Influence of Light-Curing Parameters on the Bond Strength of Bulk-Fill Repaired Microhybrid Resin Composite

Authors

DOI:

https://doi.org/10.15517/3p8v9928

Keywords:

Resins, synthetic; Composite resins; Dental restoration repair; Tensile strength; Polymerization; Curing lights, dental.

Abstract

This study evaluated the influence of photoactivation parameters, specifically radiant exposure and curing distance, on the microtensile bond strength (μTBS) of a microhybrid resin composite repaired with a bulk-fill composite. Seventy-two conventional resin composite blocks were prepared and thermocycled (10,000 cycles). Three light-curing modes were evaluated based on their clinical parameters: Standard (1000 mW/cm2, 20s), High Power (1400 mW/cm2, 8s), and Xtra Power (3200 mW/cm2, 6s). Specimen surfaces were ground with a diamond bur, etched with 35% phosphoric acid, and treated with a 2-step etch-and-rinse adhesive system (Adper Single Bond 2) before repairs were made with a bulk-fill composite. Specimens (n=12 per group) were divided based on the three irradiances and two curing distances (0 and 2 mm). After 14 days of water storage, μTBS was tested. Data were analyzed using two-way ANOVA (α=0.05). Curing distance significantly influenced μTBS, with higher values at 0 mm (p<0.05). The combination of Xtra Power (3200 mW/cm2) and increased distance (2 mm) led to numerous pre-test failures and a significant reduction in bond strength. Curing distance and radiant exposure are critical factors for bulk-fill composite repair bond strength. High irradiance combined with increased distance negatively affects repair quality, emphasizing the importance of proper photoactivation technique.

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Author Biographies

  • Anderson Kaian de Lima Maniçoba, Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

    Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

  • Luan Gabriel Chaves Damasceno, Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

    Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

  • Susana Joice Mendes Maia, Department of Restorative Dentistry, Universidade Federal do Ceará (UFC), Fortaleza, Brazil.

    Department of Restorative Dentistry, Universidade Federal do Ceará (UFC), Fortaleza, Brazil.

  • Marília Regalado Galvão Rabelo Caldas, Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

    Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

  • Vicente de Paulo Aragão Saboia, Department of Restorative Dentistry, Universidade Federal do Ceará (UFC), Fortaleza, Brazil.

    Department of Restorative Dentistry, Universidade Federal do Ceará (UFC), Fortaleza, Brazil.

  • Boniek Castillo Dutra Borges, Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

    Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

  • Diana Ferreira Gadelha de Araújo, Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

    Department of Dentistry, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.

References

Oh S, Kim HJ, Kim HJ, Antonson SA, Kim SY. Influence of irradiation distance on the mechanical performances of resin composites polymerized with high-irradiance light curing units. Biomater Res. 2022;26:18. https://doi.org/10.1186/s40824-022-00267-5 DOI: https://doi.org/10.1186/s40824-022-00267-5

Diab RA, Al-Haj Husain N, Al-Bani M, Diab O, Al-Haj Husain A, Al-Tawati T. Impact of light-curing distance on the effectiveness of cure of bulk-fill resin-based composites. Saudi Dent J. 2021;33(8):1184-9. https://doi.org/10.1016/j.sdentj.2021.01.003 DOI: https://doi.org/10.1016/j.sdentj.2021.01.003

Zorzin J, Maier E, Harre S, Fey T, Belli R, Lohbauer U, Petschelt A, Taschner M. Bulk-fill resin composites: polymerization properties and extended light curing. Dent Mater. 2015;31(3):293-301.https://doi.org/10.1016/j.dental.2014.12.010 DOI: https://doi.org/10.1016/j.dental.2014.12.010

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;34(10):1531-41.https://doi.org/10.1016/j.dental.2018.06.005 DOI: https://doi.org/10.1016/j.dental.2018.06.005

