Photopolymerization in Dental Resins

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Questions and Answers

What type of laser can be used in both clinical and lab settings?

  • Pulsed blue laser
  • Blue diode laser
  • Polywave laser
  • Argon laser (correct)

Polywave light curing units only emit blue light.

False (B)

What is the purpose of a soft start in polymerization?

To slow down polymerization and give more time for radicals to form polymer chains.

The internal housing of a curing tip has a diameter that is smaller than the __________ housing.

<p>external</p> Signup and view all the answers

Match the light curing modes to their descriptions:

<p>Continuous = Emit all at the same irradiance level Discontinuous = Emit light at different irradiance levels Pulsed = Emit in pulses and then take breaks Ramped = Gradually increase intensity over time</p> Signup and view all the answers

Which polymerization mode gradually increases intensity up to 1000?

<p>Exponential mode (A)</p> Signup and view all the answers

Cordless light curing units do not require charging.

<p>False (B)</p> Signup and view all the answers

What effect does the temperature in a patient's mouth have on polymerization?

<p>It affects the polymerization of the material.</p> Signup and view all the answers

A polywave LED light may not be ideal for curing because __________ can interfere with the homogeneity of the light.

<p>chips</p> Signup and view all the answers

What type of light curing unit may only use blue-based mono wave light?

<p>CQ base composite unit (B)</p> Signup and view all the answers

Which photoinitiator is commonly used for both aesthetic applications and requires a tertiary amine to start the reaction?

<p>Camphorquinone (CQ) (C)</p> Signup and view all the answers

What is the purpose of a radiometer in the context of light curing units?

<p>To measure the irradiance of light curing units (D)</p> Signup and view all the answers

Irgacure 819 is activated by blue light only.

<p>False (B)</p> Signup and view all the answers

What is the wavelength range of light that camphorquinone is sensitive to?

<p>425-495 nm</p> Signup and view all the answers

The degree of conversion for a well-polymerized composite can reach 100%.

<p>False (B)</p> Signup and view all the answers

The polymerization process converts a __________ into a polymer.

<p>monomer</p> Signup and view all the answers

What does the C-factor represent in dental composite applications?

<p>The number of bonded surfaces to unbonded surfaces in a restoration.</p> Signup and view all the answers

Match the following light curing units with their characteristics:

<p>Halogen curing unit = Needs filters to reduce temperature LED curing light = No filters required and produces blue light directly Plasma curing unit = High irradiance with narrower spectrum First generation LED = Cold light source with no temperature increase</p> Signup and view all the answers

Oxygen inhibition in polymerization can result in a ______________ appearance of the restoration.

<p>sticky</p> Signup and view all the answers

Which photoinitiator is specifically noted for being unstable and sensitive to light?

<p>Camphorquinone (CQ) (C)</p> Signup and view all the answers

Match each curing mode with its characteristic:

<p>Standard mode = Short pre-gel phase Exponential mode = Long pre-gel phase Soft start = Gradual increase in power Discontinuous mode = Staged curing application</p> Signup and view all the answers

What impact does distance have on irradiance during light curing?

<p>Irradiance decreases with distance (C)</p> Signup and view all the answers

The refractive index of the organic matrix should ideally match the refractive index of the filler particles for efficient polymerization.

<p>True (A)</p> Signup and view all the answers

What is the maximum effective wavelength for polymerization using the most common photoinitiator?

<p>468 nm</p> Signup and view all the answers

Using a plastic barrier with loose seams can lead to a loss of irradiance.

<p>True (A)</p> Signup and view all the answers

The __________ is the energy density of a light source, measured over time.

<p>radiant exposure</p> Signup and view all the answers

Name one common type of bacteria involved in caries formation.

<p>Streptococcus mutans</p> Signup and view all the answers

Which type of light curing unit has the advantage of a bulb but needs maintenance and replacement?

<p>Halogen curing unit (A)</p> Signup and view all the answers

The __________ phase is when the polymer chain starts to form and molecules can no longer move.

<p>gel</p> Signup and view all the answers

Plasma curing units can effectively cure materials thicker than 2mm.

<p>False (B)</p> Signup and view all the answers

What should be done to ensure the efficiency of light cure?

