The effect of photoinitiator type and filler load on physicochemical and mechanical properties of experimental light-cured resin cements through lithium disilicate ceramics of different shades and thicknesses.

OBJECTIVE: This study investigated the influence of photoinitiator types on degree of conversion (DC), rate of polymerization (RP), flexural strength (FS), flexural modulus (FM), and light transmittance (LT) of filled and unfilled light-curable resin cements through different thicknesses and shades of lithium disilicate ceramics. METHODS: Lithium disilicate ceramic discs (IPS Emax Press, background [0.0], 0.5, 1.0, 2.0, 3.0, and 4.0 mm, shades A1 and BL3) were prepared. Experimental resin-based cements [TEGDMA/BisGMA (50/50 mass%)] were prepared using either camphorquinone (CQ)/amine (0.44/1.85 mol%) or TPO (0.44 mol%)], and a micro and nanofiller loads of nil (unfilled); 40/10 mass%; and 50/10 mass%). Resin cements (0.2 mm thick) were placed on the lower surface of the ceramic specimens and light-activated for 30 s from the upper surface using a Bluephase Style curing light (exitance at tip: 1236 mW/cm2 ± 1.20). LT and distribution of irradiance through the ceramics were measured using a UV-vis spectrometer and a beam profile camera, respectively (n = 3). The DC and RP were measured in real-time using mid infrared spectroscopy in attenuated total reflectance (ATR) mode (n = 3). FS and FM were measured using a universal testing machine (n = 5). Statistical analyses were performed on LT, DC, RP, FS, and FM data using a general linear model, and supplementary ANOVA and post hoc Tukey multiple comparison test were also performed (α = .05). RESULTS: Thicknesses, shades, photoinitiator type, and fillers load significantly influenced the optical and mechanical characteristics of the resin-based materials (p < 0.05). The BL3 shade ceramic provided higher values of DC, RP, FS, FM, and LT compared with the A1 shade (p < 0.05). Increasing ceramic thickness decreased the properties of the resin-based materials (p < 0.05). Generally, TPO improved mechanical properties of the resin cement compared with CQ (p < 0.05). SIGNIFICANCE: The luting process of indirect restorations may be improved by using high molar absorptivity, more reactive, and more efficient photoinitiators such as TPO, as opposed to conventional CQ. The use of such initiator may allow the placement of thicker and more opaque indirect restorations.

The influence of filler load in 3D printing resin-based composites.

OBJECTIVE: To evaluate the influence of the barium glass (BG) filler in 3D printing resin-based composites for restorative structures. METHODS: Experimental 3D printing resin-based composites were formulated with UDMA 70%wt, Bis-EMA 20%wt, and TEGDMA 10%wt. Photoinitiators TPO and DFI (2%wt) were used. BG was incorporated at 40%wt and 50%wt. 0%wt BG was used as negative control and the VarseoSmile Crownplus (Bego) was used as a commercial control. Specimens were printed using a 3D printer. Subsequently, specimens were washed and submitted to post-curing with 405 nm at 60ºC for 2 × 20 min at FormCure (FormLabs). 3D printing resin-based composites were evaluated by flexural strength, degree of conversion, softening in solvent, radiopacity, and cytotoxicity against gingival fibroblasts. Data were statistically analyzed using one-way ANOVA (α = 0.05). RESULTS: No significant differences in flexural strength were showed between BG40% (90.5 ± 5,4 MPa), BG50% (102.0 ± 11.7 MPa) and VA (105.2 ± 11.7 MPa). Addition of 40% and 50% of BG showed no influence in the degree of conversion compared to VA (p > 0.05). All groups showed softening in solvent after immersion in ethanol (p < 0.05). All groups showed more than 1mmAl of radiopacity. BG50% showed significantly higher radiopacity (2.8 ± 0.3 mmAl) than other groups (p < 0,05). Cytotoxicity evaluation showed gingival cell viability higher than 80% for all groups. SIGNIFICANCE: Addition of up to 50%wt of barium glass in experimental 3D printing resin-based composites showed promising results for long-term restorative structures.

