UNIVERSIDADE ESTADUAL PAULISTA
JÚLIO DE MESQUITA FILHO”
Instituto de Ciência e Tecnologia
Campus de São José dos Campos
ORIGINAL ARTICLE DOI: https://doi.org/10.4322/bds.2025.e4750
1
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
This is an Open Access article distributed under the terms of the Creative Commons Attribution license (https://creativecommons.org/licenses/by/4.0/), which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Multi-peak light sources can improve the physical and mechanical
properties of a zirconia- and diatomite-based dental resin: an in
vitro study
Fontes de luz de múltiplos picos podem melhorar as propriedades físicas e mecânicas de uma resina odontológica à base de
zircônia e diatomita: um estudo in vitro
Jucivaldo Martins GONÇALVES1 , Thalles Arievo Mota SALES1 , Cauã Santiago FIGUEIREDO2 , Rafael Pinto de MENDONÇA2 ,
Jefferson Pires da SILVA JÚNIOR2 , Tânia Mara da SILVA3 , Sérgio Eduardo de Paiva GONÇALVES2 , Hércules Bezerra DIAS4
1 - Universidade Federal do Pará, Instituto de Ciências da Saúde, Faculdade de Odontologia. Belém, PA, Brazil.
2 - Universidade Estadual Paulista “Júlio de Mesquita Filho”, Instituto de Ciência e Tecnologia de São José dos Campos, Departamento de
Odontologia Restauradora. São José dos Campos, SP, Brazil.
3 - Universidade de Taubaté, Departamento de Odontologia. Taubaté, SP, Brazil.
4 - Universidade Federal do Pará, Instituto de Ciências da Saúde, Faculdade de Odontologia. Belém, PA, Brazil.
How to cite: Gonçalves JM, Sales TAM, Figueiredo CS, Mendonça RP, Silva Júnior JP, Silva TM, et al. Multi-peak light sources can
improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study. Braz Dent Sci.
2025;28(2):e4750. https://doi.org/10.4322/bds.2025.e4750
ABSTRACT
Objective: This study aimed to evaluate the physicomechanical properties of three resin composites—Zirconll
(Maquira), Applic (Maquira), and Opallis (FGM)—photoactivated with single-peak (Demi Plus; Kerr) and multi-
peak (Valo Cordless Grand; Ultradent; Bluephase N G4; Ivoclar Vivadent) light-curing units. The resins differed in
ller composition: Applic contains micronized barium-alumino-silicate glass and nanometric silica; Opallis includes
silanized barium-alumino-silicate glass and silicon dioxide nanoparticles; and Zirconll incorporates diatomite,
silica, and zirconium mixed oxide. Material and Methods: A total of 270 specimens were prepared to evaluate
the degree of conversion (DC), exural strength (FS), elastic modulus (ME), water sorption (SOR), and solubility
(SOL). Morphological and compositional characterization was performed using scanning electron microscopy (SEM)
and energy-dispersive spectroscopy (EDS). Data were analyzed using two-way ANOVA followed by Tukey’s post
hoc test (5%), after verication of normality (Shapiro-Wilk test). Results: Zirconll, when photoactivated with
the Bluephase unit, exhibited the highest FS and ME values and the lowest SOR and SOL rates, highlighting the
potential of innovative llers to enhance restoration durability. Although Opallis showed high DC values across all
groups, its mechanical properties were inferior. Conclusion: It can be concluded that the resin composition and the
selection of a light-curing unit with a spectrum and power compatible with the composite’s photoinitiator system
are essential to optimize the clinical performance and longevity of resin-based restorations.
KEYWORDS
Composite resins; Curing lights dental; Dental materials; Flexural strength; FTIR.
Resumo
Objetivo: Este estudo teve como objetivo avaliar as propriedades físico-mecânicas de três resinas compostas —
Zirconll (Maquira), Applic (Maquira) e Opallis (FGM) — fotoativadas com unidades de luz de pico único (Demi
Plus; Kerr) e de múltiplos picos (Valo Cordless Grand; Ultradent; Bluephase N G4; Ivoclar Vivadent). As resinas
diferem na composição das cargas: Applic contém vidro de bário-alumino-silicato micronizado e sílica nanométrica;
Opallis, vidro de bário-alumino-silicato silanizado e nanopartículas de dióxido de silício; e Zirconll, diatomita, sílica
e óxido misto de zircônio. Material e Métodos: Foram preparados 270 espécimes para avaliar grau de conversão
(DC), resistência à exão (FS), módulo de elasticidade (ME), sorção (SOR) e solubilidade (SOL). A caracterização
2
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
morfológica e composicional foi realizada por microscopia eletrônica de varredura (MEV) e espectroscopia por
dispersão de energia (EDS). Os dados foram analisados por ANOVA de dois fatores e teste de Tukey (5%), após
vericação da normalidade (Shapiro-Wilk). Resultados: A resina Zirconll, fotoativada com Bluephase, apresentou
os melhores resultados em FS, ME e os menores índices de SOR e SOL, evidenciando o potencial de cargas inovadoras
para aumentar a durabilidade restauradora. Embora a Opallis tenha mostrado altos valores de DC, suas propriedades
mecânicas foram inferiores. Conclusão: Conclui-se que a composição da resina e a escolha de uma unidade de
fotoativação com espectro e potência compatíveis com o sistema fotoiniciador do compósito são essenciais para
otimizar o desempenho clínico e a longevidade das restaurações.
PALAVRAS-CHAVE
Resinas compostas; Lâmpadas de polimerização dentária; Materiais dentários; Resistência à exão; FTIR.
INTRODUCTION
Dental caries remains a global public health
issue, especially in low- and middle-income
countries, due to biological, behavioral, and
socioeconomic factors, as well as limited access
to dental services [1,2]. Secondary caries,
which occur around existing restorations, can
complicate treatment and increase costs for both
patients and health systems [3,4]. Therefore, the
longevity of restorations depends on the quality
of the restorative materials and the training of
dental professionals [3-5].
