A comparison of ultraviolet-curing and self-curing polymers in preventive, restorative and orthodontic dentistry.

Both self-cured and UV-cured resin-base dental materials are used in preventive, restorative, and orthodontic dentistry. Polymerization is initiated in both systems by free radicals. Self-curing materials generate free radicals by means of chemical compounds included in their formulation. UV-curing systems rely upon externally-supplied, long wavelength, ultraviolet radiation to produce free radicals within the material. Therefore, although the major chemical components of both systems are similar in many respects, each system has particular advantages and disadvantages over the other, which must be recognized by the practitioner. Substantial differences exist, for example, in the color stability of these two types of materials, because of the fact that the UV-cured system cannot include UV absorbers, which protect the self-cured systems from discoloration after exposure to sunlight. UV-cured systems require a limitation on the maximum depth of filled restorative that can be cured at one time, since the filler particles attenuate UV radiation. The limit-layer is generally established as 1-1-5 mm maximum thickness. Therefore, UV-cured filled systems are more time-consuming in restorations of deeper cavities. This liability is also in evidence as it affects the degree of polymerization of UV-cured filled systems. The uncertainty of complete polymerization is apparently responsible for highly erratic compressive strength data found with UV-cured restoratives. Normally, the amount of unpolymerized monomer is much less predictable in UV-cured systems, over that which is obtained in self-cured materials. The presence of a larger fraction of unpolymerized monomer creates a greater potential for pulpal injury from UV-cured restorative materials. The catalyst used in several UV-cured systems is benzoin methyl ether, a compound of rather high toxicity (LD50:300 mg/kg). The safety of using UV radiation in the vicinity of oral mucosa has not been firmly established. The design of the UV lamp should provide for focusing all radiation onto hard tissue. However, UV-cured systems do offer several advantages over self-cured systems. They normally are one-component systems and therefore are more convenient to use in certain types of applications, e.g., fissure sealing. UV-cured systems also provide an unlimited working time, an important advantage for specific applications.