<p>Keep the light guide tip perpendicular to the surface (D)</p> Signup and view all the answers

What added component allows bulk filled composites to be cured without co-initiators?

<p>Lucirin TPO</p> Signup and view all the answers

Temperature increase during curing can potentially cause damage to healthy pulp tissue.

<p>True (A)</p> Signup and view all the answers

High irradiance curing units generally require a minimum __________ for effective curing.

<p>irradiance</p> Signup and view all the answers

What can help manage polymerization shrinkage during composite curing?

<p>Using soft start or discontinuous mode curing techniques.</p> Signup and view all the answers

Improper bonding procedures can lead to __________ fractures.

<p>adhesive</p> Signup and view all the answers

Which photoinitiator is lighter in pigment compared to camphorquinone and activates in violet light?

<p>PPD-1 (D)</p> Signup and view all the answers

Match the following terms to their definition:

<p>Irradiance = Power density of light Exposure time = Duration of light application Photoinitiator = Starts the polymerization process Refractive index = How light behaves as it passes through different materials</p> Signup and view all the answers

Match each light characteristic with its effect on the curing process:

<p>Blue light = Affects the retina Violet light = Affects the cornea High irradiance = Short pre-gel phase Low irradiance = Long pre-gel phase</p> Signup and view all the answers

Flashcards

Photoinitiators in Dental Composites

Chemical compounds that start the polymerization process in dental composite materials when exposed to light.

Light Wavelengths for Photoinitiators

Different photoinitiators react best to specific wavelengths of light, typically violet (380-420 nm) or blue (420-490 nm).

Lucirin TPO

A common photoinitiator that is effective with violet light, known for its fast polymerization reaction.

Camphorquinone (CQ)

A widely used photoinitiator for dental composites, often paired with co-initiators to improve performance.

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PPD-1 (photoinitiator)

A photoinitiator that can be used in conjunction with CQ for more control and flexibility over the light-curing process.

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Co-initiators

Molecules needed by some photoinitiators to enable the polymerization reaction.

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Polymerization (monomer to polymer)

The process of converting monomers (small molecules) into polymers (large molecules) through chemical reactions, like bonding of C=C chains.

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Refractive Index in Composites

The tendency of light to bend or change direction when passing through different materials like fillers/resin in composite. Difference in Index between components is important for light curing effectiveness.

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Irradiance

The power of light per unit area (measured in mW/cm^2). It is crucial to curing composite material.

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Radiant Exposure

The total energy of a light beam that is delivered to an area per unit.

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Light-Curing Unit (LCU) Types

Different types of LCU's (e.g., halogen, plasma, LED) use different light sources and technologies for curing composite.

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Halogen Curing Units

Halogen units use heat but also generate blue wavelengths, requiring filters to focus on precise light wavelengths needed by photoinitiators.

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LED Units

LED curing units provide high irradiance without heat, and their light can often be tailored directly for optimizing the wavelengths needed for composite.

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Curing Time

The duration required for effective light curing of the composite, depending on factors like the quantity and type of the components being used.

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Polywave light curing unit

A type of light curing unit that emits both blue and violet light for polymerization of dental composites.

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Continuous polymerization program

A polymerization program that emits light at a constant irradiance level, maintaining a high, medium, or low intensity.

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Discontinuous polymerization program

A polymerization program that alternates between low and high irradiance levels.

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Beam profile

The variation in irradiance across the cross-section of a light beam.

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Hot spots

Areas within the curing tip with higher irradiance.

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Cold spots

Areas within the curing tip with insufficient irradiance.

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Curing tip diameter

The size of the light-emitting area of a curing tip, affecting the light's focus and irradiance.

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Polymerization program modes

Different ways to control the light output during curing, including staged, exponential, and pulsed modes.

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CQ/Lucirin based composites

Different types of dental composite materials requiring different light curing units based on the dominant wavelengths used

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What is polymerization shrinkage?

The reduction in volume that occurs when liquid monomers bind to form solid polymers, causing stress on the composite and surrounding tooth.

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Why is polymerization shrinkage a problem?

It can lead to gaps between the composite and tooth, increasing the risk of microleakage and secondary caries.

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What is the 'C' factor?

It's the ratio of bonded to unbonded surfaces of a composite restoration. Higher C factor means more stress from shrinkage.