The strength of resin composites is directly
associated with the composition of their
llers and the type of light-curing unit (LCU)
employed [6-9]. To improve their mechanical
properties, particles such as diatomite and zirconia
have been incorporated into certain formulations
[10-14]. Diatomite is a porous silicate derived
from diatomaceous algae, characterized by
high porosity, large surface area, low density,
and good thermal stability [10-12]. Its lower
cost compared to other ller particles makes it
an economically viable alternative for dental
composites. Additionally, its porous structure
facilitates monomer penetration and interlocking
with the polymer matrix, contributing to a higher
degree of conversion and enhanced chemical
stability [10-12].
The incorporation of diatomite into dental
composites was rst reported around 2011 in
studies conducted by Wang et al. [12]; however,
these investigations primarily focused on the
effect of porous diatomite on ller content and
fracture morphology of resin-based composites,
rather than on evaluating their chemical and
mechanical properties. Despite its advantages,
diatomite presents some limitations. The most
notable is that its highly porous structure,
although beneficial for monomer infiltration,
may reduce the mobility of the surrounding
polymer network, thereby limiting the degree
of conversion under certain conditions [10-12].
Zirconia, in contrast, is a widely used ller
particle in dentistry due to its high mechanical
strength, exural resistance, surface hardness,
and thermal stability [13,14]. Its inclusion
in composites significantly contributes to
the structural reinforcement of the material,
enhancing resistance to wear and fracture [13,14].
However, since zirconia lacks porosity, it does not
substantially contribute to chemical interlocking
with the polymer matrix, serving predominantly
as a physical reinforcement agent [13,14].
Furthermore, advancements in light-curing
units (LCUs) play a crucial role in the quality
of photopolymerization [6,15,16]. Single-
peak LCUs (445–480 nm) efficiently activate
camphorquinone but exhibit limitations in
polymerizing alternative photoinitiators such as
TPO, BAPO, MAPO, and Ivocerin, which may result
in a lower degree of conversion (DC). In contrast,
multi-peak LCUs (380–550 nm) provide a broader
emission spectrum, leading to a higher DC and
improvements in properties such as mechanical
strength, water sorption, and solubility [17-19].
The degree of conversion, which reflects the
extent of monomer conversion into polymer,
is essential for the mechanical performance
and biocompatibility of resin-based materials,
influencing fracture resistance, hardness, and
chemical stability. A low DC can accelerate
material degradation by increasing water uptake
and reducing the longevity of restorations [17-22].
In this context, the present study aimed to
evaluate the physicomechanical properties of three
resin composites containing different types of ller
particles, polymerized using both single-peak and
multi-peak LCUs. The evaluated properties included
degree of conversion, exural strength, modulus
3
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
of elasticity, water sorption, and solubility. The
experimental hypotheses tested were as follows:
(i) polymerization with multi-peak LCUs results
in a higher degree of conversion and superior
mechanical properties compared to single-peak
LCUs; and (ii) composites containing diatomite
exhibit lower water sorption and solubility values
compared to conventional composites.
MATERIALS AND METHODS
A total of 270 specimens were prepared
for this in vitro study. Of these, 90 were used
for the degree of conversion test, 90 for the
exural strength and elastic modulus test, and
90 for the sorption and solubility test (Figure 1).
Three commercially available resin composites
were evaluated, and for each combination of
composite and light-curing unit, 10 specimens
were fabricated (n = 10). The materials,
compositions and other relevant characteristics
are summarized in Table I. The specimens were
prepared in standardized 2 mm increments. Light
curing was performed using three different light-
curing units: Valo Cordless Grand (Ultradent;
1250 mW/cm2), Bluephase N G4 (Ivoclar
Vivadent; 1237 mW/cm2), and Demi Plus (Kerr;
1200 mW/cm2), each applied for 20 seconds.
Scanning electron microscopy and energy
dispersive spectroscopy
Surface and charge characterization were
performed using Scanning Electron Microscopy (SEM)
and Energy Dispersive Spectroscopy (EDS). Three
samples of each resin were prepared in 2 × 2 mm
dimensions using silicone molds. Each group was
Figure 1. Schematic representation of materials, equipment used, and experimental tests performed.
Table I - Resin composites used and their characteristics
RESINS COMPOSITION LOT
(APPLIC;
MAQUIRA)
(Maringá, Brasil)
Dimethacrylate groups,
catalysts, organic filler, silicon
dioxide, sodium fluoride,
ethanol, Carbopol, BHT and
iron oxide
266423
(OPALLIS; FGM)
(Joinville, Brasil)
Monomeric matrix containing
Bis (GMA), Bis (EMA), UDMA
and TEGDMA.
Inorganic Content: silanized
Barium-Alumino silicate
glass and silicon dioxide
nanoparticles, camphorquinone
as photoinitiator, accelerators,
stabilizers and pigments.
20921
(ZIRCONFILL;
MAQUIRA)
(Maringá, Brasil)
Bis – GMA, Bis-EMA, TEGDMA
and UDMA, Photoinitiator,
Diatomite, Silica, Mixed
Zirconia and Silica Oxide and
Pigments.
410623
4
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
light-cured for 20 seconds with the respective light-
curing units (LCUs) used in this study, maintaining
a 2 mm distance between the LCU tip and the
sample surface.
Samples were mounted on metal stubs, sputter-
coated with a ~10 nm layer of gold, and analyzed
using a scanning electron microscope (Tescan
Mira 3; Tescan Orsay Holding) operating at 15 kV.
Images were acquired at 200× magnication, with
resolution automatically adjusted by the Tescan
Essence™ software. No filters or brightness/
contrast modications were applied.
Additionally, one sample of each resin,
prepared with the same dimensions, was sputter-
coated with carbon and mounted on a stub for
elemental analysis using EDS, conducted on the
same microscope under identical operational
conditions. All images were analyzed under
controlled conditions (22 ± 1 °C; 50-60% humidity)
using Tescan Essence™ software for morphological
interpretation and elemental distribution.
Degree of conversion
A total of 90 specimens were prepared
and divided into nine groups. The specimens
were molded using Teflon molds (5 mm in
diameter × 2 mm in height), with a polyester
strip placed on a glass slide beneath the mold. The
mold was lled with resin, covered with another
polyester strip and a glass coverslip, and light
digital pressure was applied to the coverslip to
ensure a smooth surface [15,18,19].
