Curing Lights - REALITY Publishing Company
Transcription
Curing Lights - REALITY Publishing Company
Curing Lights REALITY’S CHOICES Halogen 1. Optilux 501 sds/Kerr 2. Swiss Master EMS 3. Coltolux 75 Color Talk Coltene/Whaledent 4. Demetron LC sds/Kerr 5. Spectrum 800 Dentsply/Caulk 6. Elipar 2500 3M ESPE LED 1. L.E.Demetron 1 sds/Kerr 2. bluephase Ivoclar Vivadent 3a Allegro Den-Mat 3b. SmartLite iQ Dentsply/Caulk 3c. Ultra-Lume LED 5 Ultradent 4a. Elipar FreeLight 2 3M ESPE 4b. Radii SDI 5. The Cure Spring Health Plasma Arc 1. Sapphire Den-Mat ©2005 REALITY Publishing Co. Vol. 19 The Ratings 251 Curing Lights Halogen Cost Warranty Loaner Program Watts Life (hours) Bulb Cost of Replacement Base Unit Needs Tools to Change Height Depth Width 6.5in/ 16.5cm 10.0in/ 25.4cm Optilux 501 sds/Kerr $1,333.35 2 Years No 80 45 $60.00 Yes 8.5in/ 21.5cm Swiss Master EMS $2,900.00 1 Year No 340 30 $67.40 No 12.0in/ 30.5cm 12.0in/ 30.5cm 12.0in/ 30.5cm Coltolux 75 Color Talk Coltene/Whaledent $804.48 1 Year Yes 75 15 $53.22 Yes 8.5in/ 21.5cm 10.0in/ 25.4cm 6.0in/ 15.2cm Demetron LC sds/Kerr $650.00 1 Year No 80 80 $60.00 Yes 5.0in/ 12.7cm 6.0in/ 15.2cm 12.0in/ 30.5cm Spectrum 800 Dentsply/Caulk $997.30 2 Years Yes 75 100 $68.10 No 8.0in/ 20.5cm 9.5in/ 24.0cm 8.0in/ 20.5cm Elipar 2500 3M ESPE $905.60 2 Years Maybe through local sales rep. 75 23 $92.60 No 8.25in/ 21.0cm 5.5in/ 14.0cm 9.0in/ 22.9cm $3,795.00 1 Year Yes N/A 1,000 $695.00 No 10.5/ 26.7cm 17.0in/ 43.2cm 6.25in/ 15.9cm Plasma Arc Sapphire Den-Mat Heat Generation Gun Built-In Timer Weight Radiometer in Gun Halogen Optilux 501 sds/Kerr 8.8oz/ Yes, Digital 249.5g Swiss Master EMS 17.3oz/ Yes, Digital 490.4g Ramp/Step Bleach Mode Mode Timer PreSets (sec) Fan Cooling Time After Light Deactivates Tip 20 seconds–2.5 minutes (varies with curing time) 8mm Turbo 11mm Contact 2mm No Yes, Programmed Ramp Yes 10, 20, 30, 40 No Yes, Programmed Ramp/Step Yes 2, 3, 4, 5, 6 Water-cooled, no fan Glass Plastic 57.4 67.0 49.8 51.6 41.6–50.1 35.2–46.7 16.9–27.0 24.4–30.0 Coltolux 75 11.0oz/ Color Talk 311.8g Coltene/Whaledent No No, voice prompts No No Voice 10, 20, 30, 40, 50, 60 0.0–2.5 minutes (varies with curing time) 8mm 11mm 26.5 27.7 29.5 23.7 Demetron LC sds/Kerr 7.9oz/ 224.0g No No No No No 1.75–2.25 minutes 8mm 11mm 11mm Turbo 31.4 16.8 21.3 26.8 13.4 15.6 Spectrum 800 Dentsply/Caulk 8.2oz/ Yes, Digital 232.5g Yes Yes, Manual Step No 10, 20, 30, 40, 50, 60 5–6 minutes 8mm 8.5mm Turbo 11mm Turbo 17.2 25.9 25.5 23.7 31.2 31.1 7.5oz/ 212.6g No No No No 23 seconds–2 minutes, varies with curing time 8mm 13mm 19.7 24.8 20.0 24.7 Yes Yes Yes 3, 5, 7, 9 None 9mm 12mm 52.0 34.8 65.2 46.3 Elipar 2500 3M ESPE No Plasma Arc Sapphire Den-Mat 252 5.3oz/ Yes, Digital 150.3g The Ratings ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Tip sizes >7mm Halogen No. of Tips Mftr RRL Bond Strength to Dentin Gingival Increment Hardness (Knoop) Hardness at 2mm Cure Time (seconds) Cure Time (seconds) Cure Time (seconds) Power Loss % <Gain> per Location Between 1mm from center and edge edge Peak Power (mW/cm2) 10 20 40 10 20 40 10 20 40 24.0 22.8 19.7 24.3 24.0 31.5 28.2 26.4 29.6 30.5 33.8 31.9 31.6 32.7 33.5 25.3 28.6 26.2 29.4 25.5 34.0 30.3 32.6 30.3 34.1 35.6 35.0 37.0 36.9 34.2 26.5 29.7 28.7 23.7 23.1 30.8 34.5 32.7 29.9 32.1 37.1 38.7 41.1 39.6 32.5 6 2 4 Regular Boost Mode Mode Optilux 501 sds/Kerr 8 600 819 697 806 675 8 8 Turbo+ 11 11Turbo 13(curved) 7.9 7.4 10.1 10.5 11.8 14 7 4 17 28 51 41 51 51 72 11mm Glass 11.0 <13> <11> 1,650 6.4 16.0 23.0 22.3 27.4 31.9 28.6 32.4 31.7 34.9 41.2 45.8 7.9 13.7 16.2 20.8 25.4 36.6 11mm Plastic 11.1 <3.5> 0 1,775 7.2 17.9 22.9 25.0 29.9 31.8 26.6 30.6 31.5 31.5 40.6 46.5 7.2 11.9 28.2 30.8 32.9 41.4 717 972 789 756 781 2 3 4 5 10 3 5 6 10 2 3 4 5 6 10 Swiss Master EMS 2 Coltolux 75 Color Talk Coltene/ Whaledent 4 8 11 13 7.5 10.1 11.8 7 7 19 16 53 63 814 793 818 24.2 18.9 21.5 28.8 28.3 25.6 27.0 27.5 28.7 26.5 30.3 26.7 32.1 31.8 27.4 32.4 37.1 37.3 23.7 26.3 29.5 29.1 27.6 34.8 34.7 35.1 34.8 Demetron LC sds/Kerr 8 8 8 Turbo+ 11 11 Turbo 13 (curved) 7.9 7.4 10.1 10.5 11.8 22 17 31 18 43 39 43 74 51 80 583 833 683 825 692 18.5 26.6 20.7 23.2 22.9 27.0 29.2 29.0 30.9 21.9 28.0 31.1 33.7 32.5 23.9 31.6 36.9 34.4 35.5 29.2 35.8 40.4 37.3 38.0 35.2 42.1 45.3 40.1 40.7 38.1 31.8 29.7 27.1 28.1 24.1 33.6 33.9 28.7 37.7 26.8 38.5 41.2 36.9 41.1 38.0 Spectrum 800 Dentsply/ Caulk 7 8.6 8, 60° 9.0 8.5 Turbo 13.2 11 Turbo 13 (curved) 11.2 30 18 20 23 45 46 67 80 583 800 592 767 21.8 23.2 19.1 24.4 21.7 27.2 25.2 28.6 27.0 30.2 26.9 29.7 22.0 31.3 26.3 34.7 32.3 39.0 32.7 43.0 31.8 46.7 34.2 45.4 24.6 27.7 22.5 32.5 32.3 35.3 31.4 43.1 34.5 42.4 29.7 44.6 Elipar 2500 3M ESPE 3 7.1 11.5 11 23 24 80 608 631 20.2 22.0 25.1 27.1 30.9 31.8 27.4 29.9 27.6 29.4 36.6 32.1 25.1 24.8 26.6 28.9 31.1 29.6 8 13(curved) Plasma Arc Sapphire Den-Mat 3 9 12 8.7 12.0 ©2005 REALITY Publishing Co. Vol. 19 7 22 23 64 1,142 794 5 10 5 10 5 10 20.4 18.3 26.2 20.5 21.6 21.4 32.4 25.6 20.6 9.3 22.2 21.0 The Ratings 253 Base Unit LED Loaner Program Does it cure all materials? Handpiece/ Gun Weight Height Depth Width 5.1in/ 13.0cm (with battery) 5.5in/ 13.9cm 5.5in/ 13.9cm Cost Warranty L.E.Demetron 1 sds/Kerr $1,366.65 2 Years (1 Year for battery pack) Yes No 12.6oz/ 358.5g bluephase Ivoclar Vivadent $1,350.00 2 Years (1 year for battery) No No 9.9oz/ 280.7g 6.5in/ 16.5cm 7.75in/ 19.7cm 5.5in/ 14.0cm Allegro Den-Mat $1,495.00 1 Year Yes No 13.6oz/ 385.6g 3.5in/ 8.9cm 7.0in/ 17.8cm 5.75in/ 14.6cm SmartLite iQ Dentsply/Caulk $1,230.00 2 Years (1 year for battery) Yes No 9.5oz/ 269.3g 6.0in/ 15.2cm 9.8in/ 25.0cm 2.75in/ 7.0cm Ultra-Lume LED 5 Ultradent $999.00 2 Years No Yes 4.2oz/ 119.1g N/A N/A N/A No 7.6oz/ 215.5g 7.5in/ 19.1cm 8.5in/ 21.6cm 3.75in/ 9.5cm Elipar FreeLight 2 3M ESPE $1,417.50 2 Years Maybe through local sales rep. Radii SDI $695.00 2 Years Yes No 5.2oz/ 160.2g 8.25in/ 21.0cm 6.0in/ 15.2cm 3.5in/ 8.9cm The Cure Spring Health $499.00 1 Year No No 2.4oz/ 67.6g N/A N/A N/A Built-In Timer Ramp/Step Bleach Timer PreMode Mode Sets (sec) Radiometer in Gun LED Fan Cooling Time After Light Deactivates Heat Generation Tip Contact 2mm 42.7 23.8 32.5 34.8 28.0 23.8 47.5 1.5 8mm Turbo 11mm 11mm Turbo 30 seconds 55 1.0 8mm Turbo 10mm 44.4 21.0 43.4 32.1 5, 10, 15, 20 30 seconds 49 1.5 Glass Acrylic 25.1 31.8 31.0 29.7 No 10, 15, 20, 30, 40 No fan 146 0.2 8mm 8.5mm Turbo 11mm Turbo 7.8 15.1 12.7 9.1 13.4 9.7 No No 10, 20, 30, 40 No fan N/A N/A Integral 51.1 52.5 Yes Not in U.S. Outside U.S.—yes No 5, 10, 15, 20 No fan 41 2.0 8mm Turbo 13mm 31.4 19.7 27.0 23.2 Yes, Lights No No No None No fan 60 2.0 Integral Demetron 8mm Turbo Demetron 11mm 32.6 15.8 15.9 18.4 9.7 9.2 No No No No None No fan N/A N/A Integral 40.5 41.5 L.E.Demetron 1 sds/Kerr Yes, Lights Yes No No None, Deactivates 10, 20, 40 with Light bluephase Ivoclar Vivadent Yes, Lights Yes Yes No 10, 20, 30, 40, 120 Allegro Den-Mat Yes, Digital Yes No No SmartLite iQ Dentsply/Caulk Yes, Lights Yes No Ultra-Lume LED 5 Ultradent No Yes Elipar FreeLight 2 3M ESPE Yes, Lights Radii SDI The Cure Spring Health 254 Battery Curing Recharging Time (min) Time (min) The Ratings ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Tip sizes >7mm LED No. of Tips Mftr Bond Strength to Dentin Cure Time (seconds) Power Loss % <Gain> per Location Gingival Increment Hardness (Knoop) Cure Time (seconds) Hardness at 2mm Cure Time (seconds) RRL Between center & edge 1mm from edge Peak Power (mW/cm2) 10 20 40 10 20 40 10 20 40 7.9 7.4 10.1 10.5 11.8 2 0 4 3 3 25 18 29 24 52 525 900 600 800 625 23.1 25.4 25.8 24.8 23.9 26.8 30.7 27.8 28.6 26.2 29.4 33.2 32.4 33.1 30.8 29.7 29.3 31.2 32.0 27.9 38.5 38.5 38.9 40.2 32.6 41.5 42.4 40.4 42.1 39.9 29.4 32.3 25.5 31.1 24.4 32.5 40.9 37.4 40.0 40.2 37.0 47.5 41.5 46.5 43.8 3.4 <2.0> 5.7 13.7 8.1 14.6 14.8 43.8 675 1,200 750 775 20.0 21.3 18.4 20.1 22.5 23.5 25.3 23.4 32.7 34.5 35.5 31.5 38.7 36.1 33.3 31.8 38.5 41.4 34.4 31.7 46.4 42.5 44.5 37.5 22.7 30.1 21.5 24.6 31.4 36.8 30.8 30.5 33.3 43.1 30.5 34.7 742 950 24.0 24.7 34.3 32.0 36.3 34.5 33.9 22.0 37.6 32.0 42.8 34.5 30.0 20.8 32.4 31.1 40.6 35.0 L.E.Demetron 1 sds/Kerr 8 8 8 Turbo+ 11 11 Turbo 13 (curved) bluephase Ivoclar Vivadent 5 8 8 Turbo 10 13 7.8 8.2 10.0 13.0 Allegro Den-Mat 3 8 Acrylic 8 Glass 7.9 7.3 x 6.8 <5> <3> <2> <18 > 10x14 Acrylic 9.9 x 13.9 L: 10 W: 11 20 27 475 23.9 27.6 34.6 22.8 26.6 37.0 18.8 21.9 29.6 8.8 9.0 11.2 13.5 <5.6> <8> <1.5> <17.5> <9.2> 17.6 29.3 55.1 400 700 580 400 15.2 20.6 18.8 14.1 21.5 24.1 25.3 19.2 26.6 27.4 31.4 24.3 27.0 33.4 28.7 19.4 38.0 37.4 35.1 30.4 38.0 39.0 41.4 40.9 15.9 26.1 19.5 20.2 26.5 27.7 28.0 23.1 32.0 38.2 36.8 29.3 SmartLite iQ Dentsply/Caulk 7 8 8.5 Turbo 11 Turbo 13 Ultra-Lume LED 5 Ultradent 7 13 x 10 11.4 x 6.9 L: 42 W: 21 L: 99 W: 99 983 23.3 30.2 35.3 27.1 35.6 36.1 30.4 30.9 40.4 Elipar FreeLight 2 3M ESPE 3 8 Turbo 13 7.9 12.2 15.3 3.6 42.3 28.3 758 542 24.8 25.6 28.4 29.2 31.8 30.8 31.5 27.7 41.2 32.3 41.9 35.4 31.5 23.5 43.2 25.7 48.4 30.8 Radii SDI 1 Integral 11mm Demetron 7.2 10.1 12 3 81 85 842 575 30.1 27.0 34.1 29.0 35.0 34.3 24.8 23.1 37.7 35.7 36.8 36.7 26.1 24.4 34.8 33.5 37.4 37.6 The Cure Spring Health 1 8 8.5 1 30 1,105 28.8 31.7 33.0 28.4 38.1 40.2 28.8 36.9 39.4 Curing lights allow us to initiate the polymerization reaction “on demand” for a vast array of materials. However, there is, perhaps, more misinformation and hype regarding this type of equipment compared to just about anything else we use on a daily basis. Most of these controversies center on how long you have to cure specific types of restorations as well as how deep you can cure specific types of materials. If you undercure a restoration, for example, you may not even be aware of the negative sequelae for years. Using a light that produces very high levels of energy also continues to be a topic for discussion. Therefore, selecting a curing light and using it properly can greatly affect the performance and longevity of your restorations. ©2005 REALITY Publishing Co. Vol. 19 Types of Curing Lights Halogen Use a halogen bulb as the source of light. + Most common + Least expensive + Reliable + Long track record + Available in corded and cordless models + Should cure all materials + Wide bandwidth (400nm-510nm) – May be slower than plasma arc and argon lasers The Ratings 255 Curing Lights Plasma Arc Bulb is really an aluminum oxide, high pressure vessel, which contains highly energized xenon gas (plasma) under 150psi. The inside shape is specific to reflect light arcing between two electrodes. Arc is only about 1mm long, enabling a very focused beam. + Very fast – Expensive – Larger than halogen – May not cure all materials – Tips are usually too small for most restorations – Cords may be liquid-filled, may be stiff, and can degenerate over time Argon Laser Light generated when energy is applied to an atom raising an electron to a higher, unstable energy level. Electron will return to stable level by releasing light through a medium of argon gas. + Fast – Very expensive – Larger than halogen – May not cure all materials – Tips are usually too small for most restorations LED (Light Emitting Diode) Special diodes (an electronic device that restricts current flow chiefly to one direction) that emit light when connected in a circuit. + Available in cordless and corded + Light in weight + Small + Long battery life due to the low power usage + Virtually no heat generation at the tip – Relatively limited track record – May not cure all materials – Most have poor selection of tips – Power output variable Curing Modes High or Boost Usually the highest power the light will generate. Achieves this power within a few seconds of activation and maintains the power during the entire curing interval. Typically synchronized to a timer that has a 10-second (or even less) curing interval, which may not be adequate for many restorations. Regular or Normal If a light has a high or boost mode, the regular or normal mode will be set at a power level somewhat lower. If a light does not have different power levels, then the regular mode will be the highest power level. Adhesive or Low Touted as a safer energy level for curing adhesives that presumably do not require the high power used for composites and cements. It presumably is safer since this mode produces less heat. Step Cure at low power (usually about 150mW/cm2) for 10 seconds, followed by an instant “step up” to a much higher power (usually maximum of light) for the rest of the curing interval. 256 The Ratings Ramp Start curing at low power (usually about 150mW/cm2), followed by a linear increase to a higher power (usually maximum of light) for 10 seconds, and then stay at that high level for the rest of the curing interval. Pulse Has different meanings for different lights, but usually means either the power cycles between high and low every second or so or the power cycles on and off every second or so from the beginning of curing. Our tests were unable to detect any significant differences in microleakage in Class II restorations from the so-called “low stress” modes, such as step, ramp, or pulse. And, after bulk curing a packable composite in a Class I preparation using two “low stress modes”, one regular mode from a halogen light, and one regular mode from a plasma arc light, we were not able to detect any differences in marginal integrity, stain uptake, enamel crazing, or the infamous “white line” formation at enamel margins, as viewed under a stereomicroscope at 50x. Curing Power, Cure Times, and Radiometers More power, as measured by a radiometer, presumably means we can cure materials in less time, more deeply, or both. Since no one likes to sit at the chair holding the light for at least 40 seconds per increment, for example, high-powered lights that presumably permit fast curing have generated extensive interest within the profession. In addition, the less time you spend curing a restoration, the more income you can realize. However, the marketing of power being emitted by curing lights is becoming just as frenzied as the horsepower race in cars. Unfortunately, there is very little evidence that an extremely high power output by a curing light will increase its true performance. This again is similar to cars, where big boosts in horsepower only allow vehicles to drop their “0-60” times fractions of a second, which may be important on the race track, but has no relevance to everyday driving practices. We have already found that “turbo” tips, despite their higher radiometer readings, do not perform superiorly to conventional tips. The next step is to test whether there is a discrete maximum amount of power for a curing light to emit to allow it to optimally cure light-activated materials. If there is a limit, then any power over it will be wasted and could potentially injure a tooth due to heat generation. Then there is the issue of the accuracy of the radiometers being used today. While we had been using an industrial class of radiometer that we believed was more accurate than the relatively simple and inexpensive type used to screen curing lights (see LIGHT METERS), the results we recorded were questioned by several manufacturers. Since the company who manufactures the radiometer we had been using was not able to resolve the issues ©2005 REALITY Publishing Co. Vol. 19 Curing Lights concerning the performance of its instrument, we have chosen to discontinue its utilization when it comes to peak power readings. Instead, the peak power readings in this edition were recorded on the L.E.D. Radiometer, which we found provides consistent power readings for all types of lights despite its name. Tests 1. Time to reach peak power. If you are only curing for 10 seconds, but it takes your light five seconds to achieve high power, then you are really only curing for five seconds. For the halogens and LEDs, we tested this peak power over 20 seconds. For the plasma arcs, 10 seconds was the test period. 2. Power from different tips. Peak power produced by each tip in the most commonly used modes for each light. 3. Tip mapping. The power emitted from the face of curing tips is typically highest in the center and decreases as you get closer to the edge. To show this effect, we mapped the power of all tips >7mm, using three setpoints: exactly in the middle, midway between the middle and the edge, and 1mm from the edge. If you are curing a large restoration and you are depending on the edge of the tip to cure critical areas like a veneer margin, you may be unknowingly undercuring. For example, the mesiodistal width of a MOD preparation in a mandibular first molar may be 11mm. If you are using an 11mm tip, the power at its edges may not be strong enough to fully cure the marginal ridges. So, if you see fractures in these peripheral areas, it may be due to the restorative material not being cured properly to maximize its physical properties. Using a tip too small could also cause brown lines at margins of veneers due to undercured resin cement. Large restorations would be better served in most instances by curing with a 13mm tip, which overlaps the restoration margins by several millimeters. 4. 10-minute curing test. Power level was tested over 10 minutes of continuous curing (reactivating the lights as necessary) for halogen and LED lights and over 2.5 minutes for plasma arc lights. This is roughly the amount of time you would cure if you were luting 6-10 veneers at one time and were curing them from both the facial and lingual. If your light cannot maintain a steady output over this time period, then the restorations at the end of the line may not be fully cured. 5. Hardness @ 2mm. Hardness of TPH Spectrum at 2mm depth was tested after it had been placed in a modified Class II preparation in a real tooth model, using a conventional metal matrix, and cured with all halogen and LED lights for 10, 20, and 40 seconds or plasma arc lights for 5 or 10 seconds. This hardness was measured on the proximal surface. This test will show you how well the composite is cured at the depth of a typical increment using the different curing times and tips. 6. Hardness @ gingival wall. The hardness of TPH Spectrum placed no thicker than 2mm on the gingival wall of the proximal box 6mm from the tip of the light was determined after curing with all halogen and LED lights for 10, 20, and 40 seconds or plasma arc lights for 5 or 10 seconds. This test will tell you which curing interval was able to achieve the highest hardness, indicating the composite is more thoroughly polymerized, when the tip of the light has a significant distance between it and the restorative material. ©2005 REALITY Publishing Co. Vol. 19 7. Bond strength. A 2mm increment of TPH Spectrum with the tip of the light 6mm from the surface of the specimen was cured with all halogen and LED lights for 10, 20, and 40 seconds or plasma arc lights for 5 or 10 seconds. This test will tell you whether the power of the light can affect bond strength when the distance between the tooth and tip may be a variable. 