Meet MARC

By Marilyn Smulders - April 29, 2010

Dr. Richard Price and Marc (Measurement ofAccuracy when Resin Curing). (Danny Abriel Photo)

The trick to baking a perfect birthday cake lies in temperatureand duration. If the oven is too hot, the cake will overcook. Ifthe cake is removed too soon, it will be uncooked in themiddle.

The same goes for the tooth-coloured resin fillings dentists useto fill cavities. These fillings are put into a tooth in a soft,malleable state, after which the dentist shines a bright blue lighton the white filling to harden it. Too much light and it willovercook—not only the tooth but surrounding tissues andnerves. Too little light and it won’t harden properly andprobably won’t last.

But how can a dentist know how much light to apply so thefilling is just right? Just ask MARC.

MARC (Measurement of Accuracy when Resin Curing) is thebrainchild of Dr. Richard Price, a practicing dentist and professorwith the School of Biomedical Engineering and the Faculty ofDentistry at Dalhousie, and his assistant Christopher Felix. Usingcustom-designed computer software, the invention—a simulatedpatient head complete with realistic teeth, tongue, cheeks andlips—accurately measures the amount of total energy beingdelivered to a filling in the mouth.

Dalhousie’s Industry Liaison and Innovation Office haslicensed MARC to a new spinout venture called BlueLight analyticsinc. based in Halifax. In addition, MARC is already being used toteach dental students and practicing dental professionals at theFaculty of Dentistry.

“MARC can tell you how long you need to cure the fillingso it will get sufficiently hard,” explains Dr. Price.“It all depends on such things as where the cavity is in themouth, the design of the curing light and the type of resin beingused—all these factor into how long you need to shine thelight for.”

The same problems did not exist years ago when dentistsprimarily used silver amalgam fillings. But these days, thepreference is for composite resin fillings that are the same coloras teeth. “The majority of the fillings put in today in NovaScotia are white fillings,” says Dr. Price. “Somedentistry schools don’t even teach about the other onesanymore.”

The energy is delivered to the filling using a pen-shaped curinglight. Some manufacturers say the dentist only needs to shine thelight for five seconds, others for more than a minute. Testingusing MARC—who bears a passing resemblance to Don Draper onMad Men—showed Dr. Price that the effectiveness of the lightsvaried greatly depending on their strength, ergonomic design andeven how they were held.

“MARC is the closest thing to clinical reality you canhave,” says Mr. Felix, as MARC opens wide on the countertopbeside him. “We’re able to say how much light is neededin the most clinically-relevant setting – themouth.”

BlueLight analytics is receiving financial supportfrom Atlantic Canada Opportunities Agency.

Readers Say

So how were dentists deciding how long to shine the light in the past? It worries me that too much light will "overcook" my teeth, tissue and nerves. And is too little light is why fillings fall out? Have dentists just been guessing all this time???? o.O
Congratulations Dr.Price and Mr.Felix, job well done
Certainly too much light can overcook the tooth and gums and too little light will undercure the resin filling. Until the introduction of MARC, dentists relied solely upon the curing light and resin manufacturers' generic recommendations combined with their best 'guestimate' of the necessary curing time that will adequately cure the resin filling.
The following four factors have a great influence on how much energy is required to adequately cure a resin restoration, and how much energy the dentist actually delivers:
1) The design of the curing light
2) The technique used when light curing
3) The restoration characteristics (size, depth and location)
4) The energy requirements and specific wavelengths required by the resin.

We are using MARC to enhance the training of dental professionals and to work with curing light and resin manufacturers to ensure that clinicians are provided the information they need to ensure each and every resin restoration is adequately and appropriately cured.
Congratulations on developing this excellent teaching / testing aid which will inform dental students and practitioners alike and allow them to optimise their light curing skills. MARC will also prove of great value to dental researchers and manufacturers by allowing them to develop improved dental light curing units, curing protocols and light activated resin based composite materials.
"Using custom-designed computer software, the invention—a simulated patient head complete with realistic teeth, tongue, cheeks and lips—accurately measures the amount of total energy being delivered to a filling in the mouth."

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The 'custom-designed computer software' was developed by 24/7 Software in Halifax. Great Project!

Cheers,

Andrew
congratulations for developing the device, i hope this will work good for asian countries where composites are being used now most of the times as a preferred material over amalgam
Congratulations Richard and team!
This clever invention shows how basic laboratory research can effectively inform clinical practice. While the oral cavity and environment is indeed complex, MARC isolates those factors that are necessary and sufficient for a realistic simulation of clinical conditions when light-curing resin-composite biomaterials. As well as evaluating the wavelength-dependence of the light irradiance, the device monitors the vital human factor of the dentist's concentration and skill during the irradiation period. If widely adopted, as it merits, MARC should signifcantly enhance this aspect of clinical skill and improve the outcomes for patients.
very useful innovative testing device, excellent.

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