polymerization shrinkage (PS), as well as marginal microleakage, wettability, flexural strength (FS), flexural modulus (FM), and biocompatibility were evaluated. RESULTS: The results demonstrated that compared with the control group, the PS of BisS-GMA based composites containing BMSOC and ECHM-ECHC were significantly reduced (P < 0.05), and the lowest PS (0.96 ± 0.08 %) was observed when the ratio of BisS-GMA: (Epoxy + BMSOC) was 4:6. Additionally, the experimental composites also exhibited improved DC, minimal microleakage, low hydrophilicity, enhanced mechanical properties, qualified in vivo biocompatibility, and slight/moderate in vitro biocompatibility. SIGNIFICANCE: The resin composites incorporating multiple modified low-shrink monomers are promising for dental applications to prevent various clinical problems caused by PS and extend restoration longevity.

Tunable and fast-cured hyaluronic acid hydrogel inspired on catechol architecture for enhanced adhesion property.

Hyaluronic acid-based hydrogels have been broadly used in medical applications due to their remarkable properties such as biocompatibility, biodegradability, super hydroscopicity, non-immunogenic effect, etc. However, the inherent weak and hydrophilic polysaccharide structure of pure hyaluronic acid (HA) hydrogels has limited their potential use in muco-adhesiveness, wound dressing, and 3D printing. In this research, we developed in-situ forming of catechol-modified HA hydrogels with improved mechanical properties involving blue-light curing crosslinking reaction. The effect of catechol structure on the physicochemical properties of HA hydrogels was evaluated by varying the content (0-40 %). The as-synthesized hydrogel demonstrated rapid prototyping, excellent wetting adhesiveness, and good biocompatibility. Furthermore, an optimized hydrogel precursor solution was used as a blue light-cured bio-ink with high efficiency and good precision and successfully prototyped a microstructure that mimicked the human hepatic lobule by using DLP 3D printing method. This catechol-modified HA hydrogel with tunable physicochemical and rapid prototyping properties has excellent potential in biomedical engineering.

Evaluation of pre-heated composite resins with soft-start polymerization and conventional composite restorations in class-I carious lesions - A randomized clinical trial.

Background: By increasing fluidity and conversion, pre-heated composites enhance adaptability and strength, while soft-start polymerization decreases internal stresses. Aim: Over a period of a year, this split-mouth design, randomized controlled clinical trial (RCT) compared pre-heated composites with soft-start polymerization to conventional composites in class-I lesions, with the goal of improving restoration outcomes. Methods: and Findings: Immediately following ethical approval and registration with CTRI, 37 patients with in-formed permission who met specified inclusion and exclusion criteria for class-I lesions were chosen for enrollment. Using a 1:1 ratio, teeth were randomly assigned to Group-A (pre-heated composite with soft-start polymerization) or Group-B (traditional composite restoration). At three-time intervals, the evaluation was blinded and calibrated using Modified United States Public Health Service (USPHS) criteria: baseline, six-month, and one-year marks. Statistical analysis was performed using SPSS 21.0 and the Mann-Whitney U test for inter-group comparisons and the Friedman test for intra-group comparisons. Interpretation: Pre-heated composites with soft-start polymerization performed better in terms of marginal adaptation with a statistically significant difference (p = 0.019) and in terms of color match they performed better clinically (p = 0.062) at 12 months. Other variables like marginal discolouration, sec-ondary caries, anatomic form, post-operative sensitivity, surface texture and retention showed no statistically significant difference (p < 0.05). Pre-heated composites with soft-start mode performed marginally better than nanofilled composites. However, both techniques can be used to successfully restore simple class-I carious lesions.

Effect of Polywave and Monowave Light Curing Units on the Microtensile Bond Strength and Failure Types of Different Bulk-Fill Resin Composites: An in vitro Study.

