The Role of Rapid Curing on the Interrelationship Between Temperature Rise, Light Transmission, and Polymerisation Kinetics of Bulk-Fill Composites.

The first seconds of light curing are crucial for the development of most properties of dental composites, especially for the 3s high-irradiance curing. This study investigated the influence of rapid high-irradiance curing on temporal development of temperature, transmittance and conversion of bulk-fill composites. Four materials were tested: Filtek One (FO), Tetric PowerFill (PFill), Tetric PowerFlow (PFlow) and SDR flow+ (SDR+) and cured with three curing units (LCU): Valo Cordles, Bluephase PowerCure and Translux Wave in 3s (3 W/cm), 10s (1 W/cm) and 20s (1 W/cm) curing protocols. Light transmittance was measured at 2 and 4 mm, while temperature rise and polymerisation kinetics were evaluated at 4 mm depth during 5 min. Both light transmittance and temperature rise were greatest for SDR+ > PFlow > PFill > FO. The 20s curing protocol resulted in the highest degree of conversion (DC) for all materials and LCUs, but also contributed to the greatest temperature rise. Rapid curing with the 3s protocol caused the lowest temperature rise and the shortest time to reach maximum temperature. The polymerisation and temperature kinetics were strongly dependent on the material. The DC of PFill was statistically similar for 3s, 10s or 20s curing with BPC. Rapid curing is only recommended for materials developed for this purpose.