Effect of Light-Curing Unit Type and Bulk-Fill Composite Resins with Different Photoinitiators on Marginal Gaps of Class II Restorations

Abstract Objective: To evaluate the effect of two types of light-curing units (second and third generations) and two types of bulk-fill composite resins with different photoinitiators - Tetric N-Ceram Bulk Fill (TNCB) and Xtra Fil (XTF) on gap formation at the gingival margins of Cl II restorations. Material and Methods: Fifty-six standard Cl II cavities were prepared on the mesial and distal surfaces of premolar teeth, with the gingival margin of the cavities 1 mm apical to the CEJ. The samples were randomly assigned to two groups based on the composite resin type and two subgroups based on the light-curing unit type and restored. After 5000 rounds of thermocycling, gingival margin gap in each sample was measured in µm under an electron microscope at ×2000 magnification. Data were analyzed by two-way ANOVA and Tukey tests (α=0.05). Results: Marginal gaps of TNCB composite resin were significantly smaller than those of XTF composite resin (p<0.001). There were no significant differences between the two light-curing units in each group (p=0.887 with XTF and p=0.999 with TNCB). Conclusion: The gaps at gingival margins of Cl II cavities with TNCB bulk-fill composite were smaller than XTF composite resin. Both composite resins can be cured with both the second- and third-generation LEDs (AU).

Light curing resin cements containing iodonium salts promote suitable apical bonding of posts to radicular dentin

Abstract The aim of this study was to analyze the efficiency of experimental light-curing resin cements (ERCs) with a ternary photo-initiator system containing diphenyliodonium hexafluorphosphate (DPI) and different amines on retention of glass-fiber posts to dentin (GFP). ERCs formulations: a 1:1 mass ratio of 2,2-bis[4-(2-hydroxy-3-methacryloxypropoxy)phenylpropane and triethyleneglycol dimethacrylate. Camphorquinone was used as initiator. Six experimental groups were established according to the amine used: [ethyl-4-(dimethylamino)benzoate-EDMAB or 2-(dimethylamino)ethyl methacrylate-DMAEMA] and the concentration of DPI (0, 0.5 mol%, 1 mol%). The resin cements Variolink II (dual- and light-cured versions) were used as commercial reference. Eighty recently extracted bovine incisors (n = 10) were selected for this study. The roots were prepared and the fiber posts were cemented with the resin cement specified for each experimental group. Specimens from coronal, middle, and apical thirds of the root were subjected to push-out bond strength test 24 hours after bonding. Data were subjected to split-plot ANOVA and the Tukey test (p = 0.05). ERCs containing DPI showed statistically significant higher bond strengths compared with ERCs without DPI. ERCs containing DPI were statistically similar to VARIOLINK II - dual-cured and superior to VARIOLINK II - light-cured (except for EDMAB - 1DPI in the medium third and DMAEMA - 1DPI in the coronal third). Different amines did not influence post retention. The apical root region showed the lowest bond strength for the groups EDAB-0DPI, DMAEMA-0DPI and VARIOLINK II light-cured. Light-cured ERCs containing DPI were efficient for GFP retention to radicular dentin, with similar behaviour to that of dual-curing commercial resin cement.

Light curing in dentistry and clinical implications: a literature review

Abstract Contemporary dentistry literally cannot be performed without use of resin-based restorative materials. With the success of bonding resin materials to tooth structures, an even wider scope of clinical applications has arisen for these lines of products. Understanding of the basic events occurring in any dental polymerization mechanism, regardless of the mode of activating the process, will allow clinicians to both better appreciate the tremendous improvements that have been made over the years, and will also provide valuable information on differences among strategies manufacturers use to optimize product performance, as well as factors under the control of the clinician, whereby they can influence the long-term outcome of their restorative procedures.

