Effect of different photoactivation techniques on the bond strength of a dental composite

Using the push-out test, this study evaluated the bond strength of the composite resin Z250 (3M/ESPE) photoactivated with the XL2500 (3M/ESPE) quartz-tungsten-halogen light-curing unit with different curing protocols: soft-start (150 mW/cm2 for 2 s (S2), 3 s (S3), 5 s (S5), 10 s (S10) or 15 s (S15), followed by 700 mW/cm2 for 15 s; pulse-delay (150 mW/cm2 for 2 s (P2), 3 s (P3), 5 s (P5), 10 s (P10) or 15 s (P15), with a 1-min delay, followed by 700 mW/cm2 for 15 s. After storage at 37oC ± 1 for 24 h ± 1, the specimens were ground, polished and subjected to a push-out test in a universal test machine (Instron) with a cell load of 500 N at a crosshead speed of 0.5 mm/min. The data were analyzed statistically by ANOVA and Tukey's test at 5 percent significance level. There were no statistically significant differences (p>0.05) among the groups photoactivated using the soft-start mode. For the pulse-delay mode, P5 promoted the highest bond strength (p<0.05). Groups photoactivated with the pulse-delay mode (except for P2 and P15) presented significantly higher bond strength than those photoactivated with the soft-start. It may be concluded that the influence of initial exposure time was curing method-dependent, with the best results obtained using the pulse-delay method with 5 s in the first photoactivation cycle.

O objetivo deste estudo foi avaliar a resistência de união (push-out) da resina composta Filtek Z250 (3M/ESPE), fotoativada com luz de lâmpada halógena XL2500 (3M/ESPE), utilizando diferentes protocolos de fotoativação: soft-start (150 mW/cm2 por 2 (S2), 3 (S3), 5 (S5), 10 (S10) ou 15 s (S15), seguido por 700 mW/cm2 por 15 s; e pulse-delay (150 mW/cm2 por 2 (P2), 3 (P3), 5 (P5), 10 (P10) ou 15 s (P15), com 1 min de espera, seguido de 700 mW/cm2 por 15 s. As amostras foram armazenadas a 37°C ± 1 por 24 h ± 1, lixadas, polidas e submetidas ao ensaio de resistência de união (push-out) em máquina de ensaio universal (Instron) com velocidade de 0,5 mm/min. Os dados foram submetidos à Análise de Variância e teste de Tukey (5 por cento). Os resultados mostraram que não houve diferença significativa entre os grupos fotoativados pelo método soft-start (p>0,05). Para o método pulse-delay, o grupo P5 apresentou a maior resistência de união, significativamente superior aos outros grupos. Os grupos fotoativados pelo método pulse-delay (exceto P2 e P15) apresentaram resistência de união significativamente superior ao método soft-start. Pode-se concluir que a influência do tempo de exposição inicial foi método-dependente, sendo os melhores resultados apresentados pelo método pulse-delay fotoativado com exposição inicial de 5 s.

The effect of different curing modes on composite resin/dentin bond strength in class icavities / 대한치과보존학회지

The purpose of this study was to compare the microtensile bond strength in Class I cavities associated with different light curing modes of same light energy density. Occlusal enamel was removed to expose a flat dentin surface and twenty box-shaped Class I cavities were prepared in dentin. Single Bond (3M Dental product) was applied and Z 250 was inserted using bulk technique. The composite was light-cured using one of four techniques; pulse delay (PD group), soft-start (SS group), pulse cure (PC group) and standard continuous cure (CC group). The light-curing unit capable of adjusting time and intensity (VIP, Bisco Dental product) was selected and the light energy density for all curing modes was fixed at 16 J/cm2. After storage for 24 hours, specimens were sectioned into beams with a rectangular cross-sectional area of approximately 1 mm2. Microtensile bond strength (microTBS) test was performed using a universal testing machine (EZ Test, Shimadzu Co.). The results were analyzed using oneway ANOVA and Tukey's test at significance level 0.05. The microTBS of PD group and SS group was higher than that of PC group and CC group. Within the limitations of this in vitro study, modification of curing modes such as pulse delay and soft start polymerization can improve resin/dentin bond strength in Class I cavities by controlling polymerization velocity of composite resin.

Polymerization shrinkage of composite resins cured by variable light intensities / 대한치과보존학회지

The purpose of this study was to compare the effect of exponential curing method with conventional curing and soft start curing method on polymerization shrinkage of composite resins. Three brands of composite resins (Synergy Duo Shade, Z250, Filtek Supreme) and three brands of light curing units (Spectrum 800, Elipar Highlight, Elipar Trilight) were used. 40 seconds curing time was given. The shrinkage was measured using linometer for 90 seconds. The effect of time on polymerization shrinkage was analysed by one-way ANOVA and the effect of curing modes and materials on polymerization shrinkage at the time of 90s were analysed by two-way ANOVA. The shrinkage ratios at the time of 20s to 90s were taken and analysed the same way. The results were as follows: 1. All the groups except Supreme shrank almost within 20s. Supreme cured by soft start and exponential curing had no further shrinkage after 30s (p < 0.05). 2. Statistical analysis revealed that polymerization shrinkage varied among materials (p = 0.000) and curing modes (p = 0.003). There was no significant interaction between material and curing mode. 3. The groups cured by exponential curing showed the statistically lower polymerization shrinkage at 90s than the groups cured by conventional curing and soft start curing (p < 0.05). 4. The initial shrinkage ratios of soft start and exponential curing were statistically lower than conventional curing (p < 0.05). From this study, the use of low initial light intensities may reduce the polymerization rate and, as a result, reduce the stress of polymerization shrinkage.