Fidalgo TKS, Americano G, Medina D, Athayde G, Letieri AS, Maia LC. Adhesiveness of bulk-fill composite resin in permanent molars submitted to Streptococcus mutans biofilm. Braz Oral Res.2019;33:e111. https://doi.org/10.1590/1807-3107bor-2019.vol33.0111 DOI: https://doi.org/10.1590/1807-3107bor-2019.vol33.0111

de Medeiros TC, de Lima MR, Bessa SCF, de Araújo DFG, Galvão MR. Repair bond strength of bulk-fill composites after different adhesion protocols. J Clin Exp Dent. 2019;11(11):e1000-5. https://doi.org/10.4317/jced.56129 DOI: https://doi.org/10.4317/jced.56129

Cuevas-Suárez CE, Nakanishi L, Isolan CP, Ribeiro JS, Moreira AG, Piva E. Repair bond strength of bulk-fill resin composite: effect of different adhesive protocols. Dent Mater J. 2020;39(2):236-41.https://doi.org/10.4012/dmj.2018-291 DOI: https://doi.org/10.4012/dmj.2018-291

Fornazari IA, Wille I, Meda EM, Brum RT, Souza EM. Effect of surface treatment, silane, and universal adhesive on microshear bond strength of nanofilled composite repairs. Oper Dent. 2017;42(4):367-74. https://doi.org/10.2341/16-259-L DOI: https://doi.org/10.2341/16-259-L

Fornazari IA, Brum RT, Rached RN, Souza EM. Reliability and correlation between microshear and microtensile bond strength tests of composite repairs. J Mech Behav Biomed Mater. 2020;103:103607. https://doi.org/10.1016/j.jmbbm.2019.103607 DOI: https://doi.org/10.1016/j.jmbbm.2019.103607

de Jesus Tavarez RR, Almeida Júnior LJS, Guará TCG, Ribeiro IS, Maia Filho EM, Firoozmand LM. Shear bond strength of different surface treatments in bulk-fill, microhybrid, and nanoparticle repair resins. Clin Cosmet Investig Dent.2017;9:61-6. https://doi.org/10.2147/CCIDE.S135416 DOI: https://doi.org/10.2147/CCIDE.S135416

Ahmadizenouz G, Esmaeili B, Taghvaei A, Jamali Z, Jafari T, Daneshvar FA, Khafri S. Effect of different surface treatments on the shear bond strength of nanofilled composite repairs. J Dent Res Dent Clin Dent Prospects. 2016;10(1):9-16.https://doi.org/10.15171/joddd.2016.002 DOI: https://doi.org/10.15171/joddd.2016.002

Atalay C., Yazici A.R., Ozgunaltay G. Bond strengths of bulk-fill resin composite repairs: effect of different surface treatment protocols in vitro. J Adhes Sci Technol. 2018; 32 (9): 921-30. https://doi.org/10.1080/01694243.2017.1395162 DOI: https://doi.org/10.1080/01694243.2017.1395162

Aquino C, Mathias C, Barreto SC, Cavalcanti AN, Marchi GM, Mathias P. Repair bond strength and leakage of non-aged and aged bulk-fill composite. Oral Health Prev Dent. 2020;18(4):777-86. https://doi.org/10.3290/j.ohpd.a45082

Shafiei F, Akbarian S, Daryadar M. Effect of intermediate agents and preheated composites on repair bond strength of silorane-based composites. J Dent (Tehran). 2015;12(9): 669-77.

Alrahlah A, Silikas N, Watts DC. Post-cure depth of cure of bulk fill dental resin-composites. Dent Mater. 2014;30(2): 149-54. https://doi.org/10.1016/j.dental.2013.10.011 DOI: https://doi.org/10.1016/j.dental.2013.10.011

Çağırır Dindaroğlu F, Yılmaz E. Two-year evaluation of a nano-hybrid and a bulk-fill resin composite: a randomized, double-blind split-mouth clinical study. Clin Oral Investig. 2024; 28(4):208. https://doi.org/10.1007/s00784-024-05592-8 DOI: https://doi.org/10.1007/s00784-024-05592-8

Shimokawa CAK, Turbino ML, Giannini M., Braga RR, Price RB. Effect of light curing units on the polymerization of bulk-fill resin-based composites. Dent Mater. 2018; 34(8):1211-21.https://doi.org/10.1016/j.dental.2018.05.002 DOI: https://doi.org/10.1016/j.dental.2018.05.002

