JCDA - Canadian Dental Association
JCDA - Canadian Dental Association
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>