Effect of different initial light intensity by the soft-start photoactivation on the bond strength and Knoop hardness of a dental composite

This study evaluated the bond strength (push-out method) and Knoop hardness of Z250 composite resin, photoactivated with XL 2500 curing unit, using different protocols: continuous mode (700mW/cm² for 20s) (CO); soft-start (50 mW/cm² for 5 s, followed by 700 mW/cm² for 15 s) (SS1); soft-start (100 mW/cm² for 5 s, followed by 700 mW/cm² for 15 s) (SS2); soft-start (150 mW/cm² for 5 s, followed by 700mW/cm² for 15s) (SS3); soft-start (200mW/cm² for 5s, followed by 700mW/cm² for 15s) (SS4); soft-start (250mW/cm² for 5 s, followed by 700 mW/cm² for 15 s) (SS5); soft-start (300 mW/cm² for 5 s, followed by 700 mW/cm² for 15 s) (SS6). For the push-out test, the specimens were tested in a universal testing machine at a crosshead speed of 0.5 mm/min. For the hardness test, the specimens were polished for the hardness measurements, using a 50 g load for 15 s. Data were submitted to ANOVA and Tukey's test (alpha=5 percent). The results of bond strength showed that the SS3 group obtained the highest bond strength when compared to the CO group. There were no significant differences among the other modes in relation to the other groups. Regarding the other results in hardness, there were no significant differences among the groups in the surface region and up to 4 mm depth.

Este estudo avaliou a resistência de união (push-out) e a dureza Knoop do compósito Z250, fotoativado por luz de lâmpada halógena XL2500, com diferentes modos: Contínuo (700 mW/cm²/20 s) (CO); Soft-start (50 mW/cm²/5 s + 700 mW/cm²/15 s) (SS1), (100 mW/cm²/5 s + 700 mW/cm²/15 s) (SS2), (150 mW/cm²/5 s + 700 mW/cm²/15 s) (SS3), (200 mW/cm²/5 s + 700 mW/cm²/15 s) (SS4), (250 mW/cm²/5 s + 700 mW/cm²/15 s) (SS5), (300 mW/cm²/5 s + 700 mW/cm²/15 s) (SS6). Para o ensaio de resistência de união, os espécimes foram testados em máquina de ensaio universal com velocidade de 0,5 mm/min. Para o teste de dureza, os espécimes foram polidos para a realização das leituras de dureza, realizadas com carga de 50 g por 15 s. Os dados foram submetidos a ANOVA e ao teste de Tukey (alfa=5 por cento). Os resultados de resistência da união mostraram que o grupo SS3 apresentou maior resistência da união quando comparado ao grupo CO. Não houve diferença entre os demais grupos testados. O teste de dureza Knoop mostrou que não houve diferença entre os grupos até 4 mm de profundidade.

Mechanical properties and microleakage of composite resin materials cured by variable light intensities / 대한치과보존학회지

Mechanical properties and microleakage of two composites [conventional hybrid type DenFil (VERICOM Co., Anyang, Korea) / micro matrix hybrid type Esthet X (Dentsply Caulk, Milford, DE, U.S.A.)] were evaluated to assess whether variable light intensity curing is better than conventional curing technique. Curing was done for 40 seconds in two ways of 2 step soft-start technique and 5 step ramping technique. Three kinds of light intensities of 50, 100, 200 mW/cm2 were initially used for 10, 20, 30 seconds each and the maximum intensity of 600 mW/cm2 was used for the rest of curing time in a soft-start curing technique. In a ramping technique, curing was done with the same initial intensities and the light intensity was increased 5 times with the same rate to the maximum intensity of 600 mW/cm2. After determining conditions that showed no different mechanical properties with conventional technique, Esthet X composite was filled in a class V cavity, which dimension was 4x3x1.5 mm and cured under those conditions. Microleakage was evaluated in two ways of dye penetration and maximum gap estimation through SEM observation. ANOVA and Spearman's rho test were used to confirm any statistical significance among groups. The results were as follows: 1. Several curing conditions of variable light intensities resulted in the similar mechanical properties with a conventional continuous curing technique, except conditions that start curing with an initial light intensity of 50 mW/cm2, 2. Conventional and ramping techniques were better than soft-start technique in mechanical properties of microhardness and compressive strength. 3. Soft-start group that started curing with an initial light intensity of 100 mW/cm2 for 10 seconds showed the least dye penetration. Soft-start group that started curing with an initial light intensity of 200 mW/cm2 for 10 seconds showed the smallest marginal gap, if there was no difference among groups. 4. Soft-start technique resulted in better dye-proof margin than conventional technique (p=0.014) and ramping technique(p=0.002). 5. There was a very low relationship(p=0.157) between the methods of dye penetration and marginal gap determination through SEM evaluation. From the results of this study, it was revealed that ramping technique would be better than conventional technique in mechanical properties, however, soft-start technique might be better than conventional one in microleakage. It was concluded that much endeavor should be made to find out the curing conditions, which have advantages of both aspects or to solve these kinds of problems through a novel idea of polymerization.