Decálogo de buenas prácticas para el uso y mantenimiento de las Unidades de Fotocurado LEDs
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Palabras clave

Fotopolimerización
Unidad de Fotocurado
Irradiancia

Cómo citar

Decálogo de buenas prácticas para el uso y mantenimiento de las Unidades de Fotocurado LEDs. (2023). Odontoestomatología, 25(41), 18. https://doi.org/10.22592/ode2023n41e326

Resumen

Actualmente varios biomateriales restauradores resinosos endurecen mediante una reacción de fotopolimerización, para lo cual es necesaria una unidad de polimerización (UP). El objetivo de este manuscrito es generar una guía basada en la evidencia científica actual para contribuir al correcto uso de las UP. Se realizó una búsqueda de artículos publicados desde el año 2002 hasta enero del 2022 a través de PubMed y Google Scholar. Se organizó la información en 10 tópicos de relevancia en forma de decálogo: longitud de onda, intensidad de la luz, diámetro de la punta, tiempo de curado, modo de curado, distancia de curado, uso de barreras, batería y carga, limpieza y desinfección, finalizando con los controles periódicos. Los profesionales de la salud deben conocer y recordar la importancia de realizar un adecuado uso y mantenimiento de las UP, ya que esto puede influir en el desempeño clínico de los biomateriales.

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Referencias

Jadhav S, Hegde V, Aher G, Fajandar N. Influence of light curing units on failure of direct composite restorations. J Conserv Dent. 2011 Jul;14(3):225–7.

Rueggeberg FA, Giannini M, Arrais CAG, Price RBT. Light curing in dentistry and clinical implications: a literature review. Braz Oral Res. 2017 Aug;31(suppl 1):64–91.

Kwon TY, Bagheri R, Kim YK, Kim KH, Burrow MF. Cure mechanisms in materials for use in esthetic dentistry. J Investig Clin Dent. 2012;3(1):3–16.

Pelissier B, Jacquot B, Palin WM, Shortall AC. Three generations of LED lights and clinical implications for optimizing their use. 1: from past to present. Dent Update. 2011;38(10).

Topcu FT, Erdemir U, Sahinkesen G, Yildiz E, Uslan I, Acikel C. Evaluation of microhardness, surface roughness, and wear behavior of different types of resin composites polymerized with two different light sources. J Biomed Mater Res B Appl Biomater. 2010 Feb;92(2):470–8.

American Dental Association. ADA Professional Product Review. Curing Lights. 2009;4(4).

Gan JK, Yap AU, Cheong JW, Arista N, Tan CBK. Bulk-Fill Composites: Effectiveness of Cure With Poly- and Monowave Curing Lights and Modes. Oper Dent. 2018 Mar 1;43(2):136–43.

Kowalska A, Sokolowski J, Gozdek T, Krasowski M, Kopacz K, Bociong K. The Influence of Various Photoinitiators on the Properties of Commercial Dental Composites. Polymers (Basel). 2021 Nov1;13(22).

Salgado VE, Rego GF, Schneider LF, Moraes RR de, Cavalcante LM. Does translucency influence cure efficiency and color stability of resin-based composites? Dent Mater. 2018 Jul 1;34(7):957–66.

Cuevas-Suárez CE, Pimentel-García B, Rivera-Gonzaga A, Álvarez-Gayosso C, Ancona-Meza AL, GrazioliG, et al. Examining the Effect of Radiant Exposure on Commercial Photopolimerizable Dental Resin Composites. Dent J. 2018 Dec 1;6(4).

Moraes RR, Cenci MS, Moura JR, Demarco FF, Loomans B, Opdam N. Clinical performance of resin composite restorations. Curr Oral Heal Reports 2022. 2022 Feb 17;1–10.

Par M, Repusic I, Skenderovic H, Tarle Z. Wavelength-dependent light transmittance in resin composites: practical implications for curing units with different emission spectra. Clin Oral Investig. 2019 Dec 1;23(12):4399–409.

