Pulp Chamber Temperature Research Articles

Evaluation of pulp chamber temperature during cementation with the preheated composite resin technique

The cementation technique using preheated composite resin requires high temperatures for optimal execution and may lead to increased and damaging intrapulpal temperatures. Whether the technique can lead to a temperature increase that might lead to necrosis of the pulp tissue is unclear. The purpose of this in vitro study was to evaluate the temperature variation in the pulp chamber of bovine teeth with veneer-type preparations during veneer cementation using the preheated composite resin technique. A total of 103 bovine incisors were divided into 8 groups (n=10) and prepared for indirect veneers with different preparation depths: 2.0mm, 1.5mm, 1.0mm, and 0.5mm. Veneers were cemented on these preparations using 2 cementation protocols: preheated composite resin and photopolymerizable resin cement. The teeth were attached to a device containing a temperature sensor which was inserted into the pulp chamber to quantify the intrapulpal temperature variation produced during the cementation protocols. The data were analyzed using a statistical software program. The level of statistical significance for the analyses was with a confidence interval of 95%, sampling power of 80%, and a moderate effect size (0.36). The groups cemented with preheated composite resin and the groups with the greatest preparation depth had the highest mean intrapulpal temperature; the PHC2 group presented a mean ±standard deviation temperature increase of 5.70 ±2.14°C. The heat generated by heating the resin contributed to the increase in intrapulpal temperature. Temperature variations were greater in deeper preparations, especially when preheated resin technique was used.

Temperature Changes in the Pulp Chamber During Orthodontic Bonding Using a High-Power Light-Emitting Diode Device With Two Different Exposure Times and Intensities: An In-Vitro Study.

This study used a high-power light-emitting diode (LED) device to evaluate the effects of two exposure times and intensities on pulp chamber temperature and cooling time during bracket bonding. Sixty upper premolars were used in the sample in this study. These premolars were split into two main groups based on the exposure time and intensity: the first group employed a traditional curing mode (TCG) for 20 seconds with an intensity of 1200 mw/cm2, whereas the second group had a quick curing mode (QCG) for 3 seconds with an intensity of 2500 mw/cm2. The pulp chamber's temperature variations and cooling times were recorded using a thermal imaging camera. The Mann-Whitney U test was used to find differences between the two-group comparison of the pulp chamber's temperature and cooling time. The two groups had statistically significant differences regarding the temperature increase in the pulp chamber and cooling time (p > 0.001). The mean temperature increase in the traditional curing group was 3.52°C, which is greater than that in the quick curing group (i.e., a mean value of 1.28°C). The mean cooling time in the traditional curing group was 38.83 seconds, which is greater than that in the quick curing group (9.97 seconds). Reducing the exposure time to 3 secondsand increasing the intensity to 2500 mw/cm2is considered safer for the pulp chamber during and after the curing process.

In vitro evaluation of the tooth bleaching efficacy and safety of high-concentration hydrogen peroxide with cold atmospheric plasma

BackgroundUsing hydrogen peroxide (HP) for tooth bleaching may induce various side effects. Cold atmospheric plasma (CAP) is a promising solution. We aimed to evaluate and compare the efficacy and safety of tooth bleaching using high-concentration HP with CAP with conventional in-office bleaching. MethodsFifty-one discolored extracted human teeth were assigned to three groups: Group 1 (light-emitting diode with 35 % HP), Group 2 (CAP with 35 % HP), and Group 3 (only CAP). Bleaching was conducted over three sessions for a total of 20 min. The bleaching effect was evaluated based on the changes in color (ΔE00 and WID) and lightness (ΔL⁎ and ΔG). Safety was assessed by examining the dark areas on the enamel and monitoring the pulp chamber temperature. The study analyzed how different bleaching methods and durations affected ΔE00 and ΔWID using repeated-measures analysis of variance (ANOVA). The Kruskal–Wallis and Mann–Whitney tests were used for ΔL⁎ and dark areas, and one-way ANOVA for ΔG after 20 min of bleaching. ResultsThe ΔE00 and WID demonstrated an interaction based on the bleaching method and time, with Group 1 exhibiting the highest ΔE00 and WID at all treatment times (p < 0.001). ΔL⁎ and ΔG did not differ significantly between Groups 1 and 2 (p = 0.056 and 0.062, respectively) and were lowest in Group 3 (p < 0.001). Group 1 exhibited the darkest areas and highest pulp chamber temperatures (p < 0.001). Group 1 exhibited statistically significant color changes. Group 2 demonstrated similar effects, but with enhanced safety profiles. ConclusionsGroup 2, although displaying a slightly less pronounced color change compared with Group 1, achieved a color alteration readily discernible to the naked eye. This suggests that CAP with 35 % HP could be an interesting area for further investigation as an alternative to traditional in-office bleaching methods.