Aim: This study aimed to evaluate the effects of polywave and monowave light-emitting diode curing units on the microtensile bond strength and failure types of three bulk-fill resin composites. Materials and Methods: This in vitro experimental study was performed on 180 microbars obtained from human third molars and were distributed into 12 groups according to the type of bulk-fill resin composite and the light-curing unit. Third molars were restored using Filtek One Bulk Fill Restorative, Tetric® N-Ceram Bulk Fill, and Opus Bulk Fill resin composites was light-cured with Elipar Deep Cure L and Valo in three modes: standard, high power, and extra power. Subsequently, microtensile analysis was carried out with a universal testing machine and the type of failure with an optical stereomicroscope. For statistical analysis, the Kruskal-Wallis H-test was used, with the Bonferroni post hoc test and Fisher's exact test, considering a significance of p<0.05. Results: There were significant differences in the microtensile bond strength between the Filtek One Bulk Fill restorative and Opus Bulk-Fill (p = 0.042) when light was cured with the polywave unit at standard power. On the other hand, the Filtek One Bulk Fill Restorative and Opus Bulk Fill resins showed significant differences in microtensile bond strength when light was cured with the monowave unit compared with the polywave unit (p<0.05). Conclusion: The presence of alternative photoinitiator systems that are more reactive than camphorquinone produced higher microtensile bond strength in Tetric N-Ceram Bulk Fill and Opus Bulk Fill resins when light-cured with a high and standard polywave unit, respectively, compared to Filtek One Bulk Fill resins. Finally, Tetric N-Ceram Bulk Fill and Opus Bulk Fill resins had the highest percentage of mixed failures, while Filtek One Bulk Fill resin had adhesive failures, which was related to its lower microtensile bond strength.

The power of light - From dental materials processing to diagnostics and therapeutics.

Harnessing the power of light and its photonic energy is a powerful tool in biomedical applications. Its use ranges from biomaterials processing and fabrication of polymers to diagnostics and therapeutics. Dental light curable materials have evolved over several decades and now offer very fast (≤ 10 s) and reliable polymerization through depth (4-6 mm thick). This has been achieved by developments on two fronts: (1) chemistries with more efficient light absorption characteristics (camphorquinone [CQ], ~30 L mol-1 cm1 [ʎmax 470 nm]; monoacylphosphine oxides [MAPO], ~800 L mol-1 cm-1 [ʎmax 385 nm]; bisacylphosphine oxide [BAPO], ~1,000 L mol-1 cm-1 [ʎmax 385 nm]) as well mechanistically efficient and prolonged radical generation processes during and after light irradiation, and; (2) introducing light curing technologies (light emitting diodes [LEDs] and less common lasers) with higher powers (≤ 2 W), better spectral range using multiple diodes (short: 390-405 nm; intermediate: 410-450 nm; and long: 450-480 nm), and better spatial power distribution (i.e. homogenous irradiance). However, adequate cure of materials falls short for several reasons, including improper selection of materials and lights, limitations in the chemistry of the materials, and limitations in delivering light through depth. Photonic energy has further applications in dentistry which include transillumination for diagnostics, and therapeutic applications that include photodynamic therapy, photobiomodulation, and photodisinfection. Light interactions with materials and biological tissues are complex and it is important to understand the advantages and limitations of these interactions for successful treatment outcomes. This article highlights the advent of photonic technologies in dentistry, its applications, the advantages and limitations, and possible future developments.

Post-polymerization of three-dimensional printing resin using a dental light curing unit.

Background/Purpose: In vat photopolymerization, post-polymerization of the three-dimensional (3D) printing resin is necessary to ensure the optimum physical properties of the printed objects. This study aimed to evaluate the potential use of a handheld polywave light-emitting diode (LED) dental light-curing unit (LCU) for post-polymerizing 3D printed resins by measuring the microhardness and biaxial flexural strength of the post-polymerized resin. Material and methods: 3D printed 1- and 2-mm-thick disks were irradiated with a dental LCU at 3200 mW/cm2. Post-polymerization was repeated either on one side from the top surface: two cycles (T2), four cycles (T4), and eight cycles (T8), or on both sides from the top and bottom surfaces: one cycle (T1B1), two cycles (T2B2), and four cycles (T4B4) for each side. The microhardness and biaxial strength of the disks were compared to those post-polymerized by a conventional desktop polymerizing unit (PC) and those without post-polymerization (NC). Results: Microhardness of the disks varied between the top and bottom surfaces of the 1-mm and 2-mm-thick disks, depending on the post-polymerization methods. T8 and T4B4 produced comparable microhardness on the top surface to PC for both thicknesses. In contrast, PC, T2B2, and T4B4 exhibited the highest microhardness on the bottom surface. Except for NC, the 1-mm-thick disks had a higher biaxial flexural strength than the 2-mm-thick disks. T4B4 resulted in the highest biaxial flexural strength for both thicknesses, which was comparable to that of the desktop polymerizing unit. Conclusion: The microhardness and biaxial flexural strengths of the post-polymerized 3D-printed disks increase with polymerization time. With sufficient polymerization from both sides, the polywave LCU has the potential to be a viable alternative to desktop polymerization units.