Relationships between conversion, temperature and optical properties during composite photopolymerization.

Optical properties of composite restoratives, both cured and uncured, are of obvious importance in a procedure reliant on photoactivation, since they may affect light transmission and therefore materials conversion upon which mechanical properties and ultimate clinical performance are dependent. The objective of the present study was to evaluate simultaneous, real-time conversion, and the development of the temperature and optical properties. The dimethacrylate resin (Bis-GMA/TEGDMA 70/30mass%) was prepared at three filler loading (0, 35 or 70mass%: no fill, low and high fill, respectively) combined with three initiator concentrations (CQ/EDMAB: 0/0, 0.2/0.8 or 1.0/1.6mass%). Specimens were exposed to either low (50mWcm(-2)) or high (500mWcm(-2)) irradiance. Simultaneous conversion (near-IR peak area), temperature (thermocouple) and visible light transmission (UV-vis spectroscopy) measurements were conducted throughout the polymerization process. The refractive index of the resin rises linearly with conversion (r(2)=0.976), producing a refractive index match between resin/filler at approximately 58% conversion in these materials. The percentage increase in light transmission during conversion was greater for increasing filler levels. Higher CQ content led to maximum light transmission at slightly higher levels of conversion (60-65% and 50-55% for the high and low filled materials, respectively). The broad distribution of filler concentrations allows for the clinically relevant generalization that highly filled composites not only jeopardize absolute light transmission, conversion and depth of cure, but also demonstrate the complex interrelationship that exists between materials, processing conditions and the optical properties of dental composites.