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"Objectives. The aim of this study was to compare the fracture toughness of a microhybrid and a flowable microhyrid resin composites. Methods. Test specimens (30x15x2)mm made of amicrohybrid and a flowable microhybrid were prepared in a double torsion mould and were then polymerized for 20 seconds using a light-curing device. Taken out from the mould, the specimens were than soaked in disfilled water (37°C) for 1 hour and then fractured in a double-torsion technique. t-Test was used to test significance difference between the microhybrid and flowable microhybrid resin composites. Result. The use of double-torsion technique resulted in crack initition and crack arrest which revealed Klc of 1.14 MN/m3/2 and 1.045 MN/m3/2 for the microhybrid and the flowable microhybrid resin composites, respectively. Both resin composites were insignificantly different in the fracture toughness values showed by t–Test. Conclusions. The present study suggested that there was no significant difference between the microhybrid and the flowable microhybrid resin composites tested. It appreared that filler fraction might not affect the fracture toughness of the resin composties tested."

"Latar Belakang: Bleaching merupakan prosedur mencerahkan warna gigi dengan bantuan bahan kimia yang memiliki efek samping berupa perubahan pada permukaan material resin komposit. Sementara itu, kekasaran permukaan memainkan peran penting dalam penentuan interaksi material restorasi dengan lingkungan rongga mulut karena tekstur permukaan yang tidak baik dapat meningkatkan retensi akumulasi plak dan dapat menimbulkan penyakit lainnya. Namun, penelitian mengenai efek bleaching agent pada kekasaran permukaan melaporkan hasil yang kontroversial. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh in-home bleaching agent terhadap kekasaran permukaan resin komposit nanofilled dan microhybrid. Metode: Resin komposit nanofilled FiltekTM Z350 XT Universal Restorative (3M ESPE) dan resin komposit microhybrid FiltekTM Z250 Universal Restorative (3M ESPE) digunakan pada penelitian ini. Sebanyak 16 spesimen disiapkan dari masing-masing jenis resin komposit yang dinyatakan oleh kelompok A resin komposit nanohybrid dan kelompok B resin komposit microhybrid (jumlah total spesimen adalah 32). Seluruh spesimen dibuat dengan penumpatan material ke dalam mould dengan diameter 6 mm dan ketebalan 2 mm menggunakan kaca preparat dengan strip seluloid kemudian diberikan beban 500 gram. In-home bleaching agent (Opalescence Tooth Whitening Systems 10% Carbamide Peroxide Concentrations) diaplikasikan selama 8-10 jam/hari. Seluruh perlakuan dilakukan pada suhu 37°C dan in-home bleaching agent dibilas setiap hari selama 1 minggu dan disimpan dalam air saline steril selama periode hiatus. Kemudian, seluruh spesimen diuji dan dicatat nilai kekasaran permukaan (Ra) dalam satuan μm dengan menggunakan alat uji surface roughness tester (Surtronic® S-128) sebelum dan sesudah perlakuan. Data dianalisis secara statistik dengan uji Paired T-Test dan Independent T-Test. Hasil: Terdapat perbedaan bermakna antara kekasaran permukaan resin komposit nanofilled dan microhybrid sebelum dan sesudah aplikasi in-home bleaching agent (p<0,005). Terdapat perbedaan bermakna antara resin komposit nanofilled dan microhybrid sesudah aplikasi in-home bleaching agent (p<0,005). Kesimpulan: In- home bleaching agent secara signifikan meningkatkan nilai kekasaran permukaan pada kedua jenis material resin komposit dengan resin komposit nanofilled lebih rendah dari resin komposit microhybrid. Kekasaran permukaan pada kedua jenis resin komposit masih dapat diterima secara klinis karena menunjukkan nilai di bawah ambang batas kritis 0,2 μm.

