Comparison of composite curing parameters: effects of light source and curing mode on conversion, temperature rise and polymerization shrinkage.

This study analyzed the degree of conversion, temperature increase and polymerization shrinkage of two hybrid composite materials polymerized with a halogen lamp using three illumination modes and a photopolymerization device based on blue light emitting diodes. The degree of conversion of Tetric Ceram (TC) (Ivoclar Vivadent) and Filtek Z 250 (F) (3M/ESPE) was measured by Fourier transformation infrared spectroscopy at the surface and 2-mm depth; temperature rise was measured by digital multimeter, and linear polymerization shrinkage was measured during cure by digital laser interferometry. Composite samples were illuminated by quartz-tungsten-halogen curing unit (QTH) (Astralis 7, Ivoclar Vivadent) under the following modes: "high power" (HH) 40 seconds at 750 mW/cm2, "low power" (HL) 40 seconds at 400 mW/cm2 and "pulse/soft-start" (HP) increasing from 150 to 400 mW/cm2 during 15 seconds followed by 25 seconds pulsating between 400 and 750 mW/cm2 in 2-second intervals and by light emitting diodes (LED) (Lux-o-Max, Akeda Dental) with emitted intensity 10 seconds at 50 mW/cm2 and 30 seconds at 150 mW/cm2. A significantly higher temperature increase was obtained for both materials using the HH curing mode of halogen light compared to the HP and HL modes and the LED curing unit after 40 seconds. Significantly lower temperature values after 10-second illumination were obtained when LED was used compared to all halogen modes. For all curing modes, there was no significant difference in temperature rise between 20 and 40 seconds of illumination. Results for the degree of conversion measurements show that there is a significant difference in the case of illumination of resin composite samples with LED at the surface and 2 mm depth. For polymerization shrinkage, lower values after 40 seconds were obtained using LED compared to QTH.

Measurement of linear polymerization contraction using digital laser interferometry.

Polymerization shrinkage is an unavoidable consequence of resin composite photopolymerization and is one of the most important factors in determining the clinical quality and durability of composite filling. Many different methods of measuring polymerization shrinkage are described in the literature. Digital laser interferometry is a method that enables direct observation of polymerization shrinkage in real time. This study used the digital holographic interferometry method to measure the linear polymerization contraction of composite materials: Tetric Ceram (Vivadent), Spectrum TPH (Dentsply) and Valux Plus (3M Dental Products) polymerized with three different curing modes of the Elipar Trilight (ESPE) halogen curing unit. The highest polymerization contraction was recorded by "standard mode" (ETS) (1.24 +/- 2.66% lin), and the lowest by "medium mode" (ETM) (0.40 +/- 0.41% lin) during 40 second illumination. The "exponentional mode" (ETE) showed the highest expansion during the first 10 seconds of illumination. Curing units with initial low intensity enable better inner adaptation of composite material, preventing the detachment of material from dentin during polymerization and avoiding the negative consequences of polymerization shrinkage.