influence of light intensity on composite resin restoration done by : rofaidh wali teaching...
TRANSCRIPT
![Page 1: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/1.jpg)
Influence of light intensity Influence of light intensity on composite resin on composite resin restorationrestoration
Done by : Rofaidh WaliTeaching assistant, Umm Al-Qura University, Faculty of
Dentistry
Makkah, Saudi Arabia
![Page 2: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/2.jpg)
Light curing unitsLight curing units
*Systems designed to control the curing time of material that hardens over a period of time
*They emit a beam of light with a wavelength range between 400 and 700 nm that activates polymerization initiators in a materials,
the most important of which are composite resins.
![Page 3: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/3.jpg)
The amount of radiation reaching a The amount of radiation reaching a given point in the material will given point in the material will depend on several factorsdepend on several factors
* lamp output intensity . *Exposure time.
*distance from light source to material . *curing depth .
*presence of elements between light source and target material .
![Page 4: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/4.jpg)
Types of polymerization lampTypes of polymerization lamp
Halogen lamps: *use an incandescent light-bulb
consisting of a tungsten filament surrounded by the halogen
gases . *emit white light .
*use of the filter wastes a great deal of radiation .
*low energy performance . *generate high temperature .
*some loss of power. *required considerable
maintenance.
![Page 5: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/5.jpg)
Plasma arc lamps :
*use a fluorescent bulb containing plasma
*not emit white light . *filter are used
*the disadvantages of these lamps are similar to those of halogen lamps.
![Page 6: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/6.jpg)
Laser lamps : *Provide narrow beam of coherent blue
light. *High intensity lamps
*Work over a very limited range of wavelengths
*Do not require filters.
![Page 7: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/7.jpg)
LED lamps :
*Medium intensity lamps . *Based on light emitting
diodes for generation of blue light .
*Provide high energy performance .
*Ensure constant effectiveness .
*Not generate high temperature .
*No filters are required .
![Page 8: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/8.jpg)
Mechanisms of Mechanisms of photopolymerizationphotopolymerization
The light emitted by these lamps activates polymerization initiators in composite resins.
The radiation absorption spectrum of the initiators must therefore match the lamp emission spectrum.
Three major initiators are available : camphorquinones,
PPD(fenilpropanodione) and lucerin.
![Page 9: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/9.jpg)
Effectiveness of different types of Effectiveness of different types of polymerization lamppolymerization lamp
*Generally agreed that plasma arc units provide good results and significant time saving when used for cementing
brackets and orthodontic bands .
*Laser based curing units provide-: - higher conversion factor .
- greater curing depth . - required less exposure time .
- developed enhanced mechanical properties .
![Page 10: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/10.jpg)
However , -they associated with material wear.
-greater polymerization shrinkage .
-greater marginal leakage.
but no loss of power over distance .
Therefore, it is technique of choice when the light source cannot be
brought close to resin surface .
![Page 11: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/11.jpg)
Different polymerization Different polymerization techniquetechnique
We have 2 main categories-:1 -Stepped or soft start technique
curing start at low intensity then intensity is increased .
Properties: - satisfactory
- not reduce polymerization shrinkage. - generate less stress
- less marginal leakage.
![Page 12: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/12.jpg)
2 -Pulse-delay technique - Incorporates a waiting period
between exposures. - Curing start at low intensity and then
stopped for a given period then applied at high intensity in 1 or more pulses
-Greatest reduction of shrinkage stress is achieved with a waiting period.
![Page 13: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/13.jpg)
Conclusion *The most reliable curing unit for any type
of composite resin is the high density halogen lamp, fitted with a programming device to enable both
pulse- delay and stepped techniques .
*With any other type of curing unit is used, it must be compatible with
the composite material to be used .
*Further researches is required to identify the most reliable light curing techniques.
![Page 14: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/14.jpg)
Silikas.N, Eliades.G et.alSilikas.N, Eliades.G et.al(2000) (2000) ˈ²ˈˈ²ˈstudied studied
The light intensity effects on resin-The light intensity effects on resin-composite degree of conversion composite degree of conversion and shrinkage strainand shrinkage strain. .