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Background: Bleaching is a procedure that involves lightening the color of a tooth through the application of a chemical agent, which has a side effect in the form of changes to the surface of the composite resin material. Meanwhile, surface roughness plays a vital role in determining a material’s interaction with the oral environment due to the poor surface texture of dental materials. It has a significant influence on plaque accumulation and causes other diseases. However, studies on the effect of bleaching agents on the surface roughness of dental materials have reported controversial results. Objectives: This study aimed to analyze the effect of in-home bleaching agents on the surface roughness of nanofilled and microhybrid composite resin. Methods: Nanofilled composite resin FiltekTM Z350 XT Universal Restorative (3M ESPE) and microhybrid composite resin FiltekTM Z250 Universal Restorative (3M ESPE) were used in the present study. Sixteen specimens were prepared from each type of composite resin that represented by group A for nanofilled composite resin and group B for microhybrid composite resin (total number of specimens were 32). Each specimen was prepared by compressing a sufficient amount of material into a mold of 6 mm in diameter and 2 mm in thickness using glass slides with celluloid strip, then given a load of 500 grams. In-home bleaching agents (Opalescence Tooth Whitening Systems 10% Carbamide Peroxide Concentrations) were applied 8-10 hours/day. All treatment was conducted at 37°C temperature, and an in-home bleaching agent was applied and rinsed off daily for one week and stored in distilled water during the hiatus period. Then, the surface roughness of all specimens was measured and recorded (Ra) value in μm using a surface roughness tester (Surtronic® S-128) before and after being treated. Data were statistically analyzed with Paired T-Test and Independent T-Test. Result: There was a statistically significant difference between the surface roughness of nanofilled and microhybrid composite resin before and after being bleached with an in-home bleaching agent (p<0,005). There was a statistically significant difference between nanofilled and microhybrid composite resin after being bleached with an in-home bleaching agent (p<0,005). Conclusion: In-home bleaching agent significantly increased the surface roughness value of both types of composite resin with nanofilled composite resin is lower than microhybrid composite resin. Surface roughness for both composite resins is still clinically acceptable because values tested below the critical threshold of 0,2 μm."

"The use of resin composites as posterior restoratives has markedly increased over the past decade. The patients demand for better esthetics, concerns related to possible mercury toxicity from amalgam and improvements in resin composite materials have significantly contributed the popularity of these materials. Early problems related to composites included excessive wear, less of anatomic form, post operative sensitivity, secondary caries and marginal leakage. Marginal adaptation still remains an unavoidable problem for composite restoration, especially at the gingival wall of cervical or Class II restoration. In an attempt to improve marginal sealing, many techniques and lining materials have been designed. To reduce stress generated by polymerization shrinkage, applying and curing of resin composites in layers is often recommended. Using a thick adhesive layer or a low-viscosity resin may, due to its elastic properties, serve as a flexible intermediate layer and compensate for the polymerization stress created in resin composite. Flowable composites were created by retaining the same small practicle size of traditional hybrid composite but reducing the filler content and allowing the increased resin to reduce the viscosity of the mixture. Flowable composites were introduced in 1996 as liners, fissure sealants and also in tunnel preparations. They have been suggested for Class I, II, III and V cavity restorations, preventive resin restorations and composite, porcelain and amalgam repairing. Their usage as a liner under high filled resins in posterior restorations has been shown to improve the adaptation of composites and effectively achieve clinically acceptable results. This article attempts to give a broad characteristics of different types of flowable composites. "

"Penelitian ini bertujuan untuk mengetahui pengaruh ketebalan resin terhadap depth of cure resin komposit serat sebagai substruktur. Lima belas spesimen dibagi menjadi 3 kelompok ketebalan berbeda: 3, 4, dan 5 mm n=5 . Masing-masing spesimen disinari dengan iradiansi 800 mW/cm selama 20 detik. Hasil penelitian menunjukkan depth of cure kelompok 1 adalah 81 , kelompok 2 adalah 78 dan kelompok 3 adalah 34. Nilai tersebut berbeda bermakna secara statistik melalui uji One-way ANOVA dan Post-hoc. Games-Howell. Disimpulkan bahwa ketebalan mempengaruhi depth of cure resin komposit serat sebagai substruktur.

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The aim of this study is to know the effect of resin thickness on the depth of cure of fiber reinforced resin composite as substructure. Fifteen specimens are divided into 3 different thickness groups 3, 4, and 5 mm n 5 . Each specimen was cured with irradiation of 800 mW cm for 20 seconds. The result showed the depth of cure of group 1 was 81 , group 2 78 and group 3 34. The result was significantly different using One way ANOVA and Games Howell Post hoc test. It was concluded that resin thickness has effect on the depth of cure of fiber reinforced resin composit as substructure."