8. Does it cure all materials? Especially for LED lights, two resin glazes are cured for 40 seconds after being applied to an unpolished composite surface. After wiping off the uncured material, the gloss created by the resin glazes was compared to that when the glaze was cured with a halogen light. If the gloss created by the LED light is less than that created by the halogen, it can then be assumed that the LED has a narrow bandwidth and will not be capable of curing all materials. 9. Unit Consistency. We tested the power of different units of the same light. This will tell you if the manufacturer has an effective quality control system and, if you buy multiple units, whether they will all perform at the same level. 10. Heat generation. We tested the heat produced using the highest power mode and several tips (including turbo versions if available) for all the lights and compared this reading with the heat from the alternate modes (if available) such as Adhesive. This will tell you which lights have a higher potential to cause pulpal problems due to heat. This heat generation was measured directly on the tip to simulate when you are stabilizing the tip in contact with the tooth and at a distance of 2mm to see how much the heat dissipates with the tip slightly off the tooth. Are there Negative Effects of Fast Curing? Fast curing has been accused of putting too much stress on the bond of a restoration to the tooth. If you apply too much light to a restorative material, it will presumably shrink more quickly, opening gaps at the tooth-restoration interface, causing white lines and microleakage. High power has also been accused of inducing cracks in thin porcelain veneers. To test these issues, we performed Class I & II microleakage studies, plus one with porcelain veneers: Class I White Lines and Microleakage Eleven different curing protocols using five different lights and four different restorative materials were investigated as to whether any variables could be isolated to predict the incidence of white lines at the margins and/or microleakage. We found that, while there is a general association between white lines and microleakage, it is not consistent across composite materials and curing protocols. In other words, there are too many other variables to merely conclude that if you eliminate the white lines, you will also eliminate microleakage. Class II Microleakage The same 11 different curing protocols and five different lights were used as in the Class I study, but with this project, we used three different flowables on the gingival wall and investigated as to whether any variables could be isolated to predict the incidence of microleakage. We found that neither the curing light nor the curing protocol produced any statistically significant differences in microleakage. The Ratings 257 Curing Lights Veneer Crazing and Microleakage Porcelain veneers, standardized to 0.7mm in thickness, were bonded to teeth using either a halogen light for 60 seconds or a plasma arc light for 15 or 30 seconds. The results showed no craze lines in any veneers when viewed under the stereomicroscope at 10x, both before and after thermocycling and staining. In addition, with margins at the CEJ, all the microleakage scores were very low, signifying no differences between the lights. Heat Generation with High-Powered Lights While we have not conducted tests in this area, there is no credible evidence to cause us any concern. This may be due to the short cure times used with these types of lights. However, these lights are capable of generating high levels of heat. If you are curing a restoration with a high-powered light (or really any light) and the patient complains of pain, stop curing for a moment to allow the pain and temperature to dissipate. Then complete the curing cycle, again intermittently if the pain returns. Components Base Unit Typically sits on the counter in the treatment room and includes the electronics that operate the light. It usually has the timer (but not always), some type of holder for the gun or wand, and the power switch. Since counter space in treatment rooms is usually at a premium, the smaller base units are favored. Timers should be easily seen and accessible for changing. The gun or wand holder should keep these items secure, but allow easy placement and retrieval at the same time. Gun Houses the light bulb (in most halogen types), fan (in most halogen types), trigger, and portal for the tips. A gun should be comfortable to hold. Even though most are not excessively heavy, some assistants may not be able to take the gun from you with their “pinky” finger, so instrument transfer can be difficult. Some guns still get very warm (even downright hard-to-handle hot) when they are activated for more than a minute or two. To try to compensate for this heat generation, most lights have extra powerful and sometimes noisy fans. Some lights even cut off after a certain period for cooling. In addition, some of the fans blow hot air into your face and/or make the immediate treatment area uncomfortably hot. Never turn off a curing light while the fan is still running — it will overheat. Always allow the fan to cool the light. Once the fan stops running, the light can safely be turned off. Wand Usually found with the plasma arc or argon lasers, although the latest generation of the former now have guns. Also the design used for some LED lights. While they are much lighter than guns for most halogen lights, their activation mechanism for plasma arcs is typically a magnetic ring encircling the base of the wand. To activate the light, you slide the ring backward. Even 258 The Ratings though this is not a difficult maneuver, it takes a somewhat awkward hand movement to accomplish it. Activating the trigger on a gun is an easier and more comfortable movement. Wands on LED lights are typically buttons. Tips Four tips, all curved at roughly 60˚, should be sufficient for the vast majority of procedures. A 2-3mm tip is useful for tacking down indirect bonded restorations such as veneers, inlays, onlays, and crowns. However, only the 2mm tips can routinely fit into proximal boxes for curing closer to the gingival wall. Unfortunately, this may not be of much value unless you overlap the cure areas, taking as much or even more time than if you used a conventional tip and just extended the cure. A general purpose 8mm tip is used for routine, small to moderate-sized restorations, while an 11mm tip is necessary for moderate to large posterior restorations. Finally, a 13mm tip will be necessary for veneers, onlays, and crowns. The key in tip selection is to make sure that it actually extends beyond the outline of the entire restoration, so that multiple cures overlapping each other will not be necessary. Note that the size of the tips as listed by the manufacturer is not necessarily the diameter of the light curing portion. For the most part, the diameter of tips as stated by the manufacturer is usually the external dimension. But this is misleading, since most tips have a protective covering that reduces their useable area by about 1mm. We measured all the tips and listed the real dimension of their curing area in each product’s commentary. The tips should be autoclavable for optimal sterility and swivel to allow positioning the light for maximal curing, but not overly loose so they won’t stay in the intended position. Note that some lights come with different types of protective shields that fit over the end of the tip or mount on various locations of the tips. These shields are meant to protect our eyes from the curing light. While these devices can be convenient and do not require any additional hands to hold them, they can also be cumbersome to use and difficult to switch from tip to tip. In addition, they are not universal in their protection. For example, the larger shields may interfere with getting your light tip close to a second molar. In addition, they provide no protection when curing the linguals of the anterior teeth. We recommend the use of handheld shields to protect your eyes from the light generated by these units. It is especially important to keep the tips clean and free of adherents. Composite sticking to tips is a common problem. Any adherents will interfere with the light’s curing ability, so the face of the tip should be checked after each use. Be careful when cleaning the tips — they are easily scratched. Battery Chargers With the explosion of cordless LEDs, these devices have become very prominent. For the products that have removable batteries, these chargers may assume the role of the base unit, although there may still be a separate holder for the gun or wand. For the models that do not have removable batteries, the charger also functions as the base unit. All of the chargers have various lights to let you know when the battery is fully charged as well as radiometers of some sort. However, these radiometers may not always be accurate. ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Footpedals Some plasma arc and argon lasers can be activated via a footpedal. However, footpedals add clutter to the floor in the treatment room and, in general, have been replaced by the magnetic rings mentioned under Wands or by guns. Testing and Maintenance Measure the power baseline for your light when it is new using a radiometer and remeasure it on a weekly basis. For halogen types, if there is a significant decrease in output, change the bulb. If that There are several manufacturers that have followed the lead of Kerr/Demetron in providing some type of hardness disc to verify that the light will cure a specific thickness of composite in a specified amount of time. You are supposed to fill a small hole in the disk with the composite, cure it for a specified time period, and then turn over the disk to check whether the cured composite “feels" like the disk when scratched with an explorer or other sharp instrument. If it does, then this presumably indicates the composite is adequately cured for intraoral use. However, this is a dangerous test that could give you false and misleading information. Consider what we found with the Demetron Hardness Tester, which is essentially a round white plastic disk with three holes. We filled the three holes in the disk with our test composite and cured each composite specimen 5 seconds, 10 seconds, or 40 seconds. We then turned over the disk and tested the bottom of each cured composite disk as well as the Hardness Tester itself for Knoop hardness. Finally, we asked three of the RRL staff to scratch the bottoms of the specimens with a sharp explorer and compare the “feel” to that of the Hardness Tester. The results of this test were: doesn’t help, try a different curing tip. If it still does not register an adequate reading, try cleaning the tip and filter with a kit designed for that purpose. If all your remedies are not successful, you should send the light back to the manufacturer for a check-up. Even with this testing, it is prudent to send your lights back to the manufacturer at specific intervals, such as every 24 months or after five bulb changes, whichever comes first. This type of maintenance will keep your curing light in top condition and allow it to deliver maximum power. 2. The Knoop hardness scores were: Hardness Tester (disk) 35.4 5 second cure 10 second cure 40 second cure 15.5 23.3 42.6 These results show that it is not possible to distinguish the polymerization level of a composite merely by scratching the surface of its cured bottom surface and then comparing it to some known standard, which may not be applicable to the test in any event. We advise using these types of tests as a screening device, but do not rely on them for definitive polymerization guidance. 1. None of the RRL staff were able to distinguish a difference in hardness between the cured composite and the plastic surface of the Hardness Tester. This should have indicated that all the specimens were cured to the same hardness, which matched that of the Hardness Tester. ©2005 REALITY Publishing Co. Vol. 19 The Ratings 259 Curing Lights Basic Curing Guidelines While the trend to shorten curing times seems to be unstoppable, our results and those from other researchers point toward some inevitable conclusions: 1. With all the various types of lights and materials on the market, it is virtually impossible to come up with one protocol, especially one featuring reduced curing times, across the board. 2. It is still prudent to limit the thickness of your increments to 2mm unless you are using a deep-curing core material. 3. With hybrids, flowables, and packables, 20 seconds with a halogen or LED light seems to be the reasonable compromise between speedy 10 seconds and sluggish but optimally effective 40 seconds. This is due to the fact that an adequate depth-of-cure may not be achieved in 10 seconds with all shades and applications. A 20-second cure gives you a measure of safety. With a plasma arc, 5 seconds may suffice for noncritical situations, such as curing a provisional restoration, but 10 seconds is better for any definitive restoration. However, if you are curing a deep restoration, reverting to 40 seconds, at least for the first increment, seems prudent when using a halogen or LED. 4. With microfills, rapid curing appears to be very risky. Our results point toward no less than 40 seconds with a halogen or LED and 20 seconds with a plasma arc. However, be aware of heat generation with plasma arcs—20 seconds of contact with a tooth may cause pulpal injury. 5. Don’t cure right up to the edge of your tip. Make sure your tip overlaps the margins of the restoration. 6. Even though some studies show alternate curing modes to be helpful, our tests and the anecdotal clinical results from our Editorial Team suggest straight curing is still the mode of choice. 260 The Ratings ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Halogen Optilux 501 sds/Kerr (4.7) Cost: $1,333.35 Includes: • 8mm Turbo+ tip • 11mm conventional tip • Protective shield • Built-in light meter • Wall mounting hardware Optional and replacement tips: • 2mm: $138.35 • 4mm Turbo: $190.00 • 8mm: $138.35 • 8mm Turbo+: $231.00 • 11mm: $190.00 • 11mm Turbo: $233.35 • 13mm (curved): $242.60 • Tip Holder: $46.35 Best tips Durability and quality Expensive No controls in the gun Base Unit Off-white plastic, still contemporary, but its high tech gizmos deserve an updated case that reflects the advanced electronics. The right half of the front surface is dedicated to the gun bracket, which is a cradle extending forward. Placing the gun back into the cradle is easy and can be done with the gun facing in either direction. The left side of the front surface is the soft touch control pad and built-in digital light meter. At the top of this control pad is the aperture for the light meter. The aperture, 7mm in diameter, has exactly the same design as that on the Optilux Radiometer, with its concentric rings allowing the precision testing of different size curing tips 7mm or larger. Directly below the aperture is the LCD digital display screen, which has several functions. When you turn on the unit the display will read “E0,” with the “E” meaning elapsed lamp time and the number (0 when new) will start counting up to 99 in 1 hour increments. This will tell you how many hours you’ve used the light, with the knowledge that the bulb is rated at 45 hours. After five seconds, the elapsed time will change to “CCC,” which means the light is in the continuous curing cycle mode. The bottom half of the touchpad has four different curing interval selection switches, plus four other switches for different functions. Due to the flat design of the touchpad, it can be covered with an adhesive barrier for asepsis. The left side has the illuminated power switch while a carrying handle is built into the top of the unit. The rear of the unit has three very small switches. The first is a rotary type that controls the type of beeps that the unit will emit. For example, one position of this switch allows you to have the unit beep at 10-second intervals while another setting lets you change it so that it will ©2005 REALITY Publishing Co. Vol. 19 REALITY’S CHOICES 1 Replacement bulb Cost: $60.00 What if it needs repairs? Contact sds/Kerr at 1-800-KERR-123. Bulb life: 45 hours Is there a loaner program? No. Bulb wattage: 80 Warranty: 2 years. Excludes bulb and tips. beep when you activate the trigger, beep every 20 seconds, and beep when the light goes off. In all, you have five options for the beeping function. Unless you have very small fingers, you’ll need a small screwdriver to rotate this knob. Directly below the beep control is a black button that you push when you change the bulb to reset the elapsed time counter. The last switch, located to the right of the beep control, is an up-and-down slide switch that lets you make the beep loud or soft. The up position, marked HI, gives a loud beep, while the down position is LO, giving a softer beep. In addition, the beep is louder when the light is activated than when it deactivates. The fuse box as well as the wall-mounting bracket is also located at the rear of the unit. The cord from the base unit to the gun, which connects on the right side of the base unit, is straight, lightweight, and easily cleaned. Size of base unit (including cords and the gun with a tip inserted) Height 8.5in/21.5cm Width 10.0in/25.4cm Depth 6.5in/16.5cm Gun Well-designed, with the trigger in a convenient location on the inside of the handle near your index finger. It does not take much finger movement or pressure to activate the light. You can interrupt the curing cycle by pressing the trigger again. There is a beep when you activate the light and a second beep when the light goes off (if you select this beep option). Weighs 8.8oz/249.5g. Fan The strong but noisy fan activates as soon as you push the trigger and keeps the handle cool even after 10 minutes of continuous use. But the fan, which is located at the back of the gun, can blow warm air in your face with the gun in certain positions. The fan also stays on for a period of time in proportion to the length of time the light was activated after the light goes off. For example, after our 10-minute test, the fan stayed on for 2.5 minutes. If you use the light for 10 seconds, the fan will stay on for 20 seconds The Ratings 261 Curing Lights after the light goes out, curing for 20 seconds, the fan will stay on for 30 seconds, and curing for 40 seconds, the fan will continue cooling the unit for 50 seconds. Timer Four of the eight touchpad switches are dedicated to the preset curing times of 10, 20, 30, or 40 seconds. Tips Most of the regular tips are metal-wrapped (one type of 8mm is glass), but the Turbo tips are all glass. The 2mm tip will fit into most proximal boxes. Power loss % per location Diameter (per manufacturer) Diameter (RRL) Between center and edge 1mm from edge 8mm 8mm 7.9 7.9 14 14 51 51 8mm Turbo+ 