Influence of irradiation distance on the mechanical performances of resin composites polymerized with high-irradiance light curing units

Abstract

Background The aim of this study was to evaluate the influence of increased irradiation distance on the flexural strength (FS), dentin micro-shear bond strength (mu SBS), and the degree of conversion (DC) of bulk-fill flowable, conventional flowable, and packable resin composites. Methods The resin composites tested were Surefil (R) SDR (TM) (SDR), Filtek Z350 XT Flowable Restorative A2 shade (Z3F), and Filtek Z350 XT Universal Restorative A2 shade (Z3P). Specimens were cured at four irradiation distances (0, 2, 4, and 8 mm) with an Elipar DeepCure-S LED curing light for 20 s. FS tests were performed (n = 15) using bar-shaped specimens (8 mm x 2 mm x 2 mm) of the resin composites. mu SBS tests were performed on the occlusal surfaces of extracted third molars from humans that were ground to expose dentin (n = 15). DC was measured by using Raman spectroscopy on the top and bottom surfaces of disk specimens (2-mm thick) (n = 3). To further investigate whether extended irradiation times could compensate for reduced irradiance, additional Z3P specimens were prepared, which were light-cured at 8-mm distances for 40 and 60 s and subjected to FS tests, mu SBS tests, and Raman spectroscopy. Both two-way and one-way ANOVA were used for statistical analyses. Results Both FS and DC of Z3P specimens cured at an 8-mm distance were significantly lower than those cured at shorter distances (p < 0.05), whereas the FS and DC of the Z3F and SDR specimens were not significantly influenced by increasing distances. The mu SBSs of the three types of resin composites reduced with increasing irradiation distances. The FS, mu SBS, and DC of the Z3P specimen light-cured at 8 mm for 40 s were comparable to those of the Z3P specimen cured at 0 mm for 20 s. Conclusions Increasing the irradiation distance to 8 mm can have a deleterious influence on mechanical performances, including the FS, DC, and dentin mu SBS, of the resin composites polymerized with high-irradiance light curing units.