Journal of Conservative Dentistry
Home About us Editorial Board Instructions Submission Subscribe Advertise Contact e-Alerts Login 
Users Online: 1113
Print this page  Email this page Bookmark this page Small font sizeDefault font sizeIncrease font size
 


 
ORIGINAL RESEARCH Table of Contents   
Year : 2008  |  Volume : 11  |  Issue : 2  |  Page : 76-81
Evaluation of depth of cure and knoop hardness in a dental composite, photo-activated using different methods


Department of Conservative Dentistry and Endodontics, A. B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore, Karnataka, India

Click here for correspondence address and email

Date of Submission18-Jan-2008
Date of Decision02-Feb-2008
Date of Acceptance22-Feb-2008
 

   Abstract 

The study aimed at evaluating the depth of cure and knoop hardness of a microfine-hybrid composite resin that was photo-activated using different methods. A bipartite brass mold was filled with composite resin and photo-activation was performed using four methods: (1) Intermittent method using quartz tungsten halogen (QTH) light curing unit (LCU) (2) Continuous method (QTH) (3) Exponential method (QTH) (4) Continuous method using light-emitting diode (LED). Depth of cure was measured at the unexposed bottom surface of the specimen using microtester as a penetrometer. The surfaces exposed to light were subjected to knoop hardness testing, using a digital microhardness tester. Knoop hardness measurements were obtained at the top surface and at depths of 1, 2, 3, 4 and 5 mm. The data was analyzed using anova and Tukey's test (5%). Results showed that the depth of cure was higher with the intermittent method (QTH), followed by the continuous method (QTH), the exponential method and the continuous method (LED). At the top surface and up to 1 mm, continuous method (LED) demonstrated the highest knoop hardness number (KHN). At 2 mm and up to 5 mm, intermittent method (QTH) presented the highest KHN and continuous method (LED) showed the lowest KHN. At all depths, continuous method (QTH) showed higher KHN, as compared to the exponential method (QTH), except at 2 mm where both showed no significant difference.

Keywords: Depth of cure; knoop hardness; photo-activation methods.

How to cite this article:
Hegde MN, Hegde P, Malhan B. Evaluation of depth of cure and knoop hardness in a dental composite, photo-activated using different methods. J Conserv Dent 2008;11:76-81

How to cite this URL:
Hegde MN, Hegde P, Malhan B. Evaluation of depth of cure and knoop hardness in a dental composite, photo-activated using different methods. J Conserv Dent [serial online] 2008 [cited 2020 Jan 28];11:76-81. Available from: http://www.jcd.org.in/text.asp?2008/11/2/76/44055

   Introduction Top


Light-activated composite resin restoratives have been widely applied in clinical dentistry, since their introduction in the 1970's, when significant changes with satisfactory application both in anterior and posterior teeth became possible. However, characteristics such as composition, light intensity and exposure time can modify the final properties of the material and thus restrict the clinical applications. Type, size, quantity and refractive index of the fillers into composite exert an influence upon light transmission across the material. Consequently, the light attenuation and the depth of cure may be altered. [1],[2] With respect to the organic matrix, the nature of the involved monomer molecules and the degree of conversion obtained in composite resin have an important effect on the mechanical properties, [3] where the higher degrees of cure will improve the final properties of the material.

A higher degree of conversion can be obtained by using a high light intensity. [4] However, this higher intensity may result in greater polymerization shrinkage and greater marginal leakage. [4] Therefore, new photo-activation techniques have been proposed, such as the programmed use of low and high intensities that have shown to be more effective in decreasing the stress generated by polymerization shrinkage, whilst maintaining a high degree of conversion and satisfactory mechanical properties. [5],[6] Since the introduction of this method, other photo-activation methods have been suggested, including intermittent light, [7] stepped light, exponential light and, more recently, a new technology employing light-emitting diodes (LEDs). [8] However, these innovative techniques require further investigation before they can be effectively applied in dental practice.

Thus, the aim of this study was to evaluate the depth of cure and knoop hardness of a micro-fine hybrid composite resin, photo-activated using different methods.


   Materials and Methods Top


This study used the Tetric Ceram composite resin (Ivoclar Vivadent), shade A3. Composition and batch no. are reported in [Table 1].