Safety and Efficacy of the Erbium Laser in Debonding Dental Accessories: A Narrative Review.

Objective: This article aims to review the safety and efficacy of the Er:YAG laser in debonding dental accessories. Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Articles published between 2010 and 2022 on the removal of dental accessories using erbium laser were searched. The selected articles were then classified according to the accessories used: adhesives, brackets, restorations, or implant crowns. Enamel surface roughness, shear bond strength, adhesive remnant index, duration time (t), pulp chamber temperature (T), morphology (M), and other variables were then noted. Results: The dental accessories and adhesives used were described along with the laser parameters used, such as frequency, pulse width, irradiation time, scanning mode, water-air cooling, and other variables. Conclusions: Laser removal using Er:YAG laser of dental accessories such as brackets, crowns, and veneers is fundamentally safe, time-saving, and does not cause damage to the enamel nor the underlying dentin. However, there was no distinct advantage with laser removal seen, such as those residual adhesives of brackets on the tooth surface and temporary adhesives of restorations.

A comparative in vitro analysis of various temporization materials with respect to pulp chamber temperature changes during polymerization.

(1) To compare the temperature rise in the pulp chamber with different resin materials used for making provisional fixed partial dentures in anterior and posterior region while using Polyvinylsiloxane impression materials as matrix. (2) To identify a superior provisionalization material based on the amount of heat dissipated suitable for anterior and posterior provisional fixed partial denture fabrication. Temporary crowns and bridges are integral to Fixed Prosthodontics. It has been observed that conventional fixed prosthesis temporisation materials release heat due to the exothermic polymerisation reaction. When such a provisional material is directly let to set on a vital tooth, the heat transfer causes irreversible changes in the pulp tissue depending of the degree of change. Hence, this study observes amount of heat generation in various materials during temporisation procedure, by simulating similar conditions. Two Models were fabricated, one simulating missing lateral incisor (Model A) and another simulating missing first molar (Model B). Intact maxillary central incisors and canine for Model A and intact mandibular Second Premolar and Second Molar were selected to act as abutments. These abutment teeth were fitted with the tip of a K-type Thermocouple inside their pulp chambers and these were connected to a digital thermometer. Five temporisation materials were chosen for fabrication of temporary crowns through Direct technique. (1) polymethy methacrylate (Self Cure acrylic), (2) bisacryl composite (Protemp 4), (3) visible light cure urethane dimethacrylate (Revotec LC), (4) barium glass and fumed silica infused methacrylate (Dentsply Integrity) and (5)nano-hybrid composite (VOCO Structur 3). Ten observations were made for each provisional material on each model. During each observation, temperature rise was recorded at 30s interval from the time of application, through the peak and till a decrease in temperature is observed. Polyvinyl siloxane was used as matrix for all except light cure resin, where polypropylene sheet was used. Anova test used for statistical. ANOVA test revealed that there was a significant difference in the temperature changes associated with the provisional restorative materials used. Among the five, polymethy methacrylate (self cure resin) showed the maximum rise in temperature, followed by bisacryl composite (Protemp 4), visible light cure urethane dimethacrylate (Revotec LC), barium glass and fumed silica infused methacrylate (Dentsply Integrity) and nano-hybrid composite (VOCO Structur 3). There was no comparable difference between Model A and B but an overall reduction of temperature rise was observed in model B. VOCO Structur 3 showed the least temperature rise in the pulp chamber, and overall temperature rise was less for model B which can be attributed to the residual dentin thickness.

Influence of light exposure techniques on in vitro pulp temperature rise during bulk fill composite Class I restorations.

