Long-term quality management of third-generation LED light-curing units
A 10-year retrospective analysis
DOI:
https://doi.org/10.61872/sdj-2026-01-04PMID:
41808483Keywords:
Light-curing unit, Radiometer, Polymerization, Resin-based composite, Quality management, Dental officesAbstract
The radiant exposure of light-curing units (LCU) is the most important parameter in resin-based composite polymerization. Ensuring the quality management of light-curing procedures in dental offices is thus vital. Therefore, this report retrospectively evaluated the performance, frequency, and reasons for service removal of all third-generation LED light-curing units used in one healthcare center over 10 years. The tip irradiance of LCUs (Bluephase G2, Ivoclar Vivadent) was monitored with a dental radiometer (Bluephase Meter, Ivoclar Vivadent) at 1–2-month intervals, regardless of the duration of use. Additional measurements were conducted after special incidents (e.g., accidental dropping). Measurements were documented in the dental practice management software. The date and reasons for additional measurements or removal were also recorded. In two-thirds of incidents, the LCU was accidentally dropped, and in approximately half of these cases, the LCU had to be replaced. The mean of all 554 irradiance measurements over 10 years was (1,375 ± 68) mW/cm2, higher than the value specified by the LCU manufacturer. Even for LCUs with data available for the entire 10 years, no relevant loss of tip irradiance was detected. While this study was the first to demonstrate such performance stability of third-generation LED LCUs over 10 years, it should not lead to the complete abandonment of routine quality assurance procedures for this type of device due to unreported or unrecognized accidents.
References
1. Xu X, Sandras DA, Burgess JO. Shear bond strength with increasing light-guide distance from dentin. J Esthet Restor Dent. 2006;18(1):19–27.
2. Durner J, Obermaier J, Draenert M, Ilie N. Correlation of the degree of conversion with the amount of elutable substances in nano-hybrid dental composites. Dent Mater. 2012;28(11):1146–53.
3. Haenel T, Hausnerová B, Steinhaus J, Price RB, Sullivan B, Moeginger B. Effect of the irradiance distribution from light curing units on the local micro-hardness of the surface of dental resins. Dent Mater. 2015;31(2):93–104.
4. Price RB, Labrie D, Rueggeberg FA, Sullivan B, Kostylev I, Fahey J. Correlation between the beam profile from a curing light and the micro-hardness of four resins. Dent Mater. 2014;30(12):1345–57.
5. Janda R, Roulet JF, Latta M, Kaminsky M, Rüttermann S. Effect of exponential polymerization on color stability of resin-based filling materials. Dent Mater. 2007;23(6):696–704.
6. Usumez A, Ozturk N, Ozturk B. Two-year color changes of light-cured composites: influence of different light-curing units. Oper Dent. 2005;30(5):655–60.
7. Caughman WF, Caughman GB, Shiflett RA, Rueggeberg F, Schuster GS. Correlation of cytotoxicity, filler loading and curing time of dental composites. Biomaterials. 1991;12(8):737–40.
8. Lempel E, Szebeni D, Őri Z, Kiss T, Szalma J, Lovász BV, et al. The effect of high-irradiance rapid polymerization on degree of conversion, monomer elution, polymerization shrinkage and porosity of bulk-fill resin composites. Dent Mater. 2023;39(4):442–53.
9. Brambilla E, Gagliani M, Ionescu A, Fadini L, García-Godoy F. The influence of light-curing time on the bacterial colonization of resin composite surfaces. Dent Mater. 2009;25(9):1067–72.
10. Sabbagh J, Fahd JC, McConnell RJ. Post-operative sensitivity and posterior composite resin restorations: a review. Dental Update. 2018;45(3):207–13.
11. Nomoto R, Uchida K, Hirasawa T. Effect of light intensity on polymerization of light-cured composite resins. Dent Mater J. 1994;13(2):198–205.
12. Rueggeberg FA, Caughman WF, Curtis JW, Jr. Effect of light intensity and exposure duration on cure of resin composite. Oper Dent. 1994;19(1):26–32.
13. Leloup G, Holvoet PE, Bebelman S, Devaux J. Raman scattering determination of the depth of cure of light-activated composites: influence of different clinically relevant parameters. J Oral Rehabil. 2002;29(6):510–5.
