Effect of different dry-polishing regimens on the intrapulpal temperature assessed with pulpal blood microcirculation model.

Abstract

The aim of the study was to evaluate the effect of different dry-polishing regimens on the intrapulpal temperature assessed using a pulpal blood microcirculation model. Eighty extracted human mandibular premolar teeth were used. Standardized class V cavity preparations were performed and were then restored. Teeth were divided into four main groups (n = 20): Fine polishing disc (SSF; 3M Sof-Lex, 3M ESPE, Minnesota); Super-fine polishing disc (SSS; 3M Sof-Lex); Spiral finishing wheel (SSW; 3M Sof-Lex); Enhance PoGo-One step diamond micro-polisher cup (EPO; Dentsply Sirona, Inc, Delaware). The main groups were divided: the low-load pressure (0.4N) and the high-load pressure (0.8N). The average change in intrachamber temperatures (Δt), from initial to highest, were measured. The highest temperature increase was recorded in SSF08 (9.55°C). The lowest value was recorded in EPO04 (1.9°C). SSS08, SSW08, and EPO08 demonstrated significantly higher Δt values than the low-load mode in SSS04, SSW04, and EPO04, respectively (P < .0001). Temperature was the least affected by the diamond cup in both pressure modes, and it was also less affected by the spiral finishing wheel in the low-load mode than in the high-load mode. Fine and super-fine discs had the greatest effect on intrachamber temperatures. The present study suggests intrachamber temperature can rise among different dry-polishing regimes. Dental practitioners should pay attention to dry-polishing regimens and pressures for reducing heat-related dental problems.