Effects of plasma-emulating light emitting diode (LED) versus conventional LED on cytotoxic effects of orthodontic cements as a function of polymerization capacity

Objectives: The study was aimed at evaluating, in vitro, cytotoxicity of four resin-based orthodontic cements (RBOC) as a function of degree of conversion (DC) and the light curing unit (LCU) employed on mouse fibroblast (L929). Materials and Methods: Nine samples were manufactured for each group of cements using plasma-emulating light-emitting diode (LED) and conventional LED. Toxicity was assessed by immersing four specimens to culture medium (24 h/37°C) for extracting residual monomer or cytotoxic substance. Cell mitochondrial activity of L929 cell was evaluated using methyl tetrazolium (MTT) test. DC was evaluated by Fourier transform infrared spectroscopy for five samples. Results: Cements, LCUs, and interaction between cements and LCUs were found to play a statistically significant role in cytotoxicity ( p < 0.0001). Opal band cement (OPAL) plasma LED was found noncytotoxic (90–100% cell viability). The other RBOC–LCU combinations were slightly cytotoxic (60–90% cell viability). Cements ( p < 0.01) and LCUs ( p < 0.05) had a statistically significant effect on DC. Conversely, interaction between cement and LCU had no statistically significant role on DC ( p > 0.05). OPAL plasma LED displayed the highest levels of DC. The correlations between cell viability and DC were positive for three RBOCs. Conclusion: Therefore, high-intensity LCUs can be said to efficiently affect polymerization, so higher DC rates may achieve higher cell viability rates. Clinical Relevance: Cements and LCUs must be matched to each another to result in higher DC and maximal biocompatibility. Dual cure systems presented relatively high cell survival and higher DC, thus expressing superior to single-cure systems with plasma LED.