Heat generated during light-curing of restorative composites: Effect of curing light, exotherm, and experiment substrate. 2016

Amy Balestrino, and Crisnicaw Veríssimo, and Daranee Tantbirojn, and Franklin Garcia-Godoy, and Carlos J Soares, and Antheunis Versluis
College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

OBJECTIVE To investigate temperature rise, separating heat caused by irradiation and exotherm for three composites polymerized with three curing lights. The effect of substrate on temperature measurements was also determined. METHODS Composite samples (n= 5) (Filtek Supreme Ultra, Filtek LS, and EsthetX HD) were placed on a thermocouple tip inside three substrates (aluminum, Delrin, and tooth). The composites were photoactivated using three curing lights (Elipar 2500 QTH, SmartLite Max LED, DemiUltra LED) at 1 mm distance. Irradiance was 798, 980, and 1,135 mW/cm2, respectively. Exotherm was determined by subtracting post-cure from the polymerization temperature curves. ANOVA and Student-Newman-Keuls post-hoc tests were used to analyze differences among peak temperatures and exotherms (significance level 0.05). RESULTS SmartLite LED curing light resulted in higher peak temperatures and exotherms compared to the DemiUltra LED and QTH for all tested composites (16.9-20.4°C vs 12.3-14.7°C vs 8.9-9.7°C). Thus, the LEDs produced higher temperature rises than the QTH, and the LED with lower irradiance caused higher temperature rise than the LED with higher irradiance. The silorane-based Filtek LS generated significantly higher exotherm than the methacrylate-based EsthetX HD and Filtek Supreme Ultra (6.2-7.6°C vs 3.6-4.5°C vs 2.7-3.6°C). Substrate affected temperatures significantly. Temperature profiles found in Delrin substrate were comparable to tooth substrate, while aluminum substrate reduced temperatures 10-20 degrees. CONCLUSIONS Curing of restorative composites raises the temperature under a restoration due to irradiation and exothermic reaction; how much the temperature increases depends on curing light design, type of composite, and surrounding substrate. The silorane-based Filtek LS generated significantly higher exotherm than the methacrylate-based EsthetX HD and Filtek Supreme Ultra.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D055115 Light-Curing of Dental Adhesives The hardening or polymerization of bonding agents (DENTAL CEMENTS) via exposure to light. Dental Bonding, Light-Cured,Light-Curing of Dental Cements,Light-Curing of Dental Resins,Dental Adhesives Light-Curing,Dental Bonding, Light Cured,Dental Bondings, Light-Cured,Dental Cements Light-Curing,Dental Resins Light-Curings,Light Curing of Dental Adhesives,Light Curing of Dental Cements,Light Curing of Dental Resins,Light-Cured Dental Bonding,Light-Cured Dental Bondings
D055117 Curing Lights, Dental Light sources used to activate polymerization of light-cured DENTAL CEMENTS and DENTAL RESINS. Degree of cure and bond strength depends on exposure time, wavelength, and intensity of the curing light. Dental Curing Lights,Halogen Dental Curing Lights,LED Dental Curing Lights,Plasma Arc Dental Curing Lights,Curing Light, Dental,Dental Curing Light,Light, Dental Curing,Lights, Dental Curing
D058105 Polymerization Chemical reaction in which monomeric components are combined to form POLYMERS (e.g., POLYMETHYLMETHACRYLATE). Polymerizations
D066298 In Vitro Techniques Methods to study reactions or processes taking place in an artificial environment outside the living organism. In Vitro Test,In Vitro Testing,In Vitro Tests,In Vitro as Topic,In Vitro,In Vitro Technique,In Vitro Testings,Technique, In Vitro,Techniques, In Vitro,Test, In Vitro,Testing, In Vitro,Testings, In Vitro,Tests, In Vitro,Vitro Testing, In

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