Prior to photopolymerization, the uncured
specimens were analyzed by Fourier Transform
Infrared Spectroscopy (FTIR; Perkin Elmer)
in attenuated total reflectance (ATR) mode,
with a resolution of 4 cm−1 over a spectral
range of 650–4000 cm−1. The analysis monitored
the conversion of carbon–carbon double bonds
(1638 cm−1) into single bonds (1608 cm−1) [18].
Photopolymerization was then performed
while the specimens remained in contact with the
ATR crystal. The light-curing units (LCUs) were
pre-calibrated using a radiometer (RD-7; ECEL)
to ensure accurate light output. Table II presents
the light intensity, irradiation sequence, and the
specic photopolymerizer used in all tests.
The LED units were positioned 2 mm
above and perpendicular to the horizontal
platform containing the ATR crystal. A spectrum
collector (Spectrum; Perkin Elmer) was used
to automatically acquire spectra during the
polymerization process. The degree of conversion
(DC) was calculated using the following equation,
based on the ratio of absorbance bands before
and after light polymerization:
( )
()
()
1
1
1
1
(1638 )
(1608 )
% 1 1 0 0
1638
1608
cm
cured
cm
DC x
uncured
cm
cm





= 





(1)
Flexural strength and modulus of elasticity
Ten samples were prepared for each
group (n=90) using rectangular Teflon
molds (25×2×2 mm), in accordance with ISO
standards [23,24]. The resin was inserted in a
single increment, covered with a transparent
polyester strip and a glass coverslip, and light-
cured at three points (two at the top surface and
one at the bottom) for 20 seconds each. A scalpel
blade was used to remove surface irregularities
without damaging the samples.
Table II - LCU devices, power, energy density studied groups and number of tested specimens
Photopolymerizer Device power Energy density (J/cm2, 20 s) Resin groups Number of specimens
(Demi Plus; Kerr) 1200 mW/cm224 J/cm2
Applic-Demi (AD) 10
Applic-Bluephase (AB) 10
Applic-Valo (AV) 10
(Bluephase N G4;
Invoclar Vivadent) 1237 mW/cm224.74 J/mc2
Opallis-Demi (OD) 10
Opallis-Bluephase (OB) 10
Opallis-Valo (OV) 10
(Valo Cordless Grand;
Ultradent) 1250 mW/cm225 J/cm2
Zirconfill-Demi (ZD) 10
Zirconfill-Bluephase (ZB) 10
Zirconfiil-Valo (ZV) 10
5
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
The irradiance of each LCU was measured
using a radiometer (values in Table II). The
specimens were individually stored in Eppendorf
tubes containing distilled water and kept in
an oven at 37 °C for 24 hours prior to testing.
Mechanical properties were evaluated using a
three-point exural test performed on a universal
testing machine (EMIC DL-2000MF; Instron
Brazil) at a crosshead speed of 0.5 mm/min
with a 10 Kgf load cell. Flexural strength was
calculated based on the fracture load, and the
modulus of elasticity was derived from the load-
deection curves.
Sorption and solubility
To evaluate sorption and solubility, ten
specimens from each of the nine groups were
prepared (n=90) in accordance with ISO
4049:2019 [21,24]. The resin was inserted into
the mold in a single increment, covered with a
polyester strip and a glass coverslip, and light-
cured for 20 seconds on the upper surface. After
demolding, the bottom surface was polymerized
for the same duration. The irradiance of each LCU
was veried using a radiometer.
Sample thickness was measured with a
digital caliper (0.01 mm accuracy) to calculate
volume (mm3). The specimens were stored in
Eppendorf tubes inside a desiccator containing freshly
dried silica gel and weighed after 24 hours using
an analytical balance (XP204; Mettler Toledo,
0.00001 g accuracy). This cycle was repeated until
a constant mass (M1) was obtained. The specimens
were then immersed in 2 ml of distilled water at
37°C for 7 days. Every 24 hours, they were dried
with absorbent paper, weighed (M2 - sorption),
and returned to the water. After 28 days, they were
dried in the desiccator and weighed daily until
reaching a constant mass (M3 – solubility) [21,25].
Water sorption (SOR) and solubility (SOL) were
calculated using the following equations:
( )
23
MM
SOR
V
=
(2)
( )
13
MM
SOL
V
=
(3)
Experimental design
The experimental design followed a 3 × 3
factorial scheme, considering two independent
variables: the type of resin composite (Applic,
Zirconll, and Opallis) and the type of light-curing
unit (Demi Plus; Kerr, Valo Cordless Grand;
Ultradent, and Bluephase N G4; Ivoclar Vivadent),
resulting in nine experimental groups. The sample
size of 10 specimens per group was determined
based on previous studies in the literature that
employed similar experimental designs for
evaluating the physicomechanical properties
of resin composites [20-25]. These studies
demonstrated that this sample size is adequate
to detect statistically significant differences in
continuous variables when analyzed using two-
way ANOVA, as applied in the present study.
The Figure 1 summarizes the experiments
in a schematic representation of materials,
equipment used, and the tests performed.
Data analysis
After testing the data for normality using
the Shapiro–Wilk test, inferential analysis was
performed using two-way analysis of variance
(ANOVA) with two factors (resin composite
and light-curing unit). Tukey’s post hoc test
was applied for multiple comparisons at a
signicance level of 5%.
Figure 2. The magnifications considered were (a) x200 for Applic resin; (b) x200 for Opallis resin; and (c) x200 for Zirconfill resin.
6
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
Statistical analyses were conducted using
GraphPad Prism software (version 6.0, 2010; La
Jolla, CA, USA).
RESULTS
SEM and EDS
Figures 2 and 3 present the SEM and EDS
results for the evaluated resin composites. In
Figure 2, the micrographs reveal distinct surface
morphologies among the materials. Zirconfill
exhibited a more compact and homogeneous
surface, with reduced porosity and a uniform
distribution of filler particles, compared to
Applic and Opallis, which showed particle
agglomerates and topographical irregularities.
These morphological features help to explain
the superior mechanical performance observed
for Zirconll.
Figure 3 displays elemental mapping by
EDS, conrming the presence of silicon (Si) and
barium (Ba) in all formulations, while zirconium (Zr)
was identied exclusively in the Zirconll samples.
