scholarly journals The Photoinitiators Used in Resin Based Dental Composite—A Review and Future Perspectives

Polymers ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 470
Author(s):  
Andrea Kowalska ◽  
Jerzy Sokolowski ◽  
Kinga Bociong

The presented paper concerns current knowledge of commercial and alternative photoinitiator systems used in dentistry. It discusses alternative and commercial photoinitiators and focuses on mechanisms of polymerization process, in vitro measurement methods and factors influencing the degree of conversion and hardness of dental resins. PubMed, Academia.edu, Google Scholar, Elsevier, ResearchGate and Mendeley, analysis from 1985 to 2020 were searched electronically with appropriate keywords. Over 60 articles were chosen based on relevance to this review. Dental light-cured composites are the most common filling used in dentistry, but every photoinitiator system requires proper light-curing system with suitable spectrum of light. Alternation of photoinitiator might cause changing the values of biomechanical properties such as: degree of conversion, hardness, biocompatibility. This review contains comparison of biomechanical properties of dental composites including different photosensitizers among other: camphorquinone, phenanthrenequinone, benzophenone and 1-phenyl-1,2 propanedione, trimethylbenzoyl-diphenylphosphine oxide, benzoyl peroxide. The major aim of this article was to point out alternative photoinitiators which would compensate the disadvantages of camphorquinone such as: yellow staining or poor biocompatibility and also would have mechanical properties as satisfactory as camphorquinone. Research showed there is not an adequate photoinitiator which can be as sufficient as camphorquinone (CQ), but alternative photosensitizers like: benzoyl germanium or novel acylphosphine oxide photoinitiators used synergistically with CQ are able to improve aesthetic properties and degree of conversion of dental resin.

2019 ◽  
Vol 8 (8) ◽  
Author(s):  
Luiz Henrique Soares Torres ◽  
Luiza Monzoli Covre ◽  
Caio Pimenteira Uchôa ◽  
Déborah Laurindo Pereira Santos ◽  
Renato Torres Augusto Neto ◽  
...  