11mm 11mm Turbo 13mm (curved) 7.4 10.1 10.5 11.8 7 4 17 28 41 51 51 72 Power and Curing Modes Besides the four time intervals, there are four other modes: C (continuous), R (ramp), B (boost), and Bleach. You can switch from one mode to another by pushing the appropriate switch on the control panel. The mode you have chosen will then be illuminated. In the 10-minute cure test using the continuous mode, there was only a slight drop of power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. C (continuous cure) When you use this mode, the light will stay on continuously up to 999 seconds (16.65 minutes), beeping every 20 seconds (assuming the switch on the back is set in that position). During this continuous curing, you don’t have to count beeps since the digital display will do the counting for you in seconds. When you hit the trigger of the gun to deactivate curing, the total cure time remains on the display until the fan goes off. So, you no longer have to remember if you cured for 30 or 40 seconds. Once the fan goes off, the display reverts to the continuous cure mode. R (ramp) Power starts at 179mW/cm2 and goes up to peak power during the first 12 seconds, then continues curing at the high level until 20 seconds is up. B (boost) 10 seconds at peak power. Peak Power (mW/cm2) Tip size Mode 8mm 8mm Turbo+ Regular Boost 600 717 819 972 11mm 11mm Turbo 13mm 697 789 806 956 675 781 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip size Cure Time (seconds) 10 20 40 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 24.0 31.5 33.8 22.8 28.2 31.9 19.7 26.4 31.6 24.3 29.6 32.7 24.0 30.5 33.5 Gingival Increment Hardness (Knoop) Tip size Cure Time (seconds) 10 20 40 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 25.3 34.0 35.6 28.6 30.3 35.0 26.2 32.6 37.0 29.4 30.3 36.9 25.5 34.1 34.2 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time (seconds) 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 10 20 40 26.5 30.8 37.1 29.7 34.5 38.7 28.7 32.7 41.1 23.7 29.9 39.6 23.1 32.1 32.5 Heat Generation °C Mode Tip Contact 20s Regular Regular Bleach Bleach 8mm Turbo+ 11mm 8mm Turbo+ 11mm 41.6 16.9 50.1 27.0 2mm 20s 35.2 24.4 46.7 30.0 Built-In Radiometer Digital display. Will fit any size of tips from 7mm and larger. Operated by placing the tip over the aperture and activating the light. The reading will appear after a delay of a few seconds. If you want to test another light with this meter, you would have to activate the Optilux 501 first, as the meter doesn’t work when the light is not activated. This is also the only digital radiometer which we have evaluated that will measure power over 1,000mW/cm2. Bleach 30 seconds at peak power. Changing the Bulb Loosen the two screws on the back of the gun with a screwdriver and the handle comes off very easily. However, we would still prefer a method of changing the bulb without requiring an extra tool like a screwdriver. 262 The Ratings ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Directions Plain paper booklet in four languages. All the functions are fully described. Has 16 black and white photos on different functions and maintenance items. States that curing time can be decreased in the boost mode, but does not give any specific recommenda- tions. Also tells you to use the supplied hardness disk to determine curing time, but our tests suggest that this is not a reliable technique and could mislead you to think you have properly cured a material when you really have not. Swiss Master EMS (4.4) 2 NEW Cost: $2,900.00 Includes: • Curing light • 2 boxes of disposable 11mm plastic tips (11 ea) • 1 sterilizable 11mm glass tip • Light protective goggles • 1 btl of preserving agent (25ml) Replacement bulb Cost: $67.40 Bulb life: 30 hours Bulb wattage: 340 Warranty: 1 year What if it needs repairs? Contact your local dealer. Is there a loaner program? No The hands-down power winner Why bother with plasma arc? Very expensive Heat could hard boil an egg Base Unit Off-white plastic accented by a metallic silver plastic control panel featuring an LCD screen in the middle. Very contemporary appearance. You have two options for the gun bracket: attached to the base unit or stand-alone. If you choose the attached version, it can be mounted either on the right or left side of the base unit very easily by merely inserting the metal support arm into notches behind the front section after removing the water reservoir (see below). The bracket itself has a plastic base and polished metal cradle partially covered in black rubber. Retrieving and replacing the gun into this bracket is very easy despite the fact that the cradle holds the gun quite securely. An additional cradle also inserts into a stand-alone, weighted base. The control panel dominates more than half of the front of the unit, which has a slight tilt backward. On the left and below the LCD are round, polished chrome-like buttons that control the main functions such as switching from fast cure to ramp mode to bleach mode and increasing or decreasing the curing time. The aperture for the built-in, digital radiometer is directly to the right of the LCD. ©2005 REALITY Publishing Co. Vol. 19 When you turn on the unit, there is a brief audible series of tones and flashing lights followed by a grinding-like noise that the display tells you is the pump activating. Then the display reverts to the setting you were using before the unit was turned off. While the buttons controlling the functions are not soft touch, they can still be covered with an adhesive barrier for asepsis. The top half of the back houses the water reservoir for cooling the unit (see Fan). This removable reservoir is translucent blue plastic with an off-white, removable plastic top. The electrical connection and power switch reside at the bottom. The top has a built-in handle, although the weight of this unit (19.0lbs/8.6kg) will discourage most users from moving it from room to room. The cord from the base unit to the gun, which is on the bottom right area of the front surface, is straight, quite robust, and easily cleaned. Size of base unit (including cords, the gun with a tip inserted, and gun holder attached) Height 12.0in/30.0cm Width 12.0in/30.0cm Depth 12.0in/30.0cm Gun Well-designed, two-toned with the top section being off-white and the contoured handle being gray. Your hand fits into a cradlelike recess formed by the top section of the gun and the handle to help you support its fairly large size and weight (17.3oz/490.4g). The trigger, cloaked in a blue rubber-like material, is in the usual place inside the handle; activating it requires moderate pressure to The Ratings 263 Curing Lights activate the light. You can interrupt the curing cycle by pressing the trigger again. There is a beep when you activate the light and a double beep when the light goes off. Fan There is no fan. Instead, the unit is water-cooled to more effectively dissipate the high heat produced by the 340 watt bulb. The aforementioned water reservoir, which needs to be filled 75% with distilled water, is the source of the coolant. You are supposed to change this water once a month and add a preservative to eliminate microbial growth, but one of our evaluation units did not have the water changed for over one year nor was the preservative added. While we did not test the water from this unit microbiologically, it certainly appeared clean and unchanged when we did empty and refill the unit, a process which is fast and easy anyway. The somewhat noisy pump that circulates the water through the cord and coils that encircle the bulb activates instantly when the trigger is pushed and stays on for about 30 seconds after most curing cycles are completed, although if you use the light for extended curing, the pump will continue to run for about 2.5 minutes. During this time, the gun handle gets warm, but never hot. The light will run for about six minutes and will then deactivate to allow cooling. Timer In some of the preset modes, the curing time can be increased or decreased by pressing the + or – buttons on the control panel. Once the light is activated, however, the seconds count up from zero, so you can see how much time is left in that specific curing sequence. If you interrupt the cycle before it finishes, the actual curing time remains on the LCD for about 15 seconds. Tips Glass and plastic. Both of these tips are totally clear without any type of covering on their sides. Power loss <gain> % per location Diameter (per manufacturer) Diameter (RRL) Between center and edge 1mm from edge 8mm 11mm glass 11mm plastic 7.9 11.0 11.1 14 <13> <3.5> 51 <11> 0 Power and Curing Modes Before using the light, you are supposed to calibrate the power so you can be sure the light will produce 3,000mW/cm2. However, this calibration process is not always consistent and is highly dependent on such items as to whether you are touching the tip (even the sides) during the procedure. Therefore, the manufacturer now recommends only calibrating the light when the bulb or gun is replaced. There are four modes: Fast, Ramp, Slow, and Bleach. You can switch from one mode to another by pushing the appropriate button on the control panel. The mode you have chosen will then usually be indicated on the LCD. In the 2.5-minute cure test using the Fast mode, there was no drop of power from the begin- 264 The Ratings ning to the end of the test. It achieved full curing power within two seconds of activation. Fast When the “Fast Cure” button is pushed, “Fast” is indicated in the upper left corner of the LCD, with the default curing time being six seconds at full power: 3,000mW/cm2. This time can be decreased to two seconds, but it cannot be increased. Ramp When the “Ramp Cure” button is pushed, “Exp” is indicated in the left side of the LCD, with the default curing time being 16 seconds. While this mode is called “Ramp”, it is really a step mode, since power starts at about 200mW/cm2 and stays at that level for about 12 seconds, after which it jumps up to full power for the final four seconds. Slow When the “Ramp Cure” button is pushed twice, “Slow” is indicated in the left side of the LCD, with the default curing time being 23 seconds. In this mode, power starts at about 200mW/cm2 and stays at that level for about 16 seconds, after which it rises up to full power linearly during the final seven seconds. Bleach When the “Bleaching” button is pushed, there is no indication on the LCD other than the fact that two numbers are displayed. The first number is the number of teeth being bleached—this can vary from 1 to 9. The second number indicates four seconds per tooth, which is the recommended bleaching time per tooth at full power. There is a beep after each 4-second interval to alert you that you should move the light to the next tooth. Variable 1 + 2 When the “Variable 1 + 2” button is pushed once, “Var 1” is indicated in the left side of the LCD, with the default curing time being 10 seconds at 300mW/cm2. This time can be increased to 100 seconds or decreased to two seconds. When you push this button twice, “Var 2” is indicated in the lower left corner of the LCD, with the default curing time being six seconds at 1,500mW/cm2. This time can be increased to 16 seconds or decreased to two seconds. Peak Power (mW/cm2) as measured on the LED radiometer Tip Power Glass Plastic 1,650 1,775 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip size Cure Time Glass Plastic 2 3 4 5 6 10 6.4 16.0 23.0 22.3 27.4 31.9 7.2 17.9 22.9 25.0 29.9 31.8 ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Gingival Increment Hardness (Knoop) Tip size Cure Time Glass Plastic 2 3 4 5 6 10 28.6 32.4 31.7 34.9 41.2 45.8 26.6 30.6 31.5 31.5 40.6 46.5 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time Glass Plastic 2 3 7.9 13.7 7.2 11.9 4 5 6 10 16.2 20.8 25.4 36.6 28.2 30.8 32.9 41.4 Heat Generation °C Tip Contact 6s 2mm 6s Glass Plastic 57.4 67.0 49.8 51.6 Mode Fast Cure Fast Cure Built-In Radiometer Digital display. Operated by placing the tip over the aperture and activating the light. The reading will appear after a delay of a few seconds. When we tested the curing output of the light on this built-in meter and the LED Radiometer, we found the built-in readings to be much higher. Changing the Bulb Unscrew the back of the gun and slide out the housing of the bulb, which can then be removed and replaced. Fast and easy. Directions 116-page book in six languages all printed together across the page. English is the first column, but following along is cumbersome and distracting. Line drawings go across the page, but are relatively easy to follow. A section devoted to each language would have been much simpler and easier to read. There are also two plastic-laminated guides, one that is essentially a quick glance guide for installing and using the light and one gives the curing times for different composites. However, the cure time for TPH Spectrum was stated to be one second, which is very hard to believe, while the cure time for 14 other composites was just two seconds. Coltolux 75 ColorTalk Coltene/Whaledent (4.2) Cost: $804.48 Includes: • 8mm tip • 3 light shields Optional and replacement tips: • 3mm: $128.51 • 8mm: $128.51 • 11mm: $128.51 • 13mm: $203.80 Replacement bulb Cost: $53.22 Bulb life: 15 hours Bulb wattage: 75 Warranty: 1 year Base Unit Utilizing a narrow, space-saving design, the top section is translucent plastic that is available in five colors (blue, purple, green, red, and black). The bottom section is white. The front surface, inclined 45°, has no controls and serves as the support for the gun handle, which inserts into an enclosed, round portal at the intersection of the top and rear of the unit. Placing the gun back into the portal is easy, with the gun facing rearward, but the handle of the gun does not always rest on the elevated arm, which protects it from the lower half of the front surface. ©2005 REALITY Publishing Co. Vol. 19 3 What if it needs repairs? Contact your local dealer or return directly to Coltene/Whaledent. Is there a loaner program? Yes, for a minimal charge. Contact Coltene/Whaledent for details. Tells you the curing time in five languages No unnecessary modes or gadgets to confuse you No radiometer Changing the bulb is a nuisance The right side has the illuminated power switch and connection for the cord to the gun, while the rear of the unit has the power cord connection. The cord from the base unit to the gun is straight, medium in weight, and easily cleaned. There is a set screw on the left side of the unit at the junction of the top and bottom sections. When this screw is turned clockwise, the voice alerts (see The Ratings 265 Curing Lights Timer) get louder, while turning it counterclockwise does just the opposite. Size of base unit (including cords and the gun with a tip inserted) Height 8.5in/21.5cm Width 6.0in/15.2cm Depth 10.0in/25.4cm Gun Well-designed, with the trigger in a convenient location on the inside of the handle near your index finger. It does not take much finger movement or pressure to activate the light. You can interrupt the curing cycle by pressing the trigger again. There is one beep when you activate the light and one beep when you deactivate it. However, the section of the gun that contacts the round portal is vented, making it somewhat difficult to clean. Weighs 11.0oz/311.8g. Fan The strong but moderately noisy fan activates as soon as you push the trigger and keeps the handle cool even after 10 minutes of continuous use. But the fan, which is located at the back of the gun, can blow warm air in your face with the gun in certain positions. The fan typically shuts off immediately when the light deactivates, but after our 10-minute test, the fan stayed on for 2.5 minutes. Timer Instead of beeping, this model lives up to half of its name by telling you in five languages (English, Spanish, French, Italian, and German) the elapsed curing time in 10-second intervals up to 60 seconds, when it deactivates. You can change the language by depressing the trigger before you turn on the unit. The languages are then stated in a consecutive manner. Once you hear your language of choice, release the trigger. Should you tire of the voice alerts, you can revert back to beeps, although there is only one beep, regardless of whether you cure for 10 or 40 seconds, so keeping track of them could be a problem. After 60 seconds, however, there is a double beep alerting you that the unit has deactivated. The female voice itself is pleasant and professional, but in a humorous manner, has patients wondering “Who said that?” While the voice alerts are certainly better than the beeps, a timer with preselected curing times would be a nice option. Tips Metal-wrapped with glass tips, except for the 3mm, which is totally encased in metal and will not fit into most proximal boxes. Power loss % per location Diameter (per manufacturer) Diameter (RRL) Between center and edge 1mm from edge 8mm 8mm 11mm 13mm 7.9 7.5 10.1 11.8 14 7 7 19 51 16 53 63 266 The Ratings Power and Curing Modes Only one mode and one power level. In the 10-minute cure test, there was a 14%-17% drop of power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) as measured on the LED radiometer Tip size 8mm 11mm 13mm 814 793 818 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip size Cure Time (seconds) 8mm 11mm 13mm 10 20 40 24.2 28.8 27.0 18.9 28.3 27.5 21.5 25.6 28.7 Gingival Increment Hardness (Knoop) Tip size Cure Time (seconds) 8mm 11mm 13mm 10 20 40 26.5 32.1 32.4 30.3 31.8 37.1 26.7 27.4 37.3 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time (seconds) 10 20 40 8mm 11mm 13mm 23.7 29.1 34.7 26.3 27.6 35.1 29.5 34.8 34.8 Mode Tip Contact 20s 2mm 20s Regular Regular 8mm 11mm 26.5 27.7 29.5 23.7 Heat Generation °C Built-In Radiometer None. Changing the Bulb Loosen the two screws on the back of the gun, apply pressure on the release latch on the top, and remove the front section to expose the bulb, which can then be easily removed and replaced. Directions Coated paper booklet in 11 languages, with the English version on only three pages. All the functions are fully described. Has 17 black and white photos on different functions and maintenance items, but the booklet and photos depict the basic model, not the ColorTalk. There is an additional plain paper sheet explaining the ColorTalk functions. ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Demetron LC 4 sds/Kerr (4.1) Cost: $650.00 Includes: • 11mm Turbo tip • Protective shield Affordable price from the leader in curing lights Durability and quality Optional tips: Same as Optilux 501 Size of base unit (including cords and the gun with a tip inserted) Height 5.0in/12.7cm Width 12.0in/30.5cm Depth 6.0in/15.2cm Gun Virtually identical to the one used in the 501, except the surface finish on the plastic cladding is textured and non-reflective compared to the 501, which is smooth and glossy. The trigger on this gun also extends out from the handle more than the trigger on the 501, but it is easily activated and not prone to accidental activation. Since the light does not have an automatic cutoff, you must interrupt the curing cycle by pressing the trigger again. However, there is no beep when you activate the light or when you deactivate it. Weighs 7.9oz/224.0g. Fan The strong but noisy fan activates as soon as you push the trigger and keeps the handle cool even after 10 minutes of continuous use. But the fan, which is located at the back of the gun, can blow warm air in your face with the gun in certain positions. It has two speeds (and noise levels), with the more robust operation occurring during active curing. Once the curing function is deactivated, the fan also stays on for 1.75-2.25 minutes, but at a lower level. Bulb life: 80 hours Bulb wattage: 80 Warranty: 1 year What if it needs repairs? Contact sds/Kerr at 1-800-KERR-123. Counting beeps is a drag No controls in the gun Base Unit Two-toned light and dark gray plastic rectangle, reasonably compact and functional, but certainly not cutting edge design. Product and manufacturer identification is blue. The cradle-like, horizontal gun bracket is an integral part of the top of the unit. Placing and retrieving the gun is easy, with the gun resting horizontally in either direction. The bottom left side has the power switch. The cord from the base unit to the gun is straight, lightweight, and easily cleaned. NEW Replacement bulb Cost: $60.00 Is there a loaner program? No Tips Same as with the 501. Power loss % per location Diameter (per manufacturer) Diameter (RRL) Between center and edge 8mm 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm (curved) 7.9 7.9 7.4 10.1 10.5 11.8 14 22 17 31 18 43 1mm from edge 5139 43 74 51 80 Power and Curing Modes Only one curing mode. In the 10-minute cure test using the continuous mode, there was only a slight drop of power (7%) from the beginning to the end of the test. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) as measured on the LED radiometer Tip size 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 583 833 683 825 692 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip size Cure Time (seconds) 10 20 40 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 18.5 27.0 28.0 26.6 29.2 31.1 20.7 29.0 33.7 23.2 30.9 32.5 22.9 21.9 23.9 Timer Does not have an adjustable timer. Beeps every 10 seconds until you deactivate it, since it will run for at least 10 straight minutes without cutting off itself. ©2005 REALITY Publishing Co. Vol. 19 The Ratings 267 Curing Lights Gingival Increment Hardness (Knoop) Heat Generation Tip size Cure Time (seconds) 10 20 40 8mm 8mm Turbo+ 31.6 35.8 42.1 36.9 40.4 45.3 °C 11mm 11mm Turbo 13mm Mode Tip 34.4 37.3 40.1 35.5 38.0 40.7 29.2 35.2 38.1 Regular Regular Regular 8mm Turbo+ 11mm 11mm Turbo+ Contact 20s 2mm 20s 31.4 16.8 21.3 26.8 13.4 15.6 Built-In Radiometer None. Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time (seconds) 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 10 20 40 31.8 33.6 38.5 29.7 33.9 41.2 27.1 28.7 36.9 28.1 37.7 41.1 24.1 26.8 38.0 Changing the Bulb Loosen the two screws on the back of the gun with a screwdriver and the handle comes off very easily. However, we would still prefer a method of changing the bulb without requiring an extra tool like a screwdriver. Directions Plain paper sheets in 16 languages merely stapled together. Pretty rudimentary, with the pages appearing to come from a cheap copier. 5 Spectrum 800 Dentsply/Caulk Cost: $997.30 Includes: • 8mm 60˚ tip • Built-in light meter • Extra bulb • Light shield attachment • Wall mounting bracket Optional and replacement tips: • 3mm 90˚: $144.40 • 8mm 60˚: $144.40 • 8mm 90˚: $144.40 • 8.5mm turbo: $175.00 • 11mm turbo: $175.00 • 13mm 80˚: $262.60 • 13mm straight: $144.40 Timer in gun very convenient and ambidextrous Manual power settings add to versatility Changing power settings is cumbersome Trigger is hard to push Base Unit White plastic, totally unique shape, appears smaller than other high tech lights. The top is dominated by the gun bracket, which rotates 360˚, giving you the option to place it in just about any convenient position. Placing the gun back into the bracket is easy with the gun facing the rear of the unit, even though it can also be placed in the opposite direction. One evaluator felt the bracket was flimsy. The front of the top surface is the soft touch control pad and the aperture for the radiometer. The aperture, 6mm in diameter, 268 The Ratings (3.9) Replacement bulb Cost: $68.10 Bulb life: 100 hours Bulb wattage: 75 Warranty: 2 years 5 years on light cord What if it needs repairs? Send it to the Caulk Service Center at 1301 Smile Way, York, PA 17402. They promise a 3-day turnaround. 2-day shipping is complimentary. Is there a loaner program? Yes, call 1-800-LDCAULK or your dealer. has a similar design to the radiometer aperture on the Optilux 501, with its concentric rings allowing the precision testing of different size curing tips 6mm or larger. To the left of the aperture are two soft touch switches, one with an up arrow and one with a down arrow. These are the switches that allow you to change the power of the light. Due to the flat design of the touchpad, it can be covered with an adhesive barrier for asepsis. The left side at the rear has the illuminated power switch. The cord from the base unit to the gun, which connects on the rear left side of the base unit, is straight, lightweight, and easily cleaned. However, the reinforced section of the cord as it enters the bottom of the handle of the gun restricts the gun from seating in the bracket totally unless the light is positioned on the edge of the countertop and the cord hangs freely. Size of base unit (including cords and the gun with a tip inserted) Height 8.0in/20.5cm Width 8.0in/20.5cm Depth 9.5in/24.0cm ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Gun Well-designed, with smooth, rounded edges for a comfortable grip. The trigger is recessed and covered with gray rubber to give it a flat profile. Although it is in a convenient location on the inside of the handle near your index finger, activating the light requires much more finger pressure compared to most other lights. You can interrupt the curing cycle by pressing the trigger again. There is a beep when you activate the light and a second beep when the light deactivates either manually or via the timer. Back of the gun contains the soft touch switch embossed with a clock to indicate it controls the timer and the LCD screen, which not only displays the time interval you have selected, but also the radiometer reading. Weighs 8.2oz/232.5g. Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip size Cure Time 8.5mm 11mm (seconds) 8mm turbo turbo 13mm 10 20 40 21.8 21.7 27.0 23.2 27.2 30.2 24.4 28.6 29.7 19.1 25.2 26.9 Gingival Increment Hardness (Knoop) Tip size Fan The strong but noisy fan activates as soon as you push the trigger and keeps the handle cool even after 10 minutes of continuous use, although the trigger itself becomes quite warm. The fan also stays on for 5-6 minutes after the light goes off, irrespective of your curing time. This long cooling period is annoying. Timer Preset curing times of 10, 20, 30, 40, 50, or 60 seconds. You can also set the timer to 0:00, in which case the light will operate for two minutes and then cut off. In this mode, you can view the seconds counting up to the two-minute mark on the LCD screen. Tips Most of the regular tips are glass, while the 3mm is metal-wrapped and will not fit into most proximal boxes. Diameter (per manufacturer) Diameter (RRL) 8mm 8mm 60º 8mm 90º 8.5mm turbo 11mm turbo 13mm (curved) 7.9 8.6 8.6 9.0 11.2 13.2 Power loss % per location Between center 1mm and edge from edge 14 30 17 18 23 20 51 45 44 46 80 67 Power and Curing Modes There are no specific names to the cure modes. You can change the power of the light from 300mW/cm2 to 800mW/cm2 in 50mW/cm2 increments by placing the tip of the light on the aperture of the radiometer. On the LED radiometer, these readings are noted below under Peak Power. Activate the light and push the up or down switch on the base unit while reading the display on the back of the gun. However, there is no way to know at which power you are curing unless you check the power on the radiometer. In the 10-minute cure test, there was a 16% drop of power from beginning to end. It achieved full curing power almost instantly after activation. Peak Power (mW/cm2) as measured on the LED radiometer Tip size Mode 300 800 8mm 8mm 60º 8.5mm turbo 11mm turbo 13mm 7.9 233 583 14 308 800 51 283 767 217 592 ©2005 REALITY Publishing Co. Vol. 19 Cure Time 8.5mm 11mm (seconds) 8mm turbo turbo 13mm 10 20 40 22.0 32.3 31.8 31.3 39.0 46.7 34.7 43.0 45.4 26.3 32.7 34.2 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time 8.5mm 11mm (seconds) 8mm turbo turbo 13mm 10 20 40 24.6 32.3 34.5 27.7 35.3 42.4 32.5 43.1 44.6 22.5 31.4 29.7 Heat Generation °C Tip Contact 20s 2mm 20s 8mm 60º 8.5mm turbo 11mm turbo 17.2 25.9 25.5 23.7 31.2 31.1 Mode 800 800 800 Built-In Radiometer Digital display on back of gun, aperture on base unit. Will fit any size of tips from 7mm and larger. Operated by placing the tip over the aperture and activating the light. The reading will appear after a delay of a few seconds. Changing the Bulb There are two raised lines on the nose cone lined up with raised closed circles on the gun. Rotate the nose cone clockwise with your hand. The two lines will now line up with open circles. Once the nose cone is loosened and removed, the bulb is easily pulled out of its socket and replaced with a new one. This whole operation is quick and easy, requiring no tools. Directions Plain paper manual in 10 languages, with English on seven pages. Explains all functions well, but curiously, recommended curing power is only 550mW/cm2. The Ratings 269 Curing Lights Elipar 2500 6 3M ESPE Cost: $905.60 Includes: • 13mm tip Optional and replacement tips: • 2mm: $184.80 • 8mm: $243.30 • 13mm: $362.30 (3.6) Wall Mounting Kit Cost: $15.20 Replacement bulb Cost: $92.60 Bulb life: 23 hours Bulb wattage: 75 Warranty: 2 years Easy to change bulb Simple function Boring design Docking area not user friendly Base Unit While it is not offensive, this is an off-white plastic, basic box without any claims to being high tech. The gun sits in a cutout on the top near the right side. Placing the gun back into the cutout is not as easy as other cradles and can only be done with the gun facing left. The cord from the base unit to the gun is straight and easily cleaned. Can be either wall mounted (kit is extra cost) or stand alone on a cabinet top. The power switch is conveniently located on the front. Size of base unit (including cords and the gun with a tip inserted) Height 8.25in/21.0cm Width 9.0in/22.9cm Depth 5.5in/14.0cm Gun Conventional design, somewhat large. It does not take much finger movement or pressure to activate the light. You can interrupt the curing cycle by pressing the trigger again. There is a beep when you activate the light and a double beep when the light goes off. Weighs 7.5oz/212.6g. Fan The strong but noisy fan keeps the handle reasonably cool even after 10 minutes of continuous use. But the fan, which is located at the back of the gun, can blow warm air in your face with the 270 The Ratings Is there a loaner program? No formal program established. However, a customer may contact the local 3M ESPE Area Sales Representative, who is generally able to provide a loaner. What if it needs repairs? During the warranty period, 3M ESPE will repair defects or replace a defective unit free if the unit was new when it was purchased and it is promptly returned to the following address: 3M Healthcare Service Center, Suite 200 Building 502, 3350 Granada Ave. N. Oakdale, MN 55128. gun in certain positions. The fan activates along with the light and, once it has been used several times, stays on for a period of time in proportion to the length of time the light was activated after the light goes off. For example, after our 10-minute test, the fan stayed on for 2.0 minutes. If you use the light for 10 seconds, the fan will stay on for about 23 seconds after the light goes out, curing for 20 seconds, the fan will stay on for about 36 seconds, and curing for 40 seconds, the fan will continue cooling the unit for about 43 seconds. Timer There is no timer. It beeps every 10 seconds. Tips All-glass. The 2mm tip will fit into most proximal boxes. Power loss % per location Diameter (per manufacturer) Diameter (RRL) Between center and edge 1mm from edge 8mm 8mm 13mm (curved) 7.9 7.1 11.5 14 11 23 51 24 80 Power and Curing Modes Has only one curing mode. In the 10-minute cure test, there was a 17%-18% drop of power from the beginning to the end of the test. It achieved full curing power within two seconds of activation. It will cure continuously for five minutes without needing reactivation. Peak Power (mW/cm2) as measured on the LED radiometer Tip Power 8mm 13mm 608 631 ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Heat Generation °C Tip size Cure Time (seconds) 8mm 13mm Mode Tip Contact 20s 10 20 40 20.2 25.1 30.9 22.0 27.1 31.8 Regular Regular 8mm 13mm 19.7 24.8 2mm away 20s 20.0 24.7 Built-In Radiometer None. Gingival Increment Hardness (Knoop) Tip size Cure Time (seconds) 8mm 13mm 10 20 40 27.4 27.6 36.6 29.9 29.4 32.1 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time (seconds) 8mm 13mm 10 20 40 25.1 26.6 31.1 24.8 28.9 29.6 Changing the Bulb Merely squeeze two sections on the nose cone and pull it off. The bulb is then easily accessible. This is very easy and quick. Directions Handbook in seven languages, with English being eight pages. Information is well presented and easily understood, with five drawings on illustrating how to change the bulb and the various parts of the light. Light Emitting Diode (LED) L.E.Demetron I sds/Kerr REALITY’S www.KerrDental.com (4.6) CHOICES 1 What if it needs repairs? Contact sds/Kerr at 1-800-KERR-123. TurnIncludes: around time is two days. • 8mm Turbo or Turbo+ tip Is there a loaner program? Yes. ($231.00) No charge for units under warranty. • 11mm Turbo tip ($233.35) • 2 battery packs ($78.35 ea) Shipping charge may apply to units no longer under warranty. • Battery charger ($216.70) • Gun stand ($36.65) • Protective light shield ($43.35) Cost: $1,366.65 Optional tips: Same as Optilux 501 Warranty: 2 years for the gun and charger, 1 year for the battery pack. Accepts all Demetron tips Exceptional power Sleep mode a nuisance Heavy and bulky ©2005 REALITY Publishing Co. Vol. 19 Base Unit/Battery Charger Simple off-white triangle with an extremely small footprint (5.5in/13.9cm on each side). The battery fits simply and securely into a simple recess in the middle of the charger. On the front section of the right side is a round aperture for the built-in radiometer. The battery gauge, located in front of the recess, features three different colored lights to indicate the power level of the battery: green for fully-charged, yellow for partially-charged, The Ratings 271 Curing Lights and red for a fully-discharged (dead) battery. The AC/DC adapter cord enters the charger at the left side. Gun The cordless gun, sheathed in the same off-white plastic as the other components, has a sleeker, more futuristic design than its halogen brethren, with about a 125˚ bend. This gun should be comfortable in most hands, especially since you use a familiar grip with the trigger easily activated with your index finger on the inside of the handle. However, weighing 12.6oz/358.5g (without light-protective shield) with the battery, it is among the heavier and bulkier products in this category. In addition, the handle is quite long to accommodate the battery. This elongated handle is somewhat cumbersome compared to the shorter handles of corded halogen lights. One evaluator also felt that the position of the trigger required moving your hand from its initial grip on the handle to activate the light. Besides the trigger, the only other control, on the back of the gun, is a rubberized blue button that doubles as the power switch for the gun and control for the digital timer. Push the button once and light is ready to use. Each additional push changes the curing time. With the long handle, however, several evaluators thought the button itself could be larger and/or position of the button could be lower to allow for an easier reach. And just a slight extra pressure on the button will cause you to skip over some of the curing intervals unintentionally. The sleep mode, which turns off the gun completely, activates after about four minutes. However, you can’t awaken it at the same curing interval you were using before it shut down. To reawaken it, you need to press the activation button and then reset your preferred curing time, which is a nuisance. Immediately above the button is a blue triangle that houses the two battery status lights and the timer’s LCD. Gun Holder Off-white plastic with a triangular base. Has no electronic functions. On the top of the rear section of the triangle is a recess, into which the bottom of the gun handle fits. At the pointed top of the triangle is a vertical arm that ends with a u-shaped bracket, which supports the front section of the gun. Considered somewhat unstable by at least one evaluator. Size of gun holder (including gun with a tip inserted) Height 5.25in/13.3cm Width 5.5in/14.0cm Depth 12.5in/31.75cm Battery Nickel Metal Hydride (NiMH). The blue, removable battery pack is similar to the type found in cordless hobby drills. After it is fully charged, you merely slide the battery into the recess in the bottom of the gun handle. It clicks when it is properly locked in position. Removing the battery pack is just as easy by grabbing its backend and pulling it out. A fully-charged battery performs at close to full power for 47.5 minutes or 285 ten-second cycles before the yellow battery status light illuminates. It will then run for about another three minutes or 305 ten-second cure cycles before the red battery status light begins to glow, indicating a fully-discharged battery. But since you have a spare battery, you should always be able to operate the light. To fully recharge a completely dead battery, it takes about 1.5 hours, although the green battery light did not illuminate until 1.75 hours had passed since recharging began. Fan Very quiet. Activates and deactivates simultaneously with the light. In the 10-minute cure test, the handle of the gun became slightly warm. Timer The activation button on the back of the gun allows you to scroll through the curing time options of 10, 20 or 40 seconds. The onoff status as well as the curing interval selected is viewed on the small LCD screen. After selecting the curing interval and activating the light, the time displayed in the LCD screen reverts to zero and then begins to count up in seconds to the selected curing interval. There is also an audible beep every 10 seconds of curing and at the end of the curing interval, although one evaluator thought the beeps were not loud enough if other devices such as a saliva ejector were also being used at the same time. Tips All Demetron tips will fit, although the light comes with the 8mm Turbo+ and 11mm Turbo, which are glass with metal hubs. Power loss % per location There is a supplementary holder that allows it to fit into a bracket attached to your dental unit. However, to utilize this bracket, you would need to have a slot on the your unit that is not already being used by handpieces, suction devices, and air-water syringes. There is no wall bracket available at this time. Diameter (per manufacturer) Diameter (RRL) Between center and edge 1mm from edge 8mm 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm (curved 7.9 7.9 7.4 10.1 10.5 11.8 14 2 0 4 3 3 51 25 18 29 24 52 Power and Curing Mode There is only one power and curing mode. In the 10-minute cure test, there was no drop of power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. 