The composite resin was placed in square recesses (4 mm long x 4 mm wide x 11 mm deep) of a customized bipartite brass mold and was confined between two opposing acetate strips. A glass slide (1 mm thick) was then placed over this and pressure was applied to accommodate the material. The composite was then irradiated from the top, through the glass slide and acetate strip using different photo-activation methods. Photoactivation was performed with

  1. Intermittent method (QTH) (Group I)
  2. Continuous method (QTH) (Group II)
  3. Exponential method (QTH) (Group III)
  4. Continuous method (LED) (Group IV).


Ten specimens were prepared for each photo-activation method.

For the intermittent method, the curing tip was positioned close to the brass matrix/restorative composite and photo-activation was performed for two seconds, with an intensity of 750 mW/cm 2 and two seconds without light, with a total exposure time of 80 seconds, using an Astralis 7 (Ivoclar Vivadent), QTH LCU [Figure 1].

For the continuous method (QTH), the same curing unit was used and photo-activation was performed for 40 seconds with a high intensity of 750 mW/cm 2 [Figure 2].

For the exponential method, the same Astralis 7 (Ivoclar Vivadent), QTH LCU was used; however, the light intensity began initially at 150 mW/cm 2 and within 15 seconds it was increased gradually to 400 mW/cm 2 . After that, the intensity was changed between 400 mW/cm 2 and 750 mW/cm 2 , every two seconds for 25 seconds, with a total exposure time of 40 seconds [Figure 3].

For the continuous method using LED, BlueLex (Monitex Industrial Co. Ltd) LED LCU was used according to the manufacturer's information. When the battery was fully charged, photo-activation was performed for 30 seconds, with an intensity of 480 mW/cm 2 , using the continuous method of photo-activation [Figure 4]. Photo-activation was performed for 30 seconds; this was recommended by the manufacturer because low intensity LED used for 30 seconds is sufficient to cure the same depth of composite, as can be cured with QTH. The light intensity of both the curing units was measured with a radiometer (Curing Radiometer, Optilux 501) to ensure consistency in the output.

Immediately after photo-activation, the glass slab and acetate strips were removed and the specimens were positioned in the mold to assess knoop hardness and depth of cure.

A) Depth of cure testing

Penetration method: The methodology used in this evaluation was based upon that used by Harrington and Wilson (1993). A microtester (Instron Corporation, Model No. 4206) was used as a penetrometer. Immediately after light curing, the specimens in their molds were inverted, with the unexposed surface facing the penetration needle [Figure 5]. A force of 12.5 N (1250 grams) was exerted after light exposure through a 0.5 mm diameter needle, at the rate of 1 mm/min, in the middle of the unexposed, bottom surface; the depth of penetration was measured digitally.

Depth of cure was measured using the formula:

Depth of cure = Depth of mold (11 mm) - Depth of penetration.

B) Knoop hardness testing

After testing depth of cure, the same cured specimens were subjected to hardness testing using a Digital Microhardness Tester (Matsuzawa Co., Ltd. Model no. MMT-X7 Toshima, Kawabe, Japan). Specimens with light exposed surface were placed centrally below the knoop diamond indenter and a 500 g load was applied through the indenter, with a dwell time of 15 seconds, to assess the knoop hardness number (KHN) of the top surface. The KHN at the top surface was measured at 100X magnification. The KHN corresponding to each indentation was computed by measuring the dimensions of the indentation and using the formula KHN = 14. 2 X (F/d²), where F = test load in Newtons; d = longer diagonal of an indentation in millimeter. After determining the top surface KHN, the bipartite brass mold was opened and KHN values of the side surfaces of the composite specimens were measured at 1 mm intervals, from the top surface up to 5 mm depth, using the same testing parameters as described above.

The data was subjected to analysis of variance (anova) and the means were compared by Tukey's test (significance level 5%).


   Results Top


[Table 2] summarizes and compares the depth of cure of different photo-activation methods. The intermittent method (QTH) had the highest depth of cure (6.340 mm), followed by the continuous method (QTH) (5.663mm) and the exponential method (QTH) (5.403mm). The lowest depth of cure was obtained with continuous method (LED) (5.209mm). There was very high statistically significant difference among all the four groups ( P <0.001).