Effects of radiant exposure values using second and third generation light curing units on the degree of conversion of a lucirin-based resin composite

Abstract Alternative photoinitiators with different absorption wavelengths have been used in resin composites (RCs), so it is crucial to evaluate the effectiveness of light-curing units (LCUs) on these products. Objective Using Fourier transform infrared analysis (FTIR) in vitro, the effects of varying radiant exposure (RE) values generated by second and third generation LED LCUs on the degree of conversion (DC) and maximum rate of polymerization (Rpmax) of an experimental Lucirin TPO-based RC were evaluated. Material and Methods 1 mm or 2 mm thick silicon molds were positioned on a horizontal attenuated total reflectance (ATR) unit attached to an infrared spectroscope. The RC was inserted into the molds and exposed to varying REs (18, 36 and 56 J/cm2) using second (Radii Plus, SDI) and third generation LED LCUs (Bluephase G2/Ivoclar Vivadent) or a quartz tungsten based LCU (Optilux 501/SDS Kerr). FTIR spectra (n=7) were recorded for 10 min (1 spectrum/s, 16 scans/spectrum, resolution 4 cm-1) immediately after their application to the ATR. The DC was calculated using standard techniques for observing changes in aliphatic to aromatic peak ratios both prior to, and 10 min after curing, as well as during each 1 second interval. DC and Rpmax data were analyzed using 3-way ANOVA and Tukey’s post-hoc test (p=0.05). Results No significant difference in DC or Rpmax was observed between the 1 mm or 2 mm thick specimens when RE values were delivered by Optilux 501 or when the 1 mm thick composites were exposed to light emitted by Bluephase G2, which in turn promoted a lower DC when 18 J/cm2 (13 s) were delivered to the 2 mm thick specimens. Radii Plus promoted DC and Rpmax values close to zero under most conditions, while the delivery of 56 J/cm2 (40 s) resulted in low DC values. Conclusions The third generation LCU provided an optimal polymerization of Lucirin TPO-based RC under most tested conditions, whereas the second generation LED-curing unit was useless regardless of the RE.

Influence of Different Photoinitiators on Polymerization Kinetics and Marginal Microleakage in Restorations using Photopolymerizable Dental Composites

Objective: To evaluate the influence of four different photoinitiators on the polymerization kinetics and marginal microleakage in class V restorations using photopolymerizable dental composites. Material and Methods: Four photopolymerizable dental composites based on Bis-GMA (14.5 wt %), UDMA (6.5 wt %) and silanized filler particles (79 wt %) containing different photoinitiators were formulated. Camphorquinone (CQ)/amine, phenyl-propanedione (PPD), monoacylphosphine oxide (Lucirin® TPO) and bisacylphosphine oxide (Irgacure® 819) were used as photoinitiators. Sixteen intact human third molars were selected and divided into four groups. All teeth received class V cavity preparations in their buccal and lingual surfaces and were submitted to a dye leakage test. Data were independently analyzed for both enamel and dentin, and the results were assessed by a Kruskal-Walis test. The polymerization reactions of the four composites were evaluated by differential scanning calorimeter coupled with photocalorimeter accessory. Results: Lucirin® TPO presented the highest scores for microleakage in enamel, whereas the other photoinitiators have not demonstrated statistical differences. The lowest scores were obtained for PPD in dentin while the highest scores have been achieved by Irgacure® 819 and Lucirin® TPO. Photocalorimetric measurements demonstrated a correlation between polymerization reaction rate and marginal leakage, showing that faster reactions cause greater marginal leakage. Conclusion: Marginal microleakage scores in photopolymerizable dental composites can be greatly influenced by different types of photoinitiators through their distinct reaction rates.

Evaluation of phenyl-propanedione on yellowing and chemical-mechanical properties of experimental dental resin-based materials

ABSTRACT Objective To evaluate the influence of phenyl-propanedione on yellowing and chemical-mechanical properties of experimental resin-based materials photoactivated using different light curing units (LCUs). Material and Methods Experimental resin-based materials with the same organic matrix (60:40 wt% BisGMA:TEGDMA) were mechanically blended using a centrifugal mixing device. To this blend, different photoinitiator systems were added in equimolar concentrations with aliphatic amine doubled by wt%: 0.4 wt% CQ; 0.38 wt% PPD; or 0.2 wt% CQ and 0.19 wt% PPD. The degree of conversion (DC), flexural strength (FS), Young’s modulus (YM), Knoop hardness (KNH), crosslinking density (CLD), and yellowing (Y) were evaluated (n=10). All samples were light cured with the following LCUs: a halogen lamp (XL 2500), a monowave LED (Radii), or a polywave LED (Valo) with 16 J/cm2. The results were analysed by two-way ANOVA and Tukey’s test (α=0.05). Results No statistical differences were found between the different photoinitiator systems to KNH, CLS, FS, and YM properties (p≥0.05). PPD/CQ association showed the higher DC values compared with CQ and PPD isolated systems when photoactivated by a polywave LED (p≤0.05). Y values were highest for the CQ compared with the PPD systems (p≤0.05). Conclusion PPD isolated system promoted similar chemical and mechanical properties and less yellowing compared with the CQ isolated system, regardless of the LCU used.