"Latar belakang: LCU-LED prototipe metode PWM iradiansi 900 dan 1.000 mW/cm2 telah dibuat untuk mengurangi panas dengan lama penyinaran 10 detik.Tujuan: Menganalisis pengaruh iradiansi terhadap kekuatan tarik diametral komposit resin nanofil.Metodologi: Spesimen disinar dengan LCU-LED prototipe iradiansi 900 dan 1.000 mW/cm2 serta LCU pembanding (900 mW/cm2). Komposit resin nanofil ditumpat ke dalam cetakan stainless steel. Uji kekuatan tarik diametral dilakukan menggunakan Universal Testing Machine. Analisis statistik menggunakan One-way ANOVA dan LSD(α=0.05).Hasil penelitian: Kekuatan tarik diametral dari iradiansi 900,1.000 mW/cm2 dan LCU pembanding secara berurutan adalah 48,75±5,3, 49,85±7,7 dan 49,48±5,3 MPa. Analisis statistik menunjukkan bahwa tidak terdapat perbedaan bermakna pada semua kelompok (p>0.05).Kesimpulan: Tidak terdapat pengaruh iradiansi sinar 900 dan 1000 mW/cm2 terhadap kekuatan Tarik diametral komposit resin nanofil.

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Background: Prototype LCU-LED using PWM with irradiance 900 and 1,000mW/cm2 has constructed that can reduce temperature for polymerizing in ten seconds.

Objective: To analyze the effect of difference irradiance on diametral tensile strength of the composite resin nanofilled.

Method: Speciments were polymerized using the prototype with irradiance of 900, 1.000 mW/cm2 and commercially avaiable(900 mW/cm2) as comparison. Diametral tensile strength was determined using Universal Testing Machine. Data were analyzed using One-way ANOVA followed by LSD(α=0,05).

Result: Value of diametral tensile strength irradiance 900,1.000 mW/cm2 and commercial avaiable were 48.75 ± 49.85 ± 5.3 MPa and 7.7 MPa respectively. Statistical analysis showed that there was no significant difference in groups(p>0.05).

Conclusion: There is no effect of light irradiance on the diametral tensile strength of composite resin nanofilled."

"Latar Belakang: Prosedur internal bleaching dengan hidrogen peroksida 35% dapat meninggalkan residu radikal bebas pada struktur gigi yang akan mengganggu kekuatan ikatan restorasi resin komposit. Natrium askorbat sebagai antioksidan dapat menghilangkan residu radikal bebas dan meningkatkan kekuatan ikatan geser resin komposit pada gigi.Tujuan: mengetahui kekuatan ikatan geser resin komposit pada gigi pasca internal bleaching dengan hidrogen peroksida yang diaplikasikan natrium askorbat 10% dan 35% selama 2 menit dan 10 menit Metode: Prosedur internal bleaching dilakukan pada 25 gigi premolar yang dipotong menjadi dua bagian buko-palatal, kemudian sampel dibagi menjadi 5 kelompok. Kelompok 1 tanpa aplikasi natrium askorbat, kelompok 2 aplikasi natrium askorbat 35% selama 2 menit, kelompok 3 aplikasi natrium askorbat 35% selama 10 menit, kelompok 4 aplikasi natrium askorbat 10% selama 2 menit, dan kelompok 5 aplikasi natrium askorbat 10% selama 10 menit. Semua kelompok dilakukan restorasi resin komposit kemudian dilakukan uji kekuatan ikatan geser dengan alat Universal Testing Machine (UTM). Data yang diperoleh dianalisa secara statistik dengan ANOVA satu jalur dan Uji Post Hoc Bonferroni. Hasil: Hasil uji Bonferroni menunjukkan perbedaan bermakna kekuatan ikatan geser pada kelompok 1 dan 2; kelompok 1 dan 3; kelompok 2 dan 4, dan kelompok 3 dan 5. Sedangkan antara kelompok 2 dan 3; dan kelompok 4 dan 5 tidak terdapat perbedaan bermakna. Kesimpulan: Aplikasi natrium askorbat 35% selama 2 menit cukup untuk meningkatkan kekuatan ikatan geser resin komposit pada gigi pasca internal bleaching dengan hidrogen peroksida 35%.