[Table 3] shows that at the surface towards light and up to 1 mm depth, continuous method (LED) demonstrated the highest KHN, whereas exponential method (QTH) showed the lowest KHN. At 2 mm depth, intermittent method (QTH) presented the highest KHN and exponential method (QTH) showed the lowest KHN. At 3 mm, 4 mm and 5 mm, intermittent method (QTH) presented the highest KHN and continuous method (LED) showed the lowest KHN.

At all the depths, continuous method (QTH) showed higher knoop hardness values, as compared to the exponential method (QTH).

There was very high statistically significant difference in the mean knoop hardness number between all the individual groups at all the depths ( P <.001), except at 2 mm depth, where the continuous method (QTH) and the exponential method (QTH) showed no statistically significant difference in the mean knoop hardness number ( P >.05).


   Discussion Top


The development of new technologies for photoactivation of restorative composite resins has caused great interest among researchers. [1],[2],[3],[5] However, the real advantages of these techniques are not yet totally known. Before these methods can be clinically applied, the final properties of photo-activated composites must be evaluated.

The results of this study showed that depth of cure is strongly affected by photo-activation methods. The intermittent, continuous and exponential light methods supply energy for photo-activation via halogen lamps, and white light must be filtered to emit only the blue spectrum of the visible light. To generate blue light, the lamps must be heated to very high temperatures, [4] resulting in emission of heat through the curing light tip. [5],[7] This heat transmission to the material may be, in part, responsible for the higher depth of cure values achieved using these methods, because the heat may increase the mobility of the monomers, increasing the probability of occurrence of conversion.

Another factor that may have caused the difference between intermittent method and the continuous and exponential methods is the total amount of energy supplied to the composite for polymerization. According to Sakaguchi and Berge, [9] maximum light intensity is achieved at 0.55 s and then it decreases, signifying that even with continuous method (750 mW/cm 2 ), the amount of energy supplied is not constant. Conversely, the intermittent method employs 2 s of light exposure followed by 2 s without light; that is, maximum light intensity peak is achieved every time the light is emitted. Since the polymerization process seems more dependent on the total energy available for photo-activation than the light intensity property, [10] this method may provide a higher amount of energy to the material, which may explain the higher depth of cure values achieved using the intermittent method.

Light-emitting diodes or LED, the more recent technology developed for photo-activation of resinous materials, combines two different semiconductors (p - n junctions). When a voltage is applied, the 'electrons' and 'holes' recombine at the LED's p - n junctions leading, in the case of gallium nitride LEDs, to emit of blue light. The spectral output of gallium nitride blue LED falls conveniently within the absorption spectrum of the camphoroquinone photo-initiator (400-500 nm) presented in most light-activated composite resins. Therefore, no filters are required in LED LCU's. [11],[12] However, LED demonstrated the lowest depth of cure. This result may be due to the comparatively low light intensity (480 mW/cm 2 ), which provides a very short time duration for the light to reach the deeper regions of the material, and due to the absence of heat emission.

According to Peutzfeldt et al. , [13],[14] when light curing units are studied, an important parameter is the amount of light energy of appropriate wavelength emitted during irradiation. This energy is calculated as the product of the output of the curing light unit and the time of irradiation; it may be called energy density. This could explain the lower depth of cure obtained with the LED method, as compared to the methods that use the halogen lamp.

The knoop hardness test showed that up to a depth of 1 mm, LED showed the highest KHN. This is because although the LED light in this study was applied for a shorter time than the QTH light, it was more effective than other photo-activation methods using QTH curing unit in polymerizing the top surface and up to a depth of 1 mm. This finding is consistent with the findings of previous investigations. [15] Halogen curing units use filters to eliminate all wavelengths, except blue light. Therefore, some of the emitted photons might be out of the spectrum of absorption of camphoroquinone and the triplex state of camphoroquinone might not be fully activated.

