The effect of curing modes on polymerization contraction stress of a dual cured composite

Although a lower curing rate is often cited as the reason why a chemical cured (CC) dental composite produces lower polymerization contraction stress (PCS) than a light cured (LC) composite, the exact mechanism is still unclear. In addition, the comparison is often made by using different brands of composites. The comparison's fairness is questionable because the two composites have different compositions and preparation procedures. The goal of the present work was to determine if the curing mode alone can produce different PCS. We formulated a dual cured composite and prepared it the same way for both CC and LC modes. We measured PCS by a strain gauge method, shrinkage by a video-imagining technique, degree of conversion (DC) by infrared spectroscopy, and flexural modulus by the three-point bending test. The CC specimens showed lower PCS and lower flexural modulus than the LC specimens, although both possessed an identical chemical composition and physical texture before cure. This finding indicates that the curing mode alone can affect PCS. Because the CC and LC specimens produced a similar shrinkage and DC, the lower modulus is considered to be one of the reasons for the lower stress. Using a structural inhomogeneity model, we explained how a resin composite with an identical DC can have different physical properties such as the modulus.