272 The Ratings ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Peak Power (mW/cm2) as measured on the LED radiometer Tip Power 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm (curved) 525 900 600 800 625 Does It Cure All Materials? No. Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Cure Time (seconds) 10 20 40 Tip size 8mm Turbo+ 8mm 11mm Turbo 11mm 13mm 23.1 26.8 29.4 25.4 30.7 33.2 25.8 27.8 32.4 24.8 28.6 33.1 23.9 26.2 30.8 Gingival Increment Hardness (Knoop) Tip size Cure Time (seconds) 10 20 40 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 29.7 38.5 41.5 29.3 38.5 42.4 31.2 38.9 40.4 32.0 40.2 42.1 27.9 32.6 39.9 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time (seconds) 10 20 40 8mm 8mm Turbo+ 11mm 11mm Turbo 13mm 29.4 32.5 37.0 32.3 40.9 47.5 25.5 37.4 41.5 31.1 40.0 46.5 24.4 40.2 43.8 Heat Generation BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the L. E. Demetron I.) Built-In Radiometer Merely place the tip over the aperture in the battery charger base and activate the light. The power will be indicated by the illumination of four green lights to the right of the recess for the battery. Each green light is supposed to represent 200mW/cm2. Therefore, if all the lights are lit, the light is presumably operating at 800mW/cm2. When we tested the 8mm regular tip, which registered 525mW/cm2, the radiometer had three lights illuminated indicating at least 600mW/cm2. This difference between these two readings is negligible. Therefore, this radiometer seems to be reasonably accurate. Changing the Bulb There is no bulb to change. Directions Plain paper sheets in 16 languages merely stapled together, with English on two pages. All the functions are fully described, but there are no illustrations. °C Mode Tip Contact 20s Regular Regular Regular 8mm Turbo+ 11mm 11mm Turbo 42.7 23.8 32.5 ©2005 REALITY Publishing Co. Vol. 19 2mm away 20s 34.8 28.0 23.8 The Ratings 273 Curing Lights 2 bluephase REALITY’S CHOICES Ivoclar Vivadent (4.5) www.ivoclarvivadent.us.com NEW What if it needs repairs? Call Ivoclar Vivadent Customer Service, at 1-800-533-6825, for a return authorization number if still under warranty before sending unit back for repairs. Send the unit to Ivoclar Vivadent, 175 Pineview Drive, Amherst, NY 14228. The amount Optional and replacement tips: of time it takes for a repair • 2mm 60˚: $212.20 depends on the problem. • 8mm 60˚: $178.55 Is there a loaner program? No • 8mm turbo 60˚: $212.20 • 10mm 60˚: $178.55 • 13mm 60˚: $212.20 Cost: $1,350.00 Includes: • 1 LED Gun ($950.00) • 8mm turbo tip • Charging base unit and cord attachment ($500.00) • Protective light shield tip cones (3) Warranty: 2 years for the gun and charger, 1 year for the battery. Can be used cordless or corded Lightweight and ergonomic Fan cuts off when gun is placed in recharger Inconsistent radiometer Base Unit/Battery Charger Oval-shaped footprint, off-white plastic with dark gray, translucent plastic insert cradling the gun handle, cool appearance. Functions as both a base unit and recharger. Includes a radiometer that uses green LEDs. To the right of the gun is the round aperture for the built-in radiometer. On the gun’s left are two green LEDs, the bottom of which signifies the light is connected to a power outlet, while the top one glows steady when the gun is fully charged and blinks when it is charging. The power cord enters the charger from the rear. The removable power pack inserts into a recess in the middle of the bottom side. If it is removed and mounted on the gun (see GUN), the base unit’s electronic functions become disabled—it should then be just a docking station for the gun. However, the cord from the power pack prevents inserting it in the recess. Size of base unit (including cords and the gun with a tip inserted) Height 6.5in/16.5cm Width 5.5in/14.0cm Depth 7.75in/19.7cm 274 The Ratings Gun Primarily off-white plastic (same as base unit), but the blue battery mounted inside and at the base of the handle gives it two-tone effect. The controls on the back of the handle are covered with same dark gray, translucent plastic as the base unit. It has a sleek appearance, with about a 125º bend. Weighing just 9.9oz/280.7g with the battery, this gun among the smallest and lightest of those on the market, although it is still heavier than lights using the wand or pen design. It has a comfortable “feel”, augmented by the soft touch trigger on the inside of the handle, which most evaluators found to be quite easy to activate. Most unique feature, however, is its ability to be used totally cordless with the battery supplying the power or with the AC power pack, which is removed from its nesting spot under the base and then installed directly in the gun handle in place of the battery, converting it to a corded operation. Press the trigger once and the light “awakens” from the sleep mode. This action activates the LED display on the back of the gun. Controlling this display are two vertical up and down arrows and two horizontal + and – buttons. The vertical controls allow you to scroll through the three curing modes: high power, low power, and soft start (sort of part step, part ramp). The horizontal buttons control the digital timer button. Within the same display is a battery charge indicator, which is simply a battery showing shaded increments from empty to full. The sleep mode, which completely turns off the gun, activates after slightly more than four minutes. However, the gun also goes to sleep immediately after docking it in the base unit. While it is understandable that the gun goes to sleep when it is left out of the base unit, the purpose for this function while charging doesn’t make sense. Even though awakening the gun is not difficult, it is somewhat of a nuisance to have to press the trigger twice, especially if you need to cure a restoration quickly. On the other hand, at least the mode and time are the same as before it went to sleep. ©2005 REALITY Publishing Co. Vol. 19 Curing Lights The gun sits securely in the base unit and can be retrieved easily when needed, but this retrieval is difficult without touching and, therefore, contaminating the surface of the base unit. The manufacturer recommends an aldehyde-free disinfecting solution. As mentioned previously, you cannot insert the gun into the recess in the base unit when the power pack is attached. Battery Lithium ion battery installs inside the handle of the gun. As noted previously, the battery can be removed and replaced with the power pack, which has the same shape. However, be advised that removing the battery is not a simple matter—it takes considerable force to accomplish this task. You also cannot charge another battery without the gun so there is no way to have another battery ready to go if you are currently using the gun. You would have to have a staff member charge the extra battery when the light is not being used. On the other hand, if you ever discharge the battery and don’t have time to allow it to recharge, mounting the power pack as a replacement will get you operational instantly. A fully-charged battery performs at full power for about 55 minutes, close to the manufacturer-stated one hour, while fully recharging a completely dead battery takes about one hour, although the manufacturer conservatively states it will take two hours. Fan Automatically activated when the gun trigger is pressed. Moderately loud, it continues cooling for about 30 seconds after the curing interval, even a short one. Curiously, however, as soon as you place the gun back into the base unit, the fan immediately deactivates. There is no prohibition to placing the gun back into the base unit, but you may want to wait until the fan deactivates to allow proper cooling of the unit. If the fan is required for cooling and the base’s station deactivates the fan, does this have a detrimental effect on the life of the gun? On the other hand, the handle of the gun only became slightly warm during the 10minute cure test. Timer 10, 20, 30, 40, and 120 second intervals, beeping every 10 seconds. The 120 second interval is a nice feature, especially useful during the final polymerization of indirect restorations. However, your selected time is not displayed in the control panel on the back of the gun—this is reserved for the curing mode—unless you change the time, in which case the curing interval becomes visible as you scroll through your choices. Once you select your interval of choice, it continues to be displayed for only a few seconds. This means that if you forget which curing interval you selected, you need to change the time to activate the display. After the light is activated, the timer counts the seconds in an ascending matter. There is a beep when activating the light and another one at the end of the curing interval. The beeps augment the timer, but a slightly higher volume would be more audible over the noise of the fan and other ambient treatment room sounds. ©2005 REALITY Publishing Co. Vol. 19 Tips All are glass with a protective orange coating. The hubs are metal, with the 8mm, 10mm, and 8mm turbo tips having a black coating, while the 2mm and 13mm do not feature this coating. All the tips fit very securely into the gun—they have an almost snap-in feature—but removing them requires significant force. Due to their glass composition, the tips can fracture if dropped. Demetron tips also fit this gun. Power loss <gain> % per location Diameter (per manufacturer) Diameter (RRL) Between center and edge 1mm from edge 8mm 8mm 8mm turbo 10mm 13mm 7.9 7.8 8.2 10.0 13.0 14 3.4 <2.0> 5.7 13.7 51 8.1 14.6 14.8 43.8 Power and Curing Modes There are three modes, each of which is displayed graphically and with abbreviations of its name in the LCD display on the back of the gun. The graphic representation is a molar illustration that suggests which areas of the tooth or portion of a restoration this particular curing mode should be used as depicted by shading in these specific areas. One evaluator found it to be somewhat confusing when switching modes and times in the middle of curing a restoration. • SOF (soft start) is available to reduce shrinkage stress and reduce heat build-up during the early stages of polymerization. With the 10mm tip, power starts at 0mW/cm2 and goes up to 425mW/cm2 after about six seconds. Then it continues to climb to about 650mW/cm2. • LOP (low power) is said to minimize heat generated when close to the pulp. With the 10mm tip, it registered 425mW/cm2. • HIP (high power). In the 10-minute cure test, there was only a slight drop in power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) as measured on the LED radiometer Power Tip Corded Cordless 8mm 8mm turbo 10mm 13mm 700 1,200 750 775 675 1,200 750 775 The Ratings 275 Curing Lights Bond Strength (MPa) to Dentin Using OptiBond Solo plus and TPH Spectrum A2 Cure Time (seconds) 8mm Tip size 8mm turbo 10mm Does It Cure All Materials? No. Besides resin glazes, it will not cure Effect Color from Heraeus Kulzer. 13mm Corded 10 20 40 21.8 23.2 34.5 27.0 30.8 32.9 24.1 32.8 32.2 20.9 29.3 32.1 20.0 22.5 32.7 21.3 23.5 34.5 18.4 25.3 35.5 20.1 23.4 31.5 Cordless 10 20 40 BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the bluephase.) Gingival Increment Hardness (Knoop) Cure Time (seconds) 8mm Tip size 8mm turbo 10mm 13mm Corded 10 20 40 35.1 39.1 39.4 27.6 37.7 40.0 36.3 39.4 41.9 27.9 41.0 44.9 38.7 38.5 46.4 36.1 41.4 42.5 33.3 34.4 44.5 31.8 31.7 37.5 Cordless 10 20 40 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Cure Time (seconds) 8mm Tip size 8mm turbo 10mm 13mm Corded 10 20 40 23.7 29.5 35.9 28.6 31.6 42.1 23.4 29.7 33.0 23.0 29.8 33.3 22.7 31.4 33.3 30.1 36.8 43.1 21.5 30.8 35.2 24.6 30.5 34.7 Built-In Radiometer Merely place the tip over the aperture in the battery charger/base unit and activate the light. The power will be indicated by the illumination of up to five green LEDs, with each light presumably equating to 200mW/cm2. This means that if all five lights are illuminated, the power of the light is supposed to be producing ≥ 1000mW/cm2. However, when we checked the peak power of all the tips, only the turbo version registered over this level, while the other tips scored lower than 800mW/cm2 but higher than 600mW/cm2. At this power level, only three LEDs should have been illuminated. Nevertheless, all the tips were able to illuminate all five green LEDs. We also found other discrepancies between the power output and the light-based radiometer. Therefore, we caution you to be wary about the accuracy of the built-in radiometer. Changing the Bulb There is no bulb to change. Cordless 10 20 40 Heat Generation °C Mode Tip Contact 20s 2mm 20s High High Low Low 8mm turbo 10mm 8mm turbo 10mm 44.4 21.0 17.8 11.7 43.4 32.1 18.5 13.5 276 The Ratings Directions Plain paper manual in six languages, with English on the first 15 pages. All the functions are fully described along with 15 photos or illustrations, making it clear and easy to read. Gives general recommendations for curing of Ivoclar Vivadent products, but none for materials manufactured by other companies. In addition, a “soap solution” is recommended to clean the plastic parts, which would include the gun, but then it states that “liquids must not enter the handpiece”, which is an apparent contradiction. Furthermore, under “Technical data”, it states that operating time is 6 minutes on, four minutes off, while our samples were totally capable of curing 10 minutes straight. ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Allegro Den-Mat (4.0) www.denmat.com Cost: $1,495.00 Includes: • 8mm acrylic tip ($49.95/2) • 8mm glass tip ($165.00) • 10mm x 14mm acrylic tip ($49.95/2) • 2 battery packs ($99.00 ea) • Battery charger ($199.00) • 2 pr of light-protected glasses • 1 protective shield • 200 test rings 3a SAMPLING Tip covers: No charge. Warranty: 1 year What if it needs repairs? Contact Den-Mat at 800-433-6628. Is there a loaner program? Yes. No charge for units under warranty. Stands without an auxiliary holder Very good timer Plastic tips are not autoclavable Heaviest LED Base Unit/Battery Charger White plastic, box-like device that doubles as the radiometer. The right half of the top of the unit has a recess into which the battery is placed for recharging. You merely place the battery in the recess and push down to seat it all the way. The left side of the unit has a LED display that tells you the status of the battery charging process and the aperture for the radiometer. The back of the unit has the connection for the electrical cord. There is no power switch —you merely plug it in and the power stays on continuously. Size of base unit (including cords and the gun with a tip inserted) Height 3.5in/8.9cm Width 5.75in/14.6cm Depth 7.0in/17.8cm Gun The white plastic cordless gun really has two parts, although they are contiguous. The top section has an angle from the vertical handle part to the control panel and tip of about 125˚. This gun, which has dimensions more like a halogen light, should be comfortable in most hands, especially since you use a familiar grip, but instead of activating the trigger with your index finger on the inside of the handle, you use your thumb on the outside. Besides the rubberized blue trigger, the other controls on the back of the gun include the LED display and two black buttons to increase or decrease the curing interval. Immediately above these buttons is another LED that glows green when you have enough power, yellow when the battery is low, and red when it is out of power. ©2005 REALITY Publishing Co. Vol. 19 The really unique part of the gun is the horizontal “foot”, which doubles as the battery attachment. To attach the battery, you merely push it onto the “foot” and to remove it, you push in the two buttons on both sides of the battery, which releases it from To conserve battery power, the gun will go into a sleep mode, but it doesn’t activate until at least several hours of inactivity elapses. the “foot”. This “foot” negates the need for a light holder—it allows the light to stand on its own. However, weighing 13.6oz/385.6g (without light-protective shield) with the battery, it is the heaviest of the products in this category. Battery Lithium ion. The dark blue, removable battery pack installs on the bottom of the gun handle and functions as the “sole” of the “foot”. After it is fully charged, you merely slide the battery into the recess in the bottom of the gun handle and is easily removed by depressing the buttons on both sides and pulling it out. A fully-charged battery performs at close to full power for 49 minutes, although the first indicator light illuminates at 40 minutes. It then shut off before it reached 50 minutes. But since you have a spare battery, you should always be able to operate the light. To fully recharge a completely dead battery, it takes about 1.5 hours, although the green battery light did not illuminate until 4.5 hours had passed since recharging began. The Ratings 277 Curing Lights Fan Very quiet. Activates simultaneously with the light, but deactivates after 30 seconds, regardless of the curing interval. In the 10minute cure test, the handle of the gun became slightly warm. Timer The activation buttons on the back of the gun allow you to increase or decrease the curing time options of 5, 10, 15, or 20 seconds. The curing interval selected is viewed on the small LED screen. After selecting the curing interval and activating the light, the time displayed on the LED screen then begins to count down in seconds to the selected curing interval. If you stop the curing interval before it elapses, the timer stops so you can see how long you cured. There is only a reasonably audible beep at the end of the curing interval, not at the beginning or along the way. Tips Clear acrylic and black-coated glass. Since light is visible along the entire length of the acrylic tips, flexible black opaque covers can be used as auxiliary eye protection. However, these tips are not autoclavable. The glass tips are black and are autoclavable. Power loss <gain> % per location Diameter (per manufacturer) Diameter (RRL) 8mm 8mm acrylic 8mm glass 10 x 14mm acrylic 7.9 7.9 7.6 9.9 x 13.9 Between center and edge 1mm from edge 14 <5> <3> L 10 W 11 51 <2> <18> 20 27 Power and Curing Mode There is only one power and curing mode. In the 10-minute cure test, there was an 11% drop of power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. Gingival Increment Hardness (Knoop) Cure Time (seconds) 8mm acrylic Tip size 8mm glass 10x14 10 20 40 33.9 37.6 42.8 22.0 32.0 34.5 22.8 26.6 37.0 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Cure Time (seconds) 8mm acrylic Tip size 8mm glass 10x14 10 20 40 30.0 32.4 40.6 20.8 31.1 35.0 18.8 21.9 29.6 Heat Generation °C Mode Tip Contact 20s Regular Regular 8mm glass 8mm acrylic 25.1 31.8 2mm 20s 31.0 29.7 Does It Cure All Materials? No. BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the Allegro.) Peak Power (mW/cm ) as measured on the LED radiometer 2 Power Tip Contact 2mm 8mm acrylic 8mm glass 10 x 14mm acrylic 742 950 475 700 773 408 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) 278 Cure Time (seconds) 8mm acrylic Tip size 8mm glass 10x14 10 20 40 24.0 34.3 36.3 24.7 32.0 34.5 23.9 27.6 34.6 The Ratings Built-In Radiometer Merely place the tip over the aperture in the battery charger base and activate the light. The power will be indicated by the reading on the LED digital display. The reading will appear instantly. When we tested the curing output of the light on this built-in meter and the LED Radiometer, we found the built-in readings to be about 7% higher. It appears that this built-in radiometer is calibrated to a different standard and readings from it cannot be compared to those from other radiometers. It should be used simply as a check on the degradation of the light bulb, which is really the purpose of all radiometers. Changing the Bulb There is no bulb to change. ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Directions Plain paper manual, nine pages, five photos and illustrations. All the functions are fully described. Gives general recommendation about placing 2mm increments of composite, but then tells you to use the curing test rings included with the light. However, this is risky and somewhat misleading, since it is not possible to ascertain the cure status of a material by merely seeing if it is hard. SmartLite iQ Dentsply/Caulk (4.1) www.caulk.com Cost: $1,230.00 Includes: • 1 LED Gun ($779.95) • 8.5mm turbo tip • Charging base unit ($259.95) • Protective light shield Optional and replacement tips: • 3mm 90˚: $144.40 • 8mm 60˚: $144.40 • 8mm 90˚: $144.40 • 8.5mm turbo: $175.00 • 11mm turbo: $175.00 • 13mm 80˚: $262.60 • 13mm straight: $144.40 3b NEW What if it needs repairs? Call Donna Sirkis, Caulk Customer Service, at 1-800-532-2855, ext. 334, for a return authorization number before sending unit back for repairs. Send the unit to Dentsply/Caulk, 38 W. Clarke Ave., Milford, DE 19963. The amount of time it takes for a repair depends on the problem. Is there a loaner program? Yes. Call Caulk Customer Service for details. Warranty: 2 years for the gun and charger, 1 year for the battery Base Unit/Battery Charger Off-white plastic, oval-shaped footprint, curvaceous profile. Functions as both a base unit and recharger. Includes a radiometer that uses colored LEDs. At the base of the vertical section is the round aperture for the built-in radiometer. In front of the aperture are three different colored lights to indicate the power level of the unit. The power cord enters the charger from the rear. Size of base unit (including cords and the gun with a tip inserted) Height 6.0in/15.2cm Width 2.75in/7.0cm Depth 9.8in/25.0cm Gun Cordless, off-white plastic with a contemporary shape, about a 120º bend, and does not have a fan. Weighing just 9.5oz/269.3g with the battery, this gun is smaller and lighter than most major competitors using similar designs. Because of its rather diminutive size and weight, it should actually feel more comfortable than competing units, although the soft touch trigger on the inside of the gun could be easier to activate and the handle was considered thicker than ideal. The only other controls are the digital timer buttons on the top of the gun, behind and lateral to the display ©2005 REALITY Publishing Co. Vol. 19 Lightweight Possibly best battery life of all Will not cure full veneer case—overheats too quickly Cooldown period variable and unpredictable panel. These buttons, which are really up and down arrows, are merely depressed to set the timer. Unfortunately, even operators with large hands will not be able to reach the timer buttons if the gun is held in the position to activate the trigger. The LCD display is a small window on the top of the gun. It displays the timer interval selected as well as the charge status of the battery. Immediately in front of the display is a small round LED that also indicates the status of the battery. Blinking green means it is charging, while solid green means it has a full charge, amber means it should be recharged after using, and red means it should be recharged before using. If no light illuminates, you probably have not placed the gun properly in the base. The Ratings 279 Curing Lights To conserve battery power, the gun is supposed to go into a sleep mode (actually, it turns off completely) if it isn’t used for more than 10 minutes. However, two of our units taken off the recharger without any activation did not enter the sleep mode for over one hour. Another unit, however, did go to sleep in about 10 minutes. When you press the trigger, you will awaken the gun with the timer in the same position it was in when it went to sleep. In addition, there is a rubber gasket in the front end of the gun where the tips insert. This gasket tore and actually dislodged at least two times during our tests. And the light shield has a ripplelike effect that is distracting if you are looking through it to keep the light in proper position for curing. Battery Lithium ion battery installs inside the handle of the gun. Unlike some other lights, this battery is not removed for charging. However, to access the battery for replacement, the gray plastic section on the inside of the gun handle is removed. While this is not terribly difficult to perform, you would not want to have to do it everyday. A fully-charged battery performs at close to full power for an incredible two hours and 26 minutes, even though the manufacturer states you get about one hour and 45 minutes, while fully recharging a completely dead battery only takes about 12 minutes, although the manufacturer states it will take 30 minutes. Fan None. The handle stays cool, but the front end of the gun can get slightly warm before it shuts off. Timer 10, 15, 20, 30, and 40 second intervals, in addition to a continuous mode, which will activate for 60 seconds, beeping every 10 seconds. If you select one of the timed intervals, the seconds will count down from that interval, while the seconds count up with the continuous mode. There is also an audible beep at the beginning of activation and a double beep at the end of the curing interval. Tips All are glass with metal hubs, except the 3mm tacking tip, which is metal and covered with black rubber. Unfortunately, several tips were broken when the boxes in which they were shipped were opened. And tips that are supposed to be identical were not. For example, none of the four 8.5mm turbo tips we were sent had the same profile, although the width of the area encasing the fiber optic bundles is 13.3mm at the back end and 9.0mm at the front end, slightly larger than advertised. 280 The Ratings Diameter (per manufacturer) Diameter (RRL) 8mm 8mm 8.5mm turbo 11mm turbo 13mm (curved) 7.9 8.8 9.0 11.2 13.5 Power loss <gain> % per location Between center 1mm and edge from edge 14 <5.6> <8.0> <1.5> <17.5> 51 <9.2> 17.6 29.3 55.1 Power and Curing Mode There is only one power and curing mode. We could not perform the 10-minute cure test, since the light will deactivate after about 3.75 minutes from a cold start. However, after it cuts off due to the heat build-up, it will only reactivate for varying periods depending on the cooling interval, which also varies from about six minutes and longer. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) as measured on the LED radiometer Tip Power 8mm 8.5mm turbo 11mmturbo 13mm (curved) 400 700 580 400 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Cure Time (seconds) 8mm 10 20 40 15.2 21.5 26.6 Tip size 8.5mm 11mm turbo turbo 20.6 24.1 27.4 18.8 25.3 31.4 13mm 14.1 19.2 24.3 Gingival Increment Hardness (Knoop) Cure Time (seconds) 8mm 10 20 40 27.0 38.0 38.0 Tip size 8.5mm 11mm turbo turbo 33.4 37.4 39.0 28.7 35.1 41.4 13mm 19.4 30.4 40.9 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Cure Time (seconds) 8mm 10 20 40 15.9 26.5 32.0 Tip size 8.5mm 11mm turbo turbo 26.1 27.7 38.2 19.5 28.0 36.8 13mm 20.2 23.1 29.3 Heat Generation °C Mode Regular Regular Regular Tip Contact 20s 2mm 20s 8mm 60º 8.5mm turbo 11mm turbo 7.8 15.1 12.7 9.1 13.4 9.7 ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Does It Cure All Materials? No. Built-In Radiometer Merely place the tip over the aperture in the battery charger base and activate the light. The power will be indicated by the illumination of a green, yellow, or red light immediately above the recess. The green light means it is curing at full power, which was confirmed on the L.E.D. Radiometer, while the yellow and red lights mean compromised performance. However, if you are recharging the light daily, you may never even reach the amber status, let alone the red one. Changing the Bulb There is no bulb to change. BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the SmartLite iQ.) Directions Plain paper manual in 10 languages, with English on eight pages. All the functions are fully described along with 12 illustrations, making it clear and easy to read. However, it was not mentioned how long it takes for an overheated unit to cool down and be usable again. Gives general recommendations for curing Dentsply products, but none for materials manufactured by other companies. Ultra-Lume LED 5 (4.0) Ultradent www.ultradent.com 3c Cost: $999.00 Includes: • 5 Standard curing lenses ($19.99/20) • 1 ProxiCure tip ($19.99/4) • 1 PointCure tip ($19.99/4) • 1 orange TransLume tip ($19.99/4) • 1 green TransLume tip • 1 surface bracket with tape ($4.99) • 10 disposable barrier sleeves ($24.99/250) Optional and replacement tips: • ProxiCure Ball: $19.99/2 • Endo Guide: $39.99/2 Warranty: 2 years What if it needs repairs? Contact Ultradent at 1-800-552-5512. Is there a loaner program? No. Base Unit None. Wand is attached to an electrical cord that plugs directly into an outlet. Wand Cream-colored plastic, having a length of 7.75in/19.7cm and diameter of 0.3in/6.5mm (at its midpoint lengthwise), weighing 4.2oz/119.1g. Designed for a pen grasp, the top of the wand includes the controls and indicator LEDs for the timer. The first control (from the tip) is the soft touch activation trigger. Next are ©2005 REALITY Publishing Co. Vol. 19 Only LED that cures all materials Good timer Activation button not as easy to operate as a trigger Difficult to tell when you are in the correct position over tooth The Ratings 281 Curing Lights the LEDs signifying the curing time selected. Then comes another soft touch button that allows you to change the curing interval. The slim design makes holding it like a handpiece possible and mounting it in a bracket on your dental unit means easy access despite the cord. However, it is still bulkier than a typical curing light tip, making it more cumbersome to use on the lingual when the patient has a narrow mandibular arch. With the activation button being elevated, it is quite easy to find it (without looking); it requires only moderate pressure to activate, but still not quite as easy as a trigger in a conventional gun unit, especially since the hand position is much different than the typical pistol grip. The underside of the wand at the end has the integral LEDs. The cord is straight, easily cleaned, and very lightweight. ProxiCure tip has a cone-shaped extension, but unlike the tacking tip, whose extension has a blunt, circular end, this cone ends in a point. However, although it is meant for curing proximal boxes, we found it to be too large to fit into even a medium-sized proximal box. ProxiCure Ball tip also has a cone-shaped extension, but the point of the cone is cut off and replaced with a rod-like extension that has a ball on its end. The rod extensions are about 5.0mm long, while the diameters of the balls are two sizes: small is 2.1mm and large is 3.0mm. These balls are essentially contact formers. Since these tips are new, we have not yet tested them clinically, but the concept behind them is logical. Battery None. Operates on AC power. TransLume transillumination tips that look identical to the PointCure except for the colored plastic. They come in orange and green—we prefer green. Fan None. In the 10-minute cure test, it became very warm, bordering on hot. Endo Guide tip has the same basic configuration as the PointCure, but the extension is about 12mm and has a slight bend at its half-way position. This is designed for retrograde fillings. Timer Allows you to increase or decrease the curing time in 10 second intervals from 10-40 seconds. As you increase or decrease the curing time, there are beeps for each 10-second interval change. There is also a “tacking mode”, that allows you to cure briefly to tack indirect restorations and/or cure resin cement to a gel consistency for easy removal. To access this mode, you depress both the timer and activation button together and then release the buttons simultaneously. The timer indicator LEDs flash in this mode. When the timer button is activated, you are able to scroll through the 1-4 second time intervals one second at a time. To return to the normal mode, repeat the activation procedure and it will cancel this mode. Tips Ultra-Lume 5 gets its numerical nomenclature from the four small LEDs arranged around one larger one at the end of the tip. Measuring the coverage of this oval tip can be interpreted several different ways. The LEDs are actually round, but the section of the tip that they illuminate measures 11.4mm long by 6.9mm wide. It also has a metal collimator that restricts the light emission beam to some extent. Regardless of how much coverage it has, the size and shape of the tip makes it difficult at times to be sure you have positioned the light properly over the restoration. This is especially true when you are trying to cure the distal of the last molar in the arch that has also been clamped to retain a rubber dam—the size of the head and 90° angle do not allow good illumination of this area. Besides the clear covers, there are several other tip covers for specific purposes: PointCure tip has a cylinder-shaped center extension, with the end being 2.5mm in diameter. The entire cover has a black opaque insert that restricts the light to just the end of the cone. This simulates a 2-3mm tip for tacking down different types of indirect restorations. 282 The Ratings Dimensions Manufacturer RRL 13 x 10mm 11.4 x 6.9mm Power loss % per location Diameter (per manufacturer) 8mm Length Width 7.9 Between center and edge 1mm from edge 14 42 21 5199 99 Power and Curing Modes There is only one power and curing mode. In the 10-minute cure test, there was a 26% drop of power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) as measured on the LED radiometer 983 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Cure Time (seconds) 10 20 40 23.3 30.2 35.3 Gingival Increment Hardness (Knoop) Cure Time (seconds) KHN 10 20 40 27.1 35.6 36.1 ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Hardness (Knoop) at 2mm Using TPH Spectrum A2 Cure Time (seconds) KHN 10 20 40 30.4 30.9 40.4 Heat Generation °C Contact 2mm 51.1 52.5 Built-In Radiometer None. Changing the Bulb There is no bulb to change. Directions Coated paper booklet, 98 pages (English on seven pages), 12 languages. All the functions are fully described. Has numerous black and white photos and illustrations on different functions and maintenance items. Does It Cure All Materials? Yes. BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the Ultra-Lume LED 5.) Elipar FreeLight 2 (3.9) 3M ESPE www.3mespe.com Cost: $1,417.50 Includes: • 1 curing light w/ battery • 1 charging base • 8mm Turbo tip • 1 light shield • 1 table holder Optional and replacement tips: • 8mm Turbo: $192.90 • 3mm Proxi: $192.90 • 13mm Max: $346.50 4a NEW What if it needs repairs? Send directly to 3M ESPE. Is there a loaner program? No formal program established. However, a customer may contact the local 3M ESPE Area Sales Rep. who is generally able to provide a loaner. Warranty: 2 years. Does not cover the battery, bulbs, or tips. Coolest appearance Only cordless wand with timer Shortest cure time Very expensive ©2005 REALITY Publishing Co. Vol. 19 Base Unit/Battery Charger Off-white, arch-like stand with a very small footprint that doubles as the battery charger for the cordless handpiece, which fits securely into a simple recess in the front. On the left side of the front, there are two LED indicator lights. The top orange light illuminates when the handpiece is in the charger and is being recharged. The Ratings 283 Curing Lights If the handpiece is in the charger and the orange light is off, then the battery is fully charged. The bottom green light is always illuminated and basically just means the base unit is working. The aperture for the radiometer is located in the middle of the recess that holds the handpiece. When the handpiece is removed from the recess, you merely place the tip over the aperture, activate the light, and between 1-5 blue LEDs will illuminate on the right side of the base unit. Five LEDs mean full power (100%), while the power decreases along with the lights. There is no other function to the base unit. There is no power switch—the unit is always activated as long as it is plugged into an electrical outlet. The power cord enters the unit at the rear. Size of base unit (including cords and the wand with a tip inserted) Height 7.5in/19.1cm Width 3.75in/9.5cm Depth 8.5in/21.6cm Wand Long, thin, cordless handpiece-like wand, which is clad primarily in a satin-finished, titanium-like plastic with a light blue accent on the inside surface. Weighing only 7.6oz./215.5g and measuring just 1.2in/3.0cm in diameter, this handpiece will fit into even small hands. Even though it is nicely balanced, it is quite long at 12in/30.5cm to accommodate the battery. One evaluator thought that the long, slim profile made it too susceptible to accidental dislodgement unless it was placed away from a heavy traffic area. Designed to be held in a pencil grasp. The only controls, located on the top side, are the activation button near the tip and the timer