At 2 mm depth, the intermittent method presented the highest KHN and continuous method using LED showed the second highest KHN. This is again due to higher energy density, heat generated and longer duration of exposure employed during the intermittent method. At a depth of 2 mm, continuous and exponential methods using QTH showed intermediate values and there was no significant difference between them. This result demonstrates that despite the particular characteristics of each method, the light intensity and exposure time were enough to adequately polymerize this thickness of composite. [16]

At a depth of 3mm, the continuous method using LED demonstrated the lowest hardness value. The lower value observed with LED may be due to the fact that the light is absorbed and/or scattered when the thickness increases, [18],[19] consequently decreasing the amount of energy for photo-activation. Also, low intensity and reduced exposure time compared to QTH units may be an added factor. A reduced irradiation time is claimed to be satisfactory by light manufacturers, due to the high radiation intensity of the units. However, studies have shown that an exposure time of 40 seconds is required to provide composites with uniform and high KHN, when LED units are employed. Despite this scattering and absorbance of light, all other methods supplied higher amounts of energy to the composite, and, thus, provided higher hardness values at 3 mm depth. This is due to the fact that longer wavelengths of the QTH curing unit penetrated deep into the composite, as compared to the shorter wavelengths of the LED curing unit.

At a depth of 4 mm and 5 mm, the intermittent method demonstrated the highest KHN. LED presented the lowest hardness, with statistically significant difference from other methods. The continuous and exponential methods showed intermediate KHN values. This result may be due to the total amount of energy supplied to the camphoroquinone, even at great depth. The total energy is related to the exposure time and light intensity generated by each method, i.e., the energy density. The intermittent method was able to provide a higher amount of energy at these depths, due to the intermittence itself, where the maximum intensity is achieved at 0.55 seconds; it then decreases. [20] The continuous method (QTH) showed higher KHN than the exponential method at almost all the depths. This could be due to the fact that in the exponential method, initially using the gradually increasing low intensity, it appeared to minimize the compensatory effects of high light intensities. Also, polymerization of resin associated with the initial cure may be sufficient to interfere with light transmission and severely decrease the amount of light reaching the bottom surface of composite restorations. [20]


   Conclusion Top


It was concluded that all the photo-activation methods provided depth of cure values that fulfilled the requirements of ISO 4049. The intermittent method using QTH showed the highest depth of cure while the continuous method using LED demonstrated the lowest depth of cure, thereby proving that the latter is less effective for deep restorations when using a micro-fine hybrid composite resin.

Therefore, for composite restorations, the use of intermittent method for photo-activation, with high intensity curing light to improve the polymerization in the bottom surface of the first increments of micro-fine hybrid composite resin is preferred.

