Opalescence and Fluorescence of 46 Resin-Based Composites Exposed to Ultraviolet Light

Identifying the boundary between the tooth and the resin-based composite (RBC) is difficult when replacing restorations. Ultraviolet (UV) light has been reported to assist the viewer by causing the RBC to fluoresce. Using a laboratory-grade fiberoptic spectrometer, 46 RBCs were exposed to UV light from the Woodpecker O-Star curing light. The opalescence and fluorescence were measured relative to a human tooth that contained just dentin and a tooth that contained both enamel and dentin. After these quantitative measurements, 10 RBCs with large differences in light emittance were compared qualitatively to assess their brightness when exposed to UV light compared to the dentin specimen and the specimen containing both enamel and dentin. It was found that, when exposed to UV light, some of the RBCs were less bright compared to the two samples of teeth used for comparison, but most were brighter; some were up to six times brighter. The filler appears to affect the opalescence peaks, while the resin appears to affect the fluorescence peaks. It was concluded that because RBCs emit very different levels of opalescence and fluorescence, UV light from the Woodpecker O-Star cannot be relied upon to detect all brands of RBC on the tooth. The opalescence and fluorescence can also be used to detect changes in the formulation of the RBC.