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Effect of variable light intensity on composite shrinkage.

J B Dennison1, P Yaman, R Seir

  • 1Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI 48109-1597, USA.

The Journal of Prosthetic Dentistry
|December 6, 2000
PubMed
Summary

Sequentially increasing light intensity during dental composite curing significantly reduces polymerization shrinkage. This method ensures adequate depth of cure without compromising mechanical properties, offering a promising alternative to standard high-intensity curing.

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Area of Science:

  • Dental Materials Science
  • Polymer Chemistry
  • Biomaterials Engineering

Background:

  • Polymerization shrinkage in dental composites is a significant clinical issue, potentially leading to adverse outcomes like microleakage and secondary caries.
  • High-intensity light curing improves cure depth and mechanical properties but exacerbates shrinkage.
  • Optimizing light curing protocols is crucial for mitigating shrinkage without sacrificing material performance.

Purpose of the Study:

  • To evaluate the impact of sequentially increasing light intensity on polymerization shrinkage in hybrid and microfill dental composites.
  • To assess the effectiveness of different light intensity curing sequences on the depth of cure using Knoop hardness testing.

Main Methods:

  • Polymerization shrinkage was measured using a linometer on samples subjected to four curing protocols: full-intensity control, low-intensity control, and two test groups with incrementally increasing light intensity.

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  • Knoop hardness testing was employed to evaluate the degree of cure for each composite material under the different light intensity sequences.
  • Statistical analysis included one-factor ANOVA and Tukey's multiple comparisons test to determine significant differences between groups.
  • Main Results:

    • A significant reduction in mean linear shrinkage was observed in all tested sequential light intensity protocols compared to the full-intensity control group for both composite types (P<.05).
    • No significant differences in shrinkage were found among the three non-full-intensity protocols for either composite material.
    • Knoop hardness values indicated that the full-intensity control and the most graduated sequential protocol (25% for 10s, 50% for 10s, 100% for 20s) achieved comparable and superior cure depths.

    Conclusions:

    • A sequential light intensity curing strategy, specifically 10s at 25%, 10s at 50%, and 20s at 100% intensity, effectively minimizes polymerization shrinkage in dental composites.
    • This optimized curing protocol achieves a sufficient depth of cure, comparable to full-intensity curing, thus not compromising the material's performance.
    • Implementing graduated light intensity curing presents a viable method to reduce adverse effects associated with polymerization shrinkage in dental restorations.