Coarse Diamond Bur Research Articles

Temperature response in the pulpal chamber during ultrahigh-speed tooth preparation with diamond burs of different grit

Statement of problem. Ultrahigh-speed tooth preparation can traumatize the hard dental tissues and the dental pulp. Purpose. This in vitro study examined the relationship between different grits of diamond burs on the temperature response within a pulpal chamber during tooth preparation with a turbine. Material and methods. Newly extracted, undamaged third molars were secured by a rapid-tensioning device mounted on an air-supported slide. NiCrNi thermocouples were inserted apically and used to determine the temperature within a pulpal chamber. The grinding tests used cylindrical fine, coarse, and ultracoarse diamond burs. Results. The maximal temperature elevation within the pulp was 3.2° C, and the most pronounced rise in temperature occurred with ultracoarse burs. Temperature increases in the pulpal chambers and grinding times or temperatures of the cooling water were approximately proportional. Residual dentinal thickness was inversely proportional to temperature elevation within the pulpal chamber. Conclusions. This study demonstrated that coarse diamond burs resulted in more pronounced temperature increases within the pulpal chamber during tooth preparation. In addition, the benefit of short intervals between grinding steps and a cooling water temperature between 30° C and 32° C was confirmed. A cooling temperature of 38° C to 43° C did not afford actual cooling. (J Prosthet Dent 1998;80:12-9.)

Enamel subsurface damage due to tooth preparation with diamonds.

In clinical tooth preparation with diamond burs, sharp diamond particles indent and scratch the enamel, causing material removal. Such operations may produce subsurface damage in enamel. However, little information is available on the mechanisms and the extent of subsurface damage in enamel produced during clinical tooth preparation. The aim of this study, therefore, was to investigate the mechanisms of subsurface damage produced in enamel during tooth preparation by means of diamond burs, and to examine the dependence of such damage on enamel rod orientation, diamond particle size, and removal rate. Subsurface damage was evaluated by a bonded-interface technique. Tooth preparation was carried out on two enamel rod orientations, with four clinical diamond burs (coarse, medium, fine, and superfine) used in a dental handpiece. The results of this study showed that subsurface damage in enamel took the form of median-type cracks and distributed microcracks, extending preferentially along the boundaries between the enamel rods. Microcracks within individual enamel rods were also observed. The median-type cracks were significantly longer in the direction parallel to the enamel rods than perpendicular to the rods. Preparation with the coarse diamond bur produced cracks as deep as 84 +/- 30 microns in enamel. Finishing with fine diamond burs was effective in crack removal. The crack lengths in enamel were not significantly different when the removal rate was varied. Based on these results, it is concluded that subsurface damage in enamel induced by tooth preparation takes the form of median-type cracks as well as inter- and intra-rod microcracks, and that the lengths of these cracks are sensitive to diamond particle size and enamel rod orientation, but insensitive to removal rate.

A scanning electron microscopy comparison of enamel polishing methods after air-rotor stripping

In the last few years, orthodontic literature has shown particular interest in the interproximal enamel reduction technique described as stripping or slenderizing. Most researchers have shown, by scanning electron microscopy (SEM) studies, the difficulties encountered while attempting to remove coarse abrasions left after stripping with the first instrument. The objective of this SEM study was to compare the different polishing methods proposed in the literature and to assess the efficiency of our own procedure. For this purpose, 48 healthy human teeth (premolars and molars) were used after removal for orthodontic or periodontal reasons. The teeth were divided into eight groups of six teeth each (two molars and four premolars), and mounted on a typodont to simulate a clinical situation. Each group underwent stripping according to one of the following techniques: 16-blade tungsten carbide bur and fine and ultrafine diamond burs; coarse diamond bur and fine and ultrafine diamond burs; coarse diamond disk and Sof-Lex disks (Dental products/3M, St. Paul, Minn.); 16-blade tungsten carbide bur and phosphoric acid on finishing strip; and 8-straight blade tungsten carbide diamond bur and Sof-Lex disks. The SEM investigations demonstrated that it is not possible to eliminate, with normal polishing and cleaning methods, the furrows left on the enamel both by the diamond burs and the diamond disks and the 16-blade tungsten carbide burs. Mechanical and chemical stripping as well did not prove to be effective. By contrast, with the use of a 8-straight blade tungsten carbide bur followed by Sof-Lex disks for polishing the enamel, it is possible to obtain well-polished surfaces that many times appear smoother than the intact or untreated enamel. (A M J O RTHOD D ENTOFAC O RTHOP 1996;109:57-63.)

Direct bonding to porcelain

Orthodontic brackets were bonded to 180 faces of 45 porcelain cubes that were divided into three groups according to their surface preparation. In group I, the glaze had been removed with a sandpaper disk, whereas in group II, it was maintained. A solution of acidulated phosphate fluoride (APF) gel was applied to the samples in groups I and II for 5 minutes after pumicing. In group III, the glaze had been removed with a coarse diamond bur. Each group was further divided into four subgroups, depending on whether a priming agent had been used, and the type of composite used to bond the brackets. Shear force was used to debond the brackets, and the results showed that the APF solution was unable to provide enough retention on porcelain surface to bond brackets. Mechanical retention, obtained with a coarse diamond bur, was necessary to increase bond strength, which can be further improved by chemical bonding, with a silane priming agent. Therefore bonding to porcelain is clinically possible and is an acceptable procedure in orthodontic treatment. (A M J O RTHOD D ENTOFAC O RTHOP 1995;107:159-64.)

Effect of methods of tooth enamel preparation on the retentive strength of acid-etch composite resins

The effect of three procedures of preparing enamel surface on the retentive strengths of Concise Enamel Bond. Adaptic acid etch, Restodent and Nurva-Seal/Nurva-Fil was investigated. Resins using an unfilled-filled resin combination(Concise Enamel Bond, Adaptic acid etch, and Nurva-Fil) had a significantly higher retentive strength when the enamel was prepared with a coarse diamond bur than when the surface was unprepared or prepared with a carbide bur. The different procedures of tooth preparation did not affect the retentive strength of the resin when only filled resin was used (Restodent).