In vitro pulp chamber temperature rise from irradiation and exotherm of flowable composites

International Journal of Paediatric Dentistry 2009; 19: 48-54 Objective. The aim of this study was to investigate the pulpal temperature rise induced during the polymerization of flowable and non-flowable composites using light-emitting diode (LED) and halogen (quartz-tungsten-halogen) light-curing units (LCUs). Methods. Five flowable and three non-flowable composites were examined. Pulpal temperature changes were recorded over 10 min in a sample primary tooth by a thermocouple. A conventional quartz-tungsten-halogen source and two LEDs, one of which was programmable, were used for light curing the resin composites. Three repetitions per material were made for each LCU. Results. There was a wide range of temperature rises among the materials (P < 0.05). Temperature rises ranged between 1.3 °C for Filtek Supreme irradiated by low-power LED and 4.5 °C for Grandio Flow irradiated by high-power LED. The highest temperature rises were observed with both the LED high-power and soft-start LCUs. The time to reach the exothermic peak varied significantly between the materials (P < 0.05). Conclusions. Pulpal temperature rise is related to both the radiant energy output from LCUs and the polymerization exotherm of resin composites. A greater potential risk for heat-induced pulp damage might be associated with high-power LED sources. Flowable composites exhibited higher temperature rises than non-flowable materials, because of higher resin contents.