Daniel Labrie

Refractive indices of water and ice in the 0.65- to 2.5-μm spectral range

New accurate values of the imaginary part, k, of the refractive index of water at T = 22 °C, supercooled water at T = -8 °C and polycrystalline ice at T = -25 °C are reported. The k spectrum for water in the spectral region 0.65-2.5 µm is found to be in excellent agreement with those of previous studies. The k values for polycrystalline ice in the 1.44-2.50-µm region eliminate the large uncertainties existing among previously published conflicting sets of data. The imaginary part of refractive index of supercooled water shows a systematic shift of absorption peaks toward the longer wavelengths compared with that of water at warmer temperatures.

Irradiance differences in the violet (405 nm) and blue (460 nm) spectral ranges among dental light-curing units.

PROBLEM Previous studies identified nonuniformity in the irradiance at the tip end of a variety of dental light-curing units (LCUs) and correlated those differences with potential clinical implications, but the spectral dependence of the irradiance uniformity has not yet been addressed. PURPOSE This study examined the irradiance uniformity across emitting tips of LCUs at two emission wavelengths, 405 and 460 nm. Two broadband emission light units (quartz-tungsten-halogen [QTH] and plasma arc [PAC]), and four commercial light-emitting diode (LED)-type LCUs were examined. MATERIALS AND METHODS The spectral radiant power from six LCUs was measured using a laboratory grade spectroradiometer (Ocean Optics, Dunedin, FL, USA). The spatial and spectral characteristics of irradiance across the emitting tips of these light units were recorded through 10-nm wide bandpass filters (centered at 405 nm [violet] or 460 nm [blue]) using a laser beam analyzer (Ophir-Spiricon, Logan, UT, USA). Irradiance distributions were reported using two-dimensional contour and three-dimensional isometric color-coded images. Irradiance uniformity at the tip end was determined using the Top Hat Factor (THF) for each filtered wavelength. RESULTS Irradiance distributions from the QTH and PAC units were uniformly distributed across the tip end of the light guide, and THF values, measured through the 405 and 460-nm filters, were not significantly different. However, the three polywave LED units delivered non-uniform irradiance distributions with THF values differing significantly between the 405 and 460-nm emission wavelengths for each unit. Areas of nonuniformity were attributed to the locations of the various types of LED chips within the LCUs. CONCLUSION All three polywave LED units delivered a nonuniform irradiance distribution across their emitting tip ends at the two important emission wavelengths of 405 nm and 460 nm, whereas the broadband light sources (QTH and PAC) showed no evidence of spectral inhomogeneity at these wavelengths.

Localised irradiance distribution found in dental light curing units.

OBJECTIVE To measure the localised irradiance and wavelength distributions from dental light curing units (LCUs) and establish a method to characterise their output. METHODS Using a laboratory grade integrating sphere spectrometer system (Labsphere and Ocean Optics) the power, irradiance, and spectral emission were measured at the light tips of four LCUs: one plasma-arc (PAC) unit, one single peak blue light-emitting diode (blue-LED) unit, and two polywave LED (poly-LED) units. A beam profiler camera (Ophir Spiricon) was used to record the localised irradiance across the face of the light tips. The irradiance-calibrated beam profile images were then divided into 45 squares, each 1mm(2). Each square contained the irradiance information received from approximately 3200 pixels. The mean irradiance value within each square was calculated, and the distribution of irradiance values among these 45 squares across the tip-ends was examined. Additionally, the spectral emission was recorded at various regions across each light tip using the integrating sphere with a 4-mm diameter entrance aperture. RESULTS The localised irradiance distribution was inhomogeneous in all four lights. The irradiance distribution was most uniformly distributed across the PAC tip. Both the irradiance and spectral emission from the poly-LED units were very unevenly distributed. CONCLUSIONS Reporting a single irradiance value or a single spectral range to describe the output from a curing light is both imprecise and inappropriate. Instead, an image of both the irradiance distribution and the distribution of the spectral emission across the light tip should be provided. CLINICAL SIGNIFICANCE The localised beam irradiance profile at the tip of dental LCUs is not uniform. Poly-LED units may deliver spectrally inhomogeneous irradiance profiles. Depending on the photoinitiator used in the RBC and the orientation of the LCU over the tooth, this non-uniformity may cause inadequate and inhomogeneous resin polymerisation, leading to poor physical properties, and premature failure of the restoration.

