A review of devices used for photocuring resin-based composites

Composite resin shrinks up to 5% by volume upon curing. This shrinkage and the associated contraction stress remain the two most significant clinical problems with curing resin composite restorations. Many patients continue to experience sensitivity following placement of direct composites and seating of indirect restorations utilizing resin cements. Unfortunately, some claims made by manufacturers or certain clinicians that promise to alleviate these problems are made from a marketing standpoint, with no refereed literature to support those claims. Even within the literature, contradictory results have been reported, perpetuating the confusion. It is of utmost importance that all practicing dentists be aware of the various types of curing systems available and the advantages and disadvantages of each system. It is the opinion of the author that no existing system will alleviate every problem. Until new composite systems are perfected, such as the cyclopolymerizable resins and expanding polymers, we will continue to have shrinkage and stress. Be aware of false claims, read and interpret the literature, and, most importantly, do what is best for your patients.