Ilie N, Stark K. Curing behaviour of high-viscosity bulk-fill composites. J Dent. 2014; 42(8):977-85.https://doi.org/10.1016/j.jdent.2014.05.012 DOI: https://doi.org/10.1016/j.jdent.2014.05.012

Tarle Z, Attin T, Marovic D, Andermatt L, Ristic M, Tauböck TT. Influence of irradiation time on subsurface degree of conversion and microhardness of high-viscosity bulk-fill resin composites. Clin Oral Investig. 2015; 19(4):831-40.https://doi.org/10.1007/s00784-014-1302-6 DOI: https://doi.org/10.1007/s00784-014-1302-6

Ilie N, Schöner C, Bücher K, Hickel R. An in-vitro assessment of the shear bond strength of bulk-fill resin composites to permanent and deciduous teeth. J Dent. 2014;42(7):850-5. https://doi.org/10.1016/j.jdent.2014.03.013 DOI: https://doi.org/10.1016/j.jdent.2014.03.013

Marigo L, Spagnuolo G, Malara F, Martorana GE, Cordaro M, Lupi A, Nocca G. Relation between conversion degree and cytotoxicity of a flowable bulk-fill and three conventional flowable resin-composites. Eur Rev Med Pharmacol Sci. 2015;19(23):4651-8.

Mansouri SA, Zidan AZ. Effect of water sorption and solubility on color stability of bulk-fill resin composite. J Contemp Dent Pract. 2018;19(9):1129-34.https://doi.org/10.5005/jp-journals-10024-2393 DOI: https://doi.org/10.5005/jp-journals-10024-2393

Zanelli WS, Flor-Ribeiro MD, Esteves RB, Martins LRM, Aguiar FHB, Marchi GM. Repair adhesive strength of conventional and bulk fill resins using different bonding techniques. J Health Sci. 2021;23 (3):185-90.https://doi.org/10.17921/2447-8938.2021v22n3p185-190 DOI: https://doi.org/10.17921/2447-8938.2021v22n3p185-190

Kiliç V, Hürmüzlü F. Effect of light sources on bond strength of different composite resins repaired with bulk-fill composite. Odovtos.2021;23(1):103-15.http://dx.doi.org/10.15517/ijds.2021.43538 DOI: https://doi.org/10.15517/ijds.2021.43538

Wang WJ, Grymak A, Waddell JN, Choi JJE. The effect of light curing intensity on bulk-fill composite resins: heat generation and chemomechanical properties. Biomater Investig Dent. 2021; 8(1):137-51. https://doi.org/10.1080/26415275.2021.1979981 DOI: https://doi.org/10.1080/26415275.2021.1979981

Sulaiman JMA. Analysis of Intensity in different light cure units used in dentistry. Al-Rafidain Dent J. 2010;10(1):192-7. https://doi.org/10.33899/rden.2010.8981 DOI: https://doi.org/10.33899/rden.2010.8981

Tsuzuki FM, de Castro-Hoshino LV, Lopes LCP, Sato F, Baesso ML, Terada RSS. Evaluation of the influence of light-curing units on the degree of conversion in depth of a bulk-fill resin. J Clin Exp Dent. 2020; 12(12):e1117-23.https://doi.org/10.4317/jced.57288 DOI: https://doi.org/10.4317/jced.57288

Castro-Ramirez L, Espinoza-Salcedo M, Huamani-Echaccaya J, Ladera-Castañeda M, Cervantes-Ganoza L, Hernández-Huamaní E, Aroste-Andía R, Gavilán-Chávez P, Cayo-Rojas C. Effect of polywave and monowave light curing units on the microtensile bond strength and failure types of different bulk-fill resin composites: an in vitro study. Clin Cosmet Investig Dent.2024;16:153-65.https://doi.org/10.2147/CCIDE.S465226. DOI: https://doi.org/10.2147/CCIDE.S465226