This in vitro study assessed peak temperature and temperature increase (ΔT) within the pulp chamber during different extended photoactivation techniques (EPT-applying similar radiant exposure values) to resin-based composites (RBCs) placed in a Class I cavity preparation in an extracted human lower third molar. A T-type thermocouple was placed in the pulp chamber and connected to a temperature analysis device (Thermes, Physitemp). The tooth was attached to an assembly simulating the in vivo environment (controlled baseline pulp chamber temperature and fluid flow). The real-time pulp chamber temperature was evaluated throughout the photoactivation (Bluephase N, Ivoclar Vivadent) of two bulk-fill RBCs: Tetric N Ceram Bulk Fill (TBF; shade: IVA; Ivoclar Vivadent); Surefill SDR flow + (SDR, shade: Universal; Dentsply Sirona), which were exposed to different curing techniques: 40s-occlusal surface; 20s-occlusal + 10s-buccal + 10s-lingual surfaces; 10s-buccal + 10s + lingual + 20s-occlusal surfaces. Each EPT delivered 42.4J/cm2. Vickers hardness (VHN) was measured on the removed, sectioned RBC restorations at the top and bottom middle areas after curing. ΔT and VHN data were analyzed using 2-way ANOVA followed by Bonferroni post-hoc test (α = 0.05). Peak temperature data were analyzed using one-way ANOVA and Dunnett's post-hoc test (α = 0.05). SDR showed higher ΔT values than TBF (p = 0.008) in some EPTs. Neither technique resulted in ΔT values greater than 5.5 °C. Both composites had acceptable bottom/top hardness ratios (greater than 80%), regardless of the photoactivation technique. The evaluated EPTs may be considered safe as a low-temperature increase was noticed within the pulp chamber.

Evaluation of the Pulp Chamber Temperature during Tooth Veneer Preparation Using Burs with Different Degrees of Wear-A Preliminary In Vitro Study.

The heat produced during tooth preparation could be a source of damage for dental pulp, and many variables are involved in this process. The aim of this in vitro study was to evaluate whether the different degrees of wear of the diamond burs significantly influenced the temperature changes in the pulp chamber during tangential veneer preparation. The sample comprised 30 intact permanent monoradicular teeth, randomly assigned to three study groups of 10 teeth each, of which 5 had the pulp tissue preserved and 5 had thermoconductive paste in the pulp chamber. For prosthetic preparation, we used new burs in the first group, burs at their fifth use in the second group, and burs at their eighth use for the third group. The pulp chamber temperature was evaluated at the start, after one minute, and after three minutes of preparation, using a k-type thermocouple. The results of the three-way ANOVA and Tukey post hoc comparisons showed a highly significant effect of the time of measurement, while the pulp condition and the degree of wear of the burs had no effect. In conclusion, the different degrees of wear of conventional diamond burs do not produce statistically significant different changes in the pulp chamber temperature.

Evaluation of the laser wavelength role on tooth bleaching in terms of color change, roughness, and microhardness with pulpal rapid temperature monitoring: an in vitro study.

This in-vitro study evaluates the efficacy of the teeth bleaching approach using different laser wavelengths (405nm blue diode, 940nm infrared diode, and Er,Cr:YSGG 2780nm lasers) in comparison to the conventional method using light-emitting diode (LED) sources (420-480)nm. Eighty caries-free sound human premolars were randomly divided into four groups (N=20). Each group received a different bleaching procedure. Then each group was further subdivided into two subgroups (N=10) stained with different solutions. The pulp chamber temperature rise was recorded using an optical fiber sensor with a novel design and fabrication. The color was analyzed using a digital spectrophotometer. Five samples of each subgroup were tested for surface roughness, while the others were tested for Vickers microhardness. The bleaching process with a short wavelength 405nm blue diode laser showed the best results for the shade, with a minimum pulpal temperature increase indicating no possible necrosis and hence maintaining tooth vitality. Additionally, a remarkable reduction in bleaching time was achieved compared to the conventional approach. This process also yielded the highest color change (Δ E) and increased microhardness, with no noticeable change to the tooth roughness. The 405nm blue diode laser applied for bleaching showed the best bleaching activity against tested stains and negligible pulpal temperature rise with a noticeable reduction in the bleaching time. The proposed novel method to measure temperature change could be used to develop a promising smart sensor for quick, effective, repeatable, and in-situ monitoring of human body temperature.

