Evidence map›Paper›PMID 42161928›Full record

ReviewBDJ open2026

Light-curing units in restorative dentistry: a clinically oriented narrative review of performance, selection, and emerging optical functions.

Romain Ceinos, Margaux Dubois, Jean-Pierre Attal, François Vigouroux, Yohann Flottes, Timothy Fasham, Elisabeth Dursun, Bruno Pelissier, Maria-Antonietta D'Agostino, Philippe François

Abstract readReview
In one paragraph

Review in BDJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Romain Ceinos *Department of Conservative Dentistry and Endodontics, Côte d'Azur University, Nice, France.
Margaux Dubois *Department of Conservative Dentistry and Endodontics, Côte d'Azur University, Nice, France.ORCID http://orcid.org/0009-0004-2612-4826
Jean-Pierre AttalINSERM UMR1333 Oral Health, Faculty of Dental Surgery, Université Paris Cité, Montrouge, France.
François VigourouxPrivate Practice, Cadaujac, France.
Yohann FlottesINSERM UMR1333 Oral Health, Faculty of Dental Surgery, Université Paris Cité, Montrouge, France.
Timothy FashamINSERM UMR1333 Oral Health, Faculty of Dental Surgery, Université Paris Cité, Montrouge, France.
Elisabeth DursunINSERM UMR1333 Oral Health, Faculty of Dental Surgery, Université Paris Cité, Montrouge, France.
Bruno PelissierDepartment of Conservative Dentistry and Endodontics, University of Montpellier, Montpellier, France.
Maria-Antonietta D'AgostinoDepartment of Rheumatology, Catholic University of Sacred Heart, Foundation Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Philippe FrançoisINSERM UMR1333 Oral Health, Faculty of Dental Surgery, Université Paris Cité, Montrouge, France. philippe.francois@parisdescartes.fr.ORCID http://orcid.org/0000-0002-2245-6290

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo synthesize current evidence on dental light-curing units (LCUs), focusing on their radiometric performance, clinical selection criteria, and emerging optical functionalities.

methodsThis narrative review was conducted in accordance with the SANRA recommendations. A structured search of PubMed/MEDLINE was performed to identify publications addressing the technological evolution of light-curing units, the parameters guiding device selection, clinical optimization and safety considerations, as well as the integration of fluorescence, transillumination and beam-shaping adjunctive features within contemporary systems.

resultsLED LCUs have become the clinical standard, evolving from monowave to polywave devices to better match both Norrish type II and type I photoinitiators. Across technologies, the effectiveness of curing depends on the delivered radiant exposure, spectral compatibility, beam homogeneity and effective tip diameter rather than the manufacturer-reported irradiance. Clinical determinants (distance, angulation, maintenance, battery state and training) strongly modulate the delivered energy. Thermal and ocular hazards must be addressed through controlled protocols and protective measures. Multifunctional LCUs integrating fluorescence-aided identification and transillumination functions and interchangeable tips may support diagnosis and workflow optimization, but independent evidence remains limited.

conclusionsCuring should be approached as controlled energy delivery. Reliability depends on the radiant exposure, spectral compatibility and beam geometry rather than the nominal irradiance. Third-generation polywave LED LCUs appear to be the most versatile reference option for routine practice, particularly when the photoinitiator system of the material is unknown or includes Norrish type I initiators. The clinical value of integrated diagnostic and beam-shaping functions remains to be independently validated.

Identifiers

PMID42161928
PMCPMC13190769

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.