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Background: Internal bleaching with 35% hydrogen peroxide will produce free radical residues within the tooth structure and disrupt the bond strength of composite resin restorations. Sodium ascorbate as an antioxidant can remove free radical residues and increase the shear bond strength of composite resins. Objective: To examine the effect of 10% and 35% sodium ascorbate application on the shear bond strength of composite resin after internal bleaching with 35% hydrogen peroxide. Methods: Internal bleaching procedure was performed on 25 premolars, then the samples were divided into 5 groups. Group 1 without sodium ascorbate, group 2 application of 35% sodium ascorbate for 2 minutes, group 3 application of 35% sodium ascorbate for 10 minutes, group 4 application of 10% sodium ascorbate for 2 minutes, and group 5 application of 10% sodium ascorbate for 10 minutes. All groups were restored with composite resin and tested for shear bond strength with Universal Testing Machine (UTM). The data were statistically analyzed with one-way ANOVA and Bonferroni Post Hoc Test. Results: The results showed that there were statistical differences between groups 1 and 2; groups 1 and 3; groups 2 and 4, and groups 3 and 5. Meanwhile between groups 2 and 3; and groups 4 and 5 there was no significant difference. Conclusion: Application of 35% sodium ascorbate for 2 minutes increased the shear bond strength of the composite resin after internal bleaching with 35% hydrogen peroxide."

"Salah satu upaya kontrol infeksi terhadap LED-curing unit (LCU) adalah menggunakan plastik transparan (cling wrap). Untuk mengetahui pengaruh penggunaan LCU yang dilapisi cling wrap dalam variasi jarak penyinaran terhadap kekuatan tarik diametral resin komposit, dibuatlah 60 spesimen yang disinari dengan LCU berlapis dan tanpa pelapis dalam 6 variasi jarak penyinaran (0,5-5 mm). Spesimen diuji dengan uji tekanan diametral menggunakan Universal Testing Machine. Dengan hasil uji statistik yang memperlihatkan perbedaan bermakna (p<0,05) antara kelompok yang disinari dengan LCU berlapis dan tanpa pelapis, disimpulkan bahwa penggunaan LCU yang dilapisi cling wrap memberikan pengaruh pada kekuatan tarik diametral resin komposit.

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One of infection control method for LED-curing unit (LCU) is by using transparent plastic barrier (cling wrap). To evaluate the influence of using plasticwrapped LCU in curing distance variances to diametral tensile strength of composite resin, 60 disc-shaped specimens are formed and cured by using plasticwrapped and unwrapped LCU in 6 groups of curing distance (0.5-5 mm). The diametral compression test is done by using Universal Testing Machine. The result of statistical analysis showed the significant difference between the groups cured by plastic-wrapped and unwrapped LCU. Then, the use of plastic-wrapped LCU influences the diametral tensile strength of composite resin."

"Latar belakang: Resin komposit bulkfill memiliki tampilan warna yang sewarna gigi dan estetik. Meningkatnya konsumsi minuman seperti red wine, teh, kopi dan coca-cola saat ini dapat menyebabkan terjadinya perubahan warna pada bulkfill. Perubahan warna restorasi merupakan hal penting yang sering dikeluhkan pasien, karena berkaitan dengan estetika. Tujuan: Mengurai pengaruh konsumsi minuman redwine, teh, kopi, dan coca-cola terhadap perubahan warna resin komposit bulkfill. Tinjauan Pustaka: Red wine mengandung flavonoid yaitu tanin dan anthocyanin, serta alkohol yang menyebabkan peningkatan efek degradasi dari permukaan resin komposit, sehingga menyebabkan absorpsi dari pigmen. Teh dan kopi mengandung mengandung Flavonoid hanya tanin yang menyebaban terjadinya diskolorasi. Coca-cola mengandung karamel yang dapat menyebabkan diskolorasi, meskipun tidak sebanyak red wine, kopi dan teh, Karena tidak mengandung flavonoid. Kesimpulan: Red wine memiliki nilai perubahan warna tertinggi pada bulkfill diikuti oleh teh, kopi, dan coca-cola.

