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Errors in light-emitting diodes positioning when curing bulk fill and incremental composites: impact on properties
Abdulrahman A Balhaddad1, Isadora M Garcia1, Haifa Maktabi2
1Ph.D Program Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA.
Improper light curing of dental composites significantly increases color change, especially with single-peak LEDs. Bulk fill composites offer better stability than incremental ones, and multi-peak LEDs perform better under adverse conditions.
Area of Science:
- Dental Materials Science
- Polymer Chemistry
- Biomaterials Engineering
Background:
- Dental composite polymerization relies on light-curing devices.
- Inconsistent curing light positioning can compromise restoration integrity.
- Bulk fill and incremental composites have distinct handling and curing characteristics.
Purpose of the Study:
- To assess the impact of improper light-emitting diode (LED) positioning on dental composites.
- To compare single-peak and multi-peak LED curing efficacy.
- To evaluate effects on color stability, microhardness, and surface topography after aging.
Main Methods:
- Bulk fill and incremental composites were cured under optimal and varied angulation/displacement conditions.
- Curing was performed using single-peak and multi-peak LED devices.
- Specimens underwent 1-year water aging followed by analysis of color change (ΔE), Vickers hardness, and surface topography (Ra, Rt, Rv).
Main Results:
- Single-peak LED curing with improper positioning significantly increased color change (p < 0.001).
- Multi-peak LED curing showed significant effects of composite type and condition on color change (p < 0.001).
- Both LEDs demonstrated that composite type and curing conditions affected Vickers hardness and bottom/top hardness ratios (p < 0.01).
Conclusions:
- Bulk fill composites exhibited superior wear resistance, color stability, and microhardness compared to incremental composites under improper curing.
- Multi-peak LEDs provided improved polymerization under suboptimal conditions versus single-peak LEDs.
- Appropriate light-curing technique is crucial for reliable, long-term clinical outcomes in dental restorations.
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