Influência dos sistemas fotoiniciadores sobre as propriedades físicas e mecânicas de cimentos resinosos fotoativados por diferentes fontes de luz / Effect of light curing units on the physical and mechanical properties of lutting resin cements containing different photoinitiators systems

A utilização de sistemas iniciadores alternativos na composição de cimentos resinosos fotoativados tem por objetivo melhorar as propriedades químicas, mecânicas e estéticas dos agentes de cimentação odontológicos, reduzindo os aspectos desfavoráveis do sistema iniciador convencional, canforoquinona/amina. Para isso, um correto relacionamento entre o espectro de emissão da fonte de luz e o espectro de absorção do fotoiniciador é fundamental. O presente estudo tem como objetivo, através de uma revisão de literatura, avaliar as possíveis alterações físicas e mecânicas atribuídas a agentes de cimentação resinosos fotoativados, contendo diferentes sistemas fotoiniciadores sob efeito de diferentes tipos de fonte de luz...

The use of alternative initiator systems in the composition of luting resin cements aims to improve chemical, mechanical, and aesthetic properties of dental cementation agents, reducing the drawbacks aspects of the conventional initiator system, canphorquinone/amine. Therefore the proper interaction between the light-curing units emission spectrum and the photo-initiator absorption spectrum is r. This study presents a literature review with the objective of evaluating the possible physical and mechanical changes on photoactivated resin cements, containing different photo-iniciators systems under the effect of different types of light sources...

Influence of the concentration of 10-metacryloxydecyl dihydrogen phosphate (10-MDP) on the degree of conversion of experimental adhesives applied with different manipulation protocols / Influência da concentração de 10-metacriloiloxidecil dihidrogeniofosfato (10-MDP) no grau de conversão de adesivos experimentais aplicados com diferentes protocolos de manipulação

Propósito: Avaliar a influência de diferentes concentrações do 10-MDP no grau de conversão (%GC) de adesivos experimentais (AE) em diferentes protocolos de manipulação (PM). Material e Métodos: Os AE contêm um sistema iniciador triplo (CQ/DABE/sal diodônio) e diferentes concentrações de 10-MDP A1 = 0%, A2 = 3%, A3 = 6%, A4 = 9%, A5 = 12% ou A6 = 15% em peso foram adicionadas. Um adesivo comercialmente disponível foi utilizado para comparação (Ambar, FGM). Os adesivos foram divididos em 4 PM: I) Controle (sem manipulação), II) 5 s de evaporação, III) 20 s de evaporação e IV) adição de água. O GC foi avliado com o FTIR-ATR. Os dados foram analisados com Anova a dois critérios e Tukey (α = 0,05). Resultados: Diferenças significativas foram encontradas entre os adesivos (p < 0.0001) e PM (p = 0.000001). Também foi encontrado um efeito de interação (p < 0.0001). Para os adesivos, foi observado que o A5 obteve o maior resultado (89.70% ± 4.21) e o com menor valor foi o AE sem MDP (76.35% ± 8.45). O Ambar obteve valores intermediários (83.68% ± 9.46). Para o PM, o maior valor foi para: Controle (88.50% ± 2.72) > 20-s-evaporação (85.13% ± 6.95) ≈ 5-s-evaporação (85.18% ± 6.08) ≈ adição de água (85.80% ± 10.33). Conclusão: Os resultados obtidos sugerem que o 10- MDP pode aumentar a %GC dos AE com o sistema iniciador triplo.(AU)