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Background: Bulkfill composite resin has a tooth-colored and aesthetic appearance. The increasing comsumption of beverages such as red wine, tea, coffee, coca-cola can cause discoloration in bulkfill. Restoration discoloration is an important thing that patients often coplain, because it relates to aesthetics. Purpose: Analyzing the effect of consumption of red wine, tea, coffee, and coca-cola on bulkfill composite resin discoloration. Theories: Red wine contains flavonoids; tannins and anthocyanins, and alcohol which cause a increase degradation effect on the surface of the composite resin, thereby causing absorption of pigments. Tea and coffee contain flavonoids only tannins that cause discoloration. Coca-cola contains caramel which can cause discoloration, although not as much as res wine, coffee, and tea, because does not contain flavonoids. Conclusion: Red wine has the highest discoloration value in bulkfill, followed by tea, coffee, and coca-cola."

"Latar belakang: Mode penyinaran pulsa merupakan alternatif dari mode penyinaran kontinu untuk mempolimerisasi resin komposit. Saat ini resin komposit nanofil dan bulkfil merupakan material restorasi yang memerlukan surface gloss yang baik untuk memenuhi kebutuhan estetik. Surface gloss dapat dipengaruhi oleh penyinaran. Tujuan: Untuk menganalisa pengaruh penyinaran mode kontinu dan pulsa terhadap surface gloss resin komposit nanofil dan bulkfil segera dan setelah satu hari. Metode: Spesimen resin komposit nanofil dan bulkfil disinar menggunakan mode kontinu atau pulsa beriradiansi 900 mW/cm2 selama 20 detik. Lalu dilakukan pengujian surface gloss segera setelah penyinaran. Kemudian spesimen disimpan selama satu hari dan dilakukan pengujian surface gloss kembali. Hasil: Surface gloss yang dihasilkan oleh mode penyinaran kontinu dan pulsa tidak bermakna secara statistik (p>0,05). Resin komposit nanofil menghasilkan surface gloss lebih rendah daripada bulkfil, berbeda bermakna (p=0,00). Segera setelah penyinaran menghasilkan surface gloss lebih tinggi daripada setelah satu hari tidak bermakna secara statistik (p>0,05). Kesimpulan: Pada penelitian ini surface gloss tidak dipengaruhi oleh mode penyinaran kontinu dan pulsa serta perbedaan waktu segera dan setelah satu hari. Namun terdapat pengaruh jenis resin komposit, nanofil menghasilkan surface gloss lebih rendah dari yang dihasilkan bulkfil.

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Background: Pulse is an alternative of continuous light-curing mode to polymerize composite resin. Currently, nanofill and bulk-fill are restorative materials that require good gloss surface to meet aesthetic needs. Surface gloss can be obtained by irradiation.

Aim: To analyze influence of continuous and pulse light-curing mode on surface gloss of nanofill and bulk-fill immediately after irradiation and after one day.

Method: Nanofill and bulk-fill specimens were irradiated using continuous or pulse light-curing mode with irradiance of 900 mW/cm2 for 20 seconds. Then surface gloss test is carried out immediately after irradiation. Then the specimens were water-stored for one day and then tested their surface gloss again.

Result: Surface gloss produced by continuous and pulse light-curing mode were not statistically different (p>0,05). Nanofill produced lower surface gloss than bulk-fill, statistically significant (p=0,00). Immediately after irradiation, resulting surface gloss were higher than after one day, not statistically significant (p>0,05).

Conclusion: In this experiment, surface gloss was not affected by continuous and pulse light-curing mode as well as the time difference immediately and after one day. However, there is an influence on the type of composite resin, where nanofill produced lower surface gloss than bulk-fill."

