Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada.
Department of Restorative Dentistry, Oregon Health & Science University, Portland, OR, USA.
Int Dent J. 2020 Dec;70(6):407-417. doi: 10.1111/idj.12582. Epub 2020 Jul 21.
This article describes the features that should be considered when describing, purchasing and using a light-curing unit (LCU).
The International System of Units (S.I.) terms of radiant power or radiant flux (mW), spectral radiant power (mW/nm), radiant exitance or tip irradiance (mW/cm ), and the irradiance received at the surface (also in mW/cm ) are used to describe the output from LCU. The concept of using an irradiance beam profile to map the radiant exposure (J/cm ) from the LCU is introduced.
Even small changes in the active tip diameter of the LCU will have a large effect on the radiant exitance. The emission spectra and the effects of distance on the irradiance delivered are not the same from all LCUs. The beam profile images show that using a single averaged irradiance value to describe the LCU can be very misleading. Some LCUs have 'hot spots' of high radiant exitance that far exceed the current ISO 10650 standard. Such inhomogeneity may cure the resin unevenly and may also be dangerous to soft tissues. Recommendations are made that will help the dentist when purchasing and then safely using the LCU.
Dental manufacturers should report the radiant power from their LCU, the spectral radiant power, information about the compatibility of the emission spectrum from the LCU with the photoinitiators used, the active optical tip diameter, the radiant exitance, the effect of distance from the tip on the irradiance delivered, and the irradiance beam profile from the LCU.
本文介绍了描述、购买和使用光固化器(LCU)时应考虑的特性。
国际单位制(SI)的辐射功率或辐射通量(mW)、光谱辐射功率(mW/nm)、辐射出射度或尖端辐照度(mW/cm²)以及表面接收到的辐照度(也以 mW/cm²表示)用于描述 LCU 的输出。引入了使用辐照度光束轮廓来映射 LCU 的辐射量(J/cm²)的概念。
即使 LCU 的有效尖端直径略有变化,也会对辐射出射度产生很大影响。发射光谱以及距离对输送的辐照度的影响并非所有 LCU 都相同。光束轮廓图像表明,使用单个平均辐照度值来描述 LCU 可能会产生很大的误导。一些 LCU 具有超出当前 ISO 10650 标准的高辐射出射度的“热点”。这种不均匀性可能会导致树脂不均匀固化,并且对软组织也可能有危险。提出了一些建议,将有助于牙医在购买和安全使用 LCU 时做出决策。
牙科制造商应报告其 LCU 的辐射功率、光谱辐射功率、LCU 的发射光谱与所用光引发剂的兼容性信息、有效光学尖端直径、辐射出射度、尖端距离对输送辐照度的影响以及 LCU 的辐照度光束轮廓。