Purpose: To evaluate the influence of different concentrations of 10-MDP in degree of conversion (%DC) of experimental adhesives (EA) applied with different manipulation protocols (MP). Materials and Methods: EA containing a three-component-photoinitiator system (CQ/DABE/iodonium salt) were prepared and different concentrations of 10-MDP were added A1 = 0%, A2 = 3%, A3 = 6%, A4 = 9%, A5 = 12%, or A6 = 15% by weight. A commercially available adhesive was used as comparison (Ambar, FGM). The adhesives were divided into 4 MP: I) Control (without any manipulation), II) 5 s of evaporation, III) 20 s of evaporation and IV) addition of water to the adhesive. DC was evaluated by FTIR-ATR. The data were analyzed with two-way Anova and Tukey´s HSD (α = 0.05). Results: Significant differences were found between the adhesives (p < 0.0001) and MP (p = 0.000001). An interaction effect (p < 0.0001) was also observed. For adhesives, it was observed that the A5 showed the highest value (89.70% ± 4.21) and the lowest values to EA without MDP (76.35% ± 8.45). Ambar showed intermediate values (83.68% ± 9.46). For MP, the highest DC was observed to Control (88.50% ± 2.72) > 20-s-evaporation (85.13% ± 6.95) ≈ 5-s-evaporation (85.18% ± 6.08) ≈ addition of water (85.80% ± 10.33). Conclusion: The results suggest that 10- MDP can enhance the %DC of the threecomponent- photoinitiator system EAs evaluated.(AU)

Influence of polymeric matrix on the physical and chemical properties of experimental composites

Nowadays, the main reasons for replacement of resin-based composite restorations are fracture or problems with the integrity of their interface, such as marginal staining, microleakage, or secondary caries. The aim of the present study was to evaluate the influence of the organic matrix on polymerization stress (PS), degree of conversion (DC), elastic modulus (E), flexural strength (FS), Knoop hardness (KHN), sorption (SP), and solubility (SL). In order to obtain a material which combines better mechanical properties with lower PS, seven experimental composites were prepared using BisGMA to TEGDMA molar ratios of 2:8, 3:7, 4:6, 5:5, 6:4, 7:3 and 8:2 and 40% of silica. PS was obtained in a universal testing machine, using acrylic as bonding substrate. DC was determined using Fourier Transform Raman spectroscopy. E and FS were obtained by the three-point bending test. KHN was measured by a microindentation test using a load of 25 g for 30 s. SP and SL were assessed according to ISO 4049. The data were submitted to one-way ANOVA. The increase in BisGMA concentration resulted in the decrease of PS, DC, E, FS and KHN. However, it did not change the SP and SL values. FS, E and KHN showed a strong and direct relationship with the DC of the materials. The composite material with a BisGMA to TEGDMA molar ratio of 1:1 was the one with better mechanical properties and lower PS.

Monomers used in resin composites: degree of conversion, mechanical properties and water sorption/solubility

The organic phase of resin composites is constituted by dimethacrylate resins, the most common monomers being the bisphenol A diglycidildimethacrylate (BisGMA), its ethoxylated version (BisEMA), triethylene glycol dimethacrylate (TEGDMA) and urethane dimethacrylate (UDMA). This study compared the homopolymers formed from the monomers used in restorative dental composites in terms of their degree of conversion (DC) and reaction kinetics (by near infra-red spectroscopy, n=3), mechanical properties (flexural modulus and strength in three point-bending, FM and FS, respectively, n=15), water sorption and solubility (WS and SL, respectively - ISO 4049, n=5). Materials were made photopolymerizable by the addition of camphoroquinone/dimethylamine ethyl methacrylate. TEGDMA showed the highest DC, followed by BisEMA, UDMA and BisGMA, both at 10 min and at 24h (p<0.001). UDMA showed the highest rate of polymerization, followed by TEGDMA, BisEMA and BisGMA (H0=13.254, p<0.001). UDMA and TEGDMA presented similar FM, significantly higher (p<0.001) than BisEMA and BisGMA, which in turn present statistically similar values (p>0.001). For FS, UDMA presented the highest value (p<0.001), followed by TEGDMA, then by BisEMA and BisGMA, which were statistically similar (p>0.001). BisGMA showed the highest WS, and TEGDMA and BisEMA the lowest. UDMA was statistically similar to all (H0=16.074, p<0.001). TEGDMA presented the highest SL, followed by UDMA, BisGMA and BisEMA (p<0.001). The tested homopolymers presented different behaviors in terms of polymerization kinetics, flexural properties, water sorption and solubility. Therefore, the use of copolymers is justified in order to obtain high DC and mechanical properties, as well as good resistance to water degradation.