 
   References Top

1.Uno S, Asmussen E. Marginal adaptation of a restorative resin polymerized at reduced rate. Scand J Dent Res 1991;99:440-4.   Back to cited text no. 1  [PUBMED]  
2.Rueggeberg FA, Caughman WF, Curtis Jr JW, Davis HC. Factors affecting cure at depths within light-activated resin composites. Am J Dent 1993;6:91-5.  Back to cited text no. 2    
3.Venhoven BA, de Gee AJ, Davidson CL. Polymerization contraction and conversion of light curing Bis-GMA-based methacrylate resins. Biomaterials 1993;14:871-5.  Back to cited text no. 3  [PUBMED]  
4.Rueggeberg FA, Caughman WF, Curtis Jr JW. Effect of light intensity and exposure duration on cure of resin composite. Operative Dent 1994;19:26-32.  Back to cited text no. 4    
5.Harrington L, Wilson HJ. Determination of radiation energy emitted by light activation units. J Oral Rehabil 1995;22:377-85.  Back to cited text no. 5  [PUBMED]  
6.Feilzer AJ, Doreen LH, de Gee AJ, Davidson CL. Influence of light intensity on polymerization shrinkage and integrity of restoration-cavity interface. Eur J Oral Sci 1995;103:322-6.  Back to cited text no. 6    
7.Miyazaki M, Oshida Y, Moore BK, Onose H. Effect of light exposure on fracture toughness and flexural strength of light-cured composites. Dent Mater 1996;12:328-32.  Back to cited text no. 7  [PUBMED]  
8.Tarle Z, Meniga A, Ristic M, Sutalo J, Pichler G, Davidson CL. The effect of the photopolymerization method on the quality of composite resin. J Oral Rehabil 1998;25:436-42.  Back to cited text no. 8  [PUBMED]  [FULLTEXT]
9.Sakaguchi RL, Berge HX. Reduced light energy density decreases post-gel contraction while maintaining degree of conversion in composites. J Dent 1998;26:695-700.  Back to cited text no. 9  [PUBMED]  [FULLTEXT]
10.Sobrinho LC, de Lima AA, Consani S, Sinhoreti MA, Knowles JC. Influence of curing tip distance on composite Knoop hardness values. Braz Dent J 2000;11:11-7.  Back to cited text no. 10  [PUBMED]  
11.Jandt KD, Mills RW, Blackwell GB, Ashworth SH. Depth of cure and compressive strength of dental composites cured with blue light emitting diodes (LEDs). Dent Mater 2000;16:41-7.  Back to cited text no. 11  [PUBMED]  [FULLTEXT]
12.Peutzfeldt A, Sahafi A, Asmussen E. Characterization of resin composites polymerized with plasma arc curing units. Dent Mat 2000;16:330-6.  Back to cited text no. 12    
13.3M-ESPE. DentNet Masters - 3M ESPErtise Scientific - Elipar Freelight: Cordless LED curing unit. Seefeld, 2001.  Back to cited text no. 13    
14.Kurachi C, Tuboy AM, Magalhγes DV, Bognato VS. Hardness evaluation of a dental composite polymerized with experimental LED-based devices. Dent Mater 2001;17:309-15.  Back to cited text no. 14    
15.Lovell LG, Lu H, Elliott JE, Stansbury JW, Bowman CN. The effect of cure rate on the mechanical properties of dental resins. Dent Mater 2001;17:504-11.  Back to cited text no. 15  [PUBMED]  [FULLTEXT]
16.Loney RW, Prince RB. Temperature transmission of high-output light-curing units through dentin. Operative Dent 2001;26:516-20.  Back to cited text no. 16    
17.Obici AC, Sinhoreti MA, de Goes MF, Consani S, Sobrinho LC. Effect of the photo-activation method on polymerization shrinkage of restorative composites. Operative Dent 2002;27:192-8.  Back to cited text no. 17    
18.Barghi N, McAlister EH. LED and halogen lights: Effect of ceramic thickness and shade on curing luting resin. Compend Contin Educ Dent 2003;24:497-500.  Back to cited text no. 18  [PUBMED]  
19.Owens BM. Evaluation of curing performance of light-emitting polymerization units. Gen Dent 2006;54:17-20.  Back to cited text no. 19  [PUBMED]  
20.Awliya WY. The influence of temperature on the efficacy of polymerization of composite resin. J Contemp Dent Pract 2007;8:9-16.  Back to cited text no. 20  [PUBMED]  [FULLTEXT]

Top
Correspondence Address:
Mithra N Hegde
Department of Conservative Dentistry and Endodontics, A.B Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore- 574 160, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.44055

Rights and Permissions


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]
 
 
    Tables

  [Table 1], [Table 2], [Table 3]

This article has been cited by
1 Bacterial leakage in root canals filled with AH Plus and dentine bonding agents
Esther Navarro-Escobar,Pilar Baca,Matilde Ruiz-Linares,Maria Teresa Arias-Moliz,Mercedes Perez-Heredia,Carmen Maria Ferrer-Luque
Acta Odontologica Scandinavica. 2014; : 1
[Pubmed] | [DOI]
2 Three different adhesive systems; three different bond strength test methods
Digdem Eren,Özden Özel Bektas,Seyda Hergüner Siso
Acta Odontologica Scandinavica. 2013; 71(3-4): 978
[Pubmed] | [DOI]
3 Effect of prophylactic pastes containing active ingredients on the enamel-bracket bond strength of etch-and-rinse and self-etching systems
Sarah Al-Twaijri, Grace Viana, Ana K. Bedran-Russo
The Angle Orthodontist. 2011; 81(5): 788
[VIEW] | [DOI]
4 Bond Strength of Newer Dentin Bonding Agents in Different Clinical Situations
M Hegde, J Manjunath
Operative Dentistry. 2011; 36(2): 169
[VIEW] | [DOI]



 

Top
 
 
  Search
 
 
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Email Alert *
    Add to My List *
* Registration required (free)  
 


    Abstract
    Introduction
    Materials and Me...
    Results
    Discussion
    Conclusion
    References
    Article Figures
    Article Tables

 Article Access Statistics
    Viewed1750    
    Printed111    
    Emailed0    
    PDF Downloaded268    
    Comments [Add]    
    Cited by others 4    

Recommend this journal