Alexander Uhl

Polymerization and light-induced heat of dental composites cured with LED and halogen technology

Most commercial light curing units (LCUs) for dental applications use conventional halogen bulbs. Commercial LCUs using light emitting diodes (LEDs) have recently become established on the market, even though some aspects of their performance have not been fully investigated. Temperature rise of dental composites during the light-induced polymerization is considered to be a potential hazard for the pulp of the tooth. This study, therefore, investigated the temperature rise in three different composites (Z100, Durafill, Solitaire2) in two shades (A2, A4) polymerized for 40s with two LED LCUs (Freelight, custom-made LED LCU prototype) and two halogen LCUs (Trilight, Translux). The Trilight was used in the standard and soft-start mode. The temperature rise within the composites were recorded for 60s with a thermocouple and also observed with a high-resolution infrared (HRIR) camera. The factors LCU (p < 0.0001), composite (p < 0.0001) and shade (p = 0.0014) had statistically significant influences on the temperature rise. All composites cured with the halogen LCUs reached at a depth of 2 mm, a statistically significant higher temperature (p < 0.0001) than those cured with the LED LCUs. Only one composite showed a statistically significant lower temperature rise for the halogen LCUs at the 95% confidence level, when the soft-start mode was used instead of the standard mode. In general, the composites with the lighter shade (A2) reached higher temperatures than the darker shade (A4), if the LED LCUs were used. When the halogen LCUs were used, the situation was reversed, the composites with the darker shade (A4) reaching higher temperatures than the lighter shade (A2). This study showed that a HRIR camera represents a powerful tool for the observation of temperature propagation on small samples. This study also showed that LED LCUs represent a viable alternative to halogen LCUs for the light polymerization of dental composites because of a generally lower temperature increase within the composite.

Second generation LEDs for the polymerization of oral biomaterials

OBJECTIVES New blue, so called second generation light emitting diodes (LEDs) are now available with a high optical power output. These LEDs will potentially find widespread application in commercially available light curing units (LCUs). This study, therefore, investigated the curing performance of a prototype LCU containing one high power LED and a conventional halogen LCU (Polofil). METHODS The performances of the LCUs were evaluated by measuring the Knoop hardness and depth of cure of the composites. Three dental composites were selected (Z100, Admira and Revolcin Flow) in a light (A2) and a dark shade (A3.5 or A4), respectively, and were polymerized for 40 s each. RESULTS The LED prototype (irradiance=901 mW/cm2) achieved a statistically significantly greater (p<0.05) depth of cure than the halogen LCU (irradiance=860 mW/cm2) for all composites. Generally, there was no statistically significant difference in Knoop hardness on the top and bottom of a 2 mm thick disk for the composites Z100 and Admira if polymerized with the LED prototype or halogen LCU. The composite Revolcin Flow, however, showed in general a statistically significant lower Knoop hardness if polymerized with the LED LCU. SIGNIFICANCE The present study shows that second generation LEDs have the potential to replace halogen LCUs if the composites are selected carefully. Furthermore, this study confirmed that the depth of cure test does not discriminate between LCUs performance for composites containing co-initiators, but the Knoop hardness test does.

Photoinitiator dependent composite depth of cure and Knoop hardness with halogen and LED light curing units.

Light curing units (LCUs) are used for the polymerization of dental composites. Recent trends in light curing technology include replacing the halogen LCUs with LCUs using light emitting diodes (LEDs) reducing curing times and varying the LCUs light output within a curing cycle. This study investigated the time dependence of the Knoop hardness and depth of cure of dental composites polymerized with a halogen LCU (Trilight) and two LED LCUs (the commercial Freelight and custom-made LED LCU prototype). The halogen LCU was used in the soft-start (exponential increase of output power) and standard mode. Four dental composites (Z100, Spectrum, Definite, Solitaire2) were selected, two of them (Definite, Solitaire2) contain co-initiators in addition to the standard photoinitiator camphorquinone. The depth of cure obtained with the Trilight in the standard mode was statistically significantly greater (p < 0.05) than that obtained with the LED LCUs for all materials and curing times. The custom made LED LCU prototype (LED63) achieved a statistically significantly greater depth of cure than the commercial LED LCU Freelight for all materials and curing times. There was no statistical difference in Knoop hardness at the 95% confidence level at the surface of the 2 mm thick sample between the LED63 or Trilight (standard mode) for the composite Z100 for all times, and for Spectrum for 20s and 40s curing time. The composites containing co-initiators showed statistically significantly smaller hardness values at the top and bottom of the samples if LED LCUs were used instead of halogen LCUs. The experiment revealed that the depth of cure test does not and the Knoop hardness test does discriminate between LCUs, used for the polymerization of composites containing photoinitiators in addition to camphorquinone.

High power light emitting diode (LED) arrays versus halogen light polymerization of oral biomaterials: Barcol hardness, compressive strength and radiometric properties.

The clinical performance of light polymerized dental composites is greatly influenced by the quality of the light curing unit (LCU) used. Commonly used halogen LCUs have some specific drawbacks such as decreasing light output with time. This may result in a low degree of monomer conversion of the composites with negative clinical implications. Previous studies have shown that blue light emitting diode (LED) LCUs have the potential to polymerize dental composites without having the drawbacks of halogen LCUs. Since these studies were carried out LED technology has advanced significantly and commercial LED LCUs are now becoming available. This study investigates the Barcol hardness as a function of depth, and the compressive strength of dental composites that had been polymerized for 40 or 20s with two high power LED LCU prototypes, a commercial LED LCU, and a commercial halogen LCU. In addition the radiometric properties of the LCUs were characterized. The two high power prototype LED LCUs and the halogen LCU showed a satisfactory and similar hardness-depth performance whereas the hardness of the materials polymerized with the commercial LED LCU rapidly decreased with sample depth and reduced polymerization time (20 s). There were statistically significant differences in the overall compressive strengths of composites polymerized with different LCUs at the 95% significance level (p = 0.0016) with the two high power LED LCU prototypes and the halogen LCU forming a statistically homogenous group. In conclusion, LED LCU polymerization technology can reach the performance level of halogen LCUs. One of the first commercial LED LCUs however lacked the power reserves of the high power LED LCU prototypes.