A fase orgânica de compósitos resinosos é constituída por dimetacrilatos, sendo os mais comuns o dimetacrilato de diglicidilabisfenol A (BisGMA), sua versão etoxilada (BisEMA), dimetacrilato de trietilenoglicol (TEGDMA) e dimetacrilato de uretano (UDMA). Este estudo comparou os homopolímeros formados pelos monômeros utilizados em compósitos restauradores dentários em relação a seus graus de conversão (GC) e cinética de reação (através de espectroscopia no infra-vermelho), propriedades mecânicas (módulo de elasticidade em flexão e resistência à flexão, MF e RF, respectivamente), sorção de água e solubilidade (SA e SL, respectivamente - ISO4049). Os materiais se tornaram fotopolimerizáveis pela adição de canforoquinona/metacrilato de dimetilaminoetila e foram fotoativados utilizando uma fonte de luz de quartzo-tungstênio-halogênio filtrada para 400-500 nm. O TEGDMA apresentou o maior GC, seguido pelo BisEMA, UDMA e BisGMA, tanto aos 10 min quanto após 24 h (p<0,001). O UDMA mostrou a maior velocidade de reação, seguido pelo TEGDMA, BisEMA e BisGMA (H0=13,254, p<0,001). O UDMA e o TEGDMA apresentaram MF semelhantes, estatisticamente superiores ao BisEMA e ao BisGMA (p<0,001), os quais por sua vez apresentaram valores estatisticamente semelhantes (p>0,001). Para RF, o UDMA apresentou o valor mais alto, seguido pelo TEGDMA, BisEMA e BisGMA (p<0,001), sendo os dois últimos estatisticamente semelhantes (p>0,001). O BisGMA apresentou a maior SA, e o TEGDMA e o BisEMA as menores. O UDMA foi estatisticamente semelhante a todos (H0=16,074, p<0,001). O TEGDMA apresentou a maior SL, seguido pelo UDMA, BisGMA e BisEMA (p<0,001). Os homopolímeros demonstraram desempenhos bastante distintos em relação à cinética de polimerização, propriedades em flexão e sorção e solubilidade. Tais diferenças justificam o uso de co-polímeros para a obtenção de materiais com propriedades físicas otimizadas.

Photoelastic evaluation of the effect of composite formulation on polymerization shrinkage stress

We compared polymerization stress in two commercial composites and three experimental composites made using camphorquinone (CQ) and/or phenylpropanedione (PPD) as photoinitiators. The internal surfaces of photoelastic resin discs with cylindrical cavities were roughened and treated with adhesive. Composites were divided into five groups: two commercial composites (Filtek Silorane and Filtek Z250) and three experimental composites with CQ/amine, CQ/PPD/amine, and PPD/amine. Composites were photopolymerized inside cavities, and subjected to photoelastic analysis immediately and at 24 hours and 7 days later using a plane polariscope. Stress created by Silorane (3.08 ± 0.09 MPa) was similar to that of Z250 (3.19 ± 0.13 MPa) immediately after photopolymerization (p > 0.05). After 24 hours and 7 days, Z250 (3.53 ± 0.15 and 3.69 ± 0.10 MPa, respectively) showed higher stress than Silorane (3.19 ± 0.10 and 3.16 ± 0.10 MPa, respectively). Qualitative analysis immediately after photopolymerization showed composite/CQ promoted higher stress than PPD, but stress levels at other evaluated times were statistically similar, varying between 3.45 ± 0.11 MPa and 3.92 ± 0.13 MPa. At 24 hours and 7 days, Silorane created the lowest stress. All photoinitiators created comparable tensions during polymerization.