Kinetics of pulpal temperature rise during light curing of 6 bonding agents from different generations, using light emitting diode and quartz-tungsten-halogen units: An in-vitro simulation

Abstract

Background: Application of bonding agents (BA) into deep cavities and light curing them might

increase pulpal temperature and threaten its health. The purpose of this study was to evaluate

temperature rise of pulp by light curing six BA using two different light curing units (LCU), through

a dent in wall of 0.5 mm.

Materials and Methods: This in vitro experiment was carried out on 96 slices of the same

number of human third molars (6 BAs × 2 LCUs × 8 specimens in each group). There were 6

groups of BAs: N Bond, G-Bond, OptiBond XTR, Clearfi l SE, Adper Single Bond 2 and V Bond.

Each group of BA (n = 16) had two subgroups of light emitting diode (LED) and quartz-tungstenhalogen

light cure units (n = 8). Each of these 16 specimens were subjected to light emitting

for 20 s, once without any BAs (control) and later when a BA was applied to surface of disk.

Temperature rises in 140 s were evaluated. Their mean temperature change in fi rst 20 s were

calculated and analyzed using two-way repeated-measures and one-way analysis of variance

(ANOVA) and Tukey (α = 0.05). Furthermore rate of temperature increase was calculated for

each material and LCU.

Results: Minimum and maximum temperature rises in all subgroups were 1.7 and 2.8°C,

respectively. Repeated measures ANOVA showed that both of adhesive and LCU types had

signifi cant effect on temperature rise after application of adhesives. Tukey post-hoc analysis showed

Clearfi l SE showed signifi cantly higher temperature rise in comparison with Adper Single bond 2

(P = 0.047) and N Bond (P = 0.038). Temperature rose in a linear fashion during fi rst 30-40 s and

after that it was non-linear.

Conclusion: 20 s of light curing seems safe for pulpal health (with critical threshold of 5.5°C).

However, in longer durations and especially when using LED units, the process should be broken

to two sessions.

Key Words: Composite resins, dental materials, differential thermal analysis, polymerization