As resinas compostas fotopolimerizáveis têm tido cada vez mais indicações na odontologia restauradora devido às vantagens que apresentam. Porém variações na técnica de fotoativação, densidade de energia, intensidade da luz e tempo de irradiação podem gerar polimerização incompleta, o que pode resultar em uma resina composta com alta porosidade, pouca dureza, baixo polimento, alta capacidade de pigmentação ou efeitos tóxicos na polpa. Este estudo tem por objetivo analisar o efeito do tempo de polimerização na pigmentação extrínseca de três resinas compostas fotopolimerizáveis. Utilizando uma fonte de LED, foram confeccionados 180 espécimes de resina composta microhíbrida, nanohíbrida e nanoparticulada, com diferentes protocolos de polimerização. Os espécimes foram subdivididos em grupos de acordo com o agente pigmentante. Com o uso de um colorímetro, foram analisados quanto à mudança de cor (ΔE). Os dados foram submetidos ao teste ANOVA e Duncan (α=0,05). A resina composta microhíbrida apresentou os menores valores de ΔE em comparação à nanoparticulada e à nanohíbrida quando imersos em vinho. Quanto maior o tempo de polimerização menores valores de ΔE foram obtidos. Não somente o tempo de polimerização influencia no grau de pigmentação, mas também fatores intrínsecos às resinas compostas tais como carga, agente fotoiniciador e matriz orgânica.Descritores: Autocura de Resinas Dentárias; Materiais Dentários; Pigmentação.ReferênciasMatson MR, Matson AMFP. Avaliação do grau de conversão de resinas compostas quando ativadas por luz halógena: método convencional, alta potência e método “soft”. Rev Inst Ciênc Saúde. 2006;24(4):307-11.Delaviz Y, Finer Y, Santerre JP. Biodegradation of resin composites and adhesivesby oral bacteria and saliva: A rationale for new material designs that consider the clinical environment and treatment challenges. Dent Mater. 2014;30(1):16-32.Nahsan FPS, Ueda JK, Silva JO, Schimitt VL, Naufel FS, Formighieri LA et al. Estabilidade de cor de resina composta após imersão em café, água e solução de clorexidina. Rev Bras Pesq Saúde. 2009;11(2):13-7.Al  Kheraif  AA,  Qasim  SS,  Ramakrishnaiah  R,  Rehman  I.  Effect  of different beverages on the color stability and degree of conversion of nano and microhybrid composites. Dent Mater J. 2013;(32)2:326-31.Ceballos L, Fuentes MV, Tafalla H, Martínez A, Flores J, Rodríguez J. Curing effectiveness of resin composites at different exposure times using LED and halogen units. Med Oral Pathol Oral Cir Bucal 2009;14(1):e51-6.Rahiotis C, Patsouri K, Silikas N, Kakaboura A. Curing efficiency of high- intensity light-emitting diode (LED) devices. J Oral Sci.  2010; 52(2):187-95.Sgarbi SC, Pereira SK, Martins JMH, Oliveira MAC, Mazur RF. Degree of conversion of resin composites light activated by halogen light and led analyzed by ultraviolet spectrometry. Rev Clín Pesq Odontol. 2010;6(3):223-30.Caldarelli PG, Beltrani FC, Santos FA, Shibayama R, Hoepper  MG. Manchamento de uma resina composta e sua Relação com o efeito da intensidade da luz Emitida por aparelhos fotopolimerizadores de Lâmpada halôgena. Rev Fac Odontol Aracatuba. 2011;(32)2:44-8.Valentini F, Oliveira SGD, Guimarães GZ, Barbosa RPS, Moraes RR. Effect of surface sealant on the color stability of composite resin restorations. Braz Dent J. 2011;22(5):365-68.Freitas ABDA, Gomes HR, Guimarães FBR, Marinho VA, Barros LM. Influência do tipo de aparelho fotopolimerizador na absorção de água por restaurações de resina composta. Rev Inst Ciênc Saúde.  2008;(26)1:65-9.Porto ICCM, Soares LES, Martin AA, Cavalli V, Liporoni PCS. Influence of the photoinitiator system and light photoactivation units on the degree of conversion  of  dental  composites. Braz Oral Res. 2010;24(4):475-81.Pequeno JHP, Araújo GS, Neri JR, Bomfim AGM, Mendonça JS, Santiago SL. Efeito dos protocolos de fotoativação na dureza de uma resina composta nanoparticulada. ROBRAC. 2012;21(56):394-97.Uhl A, Mills RW, Rzanny AE, Jandt KD. Time dependence of composite shrinkage using halogen and LED light curing. Dent Mater. 2005;21(3):278-86.Eick JD, Kotha SP, Chappelow CC, Kilway KV, Giese GJ, Glaros AG et al. Properties of  silorane-based  dental resins and composites containing    a    stressreducing  monomer. Dent Mater. 2007;23(8):1011-17.Neumann MG, Schmitt CC, Ferreira GC, Correa IC. The initiating radical yields and the efficiency of polymerization for various dental photoinitiators excited by different lightcuring units. Dent Mater. 2006;22(6):576-84.Asmussen   E,  Peutzfeldt   A.   Influence   of   composition   on   rate   of polymerization contraction of light-curing resin composites. Acta Odontol Scand. 2002;60(3):146-50.Silva EH, Albuquerque RC, Lanza LD, Vieira GC, Peixoto RT, Alvim HH et al. Influence of different light sources on the conversion of composite resins. Indian J Dent Res. 2011;22(6):790-94.Souza E, Espíndola M, Diegoli NM, Kuroshima KN. Avaliação da alteração de cor de diferentes compósitos restauradores - influência de corantes usados na cavidade oral - estudo in vitro. RGO. 2006;54(1):43-6.Salvego RN, Dias RPB. Figueiredo JLG. Estabilidade de cor de resinas compostas no processo de manchamento e clareamento, Rev Dental Press Estét. 2013;10(3):54-62.Firoozmandi LM, Balducci I, Araújo MAM.  Influência da Fotopolimerização e da Cor da Resina Composta na Microdureza. Pesq Bras Odontoped Clín Integr. 2009;9(1):37-42.Anfe TEA, Agra CM, Vieira GF. Comparação de duas técnicas de fotoativação na sorção e solubilidade de resinas compostas em solução de etanol. J Biodent Biomater. 2011;1(1):61-7.Villalta P, Lu H, Okte Z, Garcia-Godoy F, Powers JM. Effects of staining and bleaching on color change of dental composite resins. J Prosthet Dent. 2006;95(2):137-42.Barghi N, Berry T, Hatton C. Evaluation intensity output of curing lights in private dental offices. J. am. dent. assoc. 1994;125(7):992-96.Santini A, Miletic V, Swift MD, Bradley M. Degree of conversion and microhardness of TPO-containing resin-based composites cured by polywave and monowave LED units. J Dent. 2012;40(7):577-84.