14. Lindberg A, Peutzfeldt A, van Dijken JWV. Effect of power density of curing unit, exposure duration, and light guide distance on composite depth of cure. Clin Oral Investig. 2005;9(2):71–6.
15. Tongtaksin A, Leevailoj C. Battery Charge Affects the Stability of Light Intensity from Light-emitting Diode Light-curing Units. Oper Dent. 2017;42(5):497–504.
16. Al-Zain AO, Alshehri IM, Jamalellail HM, Price RB. Effect of Battery Discharge on the Output from Budget Light-Curing Units. Eur J Gen Dent. 2022.
17. Prochnow FHO, Kunz PVM, Correr GM, Kaizer MDR, Gonzaga CC. Relationship between battery level and irradiance of light-curing units and their effects on the hardness of a bulk-fill composite resin. Restor Dent Endod. 2022;47(4):e45.
18. Lim H-K, Keerthana S, Song S-Y, Li C, Shim JS, Ryu J-J. Effect of Light Irradiance and Curing Duration on Degree of Conversion of Dual-Cure Resin Core in Various Cavities with Different Depths and Diameters. Materials. 2024;17.
19. Mowafy OE. Effect of Dental Composite Increment Thickness on Hardening of Bulk-fil Resin Composite Restorative. Int J Clin Stud Med Case Rep. 2021.
20. Ferracane JL, Aday P, Matsumoto H, Marker VA. Relationship between shade and depth of cure for light-activated dental composite resins. Dent Mater. 1986;2(2):80–4.
21. Aguiar FHB, Lazzari CR, Lima D-A-N-L, Ambro-sano GMB, Lovadino JR. Effect of light curing tip distance and resin shade on microhardness of a hybrid resin composite. Braz Oral Res. 2005;19 4:302–6.
22. Price RB, Ferracane JL, Hickel R, Sullivan B. The light-curing unit: An essential piece of dental equipment. Int Dent J. 2020;70(6):407–17.
23. Musanje L, Darvell BW. Polymerization of resin composite restorative materials: exposure reciprocity. Dent Mater. 2003;19(6):531–41.
24. Ernst CP, Busemann I, Kern T. Feldtest zur Lichtemissionsleistung von Polymerisationsgeräten in zahnärztlichen Praxen. DZZ. 2006;61:466–71.
25. Martin FE. A survey of the efficiency of visible light curing units. J Dent. 1998;26(3):239–43.
26. Miyazaki M, Hattori T, Ichiishi Y, Kondo M, Onose H, Moore BK. Evaluation of curing units used in private dental offices. Oper Dent. 1998;23(2):50–4.
27. Pilo R, Oelgiesser D, Cardash HS. A survey of output intensity and potential for depth of cure among light-curing units in clinical use. J Dent. 1999;27(3):235–41.
28. Al Shaafi M, Maawadh A, Al Qahtani M. Evaluation of light intensity output of QTH and LED curing devices in various governmental health institutions. Oper Dent. 2011;36(4):356–61.
29. Altaie A, Hadis MA, Wilson V, German MJ, Nattress BR, Wood D, et al. An Evaluation of the Efficacy of LED Light Curing Units in Primary and Secondary Dental Settings in the United Kingdom. Oper Dent. 2021;46(3):271–82.
30. Bila B, Maucoski C, Price R, Sullivan B. Evaluation of 278 New Bluephase Style Light Curing Units Purchased Over Six Years. Eur J Prosthodont Restor Dent. 2024;32(2):168–74.
31. Roulet JF, Price R. Light curing - guidelines for practitioners - a consensus statement from the 2014 symposium on light curing in dentistry held at Dalhousie University, Halifax, Canada. J Adhes Dent. 2014;16(4):303–4.
32. Mitton BA, Wilson NH. The use and maintenance of visible light activating units in general practice. Br Dent J. 2001;191(2):82–6.
33. El-Mowafy O, El-Badrawy W, Lewis DW, Shokati B, Kermalli J, Soliman O, et al. Intensity of quartztungstenhalogen light-curing units used in private practice in Toronto. J Am Dent Assoc. 2005;136(6):766–73.
34. Santini A, Turner S. General dental practitioners' knowledge of polymerisation of resin-based composite restorations and light curing unit technology. Br Dent J. 2011;211(6):E13.