Pulp chamber temperature rise in light-cure bonding of brackets with and without primer, in intact versus restored teeth.

To evaluate the pulp chamber temperature rise (PCTR) in light-cure bonding of brackets with and without primer, in intact and restored mandibular central incisors (M1), maxillary first premolars (Mx4), and mandibular third molars (M8). Ninety human teeth were included: M1 (n=30), Mx4 (n=30), and M8 (n=30). Light-cure bonding of brackets was performed in intact (n=60) and restored (n=30) teeth, with primer (n=60) or without (n=30) primer. PCTR was defined as the difference between initial (T0) and peak temperatures (T1), recorded with a thermocouple during light-cure bonding. Differences on PCTR between bonding techniques (primer vs. no primer), teeth types (M1 vs. Mx4 vs. M8), and teeth condition (intact vs. restored) were estimated by ANCOVA, with α=5%.Results: PCTR was significantly higher with the use of primer (2.05 ± 0.08oC) than without primer (1.65 ± 0.14oC) (p=0.02), and in M1 (2.23 ± 0.22oC) compared to Mx4 (1.56 ± 0.14oC) (p<0.01). There was no difference in the PCTR in M8 (1.77 ± 0.28oC) compared to M1 or Mx4 (p>0.05), and no difference between intact (1.78 ± 0.14oC) and restored (1.92 ± 0.08oC) teeth (p=0.38). There was no influence of dentin enamel thickness in the PCTR (p=0.19). PCTR was higher in light-cure bonding of brackets with primer, especially in M1. Light-cure bonding seems less invasive without primer.

How does indirect air-cooling influence pulp chamber temperature in different volume teeth and absence/presence of resin-based composite during light curing?

BackgroundLight-curing of materials during restorative dental procedures poses a risk for pulp tissue overheating. Therefore, the aim of this study was to investigate the effect of indirect air-cooling on pulp chamber temperatures during light-curing of varying volume teeth and absence/presence of resin-based composite (RBC) at different exposure time.MethodsThe volume of 11 human teeth was measured by micro computed tomograph. An experimental rig controlled the thermal environment of the teeth and a thermocouple inserted retrograde into the root canal measured temperature changes. Pulp chamber temperature was measured with and without air-cooling on teeth without and with RBC at 15 s, 30 s and 60 s intervals. Generalized estimating equations were used for statistical analysis.ResultsThe temperature increase with air-cooling (versus no air-cooling) was lower in teeth despite absence/presence of RBC (β = − 4.26, 95%CI − 5.33 and β = − 4.47, 95%CI − 5.60, respectively). With air-cooling, the temperature increase in teeth with RBC was lower compared to teeth without RBC (β = − 0.42, 95%CI -0.79; − 0.05). Higher teeth volume resulted in lower temperature increase with air-cooling than without air-cooling (β = − 0.04, 95%CI -0.07; − 0.01 and β = − 0.17, 95%CI -0.30; − 0.05, respectively).ConclusionsAir-cooling resulted in lower pulp chamber temperature increase. Using air-cooling, the temperature increase was lower in teeth with RBC compared to teeth without RBC. Lower volume teeth resulted in higher temperature increase, thus they seemed to benefit more from air-cooling compared to higher volume teeth. Air-cooling could be an effective tool in controlling pulp temperature increase during light-curing, especially when the tooth volume is small.

Time-dependent efficacy and safety of tooth bleaching with cold plasma and H2O2 gel