The even dispersion of elements observed in the
mapping supports the structural uniformity of the
material. The inclusion of these imaging analyses is
justied by their relevance in interpreting the ller
composition and its potential correlation with the
physical-mechanical properties evaluated.
According to the two-way ANOVA, the
resin composite had a statistically significant
effect on the degree of conversion (%), with
p = 0.0001 and F = 37.36. Photopolymerization
also had a significant impact (p = 0.0001;
F = 268.7), as did the interaction between factors
(p = 0.0001; F = 79.3). For exural strength,
both resin composite (p = 0.0001; F = 19.06) and
photopolymerization (p = 0.0009; F = 13.68)
showed statistically signicant differences.
Additionally, the interaction between factors
was also signicant (p = 0.0001; F = 21.26).
Regarding the modulus of elasticity, the effects
of resin composite (p = 0.0003; F = 17.82) and
photopolymerization (p = 0.0001; F = 16.57) were
statistically signicant, as well as their interaction
(p = 0.0089; F = 5.641). Water sorption
exhibited statistically signicant differences for
both resin composite (p = 0.0174; F = 4.260) and
photopolymerization (p = 0.0001; F = 10.86).
However, the interaction between factors was not
statistically signicant (p = 0.0591). For water
solubility, resin composite (p = 0.0137; F = 4.529)
and photopolymerization (p = 0.0001; F = 10.49)
had statistically signicant effects. However, the
interaction between factors was not signicant
(p = 0.1052).
Degree of conversion
Table III presents the mean values and
standard deviations of the degree of conversion
(DC%) for the resin composites evaluated,
along with the statistical analysis performed
using the Tukey test. It was observed that the
Zirconfill resin, when photoactivated with
the Demi device, exhibited the lowest degree
of conversion (35.4 ± 4.3%), which was
significantly lower than the values obtained
with the third-generation devices Bluephase
(59.1 ± 1.8%) and Valo (60.3 ± 2.6%) (p<0.05).
For the Applic resin, a similar behavior was
noted, with a significantly lower DC when
cured with the Demi device (47.5 ± 1.9%)
compared to the Bluephase (60.0 ± 1.1%) and
Valo (57.9 ± 1.1%), between which no statistically
signicant difference was observed. In contrast,
the Opallis resin demonstrated high DC values
across all light-curing units, with no statistically
signicant differences among them (p>0.05).
Figure 3. Elementary characterization of the EDS. Particle sizes
ranged from ~10 μm to up to 5 μm and the elemental distribution
showed the presence of barium, silicon, zirconium, aluminum, carbon
and oxygen.
Table III - Mean (SD) and Tukey Test for degree of conversion (%), of
the resin composites evaluated
Demi Bluephase Valo
Zirconfill 35.4 (4.3) Cb 59.1 (1.8) Aa 60.3 (2.6) Aa
Applic 47.5 (1.9) Bb 60.0 (1.1) Aa 57.9 (1.1) Aa
Opallis 60.9 (1.7) Aa 59.8 (1.0) Aa 59.9 (1.0) Aa
Capital letters refer to columns; lowercase letters refer to lines;
different letters present statistically significant differences (p<0.05).
7
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
The two-way ANOVA analysis (Table IV)
revealed statistically significant differences
between the different resin composites (p=0.0001)
and between the different photoactivation
protocols (p=0.0001). Moreover, a signicant
interaction between the factors “resin type” and
“light-curing unit” was detected (p=0.0001),
indicating that the degree of monomer conversion
varied according to the resin composite evaluated.
Flexural strength and modulus of elasticity
The exural strength and modulus of elasticity
of the evaluated resin composites were signicantly
inuenced by both the type of resin and the light-
curing unit used (Table V). Zirconll exhibited the
highest exural strength and modulus of elasticity
values, particularly when photoactivated with the
Bluephase device. The Applic resin demonstrated
reduced flexural strength when cured with
Bluephase compared to the Demi unit, whereas
Opallis showed the lowest values for mechanical
properties among the composites, regardless of
the light-curing unit employed.
Sorption and solubility
Table VI presents the mean values and
standard deviations for the percentage of water
sorption and solubility observed in the studied
groups. The highest sorption and solubility values
were recorded in the Opallis group (microhybrid)
when polymerized with the Bluephase device,
leading to more significant changes compared
to the Valo device, which demonstrated greater
stability. This suggests that the light-curing unit
inuenced polymerization efciency by promoting
the formation of longer polymer chains and
reducing intermolecular spaces within the matrix.
Some degree of polymerization was
achieved with the Demi device. However, the
curing was insufcient to convert most of the
monomers, resulting in a higher number of
residual monomers, which, in turn, increased
water absorption. Notably, the presence of
zirconia particles in the Zirconll resin appeared
to contribute to maintaining its properties,
regardless of the light-curing unit used.
Table IV - Result of the 2-way ANOVA test for conversion degree (%)
Source DF SS MS F p
Resin 2 567.2 283.6 37.36 0.0001*
Photoactivation 2 1340 669.9 268.7 0.0001*
Interaction 4 1093 273.1 79.3 0.0001*
Residue 16 55.11 3.444
*Statistically significant differences (p<0.05). Note: DF (Degrees of Freedom), SS (Sum of Squares), MS (Mean Square), F F-value and
p ( p-value).
Table V - Mean (SD) and Tukey Test for flexural strength and
modulus of elasticity, of the resin composites evaluat
Flexural strength
Zirconfill 149.79
(11.5) Ab
176.02
(9.2) Aa
136.01
(7.3) Ab
Applic 158.51
(14.2) Aa
120.65
(10.9) Bb
143.69
(11.5) Aa
Opallis 135.51
(7.83) Ba
136.58
(15.8) Ba
127.53
(11.9) Aa
Modulus of elasticity
Zirconfill 3.42
(0.22) Ab
3.73
(0.28) Aa
3.11
(0.26) Ac
Applic 2.85
(0.45) Bb
3.53
(0.37) Aa
3.04
(0.24) Ab
Opallis 2.84
(0.25) Bb
3.16
(0.19) Ba
3.07
(0.23) Aa
Capital letters refer to columns; lowercase letters refer to lines;
different letters show statistically significant differences (p<0.05).