Aim of study-: investigate relationship between DC and
shrinkage strain of two composites when exposed by two light intensity levels
for different time period
![Page 15: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/15.jpg)
They used:
* Z100 and Tetric Ceram Composite material.
* The material was placed between two translucent
polyethylene strips and plastic blocks
to produce a very thin film.
* The material then polymerized by using the Elipar Highlight
Unit under four different curing modes: - standard ( full intensity for 40s) - two step ( soft start) - low intensity for 40s - low intensity for 10s
![Page 16: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/16.jpg)
* FTIR spectra measure the degree of conversion
* The bonded-disk technique was used to measure polymerization shrinkage strain.
* The measurements were made continuously for 30 minutes from photoinitiation
and three repetitions were made per material.
* All the data were analyzed by ANOVA.
![Page 17: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/17.jpg)
Degree of conversionDegree of conversion
![Page 18: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/18.jpg)
Shrinkage strainShrinkage strain
![Page 19: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/19.jpg)
They found-:
*Reduction of light intensity would not significantly reduce the degree of conversion values but reduce the shrinkage
strain .
* This decrease in shrinkage, if sustained, could lead to better marginal adaptation .
*However, the full-intensity phase of the ‘soft-start’ mode II ,
led to final shrinkage strains that not statistically significantly lower than standard one.
![Page 20: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/20.jpg)
Bouschlicher. M.R, Rueggeberg.F.A et.alBouschlicher. M.R, Rueggeberg.F.A et.al(2000)(2000) ˈ³ˈ ˈ³ˈ studied studied
The effect of stepped light intensity The effect of stepped light intensity on Polymerization Force and on Polymerization Force and conversion in aconversion in a photoactivated photoactivated
compositecomposite. .
Aim of study :Evaluate effect of stepped light intenisity on polymerization shrinkage forces and DC of a hybride composite
![Page 21: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/21.jpg)
They used:- - Hybrid composite samples with two threaded steel rods for
each.
- The flat bonding surfaces of rods were microetched
with 30 μ silanized silica and air dried for 60s.
- Then the rods were attached to the load cell and crosshead of a universal testing machine.
-An unfilled bonding resin was applied to the silanated rod ends and light cured for 20 seconds.
![Page 22: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/22.jpg)
Following surface treatment, - loading hybrid composite on rod tips. - samples were polymerized using two
exposure durations (40 s and60 s) in conjunction with the two curing modes (STD and 2-STEP).
![Page 23: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/23.jpg)
* The mean maximum shrinkage force and the maximum rate of force development were compared and the degree of conversion was measured.
* The power density was measured with radiometer.
![Page 24: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/24.jpg)
They found: - Maximum shrinkage force and maximum rate
of force development during the first 300 seconds of polymerization were not influenced by a standard or 2-STEP cure mode of similar exposure duration.
![Page 25: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/25.jpg)
- The 2-step cure mode result in longer delays before polymerization shrinkage force was recorded.
- Both duration of exposure resulted in statistically significant differences in the overall degree of conversion but the mode of cure had no effect on degree of conversion.
![Page 26: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/26.jpg)
References:
1- Amparo Jimenez-Planas ,juan Martin, camilo Abalos and Rafael liamas: developments in polymerization lamps. quintessence international. Volume (38). No.(10). Page(e74-e84),2007
2-N. Silikas, G.Eliades, D.C. Watts: light intensity effects on resin-composite degree of conversion and shrinkage strain. Dental materials. Volume(16). No.(4). Page(292-296), 2000
3- Murray R. Bouschlicher, Frederick A. Rueggeberg, Daniel B. Boyer: effect of stepped light intensity on Polymerization Force and conversion in a photoactivated composite. J Esthet Dent. Volume(12). No.(1). Page(23-32),2000
![Page 27: Influence of light intensity on composite resin restoration Done by : Rofaidh Wali Teaching assistant, Umm Al-Qura University, Faculty of Dentistry Makkah,](https://reader034.vdocument.in/reader034/viewer/2022051619/56649e4c5503460f94b420df/html5/thumbnails/27.jpg)