Shimokawa CAK, Sullivan B, Turbino ML, Soares CJ, Price RB. Influence of Emission Spectrum and Irradiance on Light Curing of Resin-Based Composites. Oper Dent. 2017 Sep 1;42(5):537–47.

Price RBT, Fahey J, Felix CM. Knoop hardness of five composites cured with single-peak and polywave LED curing lights. Quintessence Int. 2010;41(10):e181-91.

ISO - ISO 10650:2018 - Dentistry — Powered polymerization activators.

Cadenaro M, Maravic T, Comba A, Mazzoni A, Fanfoni L, Hilton T, et al. The role of polymerization in adhesive dentistry. Dent Mater. 2019 Jan 1;35(1):e1–22.

Daugherty MM, Lien W, Mansell MR, Risk DL, Savett DA, Vandewalle KS. Effect of high-intensity curing lights on the polymerization of bulk-fill composites. Dent Mater. 2018 Oct 1;34(10):1531–41.

Harlow JE, Sullivan B, Shortall AC, Labrie D, Price RB. Characterizing the output settings of dental curing lights. J Dent. 2016 Jan 1;44:20–6.

Nassar HM, Ajaj R, Hasanain F. Efficiency of light curing units in a government dental school. J Oral Sci. 2018;60(1):142–6.

Flury S, Lussi A, Hickel R, Ilie N. Light curing through glass ceramics with a second- and a thirdgeneration LED curing unit: effect of curing mode on the degree of conversion of dual-curing resin cements. Clin Oral Investig. 2013 Dec;17(9):2127–37.

Siagian JS, Dennis D, Ikhsan T, Abidin T. Effect of Different LED Light-curing Units on Degree of Conversion and Microhardness of Bulk-fill Composite Resin. J Contemp Dent Pract. 2020 Jun 1;21(6):615–20.

Price RB, Ferracane JL, Shortall AC. Light-Curing Units: A Review of What We Need to Know. J Dent Res. 2015 Sep 24;94(9):1179–86.

Michaud PL, Price RBT, Labrie D, Rueggeberg FA, Sullivan B. Localised irradiance distribution found in dental light curing units. J Dent. 2014 Feb;42(2):129–39.

Arikawa H, Kanie T, Fujii K, Takahashi H, Ban S. Effect of inhomogeneity of light from light curing units on the surface hardness of composite resin. Dent Mater J. 2008;27(1):21–8.

Price RBT, Rueggeberg FA, Labrie D, Felix CM. Irradiance uniformity and distribution from dental light curing units. J Esthet Restor Dent. 2010 Apr;22(2):86–101.

Pereira AG, Raposo LHA, Teixeira DNR, Gonzaga RCQ, Cardoso IO, Soares CJ, et al. Influence of Battery Level of a Cordless LED Unit on the Properties of a Nanofilled Composite Resin. Oper Dent. 2016 Jul 1;41(4):409–16.

Tongtaksin A, Leevailoj C. Battery Charge Affects the Stability of Light Intensity from Light-emitting Diode Light-curing Units. Oper Dent. 2017 Sep 1;42(5):497–504.

Al-Zain AO, Platt JA. Effect of light-curing distance and curing time on composite microflexural strength. Dent Mater J. 2021;40(1):202–8.

Krämer N, Lohbauer U, García-Godoy F, Frankenberger R. Light curing of resin-based composites in the LED era. Am J Dent. 2008 Jun;21(3):135-42.

Price RB, Ferracane JL, Hickel R, Sullivan B. The light-curing unit: An essential piece of dental equipment. Int Dent J. 2020 Dec 1;70(6):407–17.

Soares CJ, Faria-E-Silva AL, Rodrigues M de P, Fernandes Vilela AB, Pfeifer CS, Tantbirojn D, et al. Polymerization shrinkage stress of composite resins and resin cements - What do we need to know? Braz Oral Res. 2017 Aug 1;31(suppl 1):49–63.

Taylor R, Fuentealba R, Brackett WW, Roberts HW. 24 hour polymerization shrinkage of resin composite core materials. J Esthet Restor Dent. 2021 Jul 1;33(5):775–85.