Table VI - Mean (SD) and Tukey Test for water sorption and solubility
(μg/mm3) of the resin composites evaluated
Sorption
Zirconfill 0.157
(0.01) Aa
0.159
(0.008) Aa
0.153
(0.01) Aa
Applic 0.163
(0.01) ACa
0.157
(0.005) Aab
0.152
(0.01) Ab
Opallis 0.169
(0.01) BCa
0.171
(0.01) Ba
0.151
(0.01) Ab
Solubility
Zirconfill 0.157
(0.01) Aa
0.158
(0.008) Aa
0.152
(0.01) Aa
Applic 0.162
(0.01) ACa
0.156(0.005)
Aa
0.151
(0.01) Aa
Opallis 0.168
(0.01) BCa
0.170
(0.01) Ba
0.151
(0.01) Ab
Capital letters refer to columns; lowercase letters refer to lines;
different letters show statistically significant differences (p<0.05).
8
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
DISCUSSION
The selection of resin composites for
restorative procedures should prioritize their
physical-mechanical properties in order to
optimize the quality and durability of the
restorations [26]. The type of ller used in the
resins directly inuences their handling, aesthetic
appearance, and mechanical properties [15,17].
In this study, the characterization of the resin
components identified zirconium, barium,
and silicon, with barium glass and diatomite
being the main constituents of the filler in
Zirconll resin. The type and amount of ller
inuence the degree of conversion (DC), exural
strength (FS), sorption, and solubility of the resin
composites [10,15,17,27-30].
The findings of this study indicate that
resin composites containing diatomite, when
photoactivated using second-generation
light-curing units (LCUs), exhibit a degree of
conversion (DC) below 40% (Table III). The
presence of diatomite and zirconia appears
to hinder effective light penetration, thereby
reducing energy delivery and monomer conversion
an effect that contrasts with ndings reported
in previous studies [10,12,14]. Although specic
studies evaluating the direct effect of
diatomite
or zirconia on light transmission are limited, it
is well established that highly opaque llers and
materials with elevated refractive indices can
impede light propagation, negatively affecting
polymerization efciency [18,29,30]. Additionally,
the alternative photoinitiators incorporated in
these formulations are not efciently activated by
second-generation LCUs [9,10,27]. In contrast,
third-generation LCUs, which are characterized
by higher energy density, were capable of
overcoming these limitations and promoting
improved polymer conversion.
In addition to classifying light-curing units
(LCUs) based on their emission spectra (single-peak
and multi-peak), it is essential to consider the energy
density delivered by each device. Energy density,
dened as the product of irradiance (mW/cm
2
) and
exposure time (s), represents the radiant exposure
received by the resin and plays a critical role in
determining polymerization efficiency [28-30].
In this study, the calculated energy densities were
24 J/cm
2
for Demi, 24.74 J/cm
2
for Bluephase,
and 25 J/cm
2
for Valo. These values are within the
range of 20–30 J/cm
2
, which is considered adequate
for effective polymerization of 2-mm composite
layers according to previous studies [20,28-30].
Despite the similar energy densities provided
by the different devices, differences in emission
spectra and the compatibility with the photoinitiator
systems impacted the degree of conversion and
other physical-mechanical properties observed.
Therefore, evaluating only irradiance or exposure
time individually is insufcient both the total
energy density and spectral compatibility must be
considered to accurately interpret polymerization
outcomes [20,28,30].
Diatomite has been reported to enhance
the physical and mechanical properties of resin
composites, thereby increasing the longevity of
restorations [10,12]. The literature suggests that
resins containing diatomite can achieve a DC of
approximately 60% immediately after multi-peak
light-curing, increasing to around 80% after
seven days [10,11]. Most studies have focused
on evaluating DC using multi-peak units [10,12].
This study showed that Opallis resin
achieved a DC greater than 58%, regardless
of the type of LCU used. This elevated degree
of conversion may be attributed to the smaller
ller particle size (~0.5 µm), lower ller volume,
and the composition of the organic matrix, all of
which facilitates light penetration [28,29]. The
combination of UDMA and TEGDMA promotes
the formation of a higher number of crosslinks
and results in a greater DC compared to systems
based on BisGMA and TEGDMA, contributing to
the superior performance observed in Opallis.
In contrast, the Applic resin, when light-
cured with the Demi device, exhibited a DC below
50%. Although there is no ideal DC threshold
for clinical performance, the literature suggests
a range of 55–65% for occlusal restorative
layers [27,29,30]. The reduced DC observed
in the Applic may be attributed to its higher
ller content (77–79%) and larger particle size
(>0.7 µm), both of which hinder monomer
conversion when using low-spectral-range
sources such as single-peak LCUs. Conversely,
Opallis, with its lower ller content, consistently
demonstrated DC values above 59%, reinforcing
previous ndings regarding the inuence of ller
content, spectral compatibility, and LCU power
on polymerization efciency [19,28].
In this study, despite the low degree of
conversion observed in resins cured with the
single-peak light-curing unit, the FS and ME values
9
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
met the requirements of ISO 4049:2019 and
were consistent with findings from previous
studies [10,22,24,27]. The resin containing
diatomite and a higher volume of inorganic ller
exhibited elevated exural strength and modulus of
elasticity values, indicating that diatomite reinforces
the mechanical properties of the resin composites,
as previously reported [10-12]. The mechanical
properties of resin composites are closely associated
with the DC, playing a crucial role in the long-term
success of restorations [6,9,17,22]. The correlation
between ller content and its inuence on FS and
ME is well established, resulting both from stress
transfer between filler particles and the resin
matrix, and from the quality of adhesion between
these components [9,31,32]. However, some
authors have reported a low correlation between
the ller volume and FS [32-34].
The high FS and ME values observed for
the Zirconll resin may be attributed not only
to the greater amount of ller particles, but also
to the reinforcing effect of diatomite, which can
deect cracks and generate frictional forces that
enhance the material’s strength [10,12]. Several
studies support the relationship between ller
loading and improved mechanical properties
in resin-based composites [6,9,17,20,27,33].
Additionally, the composition of the organic
matrix plays a significant role in mechanical
performance [9,34,35]. The presence of Bis-GMA
and Bis-EMA, while increasing resin viscosity,
promotes higher crosslink density and contributes
to enhanced mechanical properties [9,34,35].