Contreras SCM, Jurema ALB, Claudino ES, Bresciani E, Caneppele TMF. Monowave and polywave light-curing of bulk-fill resin composites: degree of conversion and marginal adaptation following thermomechanical aging. Biomater Investig Dent. 2021;8(1):72-8. https://doi.org/10.1080/26415275.2021.1937181 DOI: https://doi.org/10.1080/26415275.2021.1937181

Cender EU, Guler C, Odabasi D. The effects of polymerization mode and layer thickness on monomer released from bulk-fill composite resins. Niger J Clin Pract.2021;24(10):1442-9. https://doi.org/10.4103/njcp.njcp_676_20 DOI: https://doi.org/10.4103/njcp.njcp_676_20

Xue J. Factors influencing clinical application of bulk-fill composite resin. Hua Xi Kou Qiang Yi Xue Za Zhi. 2020;38(3):233-9.

de Deus RA, Oliveira LRS, Braga SSL, Ribeiro MTH, Price RB, Núñez A, Loguercio AD, Soares CJ. Effect of radiant exposure on the physical and mechanical properties of 10 flowable and high-viscosity bulk-fill resin composites. Oper Dent. 2024;49(2):136-56. https://doi.org/10.2341/23-025-L DOI: https://doi.org/10.2341/23-025-L

Ghavami-Lahiji M, Firouzmanesh M, Bagheri H, Jafarzadeh Kashi TS, Razazpour F, Behroozibakhsh M. The effect of thermocycling on the degree of conversion and mechanical properties of a microhybrid dental resin composite. Restor Dent Endod. 2018;43(2):e26.https://doi.org/10.5395/rde.2018.43.e26 DOI: https://doi.org/10.5395/rde.2018.43.e26

Gale MS, Darvell BW. Thermal cycling procedures for laboratory testing of dental restorations. J Dent. 1999;27(2):89-99. https://doi.org/10.1016/S0300-5712(98)00037-2 DOI: https://doi.org/10.1016/S0300-5712(98)00037-2

Armstrong S, Breschi L, Özcan M, Pfefferkorn F, Ferrari M, Van Meerbeek B. Academy of Dental Materials guidance on in vitro testing of dental composite bonding effectiveness to dentin/enamel using micro-tensile bond strength (μTBS) approach. Dent Mater.2017;33(2):133-43. https://doi.org/10.1016/j.dental.2016.11.015 DOI: https://doi.org/10.1016/j.dental.2016.11.015

Korkut B, Saygili CC, Murat N, Bayraktar ET, Beolchi RS, Tarcin B. Comparison of dental curing units and output modes regarding radiant flux, tip diameter, radiant emittance, scattering, and penetration depth. Clin Oral Investig. 2025;29(8):395.https://doi.org/10.1007/s00784-025-06482-3 DOI: https://doi.org/10.1007/s00784-025-06482-3

Guarneri J, Collares FM, Gareau A, Price RB. Effect of moving the tip of the light curing unit on the irradiance value delivered. J Esthet Restor Dent. 2025;37(12):2568-78.https://doi.org/10.1111/jerd.70011 DOI: https://doi.org/10.1111/jerd.70011

Odum NC, Ross JT, Citrin NS, Tantbirojn D, Versluis A. Fast curing with high-power curing lights affects depth of cure and post-gel shrinkage and increases temperature in bulk-fill composites. Oper Dent.2023;48(1):98-107. https://doi.org/10.2341/21-160-l DOI: https://doi.org/10.2341/21-160-L

Cavalcanti AN, De Lima AF, Peris AR, Mitsui FH, Marchi GM. Effect of surface treatments and bonding agents on the bond strength of repaired composites.J Esthet Restor Dent.2007;19(2):90-8.https://doi.org/10.1111/j.1708-8240.2007.00073.x DOI: https://doi.org/10.1111/j.1708-8240.2007.00073.x

Yıldırım-Işık H, Büyükgöze-Dindar M. Influence of different adhesives and surface treatments on shear and tensile bond strength and microleakage with micro-CT of repaired bulk-fill composites. Polymers (Basel).2025; 17(12):1680.https://doi.org/10.3390/polym17121680 DOI: https://doi.org/10.3390/polym17121680

Published

2026-11-04