Irradiance uniformity and distribution from dental light curing units

PROBLEM The irradiance from dental light-curing units (LCUs) is commonly reported as a single number, but this number does not properly describe the light output. PURPOSE This study examined the irradiance uniformity and distribution from a variety of LCUs as well as the effect of different light guides. MATERIALS AND METHODS Five LCUs representing quartz-tungsten-halogen, plasma arc, and light emitting diode units were evaluated. One LCU was evaluated using two different light guides (Standard or Turbo style). The total power emitted from each LCU was measured and the irradiance calculated using conventional methods (I(CM)). In addition, a beam profiler was used to determine the optically active emitting area, the mean irradiance (I(BP)), the irradiance distribution, and the Top Hat Factor (THF). Five replications were performed for each test and compared using analysis of variance with Fishers PLSD tests at a pre-set alpha of 0.05. RESULTS The spatial distribution of the irradiance from LCUs was neither universally symmetrical nor was it uniformly distributed across the tip end. Significant differences in both the emitted power and THF were found among the LCUs. The THF values ranged from a high of 0.74 +/- 0.01 to a low of 0.32 +/- 0.01. Changing from a standard to a turbo light guide increased the irradiance, but significantly reduced beam homogeneity, reduced the total emitted power, and reduced the optical tip area by 60%. CONCLUSIONS Using different light guides on the same LCU significantly affected the power output, irradiance values, and beam homogeneity. For all LCUs, irradiance values calculated using conventional methods (I(CM)) did not represent the irradiance distribution across the tip end of the LCU. CLINICAL SIGNIFICANCE Irradiance values calculated using conventional methods assume power uniformity within the beam and do not validly characterize the distribution of the irradiance delivered from dental light curing units.

Refractive index of ice in the 1.4–7.8-μm spectral range

New accurate values of the imaginary part of the refractive index k of polycrystalline ice at T = -22 °C are reported. The k spectrum in the 1.43-2.89-µm region was found to be in excellent agreement with the most recent study, and the data in the 3.35-7.81-µm range eliminate the large existing uncertainty in the 3.5-4.3-µm region.

Imaginary part of the refractive index of sulfates and nitrates in the 0.7–2.6-µm spectral region

We have carried out the transmission spectroscopy and obtained the imaginary part of the refractive index k of sulfate and nitrate aqueous solutions in the spectral range between 0.7 and 2.6 microm for several concentrations at temperatures of T = 24 degrees C and T = -24 degrees C. A linear interpolation with volume fraction is found to reproduce the measured k spectra of the ammonium solutions.

Intra- and inter-brand accuracy of four dental radiometers

This study measured the accuracy and precision of four commercial dental radiometers. The intra-brand accuracy was also determined. The light outputs from 14 different curing lights were measured three times using four brands of dental radiometers and the results were compared to two laboratory-grade power meters that were used as the “gold standard”. To ensure proper representation, three examples of each brand of dental radiometer were used. Data collected was analyzed using ANOVA, with 95% confidence intervals, comparing the laboratory-grade meters to the dental radiometers. Bioequivalence was established where the confidence interval for the irradiance values was within ±20% of the “gold standard” reading. Forest plots were used to highlight bioequivalence values. The two laboratory-grade meters differed by less than 0.6%. Overall, all three examples of the Bluephase and SDI radiometers as well as two examples of the LEDRadiometer and one CureRite meter were bioequivalent to the gold standard. However, the type of curing light measured had a significant effect on the accuracy of the radiometer. There was significant variability of the irradiance readings between radiometer brands, and between irradiance values recorded by the three samples of each brand studied. This made it impossible to definitively rank the radiometer brands for accuracy. Within the ±20% bioequivalence limits of this study, there was a clinically significant difference in the irradiance readings between radiometer brands and the choice of curing light affected the results. There was also significant variation in irradiance readings reported by different examples of the same brand of radiometer. Whether in clinical practice or in research, dental radiometers should not be used when either the irradiance or energy delivered needs to be accurately known.