The results of this study demonstrated that
resins containing traditional llers exhibited
lower exural strength (FS) and modulus of
elasticity (ME) compared to Zirconll, even in
the presence of reinforcing monomers such as
Bis-GMA and Bis-EMA. Applic resin, when cured
with the Bluephase device, presented values
of approximately 120.65 MPa, while Opallis
resin cured with the Valo unit showed values
around 127.53 MPa. Both exhibited the lowest
FS values among the groups tested (Table V).
Nevertheless, all tested resins complied with the
ISO 4049:2019 standards [24].
The type of LCU appeared to influence
only the water sorption behavior of resins with
conventional ller compositions. In contrast,
Zirconll resin showed no signicant differences
in sorption between specimens cured with
single-peak and multi-peak LCUs. This stability
may be related to the size and type of inorganic
particles in Zirconll’s composition. Previous
studies have indicated that the incorporation of
zirconia and silica particles into resin composites
can enhance hydrolytic stability by reducing
water sorption and limiting the diffusion of
water molecules into the polymer matrix, thus
contributing to the long-term preservation of
mechanical properties [10,11,25]. The sorption
resistance observed in Zirconfill has been
reported previously, reinforcing the potential of
its ller formulation to enhance the material’s
hydrolytic stability [10]. Since water sorption is
associated with chemical degradation through
the release of residual monomers, the reinforcing
particles in Zirconfill may help prevent this
degradation, preserving the structural integrity
of the polymer matrix [10,25].
The elevated solubility values observed in the
Opallis resin photoactivated with the Bluephase
device may be attributed to the release of residual
free monomers, additives, and ller particles. This
phenomenon is likely related to the hydrophilic
nature and high mobility of these components,
as well as the presence of TEGDMA in the resin
composite used in this study [14,25,28,31]. A low
degree of conversion can also lead to a higher
concentration of unreacted monomers, which
are prone to dissolution in humid environments,
leading to material degradation and potentially
compromising the longevity of the restoration.
Conversely, groups cured with multi-peak LCUs
exhibited the lowest solubility values, likely due
to the higher energy output of third-generation
units, which deliver greater radiant exposure to
the resin materials [25,28].
Based on the ndings of this study, the rst
experimental hypothesis was generally conrmed.
The Zirconll and Applic resin composites, when
photoactivated with multi-peak light-curing
units, exhibited higher degree of conversion
and superior mechanical properties (exural
strength and elastic modulus) compared to those
cured with a single-peak unit. However, for the
Opallis resin, the type of light-curing unit did not
signicantly inuence the degree of conversion,
indicating that this effect also depends on
the specific composition of each composite.
Regarding the second hypothesis, it was partially
conrmed. Zirconll demonstrated lower water
sorption and solubility values compared to
the conventional Opallis composite, especially
when multi-peak light-curing units were used.
10
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
However, the curing device also affected these
properties, highlighting the importance of
compatibility between the photoinitiator system,
the inorganic ller characteristics, and the light
source employed. Overall, the results of this
study emphasize that both the type of ller and
the photoactivation protocol directly inuence
the physicomechanical behavior and potential
clinical longevity of composite restorations.
These findings further underscore the
need for careful selection of light-curing units
according to the resin composite formulation
to ensure optimal clinical outcomes. Multi-
peak LCUs proved to be more effective. Multi-
peak LCUs proved to be more effective in
activating alternative photoinitiators, especially
in composites with high inorganic ller content,
such as those containing diatomite and zirconia.
The high exural strength and elastic modulus
values observed in these materials, even under
less favorable curing conditions, indicate their
potential for use in areas subject to greater
mechanical demands [10,12,18,21,25,28,31].
Moreover, the superior mechanical stability
and lower sorption and solubility indices
associated with functional fillers suggest
additional benets in more challenging clinical
environments [10,25,26,31].
Despite these promising results, some
limitations of this study should be acknowledged.
First, the polymerization time of 20 seconds
used for all LCUs, particularly the single-peak
device, may have been insufficient to fully
cure resin composites with more complex ller
compositions, such as those containing diatomite
and zirconia. This may have affected the degree
of conversion and, consequently, the physical-
mechanical properties. Additionally, although
the porous structure of diatomite may facilitate
monomer inltration and interfacial bonding,
the restricted mobility of the polymer network
in the presence of such llers could also limit
the extent of polymerization [10,12]. It is also
important to note that the ndings are based on
in vitro conditions and may not fully replicate
the behavior of these materials in the oral
environment, where thermal, mechanical, and
chemical challenges are constant. Finally, the
study did not consider different curing times,
which may inuence polymerization outcomes.
Future studies should investigate this variable
to conrm and expand the applicability of the
present ndings.
CONCLUSION
Within the limitations of this study,
it can be concluded that the type of resin
composite and the light-curing unit signicantly
influenced the degree of conversion, flexural
strength, elastic modulus, water sorption,
and solubility of the evaluated materials. The
Zirconfill resin composite, particularly when
photoactivated with the Bluephase multi-
peak device, demonstrated the most favorable
physicomechanical performance, achieving the
highest values of exural strength and elastic
modulus, as well as lower water sorption and
solubility compared to the other composites.
Although Zirconll exhibited a lower degree of
conversion when polymerized with the single-
peak Demi Plus device, the use of multi-peak units
effectively optimized its polymerization. The
Applic resin also beneted from photoactivation
with multi-peak devices, whereas Opallis resin,
despite achieving high degrees of conversion
regardless of the device used, exhibited lower
mechanical properties. These ndings highlight
the importance of selecting composites with
optimized inorganic llers and using light-curing
devices compatible with the photoinitiator
systems and matrix characteristics to enhance
the clinical performance and longevity of resin
composite restorations.
Acknowledgements
The authors acknowledge the use of the
facilities at LABNANO-AMAZON/UFPA and at
LIPq - Laboratório Integrado de Pesquisa em
Odontologia Restauradora, ICT-UNESP - São
José dos Campos.