35. Al-Senan D, Ageel F, Aldosari A, Maktabi H. Knowledge and Attitude of Dental Clinicians towards Light-Curing Units: A Cross-Sectional Study. Int J Dent. 2021;2021:5578274.
36. Leonard DL, Charlton DG, Hilton TJ. Effect of curing-tip diameter on the accuracy of dental radiometers. Oper Dent. 1999;24(1):31–7.
37. Roberts HW, Vandewalle KS, Berzins DW, Charlton DG. Accuracy of LED and halogen radiometers using different light sources. J Esthet Restor Dent. 2006;18(4):214–22; discussion 23–4.
38. Owens BM, Rodriguez KH. Radiometric and spectrophotometric analysis of third generation light-emitting diode (LED) light-curing units. J Contemp Dent Pract. 2007;8(2):43–51.
39. Busemann I, Schattenberg A, Willershausen B, Ernst C-PH. Genauigkeit von Hand–Radiometer–Messungen bei der Bestimmung der Emissionsleistung von Lichtpolymerisations–Geräten. ZWR. 2008.
40. Price RB, Labrie D, Kazmi S, Fahey J, Felix CM. Intra- and inter-brand accuracy of four dental radiometers. Clin Oral Invest. 2012;16(3):707–17.
41. Kameyama A, Haruyama A, Asami M, Takahashi T. Effect of emitted wavelength and light guide type on irradiance discrepancies in hand-held dental curing radiometers. Sci World J. 2013;2013:647941.
42. Marović D, Matić S, Kelić K, Klarić E, Rakić M, Tarle Z. Time dependent accuracy of dental radiometers. Acta Clin Croat. 2013;52(2):173–80.
43. Michaud PL, Price RB, Labrie D, Rueggeberg FA, Sullivan B. Localised irradiance distribution found in dental light curing units. J Dent. 2014;42(2):129–39.
44. Shortall AC, Felix CJ, Watts DC. Robust spectrometer-based methods for characterizing radiant exitance of dental LED light curing units. Dent Mater. 2015;31(4):339–50.
45. Shimokawa CA, Harlow JE, Turbino ML, Price RB. Ability of four dental radiometers to measure the light output from nine curing lights. J Dent. 2016;54:48–55.
46. Giannini M, André CB, Gobbo VC, Rueggeberg FA. Accuracy of Irradiance and Power of Light-Curing Units Measured With Handheld or Laboratory Grade Radiometers. Braz Dent J. 2019;30(4):397–403.
47. Shortall AC, Hadis MA, Palin WM. On the inaccuracies of dental radiometers. PLoS One. 2021;16(1):e0245830.
48. Maucoski C, Price RB, Arrais CA, Sullivan B. Power output from 12 brands of contemporary LED light-curing units measured using 2 brands of radiometers. PLoS One. 2022;17(7):e0267359.
49. Maucoski C, Price RB, Arrais CAG. Irradiance from 12 LED light curing units measured using 5 brands of dental radiometers. J Esthet Restor Dent. 2023;35(6):968–79.
50. Maghaireh GA, Alzraikat H, Taha NA. Assessing the irradiance delivered from light-curing units in private dental offices in Jordan. J Am Dent Assoc. 2013;144(8):922–7.
51. Hao X-q, Luo M, Wu J, Zhu S. A survey of power density of light-curing units used in private dental offices in Changchun City, China. Laser Med Sci. 2015;30:493–7.
52. Milly H, Banerjee A. Evaluating the Clinical Use of Light-emitting Diode vs Halogen Photocuring Units. Oral Health Prev Dent. 2018;16(1):21–5.
53. Scott BA, Felix CA, Price RB. Effect of disposable infection control barriers on light output from dental curing lights. J Can Dent Assoc. 2004;70(2):105–10.
54. Soares CJ, Braga SSL, Ribeiro MTH, Price RB. Effect of infection control barriers on the light output from a multi-peak light curing unit. J Dent. 2020;103:103503
55. Rueggeberg FA, Caughman WF, Comer RW. The effect of autoclaving on energy transmission through light-curing tips. J Am Dent Assoc. 1996;127(8):1183–7
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Copyright (c) 2026 Dr. Christian Klein, M.Sc., Silke Dengel, Prof. Dr. Christian Meller, Dr. Christina Meller, M.Sc.

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