Examining exposure reciprocity in a resin based composite using high irradiance levels and real-time degree of conversion values

OBJECTIVE Exposure reciprocity suggests that, as long as the same radiant exposure is delivered, different combinations of irradiance and exposure time will achieve the same degree of resin polymerization. This study examined the validity of exposure reciprocity using real time degree of conversion results from one commercial flowable dental resin. Additionally a new fitting function to describe the polymerization kinetics is proposed. METHODS A Plasma Arc Light Curing Unit (LCU) was used to deliver 0.75, 1.2, 1.5, 3.7 or 7.5 W/cm(2) to 2mm thick samples of Tetric EvoFlow (Ivoclar Vivadent). The irradiances and radiant exposures received by the resin were determined using an integrating sphere connected to a fiber-optic spectrometer. The degree of conversion (DC) was recorded at a rate of 8.5 measurements a second at the bottom of the resin using attenuated total reflectance Fourier Transform mid-infrared spectroscopy (FT-MIR). Five specimens were exposed at each irradiance level. The DC reached after 170s and after 5, 10 and 15 J/cm(2) had been delivered was compared using analysis of variance and Fishers PLSD post hoc multiple comparison tests (alpha=0.05). RESULTS The same DC values were not reached after the same radiant exposures of 5, 10 and 15 J/cm(2) had been delivered at an irradiance of 3.7 and 7.5 W/cm(2). Thus exposure reciprocity was not supported for Tetric EvoFlow (p<0.05). SIGNIFICANCE For Tetric EvoFlow, there was no significant difference in the DC when 5, 10 and 15J/cm(2) were delivered at irradiance levels of 0.75, 1.2 and 1.5 W/cm(2). The optimum combination of irradiance and exposure time for this commercial dental resin may be close to 1.5 W/cm(2) for 12s.

Characterizing the output settings of dental curing lights.

OBJECTIVES For improved inter-study reproducibility and ultimately improved patient care, researchers and dentists need to know what electromagnetic radiation (light) is emitted from the light-curing unit (LCU) they are using and what is received by the resin. This information cannot be obtained from a dental radiometer, even though many studies have used a dental radiometer. METHODS The light outputs from six LCUs (two QTH and four broad-spectrum LED units) were collected in real-time using an integrating sphere connected to a fiberoptic spectrometer during different light exposures. RESULTS It was found that the spectral emissions were unique to each LCU, and there was no standardization in what was emitted on the various ramp (soft-start) settings. Relative to the normal use setting, using the ramp setting reduced the radiant energy (J) delivered from each LCU. For one of the four broad-spectrum LED LCUs, the spectral emissions in the violet range did not increase when the overall radiant power output was increased. In addition, this broad-spectrum LED LCU emitted no light from the violet LED chip for the first 5s and only emitted violet light when the ramp phase finished. CONCLUSIONS A single irradiance value derived from a dental radiometer or from a laboratory grade power meter cannot adequately describe the output from the LCU. Manufacturers should provide more information about the light output from their LCUs. Ideally, future assessments and research publications that include resin photopolymerization should report the spectral radiant power delivered from the LCU throughout the entire exposure cycle.

The dental curing light: A potential health risk

ABSTRACT Powerful blue-light emitting dental curing lights are used in dental offices to photocure resins in the mouth. In addition, many dental personnel use magnification loupes. This study measured the effect of magnification loupes on the “blue light hazard” when the light from a dental curing light was reflected off a human tooth. Loupes with 3.5x magnification (Design for Vision, Carl Zeiss, and Quality Aspirator) and 2.5x magnification (Design for Vision and Quality Aspirator) were placed at the entrance of an integrating sphere connected to a spectrometer (USB 4000, Ocean Optics). A model with human teeth was placed 40 cm away and in line with this sphere. The light guide tip of a broad-spectrum Sapphire Plus (Den-Mat) curing light was positioned at a 45° angle from the facial surface of the central incisor. The spectral radiant power reflected from the teeth was recorded five times with the loupes over the entrance into the sphere. The maximum permissible cumulative exposure times in an 8-hr day were calculated using guidelines set by the ACGIH. It was concluded that at a 40 cm distance, the maximum permissible cumulative daily exposure time to light reflected from the tooth was approximately 11 min without loupes. The weighted blue irradiance values were significantly different for each brand of loupe (Fishers PLSD p < 0.05) and were up to eight times greater at the pupil than when loupes were not used. However, since the linear dimensions of the resulting images would be 2.5 to 3.5x larger on the retina, the image area was increased by the square of the magnification and the effective blue light hazard was reduced compared to without the loupes. Thus, although using magnification loupes increased the irradiance received at the pupil, the maximum cumulative daily exposure time to reflected light was increased up to 28 min. Further studies are required to determine the ocular hazards of a focused stare when using magnification loupes and the effects of other curing lights used in the dental office.