Author’s Contributions
JMG: Conceptualization, Investigation,
Writing Original Draft Preparation, Validation,
Visualization. TAMS: Investigation, Writing
Original Draft Preparation, Visualization. CSF:
Investigation, Visualization. RPM: Investigation,
Resources, Writing Original Draft Preparation,
Visualization. JPSJ: Investigation, Formal Analysis,
Resources, Writing Original Draft Preparation,
Visualization. TMS: Investigation, Formal Analysis,
Resources, Writing Original Draft Preparation,
Writing – Review & Editing, Visualization. SEPG:
Investigation, Formal Analysis, Resources, Writing
– Original Draft Preparation, Writing – Review &
11
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
Editing, Visualization. HBD: Investigation, Formal
analysis, Project Administration, Resources,
Supervision, Writing Original Draft Preparation,
Writing – Review & Editing, Visualization.
Conict of Interest
The authors have no proprietary, nancial,
or other personal interest of any nature or kind
in any product, service, and/or company that is
presented in this article.
Funding
The authors would like to thank the Federal
University of Pará (PROPESP-UFPA) for the
nancial support (PARC 2023 - IC) to carry out
the research (PRO 6433-2023).
Regulatory Statement
This study was conducted in accordance with
all the provisions of the local research
subjects oversight committee guidelines and
policies: no human or animals was used in this
research.
REFERENCES
1. Moharrami M, Farmer J, Singhal S, Watson E, Glogauer
M, Johnson AEW,etal. Detecting dental caries on oral
photographs using artificial intelligence: a systematic review.
Oral Dis. 2024;30(4):1765-83. http://doi.org/10.1111/odi.14659.
PMid:37392423.
2. Crescente LG, Gehrke GH, Santos CM. Mudanças da
prevalência de dentes permanentes cariados no Brasil e em
países de renda média-alta nos anos 1990 e 2017. Cien Saude
Colet. 2022;27(3):1181-90. http://doi.org/10.1590/1413-
81232022273.46812020. PMid:35293454.
3. Bhadila GY, Baras BH, Balhaddad AA, Williams MA, Oates
TW, Weir MD,etal. Recurrent caries models to assess dental
restorations: a scoping review. J Dent. 2023;136:104604. http://
doi.org/10.1016/j.jdent.2023.104604. PMid:37419382.
4. Nedeljkovic I, De Munck J, Vanloy A, Declerck D, Lambrechts P,
Peumans M,etal. Secondary caries: prevalence, characteristics,
and approach. Clin Oral Investig. 2020;24(2):683-91. http://doi.
org/10.1007/s00784-019-02894-0. PMid:31123872.
5. Ávila NNM, Bottezini PA, Nicoloso GFN, Araújo FB, Ardenghi TM,
Lenzi TL,etal. Prevalence of defective restorations and factors
associated with reintervention in primary teeth: a retrospective
universitybased study. Int J Paediatr Dent. 2019;29(5):566-72.
http://doi.org/10.1111/ipd.12493. PMid:30860303.
6. Marović D, Daničić P, Bojo G, Par M, Tarle Z. Monowave vs. polywave
light - curing units: effect on light transmission of composite without
alternative photoinitiators. Acta Stomatol Croat. 2024;58(1):30-8.
http://doi.org/10.15644/asc58/1/3. PMid:38562217.
7. Peres TS, Oliveira HLQ, Leyton C, Tereza M, Carlo HL, Price
RB,etal. Effect of four different mono and multi-wave light-
curing units on the Knoop hardness of veneer resin composites.
Dent Mater. 2024;40(1):80-9. http://doi.org/10.1016/j.
dental.2023.10.019. PMid:37919111.
8. Siqueira BDPS, Santos JN, Lima LS, Vieira TV, Lima AF,
Gonçalves LS. Como as características dos LEDs de segunda
e terceira geração podem influenciar a dureza de compósitos
restauradores: uma revisão da literatura. Rev Fac Odontol.
2021;26(2):299-312. http://doi.org/10.5335/rfo.v26i2.13031.
9. Cilingir A, Ozsoy A, Mert Eren M, Behram O, Dikmen B, Ozcan
M. Mechanical properties of bulk-fill versus nanohybrid
composites: effect of layer thickness and application protocols.
Braz Dent Sci. 2019;22(2):234-42. http://doi.org/10.14295/
bds.2019.v22i2.1719.
10. Jordão I, Zanini M, Guarda M, Fronza B, Consani S, Pinheiro
I,etal. Diatomite filler for resin composites application:
a new approach for materials improvement. Res Soc Dev.
2022;11(16):e268111637738. http://doi.org/10.33448/rsd-
v11i16.37738.
11. Regis M, Lima I, Pinto T, Medeiros HP, Oliveira HKC. Possibilities
of the use of diatomaceous earth in the composition
of dental materials: integrative review. Res Soc Dev.
2021;10(16):e521101623846. http://doi.org/10.33448/rsd-
v10i16.23846.
12. Wang H, Zhu M, Li Y, Zhang Q, Wang H. Mechanical properties
of dental resin composites by co-filling diatomite and nanosized
silica particles. Mater Sci Eng C. 2011;31(3):600-5. http://doi.
org/10.1016/j.msec.2010.11.023.
13. Shelar P, Abdolvand H, Butler S. On the behaviour of zirconia-
based dental materials: a review. J Mech Behav Biomed Mater.
2021;124:104861. http://doi.org/10.1016/j.jmbbm.2021.104861.
PMid:34600431.
14. Hong G, Yang J, Jin X, Wu T, Dai S, Xie H,etal. Mechanical
properties of nanohybrid resin composites containing various
mass fractions of modified zirconia particles. Int J Nanomedicine.
2020;15:9891-907. http://doi.org/10.2147/IJN.S283742.
PMid:33328732.
15. Cardoso IO, Machado AV, Teixeira D, Basílio FC, Marletta A,
Soares P. Influence of different cordless light-emitting-diode
units and battery levels on chemical, mechanical, and physical
properties of composite resin. Oper Dent. 2020;45(4):377-86.
http://doi.org/10.2341/19-095-L. PMid:31794341.
16. Mauricio F, Medina J, Vilchez L, Sotomayor O, Muricio-Vilchez C,
Mayta-Tovalino F. Effects of different light-curing modes on the
compressive strengths of nanohybrid resin-based composites:
a comparative in vitro study. J Int Soc Prev Community Dent.
2021;11(2):184-9. http://doi.org/10.4103/jispcd.JISPCD_423_20.
PMid:34036081.