"Latar Belakang: Material restorasi yang paling berkembang pesat sampai saat ini adalah resin komposit. Resin komposit yang beredar di pasaran dan menurun klaim pabrik memiliki sifat estetika yang baik, mudah dimanipulasi, serta dapat dipakai secara universal adalah Resin Komposit Supra-Nano Palfique Universal Flow. Suatu material restorasi harus mengalami polimerisasi yang adekuat agar menghasilkan sifat fisik, kimia, mekanik, dan biologis yang optimal. Sifat kekerasan mikro dan depth of cure material dapat menjadi indikator seberapa baik polimerisasi suatu material. Pada keadaan klinis, anatomi gigi dapat menghalangi sinar untuk berada tepat di atas permukaan restorasi sehingga jarak dan durasi penyinaran memengaruhi kekerasan mikro dan depth of cure resin komposit. Tujuan: Menganalisis pengaruh jarak dan durasi penyinaran terhadap kekerasan mikro dan depth of cure Resin Komposit Supra-Nano Palfique Universal Flow. Metode: Tiga puluh spesimen Resin Komposit Supra-Nano Palfique Universal Flow berbentuk silinder berdiameter 6 mm dan tinggi 2 mm dipersiapkan untuk penelitian ini. Spesimen terbagi menjadi 6 kelompok berdasarkan jarak penyinaran (0,3, dan 6 mm) dan durasi penyinaran (10 dan 15 detik) yang disinari light curing unit dengan iradiansi 1050 mW/cm2. Uji kekerasan dilakukan pada permukaan atas spesimen, dan diuji juga kekerasan pada permukaan bawah spesimen untuk menghitung depth of cure (DoC). DoC dihitung dengan menggunakan metode bottom/top hardness ratio (%). Data dianalisis menggunakan uji statistik One-way ANOVA dan Independent Sample T-test. Hasil: Kekerasan mikro dan DoC semakin tinggi pada jarak yang semakin dekat baik pada durasi 10 maupun 15 detik. Nilai kekerasan mikro dan DoC pada durasi penyinaran 15 detik lebih tinggi dibandingkan durasi penyinaran 10 detik pada jarak yang sama secara signifikan (p<0.05). DoC > 80% hanya didapatkan pada kelompok dengan jarak penyinaran 0 mm dengan durasi penyinaran 10 dan 15 detik yaitu 81,44 ± 0,02% dan 92,64 ± 0,01% secara berurutan, serta pada kelompok dengan jarak penyinaran 3 mm dan durasi penyinaran 15 detik, yaitu 88,78 ± 0,02%. Kesimpulan: Semakin dekat jarak penyinaran dan semakin lama durasi penyinaran, maka kekerasan mikro dan DoC akan semakin tinggi.

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Background: The most rapidly developing restoration material to date is composite resin. The composite resin on the market and according to manufacturer claims has good aesthetic properties, is easy to manipulate and can be used universally is Palfique Universal Flow Supra-Nano Composite Resin. A material restoration must have an adequate polymerization to produce optimal physical, chemical, mechanical, and biological properties. The microhardness and depth of cure properties of a material can be an indicators of how well a material is polymerized. In clinical situations, anatomical teeth can prevent light from being directly above the surface of the restoration so that the distance and duration of light-curing affect the microhardness and depth of cure of the composite resin. Objective: To analyze the effect of light-curing distance and duration on the microhardness and depth of cure of Supra-Nano Palfique Universal Flow Composite Resin. Methods: Thirty specimens of Palfique Universal Flow Supra-Nano Composite Resin in a cylindrical shape with a diameter of 6 mm and a height of 2 mm were prepared for this study. Specimens were divided into 6 groups based on the light-curing distance (0,3, and 6 mm) and duration (10 and 15 seconds) which were exposed to a light curing unit with an irradiance of 1050 mW/cm2. The hardness test was on the top surface of the specimen, and hardness was also tested on the bottom surface of the specimen to calculate the depth of cure (DoC). DoC was calculated using the bottom/top hardness ratio (%) method. Data was analyzed statistically by One-way ANOVA and Independent Sample T-test. Results: Microhardness and DoC were higher at closer light-curing distances for both 10 and 15 seconds. Microhardness and DoC values at a light-curing duration of 15 seconds were significantly higher than at a duration of 10 seconds at the same distance (p<0.05). DoC > 80% was only obtained in the group with a light-curing distance of 0 mm with a duration of 10 and 15 seconds, that is 81.44 ± 0.02% and 92.64 ± 0.01% respectively, and 88.78 ± 0.02% in the group with a light-curing distance of 3 mm and a duration of 15 seconds. Conclusion: The closer the light-curing distance and the longer the light-curing duration, the higher the microhardness and DoC."