Lührs AK, Pongprueksa P, De Munck J, Geurtsen W, Van Meerbeek B. Curing mode affects bond strength of adhesively luted composite CAD/CAM restorations to dentin. Dent Mater. 2014 Mar;30(3):281–91.

Shim JS, Kang JK, Jha N, Ryu JJ. Polymerization Mode of Self-Adhesive, Dual-Cured Dental Resin Cements Light Cured Through Various Restorative Materials. J Esthet Restor Dent. 2017 May 1;29(3):209–14.

Malhotra N, Kundabala M, Shashirashmi A. Strategies to overcome polymerization shrinkage--materials and techniques. A review. Dent Update. 2010;37(2).

Pereira SG, Fulgêncio R, Nunes TG, Toledano M, Osorio R, Carvalho RM. Effect of curing protocol on the polymerization of dual-cured resin cements. Dent Mater. 2010;26(7):710–8.

Schneider LF, Consani S, Correr-Sobrinho L, Correr AB, Sinhoreti MA. Halogen and LED light curing of composite: temperature increase and Knoop hardness. Clin Oral Investig. 2006 Mar;10(1):66–71.

Armellin E, Bovesecchi G, Coppa P, Pasquantonio G, Cerroni L. LED Curing Lights and Temperature Changes in Different Tooth Sites. Biomed Res Int. 2016;2016:1894672. doi: 10.1155/2016/1894672. Epub 2016 Apr 18. PMID: 27195282; PMCID: PMC4852368.

Zhu S, Platt J. Curing efficiency of three different curing modes at different distances for four composites. Oper Dent. 2011 Jul;36(4):362–71.

Faria-e-Silva AL, Fanger C, Nguyen L, Howerton D, Pfeifer CS. Impact of Material Shade and Distance from Light Curing Unit Tip on the Depth of Polymerization of Composites. Braz Dent J. 2017 Sep 1;28(5):632–7.

Catelan A, De Araújo LSN, Da Silveira BCM, Kawano Y, Ambrosano GMB, Marchi GM, et al. Impact of the distance of light curing on the degree of conversion and microhardness of a composite resin. Acta Odontol Scand. 2015 May 1;73(4):298–301.

Rueggeberg FA, Caughman WF, Comer RW. The effect of autoclaving on energy transmission through light-curing tips. J Am Dent Assoc. 1996;127(8):1183–7.

Soares CJ, Braga SSL, Ribeiro MTH, Price RB. Effect of infection control barriers on the light output from a multi-peak light curing unit. J Dent. 2020 Dec 1;103.

Rueggeberg FA, Caughman WF. Factors affecting light transmission of single-use, plastic light-curing

tips. Oper Dent 1998;23:179-84.

Dugan WT, Hartleb JH. Influence of a glutaraldehyde disinfecting solution on curing light effectiveness. Gen Dent 1989; 37(1):40–3.

Caughman GB, Caughman WF, Napier N, Schuster GS. Disinfection of visible-light-curing devices. Oper Dent 1989; 14(1):2–7.

Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM. Guidelines for infection control in dental health-care settings - 2003. MMWR Recomm Rep. 2003;52:1-61.

Pollington S, Kahakachchi N, Van Noort R. The influence of plastic light cure sheaths on the hardness of resin composite. Oper Dent. 2009 Nov;34(6):741–5.

Hasanain FA, Nassar HM. Utilizing Light Cure Units: A Concise Narrative Review. Polymers (Basel). 2021 May 1;13(10).

Fluent MT, Ferracane JL, Mace JG, Shah AR, Price RB. Shedding light on a potential hazard: Dental light-curing units. J Am Dent Assoc. 2019 Dec 1;150(12):1051–8.

Shortall AC, Price RB, Mackenzie L, Burke FJT. Guidelines for the selection, use, and maintenance of LED light-curing units - Part II. Br Dent J. 2016 Nov 4;221(9):551–4.