control button, both of which are soft-touch and require only minimal pressure to activate. There is a beep when the light is activated and a double beep when it deactivates. The sleep mode, which completely turns off the wand, activates about 10 minutes after curing. However, the wand also goes to sleep immediately after docking it in the base unit. While it is understandable that the gun goes to sleep when it is left out of the base unit, the purpose for this function while charging doesn’t make sense. Even though awakening the gun is not difficult, it is somewhat of a nuisance to have to press the button twice, especially if you need to cure a restoration quickly. On the other hand, at least the time is the same as before it went to sleep. The back end contains the door to the battery compartment. Merely rotate the door slightly to open and insert the battery until it snaps into place. To remove, insert a small spatula or screwdriver between the battery and the snap-lock mechanism. This is fast and easy to do. Wand Holder There is also an auxiliary “table holder”, which is merely a small, almost flat disc (3.25in/8.3cm in diameter) with a recess on top to place the wand more securely instead of directly on the countertop, when placing it back in the recharger is not necessary at that moment. Battery Nickel Metal Hydride (NiMH). Integral part of bottom section of handpiece. Once the light is charged, it will cure for about 41 284 The Ratings minutes. To fully recharge a completely dead battery, it takes about 2.0 hours. Fan None. In the 10-minute cure test, it became moderately warm. Timer The soft-touch activation button on the top of the handpiece allows you to scroll through the curing time options of 5, 10, 15, or 20 seconds, which are indicated by four small green LEDs. A 40-second interval is conspicuously missing. Each illuminated LED corresponds with 5 seconds of curing time. There is also an audible beep every time the curing interval is changed and after every 5 seconds of curing. In addition, the LED indicator lights go out as the time counts down. For example, if you choose 20 seconds as your curing interval, all four LED indicator lights will be illuminated at the start of curing. After the first 5 seconds has expired, one of the four indicator lights goes out, giving you a visible cue as to how much time remains in the curing interval. After another 5 seconds of curing, a second indicator light goes out. And so on. Tips All are glass with a protective black coating. The hubs are metal and fit very securely into the gun—they have an almost snap-in feature—but they rotate almost too easily. Due to their glass composition, the tips can fracture if dropped. Power loss % per location Tip Diameter (mm) (RRL) Between center and edge 1mm from edge 7.9 7.9 12.2 14 15.3 3.6 51 42.3 28.3 8mm8mm turbo 13mm Power and Curing Mode There is only one power and curing mode in the U.S. Outside the U.S., there is also a step curing mode. In the 10-minute cure test, there was only an 11% drop of power from the beginning to the end of the test. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) Tip Power 8mm turbo 13mm 758 542 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip Cure Time (seconds) Integral 11mm Demetron 10 20 40 24.8 28.4 31.8 25.6 29.2 30.8 ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Gingival Increment Hardness (Knoop) Tip Cure Time (seconds) Integral 10 10 20 40 31.5 41.2 41.9 11mm Demetron 31.5 27.7 32.3 35.4 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip Cure Time (seconds) Integral 11mm Demetron 10 20 40 31.5 43.2 48.4 23.5 25.7 30.8 Built-In Radiometer Merely place the tip over the aperture in the battery charger base and activate the light. The power will be indicated by the illumination of the blue lights on the right side of the base unit. The power output of 1,000mW/cm2 as confirmed using the LED Radiometer illuminates all five lights and corresponds with 100% power. However, the original FreeLight illuminates three lights of the built-in radiometer, indicating 60% power or 600mW/cm2 of power. But testing it on the LED Radiometer shows it produces only 400mW/cm2 of power. Therefore, the built-in radiometer is probably not as accurate as it could be. Changing the Bulb There is no bulb to change. Heat Generation °C Mode Tip Contact 20s Regular Regular 8mm Turbo 13mm 31.4 19.7 2mm away 20s 27.0 23.2 Does It Cure All Materials? No. Directions Plain paper booklet in three languages, with English on eight pages. All the functions are fully described. Has 10 black and white illustrations on different functions and maintenance items. There is an auxiliary sheet of materials from a variety of manufacturers, telling you which materials can and cannot be cured with this light. But the date of the list is November 2002, making it woefully outdated. BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the Elipar Freelight 2.) radii (3.9) SDI www.sdi.com.au 4b NEW Cost: $695.00 Includes: • Curing light wand • 3 replacement lens caps • Light shield • AC/DC wall adapter • Charger Base • 100 Barrier sleeves Warranty: 2 years ©2005 REALITY Publishing Co. Vol. 19 What if it needs repairs? Call SDI at 800-228-5166. If it is a warranty repair, a new light will be sent to the doctor and light needing repairs will be returned to SDI. This will likely be done through the dealer. If it is unclear if it is a warranty repair, SDI will arrange to pick up the light, evaluate it, and call the doctor with the results. If it is not a warranty repair, the doctor can pay $150 for any and all repairs. Is there a loaner program? Yes, if necessary. SDI will supply loaners directly to the doctor if needed. The Ratings 285 Curing Lights Impressive power Can convert to use with Demetron tips Tips End of top section—not a conventional type of tip. There are, however, adapters that screw onto the tip of the wand once the lens cap is removed. They allow you to use any Demetron tip. Won’t cure long enough for 8+ unit veneer case Using Demetron tips creates weird shape Base Unit/Battery Charger White wedge-shaped rectangle with a reasonably small footprint and elevation. The wand fits securely into a simple round recess in the front of the base unit. When the wand is placed in the base unit, a red LED will illuminate when the battery is charging. The light changes to green when the unit is fully charged. The aperture for the radiometer is located on the left side of the base unit. There is no power switch — the unit is always activated as long as it is plugged into an electrical outlet. The power cord enters the unit at the rear of the left side. Integral Tip 11mm Demetron Tip Size of base unit (including cords and the wand with the integral tip) Height 8.25in/21.0cm Width 3.5in/8.9cm Depth 6.0in/15.2cm Wand Cordless, white plastic, resembles a large electric toothbrush, weighing just 5.2oz/160.2g and measuring only 1.0in/2.6cm in diameter. Uses a conventional pencil grip with the trigger on the top. This trigger, which is a low profile, rubber-like purple disk located about halfway between the tip and the back end, requires moderate pressure to activate. There is not a beep when the light is activated nor is there a beep when it deactivates. Since it is not autoclavable, there are barrier sleeves. When we tested the power with the barrier in place, we found about a 16% decrease in power. Battery Lithium ion. Integral part of bottom section of wand. It did not run out of power for over two hours, but lost 16% of its power after one hour of use. From no charge, it should take slightly more than two hours to fully charge it. Fan None—uses heat sink technology. In the 10-minute cure test (which only really lasted for slightly less than five minutes), the handle became warm, but the tip section became downright hot and there was a burning-like odor. Timer None. Beeps once at 15 seconds and then every 10 seconds up to 65 seconds, with each 10-second interval adding a beep. Integral Tip Power loss % per location Tip The Ratings Diameter (mm) (RRL) 8mm Integral 11mm Demetron Between center and edge 1mm from edge 14 12 3 51 81 85 7.9 7.2 10.1 Power and Curing Mode There is only one power and curing mode — a quasi-ramp mode during the first five seconds of activation. In the 10-minute cure test, it overheated and shut off after about 5-6 minutes. At that point, it lost about 7% of its power. However, after it overheats once, it will no longer run for the aforementioned 5-6 minutes. It achieves full curing power after six seconds. Peak Power (mW/cm2) Tip Power Integral 11mm Demetron 842 575 Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip Cure Time (seconds) 10 20 40 286 11mm Demetron Tip Integral 11mm Demetron 30.1 34.1 35.0 27.0 29.0 34.3 ©2005 REALITY Publishing Co. Vol. 19 Curing Lights Does It Cure All Materials? No. Gingival Increment Hardness (Knoop) Tip Cure Time (seconds) 10 20 40 Integral 11mm Demetron 24.8 37.7 36.8 23.1 35.7 36.7 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip Cure Time (seconds) Integral 11mm Demetron 10 20 40 26.1 34.8 37.4 24.4 33.5 37.6 BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the Radii.) Heat Generation Changing the Bulb °C Tip Mode Contact 20s 2mm away 20s 32.6 15.8 15.9 18.4 9.7 9.2 Regular Standard Regular Demetron 8mm Turbo+ Regular Demetron 11mm Built-In Radiometer You merely place the tip over the aperture, activate the light, and between 1-5 blue LEDs will illuminate immediately above the aperture on the base unit, with five LEDs meaning full power. There is no bulb to change. Directions Plain paper, eight languages, annoying foldout design. All the functions are fully described, but there are no photos or illustrations. Correctly states that curing times will differ based on the material you are using. Also states that “Portable radiometers can give inaccurate and inconsistent results” and to use the built-in, light-based radiometer to indicate if the light is performing at full power. However, it does not indicate what type of radiometer was used to quantify its intensity. the Cure Spring Health (4.2) www.springhealthproducts.com Cost: $499.00 Includes: • Curing light • 1 lens wrench • 2 light shields • Curing sleeves (50) • 1 handpiece hanger Warranty: 1 year 3b NEW What if it needs repairs? Call customer service 1-800-800-1680 to see if problem can be fixed over the phone. If not, then manufacturer will issue a call tag so the light can be returned for repairs. Is there a loaner program? Not typically—only if repairs cannot be completed quickly. Least expensive Dual activation buttons No timer Small tip ©2005 REALITY Publishing Co. Vol. 19 The Ratings 287 Curing Lights Base Unit None. Wand is attached to an electrical cord that plugs directly into an outlet. Wand White plastic. Measures 7.5in/19.0cm in length and 0.8in/19.2mm in diameter (at its handle). Weighs 2.4oz/67.6g. Designed for a pen grasp, although there is a rubber-coated activation trigger on both the top and bottom of the wand. These dual buttons give you more options when it comes to hand positions. With the activation buttons being elevated, both are quite easy to find it (without looking) and require minimal pressure to activate. Other than the activation buttons, the unit has no other controls or settings. The cord is straight, easily cleaned, and very lightweight. Comes with a handpiece-like hanger, which attaches to your dental unit. Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Cure Time (seconds) 6 10 20 40 25.7 28.8 31.7 33.0 Gingival Increment Hardness (Knoop) Cure Time (seconds) KHN 6 10 20 40 27.4 28.4 38.1 40.2 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Battery None. Operates on AC power. Cure Time (seconds) KHN 6 10 20 40 28.8 28.8 36.9 39.4 Fan None. The light deactivates at about four minutes. At three minutes, it became very warm, bordering on hot, while at four minutes, it is hot. Heat Generation Timer None. It merely beeps (actually sounds like a chirping bird) every 2 seconds until you push the button to turn it off or it will deactivate automatically at 16 seconds, whichever comes first. In high power, the beeps are single, while in low power, they are double. The beeps, however, are not very loud. Tip End of wand — not a conventional type of tip. °C Mode High Power Low Power Tip Contact 20s 2mm away 20s Standard Standard 40.5 21.3 41.5 21.0 Does It Cure All Materials? No. Power loss % per location Diameter Diameter (mm) (per manufacturer) (RRL) 8mm 8.5 Between center and edge 1mm from edge 1 30 Power and Curing Modes There are two power levels—high and low. To cure at high, push the button once, while a double click (like a computer mouse) will get you to low power. We could not perform the 10-minute cure test—the light deactivates at about four minutes. After three minutes, there was a 7.5% drop of power from the beginning of the test. It achieved full curing power within three seconds of activation. Peak Power (mW/cm2) as measured on the LED radiometer 288 Tip Power High Power Low Power 1,105 619 The Ratings BisCover Tempglaze (Left side of each specimen was cured with the Optilux 501. Right side was cured with the Cure.) Built-In Radiometer None. Changing the Bulb There is no bulb to change. Directions Cardboard booklet that is easy to read and understand with a few line drawings. However, it states that dentists should run their own hardness tests with a sharp instrument to make sure the unit ©2005 REALITY Publishing Co. Vol. 19 Curing Lights will cure a specific material. While this type of quick test will certainly tell you whether the light has any effect on a material, it will not discriminate between degrees of cure. We think these types of tests can give you false and misleading information—don’t rely on them. In addition, low power is recommended for step curing, but even this lower power level (619mW/cm2) is too high for step curing. PACS Sapphire 1 Den-Mat (3.6) www.denmat.com Cost: $3,795.00 Includes: • 9mm tip Optional and replacement tips: • 4mm: $85.00 • 9mm: $85.00 • 12mm: $85.00 Warranty: 1 year SAMPLING What if it needs repairs? Contact Den-Mat at 800-433-6628. Is there a loaner program? Yes. Replacement bulb Cost: $695.00 Bulb life: 1,000 hours Best timer Cures all materials Difficult placing wand in holder Very expensive Base Unit Two-tone beige aluminum in a contemporary vertical design with a sensually curvaceous front panel. The top has the recessed carrying handle, which is a cutout framed and lined with the same plastic material as the front panel of the base unit. The aforementioned front panel is the eye-catcher, with the soft-touch control panel dominating the upper third, while the fiber-optic cord of the gun inserts in the bottom third. The control panel consists of two LED readouts at the top, with the timer preset buttons, mode selection buttons and an auxiliary start button on the bottom. The readouts indicate what curing interval you are using. See Timer for details. The cream-colored plastic gun holder mounts on the upper right section of the right panel. Docking and retrieving the gun is not difficult, but it is not as unobstructive as other lights. The rear of the unit has the power cord, fuses, fan grids, and a power switch. The cord, made out of fiber optic bundles surrounded by metal mono-coil and a black PVC jacket for protection, is thinner and somewhat more flexible than the typically stiff, fluid-filled, fiber optic type, common to plasma arc lights. ©2005 REALITY Publishing Co. Vol. 19 Size of base unit (including cords and the gun with a tip inserted) Height 10.5in/26.7cm Width 6.25in/15.9cm Depth 17.0in/43.2cm Gun Thin and lightweight (it does not contain the fan or bulb) with a button by your thumb to start the timer. While this is not a difficult movement (activating the light with your thumb), it is not quite as instinctive as activating a conventional trigger with your index finger. In addition, there are plastic extensions on the left and right of the button, presumably placed to prevent accidental activation of the light and to stabilize the light in the holder. However, these projections are more of a nuisance and interfere with docking the gun in the holder. Above this button is an LED display that shows the curing interval you have chosen in seconds. Immediately above the display is a small blue timer select button, which conveniently allows you to change the curing interval without going back to the base unit. The display and button on the top of gun makes it completely ambidextrous. Weighs 5.3oz/150.3g. The Ratings 289 Curing Lights Fan Activates along with activation of the light and deactivates as soon as the curing interval is completed. It is moderately noisy, but being in the back of the base unit, will not blow hot air in the vicinity of the patient, your assistant, or you. Timer The best of all for plasma arcs. There are four single touch presets numbered 1-4 that correlate with curing intervals of 3, 5, 7, and 9 seconds in the Standard cure mode. This mode is selected by activating the soft touch button labeled Standard, which is directly to the right of the four presets. When this mode is selected, the LED display on the control panel will show SC under Program and the curing interval under Seconds. The other mode selection button, Optional, which is to the right of the Standard button, gives you access to two other programs: Automatic Cycling and Custom. When one of these presets is selected, the Program LED will readout AC or CC respectively. To go from one mode to another, you merely push the Optional button. Automatic Cycling You would typically select this mode for multiple restorations or to cure different sections of a single restoration that is larger than the diameter of your curing tip. The four preset timers are (1) continuous cycles of 5 seconds, (2) Bleaching (60 seconds), (3) 3 cycles of 3 seconds, and (4) 3 cycles of 5 seconds. For each of these selections, the number of cycles appears in the Program display, while the time of each cycle appears in the Seconds display. Custom Allows the timers to be adjusted by you. Each time one of the preset buttons is pressed, one second is added to the timer in the specific range for each button, and this will stay constant until the setting is changed. The ranges for each preset button are (1) 1-10 seconds, (2) 1-10 seconds, (3) 5-15 seconds, and (4) 515 seconds. Tips Mostly glass, with metal hubs. Power loss % per location Diameter (per manufacturer) Diameter (mm) (RRL) Between center and edge 8mm 9mm 12mm 7.9 8.7 12.0 14 7 22 1mm from edge 51 23 64 Power In the 2.5-minute cure test, there was only an 11% drop of power from the beginning to the end of the test. It achieved full curing power within one second of activation. Bond Strength to Dentin Using OptiBond Solo plus and TPH Spectrum A2 (MPa) Tip size Cure Time (seconds) 5 10 9mm 12mm 20.4 26.2 18.3 20.5 Gingival Increment Hardness (Knoop) Tip size Cure Time (seconds) 5 10 9mm 12mm 21.6 32.4 21.4 25.6 Hardness (Knoop) at 2mm Using TPH Spectrum A2 Tip size Cure Time (seconds) 5 10 9mm 12mm 20.6 22.2 9.3 21.0 Heat Generation °C Mode AC AC Tip Contact 10s 2mm 10s 9mm 12mm 52.0 34.8 65.2 46.3 Does It Cure All Materials? Yes. Built-In Radiometer Digital display. Will fit any size of tips from 7mm and larger. Operated by placing the tip over the aperture and activating the light. The reading will appear after a delay of a few seconds. When we tested the curing output of the light on this built-in meter and the LED Radiometer, we found the built-in readings to be almost 100% higher. Changing the Bulb Using thumbscrews, open the door on the bottom of the unit, grasp lamp and pull towards you to remove from lightsource and then unscrew the lamp pins to release the lamp. In order to replace, position new lamp until it rests securely on the lamp pins and tighten. Directions 14-page plain paper booklet with six illustrations. Easy to understand and follow. Peak Power (mW/cm2) 290 Tip size Power 9mm 12mm 1,142 794 The Ratings ©2005 REALITY Publishing Co. Vol. 19 Curing Lights REALITY HALOGEN The Optilux 501 continues to be the standard against which all other curing lights are compared and has been our Product of the Year for 2001 and 2002. It has an incredible number of bells and whistles that allow you to customize it to your needs. While several other lights can now match the 501 in the various performance categories, its track record, the best selection of tips (a major advantage), a legacy of durability, an aseptic and convenient timer, and a digital light meter still make it hard to beat. But it’s not perfect. Having a timer in the gun, for example, would be nice. And the tips lose a considerable amount of power at their edges. Furthermore, it is the most expensive halogen in our group (except for the Swiss Master). In addition, the 8mm Turbo tip gets quite hot. Nevertheless, the 501 is like an old reliable friend that keeps you from getting into trouble and is always there when needed. If you want the biggest, meanest, most intimidating curing light for intergalactic warfare, the Swiss Master is for you. With an utterly awesome 340 watt bulb supplying the photon power, it is not for the meek among us. The main concept behind this light is power for fast curing. That’s the reason for the powerful bulb, which requires another unique aspect about this light—it’s water cooled to dissipate the heat more effectively than a fan. The water resides in a blue translucent reservoir at the rear of the unit. Once filled, the reservoir only needs to be changed twice a year. Performance-wise, this light delivers in a big way. Its bond strength and hardness values at four seconds basically equal the 10-second performance of most other lights, while its 10-second performance values equals 40 seconds of other lights. However, all this performance comes at a very high cost and the gun weighs twice as much as most other products in this category. In addition, the heat generated at the tip will cause a painful response from patients after only four seconds of curing. This heat generation was confirmed by our tests. One possible solution to the heat problem is to store the disposable plastic tips in the freezer and remove them one at a time right before you are ready to use them. Our initial tests show that, as long as you wipe the condensation off the tips, power does not suffer and the heat from the tips can be decreased by ©2005 REALITY Publishing Co. Vol. 19 as much as 50%. Nevertheless, we cannot recommend this exercise until we have more data, but the promise that cold tips will allow the use of this light for 10-second cures, which produce very high performance values, is very exciting. We do, however, recommend the plastic tips, which outperformed the glass tip. The Coltolux 75 ColorTalk is one of the most unique lights on the market. With its voice alerts in one of five languages, it relieves you of the chore of keeping track of the beeps and even eliminates the need to set any type of timer. Its solidly-built, sleek, simple elegant design is also enhanced by the choice of five different colors of translucent top sections. Besides the glitzy factors, however, is a powerful light that is comfortable to hold and features a more than adequate selection of tips. It is also the second least expensive halogen, making it an exceptional value. On the other hand, it lacks a radiometer and changing the bulb requires a screwdriver. If all you want to do is take a light out of the box, plug it in, turn it on, and hit the trigger, the Demetron LC is it. It has no timer, no modes, not even a radiometer. You get a rectangular low tech base unit, a gun and ambidextrous cradle, a tip, very good power, and performance that rival its more glamorous sibling. And you actually get all this for the lowest cost in this subcategory. However, the fan is very noisy, blows air in your face, and stays on for at least two annoying minutes even if you only cure for 10 seconds. And since there is no automatic cutoff (at least for 10 minutes), you really have to count the beeps to make sure you are curing for your desired time. This necessity is the biggest nuisance, since losing track of the beeps is a very real possibility. The Spectrum 800 features a gun with an ambidextrous digital timer and radiometer display, has decent power and good selection of tips (second best after the Optilux offerings), and gives you the ability to create your own variable intensity protocol (although we don’t think you will use it much). The trigger, though, is somewhat difficult to activate and the cradle for the gun has uncomfortable sharp edges. The Elipar 2500 is a basic model with no timer or radiometer, but has adequate power. However, it suffers from the same limitations as the Demetron LC with The Ratings 291 Curing Lights a price tag that is substantially higher. Nevertheless, if you want a reliable light that has a track record and doesn’t try to confuse you with unnecessary options, this could be it. LED (LIGHT EMITTING DIODE) The L.E.Demetron 1, our Product of the Year for 2004, has simple operation, plenty of power, easily changed and recharged batteries, good battery life, portability, and ambidextrous timer. In addition, all Demetron tips can be used with it. However, there are items that can be improved. Its long handle would be more ergonomic if it was shorter and its weight could be reduced (it’s the second heaviest in this category). The timer button could be easier to reach, the gun stand is not particularly impressive, and it doesn’t remember your time setting when you activate it from the sleep mode, which the light enters after a more realistic four minutes (it had been two minutes). It still cannot cure all materials and our tests show its 10-second cure recommendation may not optimize the performance of restorations. As with most other lights, either 20 or 40 seconds per increment is a more effective curing interval. Nevertheless, the confidence in curing this light instills largely overshadows its weak areas. This product has to be at the top of your LED list. The bluephase has a small, relatively light gun, interchangeable tips, convenient digital timer, more than adequate power (the turbo tip scored the highest of any light in this category), good battery life, and the flexibility to be used cordless or corded. The latter benefit is very important since there is no spare battery that can easily be switched with one that is out of its charge. If you do run out of battery power, you can merely install the power pack and continue to use the light. However, when the power pack is installed on the gun, the cord itself interferes with docking the gun back into the base unit. With this scenario, you will just have to lay the gun on the countertop, which is not a great option since it could easily be knocked off onto the floor. The radiometer is also suspect—we do not advise depending on it to assess the condition of the gun. When it goes to sleep, it will remember its setting when it is reactivated, but you must depress the trigger once to wake it up and then another time to activate its curing mechanism. We found ourselves forgetting 292 The Ratings to press the trigger twice until it was obvious that the light was not activated. There were even times when the trigger needed to be pressed three times to activate the light. It will also not cure all materials. Additionally, we are concerned about the fan deactivating as soon as the gun is placed in the base unit. This could lead to overheating, which could damage the gun. On the other hand, it did pass our 10-minute cure test, which means it can be used to lute large cases, where multiple units may be seated simultaneously. Although it has weak areas, for sure, the bluephase is, nonetheless, one of the best curing lights on the market. The Allegro has very good power from its regular tips, which amazingly did not lose any power going from the center of the tips to the outer edge and, in fact, gained power. It does not, however, cure all materials. From a convenience aspect, it has a very good, ambidextrous timer that maintains the curing time you just used in case you forgot how long you cured. The activation button is on the top and operates with only slight pressure, but thumb activation instead of an index finger movement when the trigger is on the inside of the gun may not be favored by some clinicians. Nevertheless, the most striking design feature is the battery doubling as a “foot”, allowing it to stand on its own without the need for a gun stand. However, this “foot” can at times get in the way of accessing certain parts of the mouth, such as the mandibular anterior teeth. In this case, we found the “foot” can contact the patient’s chest, necessitating the rotation of the handle and tip, which is a nuisance. One evaluator considered it awkward, while another one praised its balance despite the fact that it is the heaviest in this group. The fan is very quiet, but its cooling effectiveness is not very good, as it became downright hot to hold in our 10-minute test. On the other hand, changing and charging the batteries is very easy. Despite its curing effectiveness, the clear acrylic tip did not win any fans due to its emitting light all along its length and not being autoclavable. The black plastic sleeves that fit over the plastic tips can solve the lateral light emission problem, but removing them for disinfection and then reinstalling them was a hassle. Fortunately, the black glass tip solves that problem. It is, however, the most expensive LED in this group. The Smartlite iQ is Dentsply/Caulk’s second attempt at the LED curing light market. Although its initial offering, the NRG, was not a bad product from a per- ©2005 REALITY Publishing Co. Vol. 19 Curing Lights formance perspective, its construction was presumably not robust enough, causing its recall. Fortunately, the Smartlite iQ is a better light in virtually all respects compared to the NRG. It has a small, relatively light gun (weighs less than others with this design), interchangeable tips, convenient digital timer, adequate power, excellent battery life (by far the best of all lights), the quickest recharging time by far, and portability. When it goes to sleep, it will remember its setting when it is reactivated. It is also easy to store and clean, especially the latter, since it has no vent openings due to lack of a fan. However, the trigger on the gun is somewhat difficult to activate, even operators with large hands cannot reach the controls to change the curing time interval from the position most convenient to activate the light, the LCD display is rather small and not easily read, and the lack of a fan causes it to overheat relatively quickly and cut off after about three minutes of curing. This overheating issue made it fail our 10minute cure test and eliminates its use when seating six or more bonded restorations at one time. In addition, if you forget to put the gun back on the base unit, you are out of luck until it recharges. Guns with removable batteries don’t suffer from this fate, since you would typically have another fully charged battery ready to go. On the other hand, it will probably never run out of battery power unless you left it off the recharger for an extended period. And, like most other LEDs, it will not cure certain materials whose initiator falls outside its peak wavelength range of 450-470nm. If you are looking for a lightweight and cordless LED with interchangeable tips and don’t plan on using it for extensive restorative cases, this product will perform well. With its extremely long battery life, it could be the product of choice for ambulatory dentistry. The Ultra-Lume LED 5 is the only LED we have tested with the ability to cure all materials. The basic corded design will please some clinicians who don’t want to be concerned about recharging batteries, while others will still prefer the freedom that cordless units offer. It also has an ambidextrous timer and the “tacking mode” adds great convenience to this light when seating indirect restorations. In addition, power and performance are very good. However, the design of the tip of the wand still leaves a lot to be desired. It is difficult to position it properly over a restoration. And with the metal collimator in the tip, our mapping shows there is only a very small central area on which you can rely to properly cure a restoration. If you don’t center the tip ©2005 REALITY Publishing Co. Vol. 19 directly over the restoration, you could inadvertently leave significant sections undercured. It also produced the most heat of any LED. Nevertheless, if you want an LED that will cure all the materials on the market (we obviously did not test all of them, but a good cross-section), then this is it. The Elipar FreeLight 2 is the second generation of the original long, sinewy shaped LED. The main difference between this version and its predecessor is power—this one is much higher. It also now has a larger tip that, even though the manufacturer has discouraged its use for general restorative dentistry— it’s supposed to be just for sealants—our tests show it will perform adequately. In addition, at least one evaluator felt it is too big and awkward to use, while another one felt more comfortable using a palm grasp and activating it with his thumb. And it has the shortest cure time per battery charge and is tied for the longest recharging time. Nevertheless, if you like the wand design, don’t mind the rather large size, want a cordless version, and require a timer, then this is your product of choice, assuming, of course, the price, second highest among the LEDs, doesn’t scare you away. Radii has an innovative design and economical price. The option of using Demetron tips definitely expands its utility, but the downside to this conversion is the strange look and awkward feel of the light. Unfortunately, the integral tip is really only about 7.2mm and due to the design of the tip, it is difficult to tell whether this active part of the tip is positioned properly over the restoration. This could result in sections of your restorations not being cured properly. And, due to its cutting off at the 5-6 minute mark (failsafe mechanism due to lack of a fan), this is not the light to use when seating a full set of veneers. In addition, it does not cure all materials. Furthermore, activation requires moderate pressure and counting the beeps is bothersome—it needs a timer. It can stand vertically out of its recharging stand or you can lay it down horizontally on the cabinet top—its nose section will keep it from rolling off. Therefore, unless you are willing to tolerate the somewhat weird look and feel of using a Radii with a Demetron tip installed, it would be much better utilized for more conservative restorative procedures, pediatric procedures, and orthodontic situations. On the other hand, it does pack plenty of power and doesn’t have to be recharged for at least one hour of curing, although it is tied for the longest recharging time. The Ratings 293 Curing Lights If you want simple, lightweight (the lightest in this category), and small, and you don’t mind that it looks like a toy, the Cure is for you. The only decision it asks you to make is whether you want to cure at high or low power. And we don’t even believe you need to think about that decision—you should just use high power. Due to its slim design—its head and neck area measure only 14.7mm in diameter, which is not much more than a conventional handpiece—you will never have to worry about intraoral access, especially on the lingual when the patient has a narrow mandibular arch. And its power is quite exceptional (second highest in this category). However, it suffers from not having a timer (those “chirps” have to go), its small tip means overlapping cures, which is a nuisance, it will not cure all materials, it’s not cordless, and it did not pass the 10-minute cure test. Nevertheless, it has by far the least expensive price in this category. PLASMA ARC The Sapphire continues to be the only plasma arc in this category this year. This is due to the fact that plasma arc lights in general have been largely replaced by high-powered halogens if speed is your highest priority. This is especially true when the Swiss Master is considered. Therefore, this entire category may be headed to the dental museum in the not too distant future. Nevertheless, the Sapphire is a capable light, especially with its 9mm tip — the power from the 12mm tip is substantially lower. It seems to be able to cure all materials (this is a risky statement, but it did cure a wide range of different types of materials), its featureladen control panel gives you a dizzying selection of options, its reasonably small footprint doesn’t eat up valuable countertop real estate, and there is a decent selection of tips. With its gun design (as opposed to the wand of other similar units), it is also easier to handle. And there is a unique whitening crystal optional tip, should you choose to use it for bleaching. On the other hand, its gun holder is not particularly user-friendly and it is, by far, the most expensive light in this category. OTHER PRODUCTS IN THIS CATEGORY HALOGEN Lunar Benlioglu/First Medica Astralis 7 Ivoclar Vivadent Polofil Voco Astralis 10 Ivoclar vivadent Translux CL Heraeus Kulzer Hilux 250TA Benlioglu/First Medica Translux EC Heraeus Kulzer Hilux 600 Benlioglu/First Medica Translux Energy Heraeus Kulzer Hilux 601 Benlioglu/First Medica VIP Bisco Jetlite 4000 J. Morita USA VIP Junior Bisco Litex 692 Dentamerica 294 The Ratings HALOGEN CORDLESS LIGHTS ARGON LASERS AND PLASMA ARCS ProLite Dentsply/Caulk AccuCure Elite LaserMed LED AccurCure OrthoPlus LaserMed Coltolux LED Coltene/Whaledent FLASH-lite 1401 Discus Ultra-Lume LED 2 Ultradent ARC Light IIM Air Techniques DiamondPlasma DRM Research Laboratories Power PAC AMT Uni-LED Advance Technology ©2005 REALITY Publishing Co. Vol. 19