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JCDA - Canadian Dental Association

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Background<br />

Light-emitting diode (LED) curing lights last longer<br />

and produce less heat than conventional quartz–<br />

tungsten–halogen (QTH) curing lights. However, firstgeneration<br />

LED curing lights did not perform as well as<br />

conventional QTH curing lights. Second-generation LED<br />

lights are now available, and they may offer better performance<br />

and shorter curing times. This study compared a<br />

second-generation LED light with a QTH light to determine<br />

which was better at photopolymerizing a range of<br />

resin composites.<br />

Methods<br />

The ability of a second-generation LED curing light,<br />

used for 20 and 40 seconds, was compared with that of a<br />

traditional QTH light, used for 40 seconds, in the curing<br />

of a selection of 10 multipurpose, flowable and posterior<br />

resin composites. The light output from each unit was<br />

measured with a spectroradiometer. Three examples of each<br />

type of curing light were used to irradiate the composites at<br />

distances of 2 and 9 mm from the light guide. The 2-mm<br />

distance represented the shortest distance from a cusp tip to<br />

the composite in a Class I restoration. The 9-mm distance<br />

represented a clinical situation with a deep proximal box in<br />

a molar tooth. The Knoop hardness at the top and bottom<br />

of the 1.6-mm thick composite specimens was measured<br />

after 15 minutes in air and after 24 hours in water at 37°C.<br />

The hardness values at the top and bottom of the specimens<br />

irradiated at both distances were combined, and a<br />

general linear model analysis with Sidak’s adjustment for<br />

666 November 2003, Vol. 69, No. 10<br />

A P P L I E D R E S E A R C H<br />

Evaluation of a Second-Generation<br />

LED Curing Light<br />

• Richard B.T. Price, BDS, DDS, MS, FDS RCS (Edin), FRCD(C), PhD •<br />

• Corey A. Felix, BSc, MSc •<br />

• Pantelis Andreou, PhD •<br />

A b r i d g e d V e r s i o n<br />

The complete article can be viewed on the e<strong>JCDA</strong> Web site at: http://www.cda-adc.ca/jcda/vol-69/issue-10/666.html<br />

© J Can Dent Assoc 2003; 69(10):666<br />

This article has been peer reviewed.<br />

multiple comparisons was used to compare the ability of<br />

the lights to cure the composites to a depth of 1.6 mm.<br />

Results<br />

The 2 lights delivered similar power densities at 0, 2 and<br />

9 mm from the light guide, but the spectral distributions<br />

were very different. The second-generation LED lights<br />

produced a narrow spectral output with a mean ± standard<br />

deviation peak at 445.2 ± 0.3 nm. The QTH lights had<br />

a much wider spectral bandwidth with a peak at 491.3<br />

± 4.2 nm. The various curing lights and times did not have<br />

the same effects on all of the composites (p < 0.01). Twentyfour<br />

hours after irradiation, the LED light used for<br />

20 seconds was able to cure 5 of the composites as well as<br />

the QTH light used for 40 seconds (p > 0.01) and 7 of the<br />

composites to more than 80% of the hardness obtained<br />

when the QTH light was used. When the LED light was<br />

used for 40 seconds, 6 of the 10 composites achieved<br />

a hardness (after 24 hours) equivalent to when the<br />

QTH light was used (p > 0.01), and all 10 composites<br />

achieved more than 80% of the hardness developed when<br />

the QTH light was used.<br />

Conclusions<br />

This LED light could not polymerize all of the composites<br />

as well as the QTH light. However, when used for<br />

40 seconds, more than half of the composites were cured as<br />

well as when the QTH light was used (p > 0.01), and all of<br />

the composites achieved a hardness comparable to that<br />

produced with the QTH light. C<br />

Journal of the <strong>Canadian</strong> <strong>Dental</strong> <strong>Association</strong>

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