17. Boeira PO, Kinalski MA, dos Santos MBF, de Moraes RR, Lima
GS. Polywave and monowave light-curing units effects on
polymerization efficiency of different photoinitiators. Braz
Dent Sci. 2021;24(4):1-9. http://doi.org/10.14295/bds.2021.
v24i4.2661.
18. Nikhil V, Varshney I, Jha P. Effect of monowave and polywave
light curing on the degree of conversion and microhardness of
composites with different photoinitiators: an in vitro study. J
Conserv Dent. 2022;25(6):661-5. http://doi.org/10.4103/jcd.
jcd_223_22. PMid:36591587.
19. Tsuzuki F, de Castro-Hoshino L, Lopes L, Sato F, Baesso M,
Terada R. Evaluation of the influence of light-curing units on
the degree of conversion in depth of a bulk-fill resin. J Clin Exp
Dent. 2020;12(12):e1117-23. http://doi.org/10.4317/jced.57288.
PMid:33282131.
20. Farzad A, Kasraei S, Haghi S, Masoumbeigi M, Torabzadeh
H, Panahandeh N. Effects of 3 different light-curing units
on the physico-mechanical properties of bleach-shade resin
12
Braz Dent Sci 2025 Apr/Jun;28 (2): e4750
Gonçalves JM et al.
Multi-peak light sources can improve the physical and mechanical properties of a zirconia- and diatomite-based dental resin: an in vitro study
Gonçalves JM et al. Multi-peak light sources can improve the physical and
mechanical properties of a zirconia- and diatomite-based
dental resin: an in vitro study
Date submitted: 2025 Mar 31
Accept submission: 2025 May 27
Hércules Bezerra Dias
(Corresponding address)
Universidade Federal do Pará, Instituto de Ciências da Saúde, Faculdade de
Odontologia, Belém, PA, Brazil.
Email: herculesdias@ufpa.br
composites. Restor Dent Endod. 2022;47(1):e9. http://doi.
org/10.5395/rde.2022.47.e9. PMid:35284327.
21. Atalı PY, Kaya BD, Özen AM, Tarçın B, Şenol AA, Bayraktar ET,etal.
Assessment of micro-hardness, degree of conversion, and flexural
strength for single-shade universal resin composites. Polymers.
2022;14(22):4987. http://doi.org/10.3390/polym14224987.
PMid:36433113.
22. Borges ALS, Borges AB, Barcellos DC, Saavedra GDSFA, Paes
TJDA Jr, Rode SM. Avaliação da resistência flexural e módulo
de elasticidade de diferentes resinas compostas indiretas. Rev
Pós-Grad. 2012;19(2):50-6.
23. Özduman ZC, Oglakci B, Bagis DMH, Temel BA, Dalkilic EE.
Comparison of a nanofiber-reinforced composite with different
types of composite resins. Polymers. 2023;15(17):3628. http://
doi.org/10.3390/polym15173628. PMid:37688254.
24. International Organization for Standardization. ISO 4049:2019:
dentistry: polymer-based restorative materials. Geneva: ISO;
2019.
25. Maia KMFV, Rodrigues FV, Damasceno JE, Ramos RVC, Martins
VL, Lima MJP,etal. Water sorption and solubility of a nanofilled
composite resin protected against erosive challenges. Braz Dent
Sci. 2019;22(1):46-54. http://doi.org/10.14295/bds.2019.v22i1.1660.
26. Strini BS, Marques JFL, Pereira R, Sobral-Souza DF, Pecorari VGA,
Liporoni PCS,etal. Comparative evaluation of bulk-fill composite
resins: knoop microhardness, diametral tensile strength and
degree of conversion. Clin Cosmet Investig Dent. 2022;14:225-
33. http://doi.org/10.2147/CCIDE.S376195. PMid:35957701.
27. Tapety CM, Carneiro YK, Chagas YM, Souza LC, Souza NO,
Valadas LA. Degree of conversion and mechanical properties
of a commercial composite with an advanced polymerization
system. Acta Odontol Latinoam. 2023;36(2):112-9. http://doi.
org/10.54589/aol.36/2/112. PMid:37776508.
28. Werlang J, Dalfovo R, Neiva I, Obici A. Atenuação da intensidade
de luz e profundidade de polimerização de resinas compostas.
Arq Odontol. 2013;49(1):12-8.
29. Hyun HK, Christoferson CK, Pfeifer CS, Felix C, Ferracane JL.
Effect of shade, opacity and layer thickness on light transmission
through a nano-hybrid dental composite during curing. J Esthet
Restor Dent. 2017;29(5):362-7. http://doi.org/10.1111/jerd.12311.
PMid:28628735.
30. AlShaafi MM. Factors affecting polymerization of resin-based
composites: a literature review. Saudi Dent J. 2017;29(2):48-58.
http://doi.org/10.1016/j.sdentj.2017.01.002. PMid:28490843.
31. Silva TM, Petrucelli NF, Mendonça RP, Silva JP Jr, Campos TMB,
Gonçalves SEP. Impact of photoinitiator quality on chemical-
mechanical properties of dental adhesives under different
light intensities. Braz Dent Sci. 2023;26(1):e3704. http://doi.
org/10.4322/bds.2022.e3704.
32. Goracci C, Cadenaro M, Fontanive L, Giangrosso G,
Juloski J, Vichi A,etal. Polymerization efficiency and
flexural strength of low-stress restorative composites.
Dent Mater. 2014;30(6):688-94. http://doi.org/10.1016/j.
dental.2014.03.006. PMid:24703547.
33. Park JK, Lee GH, Kim JH, Park MG, Ko CC, Kim HI,etal. Polymerization
shrinkage, flexural and compression properties of low-shrinkage
dental resin composites. Dent Mater J. 2014;33(1):104-10. http://
doi.org/10.4012/dmj.2013-126. PMid:24492120.
34. Frauscher KE, Ilie N. Depth of cure and mechanical properties of
nano-hybrid resin-based composites with novel and conventional
matrix formulation. Clin Oral Investig. 2012;16(5):1425-34. http://
doi.org/10.1007/s00784-011-0647-3. PMid:22134667.
35. Moezzyzadeh M. Evaluation of the compressive strength of
hybrid and nanocomposites. J Dent Sch. 2012;30(1):24-9.