References

Sabbagh J, McConnell RJ, Clancy McConnell M. Posterior composites: update on cavities and filling techniques. J Dent. 2017; 57:86-90
Kopperud SE, Rukke HV, Kopperud HM, Bruzell EM. Light curing procedures − performance, knowledge level and safety awareness among dentists. J Dent. 2017; 58:67-73
Platt JA, Price RB. Light curing explored in Halifax. Oper Dent. 2014; 39:561-563
Watts DC. Let there be More Light!. Dent Mater. 2015; 31:315-316
Shortall AC, Price RB, MacKenzie L, Burke FJ. Guidelines for the selection, use, and maintenance of LED light-curing units − Part 1. Br Dent J. 2016; 221:453-460
Shortall AC, Price RB, MacKenzie L, Burke FJ. Guidelines for the selection, use, and maintenance of LED light-curing units − Part II. Br Dent J. 2016; 221:551-554
Price RB, Strassler HE, Price HL, Seth S, Lee CJ. The effectiveness of using a patient simulator to teach light-curing skills. J Am Dent Assoc. 2014; 145:32-43
Shimokawa CA, Harlow JE, Turbino ML, Price RB. Ability of four dental radiometers to measure the light output from nine curing lights. J Dent. 2016; 54::48-55
de Jong LC, Opdam NJ, Bronkhorst EM, Roeters JJ, Wolke JG, Geitenbeek B. The effectiveness of different polymerization protocols for class II composite resin restorations. J Dent. 2007; 35:513-520
Mazhari F, Ajami B, Moazzami SM, Baghaee B, Hafez B. Microhardness of composite resin cured through different primary tooth thicknesses with different light intensities and curing times: in vitro study. Eur J Dent. 2016; 10:203-209
Price RB, Labrie D, Bruzell EM, Sliney DH, Strassler HE. The dental curing light: a potential health risk. J Occup Environ Hyg. 2016; 13:639-646
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Essentials of light curing

From Volume 45, Issue 5, May 2018 | Pages 400-406

Authors

Richard B Price

BDS, DDS, MS, FRCD(c), FDS RCS(Edin), PhD

Professor, Department of Dental Clinical Sciences, Dalhousie University, Halifax, Nova Scotia, Canada, B3H 4R2

Articles by Richard B Price

Adrian C Shortall

DDS, BDS, FFD RCSI(Rest Dent) FDS RCPS(Glasg)

The University of Birmingham, School of Dentistry, 5 Mill Pool Way, Birmingham, B5 7EG, West Midlands, UK

Articles by Adrian C Shortall

Abstract

Abstract: This article provides the key points for ensuring safe, effective and efficient light curing protocols in clinical practice. The article covers light curing unit selection, appropriate irradiance ranges, the effect of operator training and the importance of incorporating material requirements and clinical variables when choosing an appropriate light curing time. Practical advice is given about how to measure the light output and how to minimize the risks of thermal damage to the dental pulp and adjacent soft tissues. The need to protect the eyes of the dental team from the blue light hazard is discussed.

CPD/Clinical Relevance: This article is written because there is a wide range of technical knowledge and safety awareness about light curing procedures among dentists.

Article

Every day, dentists use their curing lights when making resin-based composite (RBC) restorations, curing sealants, bonding brackets to teeth or cementing all-ceramic restorations. Unfortunately, light curing is seldom given the attention it deserves, as evidenced by technique articles on how to deliver successful resin-based composite restorations.1 Recent surveys have revealed that there is a wide range of technical knowledge and safety awareness about light curing procedures.2 Dental resins vary in their energy requirements for adequate curing. Undercuring resins may cause increased rates of post-operative sensitivity, increased wear and fracture, more debonding, more bulk discoloration or marginal staining, and increased incidence of recurrent caries and pulpal pathoses. The following is a brief evidenced-based list of the key points to ensure safe, effective and efficient light curing protocols in clinical practice. These recommendations are based on the research literature and a series of consensus statements developed by a group of key opinion leaders who have met regularly at Dalhousie University in Halifax, Canada for the last five years (Figure 1).3,4

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