Polymers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 2165
Author(s):  
Rita Almeida ◽  
Patricia Manarte-Monteiro ◽  
Joana Domingues ◽  
Carlos Falcão ◽  
Mariano Herrero-Climent ◽  
...  

The pursuit of less time-consuming procedures led to the development of high-power light-curing-units (LCU) to light-cure dental-resin-based-materials. This review aims to describe high-power light-emitting-diode (LED)-LCUs, by a bibliometric systematization of in vitro and in vivo studies. The research-question, by PICO model, aimed to assess the current knowledge on dentistry-based high-power LED-LCUs by analyzing to what extent their use can promote adverse events on materials and patients’ oral condition when compared to low-power LED-LCUs, on daily dental practice. PubMed and B-on database search focused on high-power (≥2000 mW/cm2) LED-LCUs outputs. Studies assessing performance of high-power LED-LCUs for light-curing dental-resin-based-materials were included. From 1822 screened articles, 21 fulfilled the inclusion criteria. Thirty-two marketed units with high levels of radiant emittance (≥2000 mW/cm2 up to 6000 mW/cm2) were identified. Most output values vary on 2000–3000 mW/cm2. The highest output found was 6000 mW/cm2, in FlashMax™P3. Reports suggest that light-curing protocols with lower emittance irradiance and longer exposure outperforms all other combination, however in some clinical procedures high-power LED-LCUs are advocated when compared to low-power LED-LCUs. Moreover, long time exposures and over-curing can be dangerous to the biological vital pulp, and other oral tissues. Evidence showing that high-power LCUs are the best clinical option is still very scarce.


2020 ◽  
Vol 11 (1) ◽  
pp. 9 ◽  
Author(s):  
Paola Andrea Mena Silva ◽  
Isadora Martini Garcia ◽  
Julia Nunes ◽  
Fernanda Visioli ◽  
Vicente Castelo Branco Leitune ◽  
...  

This in vitro study evaluated the effect of myristyltrimethylammonium bromide (MYTAB) on the physical, chemical, and biological properties of an experimental dental resin. The resin was formulated with dental dimetacrylate monomers and a photoinitiator/co-initiator system. MYTAB was added at 0.5 (G0.5%), 1 (G1%), and 2 (G2%) wt %, and one group remained without MYTAB and was used as the control (GCtrl). The resins were analyzed for the polymerization kinetics, degree of conversion, ultimate tensile strength (UTS), antibacterial activity against Streptococcus mutans, and cytotoxicity against human keratinocytes. Changes in the polymerization kinetics profiling were observed, and the degree of conversion ranged from 57.36% (±2.50%) for G2% to 61.88% (±1.91%) for G0.5%, without a statistically significant difference among groups (p > 0.05). The UTS values ranged from 32.85 (±6.08) MPa for G0.5% to 35.12 (±5.74) MPa for GCtrl (p > 0.05). MYTAB groups showed antibacterial activity against biofilm formation from 0.5 wt % (p < 0.05) and against planktonic bacteria from 1 wt % (p < 0.05). The higher the MYTAB concentration, the higher the cytotoxic effect, without differences between GCtrl e G0.5% (p > 0.05). In conclusion, the addition of 0.5 wt % of MYTAB did not alter the physical and chemical properties of the dental resin and provided antibacterial activity without cytotoxic effect.