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How can we minimize shrinkage?

Use light-curing techniques that extend the 'pre-gel' phase, allowing polymer chains to form longer and stronger.

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What is oxygen inhibition?

Uncured composite layer due to the presence of oxygen in the last layer, which can disrupt polymerization.

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How to avoid oxygen inhibition?

Use a glycerin gel to block oxygen access during curing, ensuring proper polymerization.

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What is a radiometer?

A device that measures the irradiance (light strength) of a curing light. It's essential for ensuring proper curing.

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What is a MARC?

A device that measures various parameters of a curing light, like irradiance, time, and radiant exposure.

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What is 'degree of conversion'?

A measure of how well the composite has polymerized. Higher conversion means a stronger, more durable restoration.

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What is 'pre-gel' phase?

The initial stage of polymerization where monomers are still fluid and can move, allowing for maximum chain bonding.

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What is 'gel' phase?

The stage where the polymer chains start to solidify, becoming less flexible and prone to shrinkage.

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Why is 'discontinuous' mode better for curing?

It extends the 'pre-gel' phase, allowing for maximized chain bonding and reduced shrinkage.

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What can cause a 'white line' at the margin of a composite?

It can be due to polymerization shrinkage, improper marginal finish, or inadequate bonding.

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What is a 'cohesive fracture'?

A break that occurs within the bulk of the composite material itself due to stress or internal forces.

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What is an 'adhesive fracture'?

A break that occurs at the interface between the composite and bonding agent or tooth, usually caused by poor adhesion.

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Study Notes

Photopolymerization

  • Photoinitiators are present in dental resins, particularly composites.
  • Violet light (380-420 nm) is a popular choice for developing composite materials.
  • Blue light (420-490 nm) is another option, and light-cure methods cover both spectra.
  • Lucirin TPO is the most common photoinitiator in Norridge Group 1.
  • It has a peak absorption spectrum at 381-390 nm.
  • Norridge Group 2 commonly uses camphorquinone (CQ).
  • CQ is typically yellow and requires a tertiary amine for activation
  • CQ has a peak absorption at 468 nm.
  • PPD-1 can belong to both groups and has a peak absorption at 398 nm.
  • Photoinitiators (like Lucirin TPO) can enhance polymerization of composite materials, enabling application of thicker layers more quickly.
  • Some photoinitiators (such as CQ) don't necessarily require co-initiators in the same ways as other types.

Effectiveness of Polymerization

  • The type and concentration of fillers, monomers, and other components in resin-based composite influence light transmission, absorption, reflection, and scattering.
  • Refractive index of resin components affect how light penetrates, which can alter the rate and quality of polymerization.
  • Matching refractive indices of resin components is crucial but not necessarily perfect, leading to less discrepancy.
  • A good refractive index allows light to penetrate the composite with greater depth.
  • Polymerization can be affected by exposure time to light.
  • Exposure time can influence the final quality and properties of the polymerized material.
  • The spectral range of light emitted by the LCU is crucial.
  • An LCU's light spectrum must match the photoinitiator's absorption spectrum for optimal polymerization.
  • Irradiance is the power density (or intensity) of light.
  • It is represented by total power of light divided by the area of guide.
  • This impacts curing time.
  • Radiant exposure is the energy density or total energy from light exposure. It's calculated by multiplying irradiance by exposure time.
  • Exposure time required for polymerization
  • Size, tip geometry, and the beam profile of LCUs impact how evenly the light is distributed across the surface.
  • The refractive index of the filler particles in the composite material plays a crucial role in polymerization efficiency.
  • The match between the refractive indices of the filling material and the composite should be considered during curing to avoid any irregularities in shade or finish.
  • Proper matching of the refractive indices can lead to better polymerization and avoid potential irregularities in shade or finish.

Additional factors

  • Different types of curing units (e.g., halogen, plasma, LED) that may require specific filtering of light to ensure proper activation of photoinitiators.
  • Potential for temperature increase, causing damage to the pulp or surrounding tissue.
  • Inhibitors, such as BHT and PI, are required against ambient light exposure.
  • The correct shade/color of restoration materials must match the surrounding teeth, and curing should follow manufacture instructions for optimal results.

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