Abstract

During polymerization, composite materials cause a temperature rise which may lead to irreversible changes in the dental pulp. The mechanical properties of composite materials depend on a number of factors, such as the composition of the material, the type of polymerization unit, the polymerization mode, and the duration of polymerization. The objective of this study was to assess the temperature rise values and flexural strength of composite materials, as obtained using different modes and times of polymerization. A total of six composite materials were used in the study. Samples of each of the materials were cured using seven polymerization protocols. A CMP-401 digital meter (Sonel, Świdnica, Poland), complete with a type K thermocouple (NiCr-Ni), was used to record the temperature increases during the light curing of the resin composites. Temperature rises were recorded beneath the composite disc in an acrylic matrix. The specimens were tested for flexural strength using a Cometech QC-508M2 testing machine. The lowest results for the increased mean temperature were obtained for Fast-Cure 3 s (39.0 °C), while the highest results were obtained for Fast-Cure 20 s (45.8 °C). The highest average temperature values for all tested protocols were recorded for the Z550 Filtek material. Mean flexural strengths as measured in each test group were higher than the minimum value for composite materials as per the ISO:4049 standard. In the case of deep caries with a thin layer of dentin separating the filling from pulp, a base layer or a short polymerization duration mode is recommended to protect pulp from thermal injury.

Highlights

  • IntroductionAs the result of many years of technological development and improvements, as well as changes in their composition, composite materials are very durable, while being esthetically pleasing and popular among dentists

  • Composite materials are widely used in every dental practice

  • The main objective of this study was to assess the temperature rise values as observed for composite materials during polymerization, and to further assess whether different polymerization durations and modes affect the mechanical properties of materials as exemplified by their flexural strength

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Summary

Introduction

As the result of many years of technological development and improvements, as well as changes in their composition, composite materials are very durable, while being esthetically pleasing and popular among dentists. Many dentists fail to use polymerization units in the correct manner, by focusing mainly on the anatomical representation and the esthetics of fillings. In the survey carried out by Kopperud et al, almost one third of dentists failed to use proper eye protection against blue light while up to 78.3% of respondents were unaware of the irradiance values of the polymerization lamp they used [1]. Other studies have shown that preclinical dental students and dentists in their internship years use polymerization lamps in an incorrect manner, not delivering the required amount of energy to the composite layer

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