2020 ◽  
Vol 62 (1) ◽  
pp. 107-113
Author(s):  
Maryam Pirmoradian ◽  
Tabassom Hooshmand ◽  
Siavash Jafari-Semnani ◽  
Foroogh Fadavi

2020 ◽  
Vol 4 (2) ◽  
pp. 81 ◽  
Author(s):  
Tejas Barot ◽  
Deepak Rawtani ◽  
Pratik Kulkarni

Objective: The objective of this study was to explore the effect of Chlorhexidine-loaded Halloysite nanotubes (HNT/CHX) fillers (diverse mass fractions from 1 to 10 wt.%) on physicochemical, morphological and biological properties of newly developed experimental dental resin composite, in order to compare with the properties of composites composed of conventional glass fillers. Methods: The dental resin composites were prepared by incorporating various proportions of HNT/CHX. Six different groups of specimens: control group and five groups composed of varied mass fractions of HNT/CHX (e.g., 1.0, 2.5, 5.0, 7.5 and 10 wt.%) as fillers in each group were fabricated. Mechanical properties of the composites were monitored, using UTM. The degree of conversion of dental resin composites and their depth of cure were also evaluated. Antimicrobial properties of dental composites were studied in vitro by applying agar diffusion test on strain Streptococcus mutans and cytotoxicity were studied using NIH-3T3 cell line. Results: The incorporation of varied mass fractions (1.0 to 5.0 wt.%) of HNT/CHX in dental resins composites enhanced mechanical properties considerably with significant antibacterial activity. The slight decrease in curing depth and degree of conversion values of composites indicates its durability. No cytotoxicity was noticed on NIH-3T3 cell lines. Significance: Consistent distribution of HNT/CHX as a filler into dental composites could substantially improve not only mechanical properties but also biological properties of dental composites.


2013 ◽  
Vol 1609 ◽  
Author(s):  
Ricardo Acosta Ortiz ◽  
Luis Alberto Reyna Medina ◽  
María Lydia Berlanga Duarte ◽  
Aida Esmeralda Garcia Valdez

AbstractIn this work is discussed the synthesis of a novel antishrinking agent (SOC DA) and the evaluation of its performance in an acrylic dental resin. SOC DA was photopolymerized in conjunction with the components of a conventional acrylic resin, which includes a mixture of diacrylate monomers [glycerolate bisphenol A dimethacrylate (BIS-GMA) / Urethane dimethacrylate (UDMA) / triethyleneglycol dimethacrylate (TEGDMA)] in 50/30/20 molar ratio). SOC DA was added in a range between 5.0-20.0 mol % with respect to the total amount of moles of the acrylic monomers. It was found that increasing concentrations of SOC DA, promoted higher conversions of the dimethacrylate monomers without decreasing the photopolymerization rate of the acrylate monomers. The study of the effect of SOC DA on the mechanical properties of the dental composite filled with 70 % of silicon dioxide, revealed that the presence of the antishrinking agent improved both the compressive and the flexural strength of the dental materials. Besides, it was found that by using the SOC DA at 20%, the shrinkage was reduced 52%, compared with the same formulation without SOC DA.


2020 ◽  
Vol 9 (12) ◽  
pp. e32091211128
Author(s):  
Nathalie Murielly Rolim de Abreu ◽  
Ruth Venâncio Fernandes Dantas ◽  
Hugo Ramalho Sarmento ◽  
Robinsom Viégas Montenegro ◽  
Heloísa Helena Pinho Veloso ◽  
...  

Objective: To evaluate the influence of alternative photoinitiators present in composite resins related to yellowing, color stability, photosensitivity, light-curing efficiency, degree of conversion, and microhardness. Materials and methods: The literature was reviewed by two independent reviewers at PubMed. The search strategy was carried out using the following descriptors: (Photoinitiators, dental) AND (Curing lights, dental) AND (Composite Resins) NOT (Case report). The electronic search was carried out until March 2019, without language restrictions, and inclusion and exclusion criteria were applied in the selection. Results: Thirteen articles met the previously established criteria, and all were included. Of these, most were in vitro studies. After the aging of the composite, all systems suffered yellowing, however the isolates with camphorquinone were the most affected and, although there is a greater tendency to yellowing, this does not directly affect color stability. However, the literature is still conflicting about which system has significant color stability. Regarding photosensitivity, all photoinitiators have different absorption peaks. In this sense, the photopolymerization must be chosen with caution, as the conversion of monomers and microhardness proved to be directly linked to the correct combination of photoactivator and photopolymerizing unit. Conclusion: Alternative photoinitiators have a lower yellowing rate and good color stability. They can be up to five times more sensitive than systems containing isolated camphorquinone. Only third-generation light-emitting diodes photopolymerize satisfactorily composite resins that have alternative photoinitiators in their composition, ensuring a good degree of conversion and acceptable Knoop microhardness values.


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