BackgroundHydrogen peroxide (H2O2) is the commonly used bleaching agent for teeth. But it is highly corrosive to teeth for the high concentration. The cold atmospheric pressure plasma has been witnessed a novel tooth bleaching technology and could help strengthen the bleaching effect when combined with H2O2. However, the efficacy and safety might highly correlated with processing time. The present study aims to evaluate the time-dependent efficacy and safety of tooth bleaching with cold plasma and H2O2 gel in vitro.MethodsThe H2O2 concentrations of the gel used in the study are 6%, 15%, 25% and 35%, respectively and the treatment time varies from 5 to 20 min. The tooth bleaching effect was evaluated by a Crystaleye Spectrophotometer and the overall change of the colorimetric value based on three independent measurements. Meanwhile, the microhardness, roughness and tooth temperature were evaluated. The surface morphology and the elemental composition were determined by scanning electron microscope and energy-dispersive X-ray spectroscopy.Results5 min bleaching treatment contributed to 60% of the bleaching effect maximum, the 10 min effect was close to 15 min effect. Meanwhile, the microhardness reduced and roughness increased under a treatment which was longer than 20 min. Tooth pulp chamber temperature was keeping in a safe range within 20 min treatment.Conclusion5–10 min was the best treatment time from which we can get an ideal tooth bleaching effect and less influence on tooth enamel and pulp tissue when using cold plasma and H2O2 gel.

Pulp chamber temperature changes and enamel surface analysis during orthodontic composite removal using 3 different burs in a repeatable approach: an experimental study.

During the debonding phase every clinician has to take care of preserving the enamel structure and tooth temperature. The objective of this study was to analyze in vitro the increase of the pulp chamber temperature and the wearing of enamel surface, during adhesive removal after debonding. Sixty extracted human teeth were selected. An orthodontic bracket was bonded on each tooth and after bracket removal, intraoral scanner pictures were used to evaluate ARI for each tooth. Three different burs were tested: tungsten-carbide multiple blades, arkansas stone and ceramic bur. A mechanical arm controlled by a dedicated software was used to reproduce a repeatable act of composite removal. To analyze in vitro the pulp chamber temperature during the composite removal procedure, teeth were treated endodontically placing a thermocouple through the root canal from the apex. A software registered temperature changes in a continuous manner. The enamel surface of every tooth was tested after the removal of composite with an optical stereoscopic microscope. An association existed between maximum internal pulp chamber temperature variation and irrigation (P<0.0001) and between maximum internal pulp chamber temperature variation and bur type (P=0.0133), with a significantly lower temperature increase produced by the arkansas bur. A significant difference among groups was detected for ESI and EDI assessment (P=0.002, P=0.010). Considering the initial setup, temperature variation analysis showed more conservative results using the arkansas burs with irrigation. ESI and EDI indexes showed significant enamel surface damage using tungsten-carbide burs.

Light-curing units used in dentistry: Effect of their characteristics on temperature development in teeth.

This study aimed to investigate pulp chamber and surface temperature development using different LED light curing units (LCUs). Eight brands of LED-LCUs were tested in a laboratory bench model. The pulp chamber and surface temperature were recorded with a type T thermocouple and infrared cameras, respectively. The highest pulp chamber and surface temperature increase was 6.1±0.3°C and 20.1±1.7°C, respectively. Wide-spectrum LED-LCUs produced higher pulp chamber temperature increase at 0 mm and 2 mm but lower at 4 mm. Narrow-spectrum LED-LCUs produced higher surface temperature increase. LED-LCU featuring modulated output mode resulted in lower increase in pulp chamber temperature but higher on surface temperature. LED-LCU with light guide tip delivering an inhomogeneous beam caused higher increase in temperature on the surface and in the pulp chamber. LED-LCUs with different spectral emission, output mode and light guide tip design contributed to different temperature development in the pulp chamber and at the surface of teeth.

Effect of Three Different Cooling and Insulation Techniques on Pulp Chamber Temperature during Direct Temporization with Polymethyl methacrylate-based Resin

This in vitro study evaluates and compares the changes in pulp chamber temperature during direct fabrication of provisional restorations in maxillary central incisors after using three different cooling techniques. Total of 60 samples of maxillary central incisors along with their putty indices were divided into four groups (one control and three experimental) and were prepared using a surveyor cum milling machine. Teeth were sectioned 2 mm below cementoenamel junction and a K-type thermocouple wire was inserted in the tooth and secured at the pulpal roof using amalgam. Putty index filled with DPI tooth molding resin material [polymethyl methacrylate (PMMA)] was placed on the tooth and temperature changes per 5 seconds were recorded by temperature indicating device for the control, on-off, precooled putty, and dentin bonding agent (DBA) group. The highest mean obtained was of the control (11.04°C), followed by DBA group (9.53°C), precooled putty group (6.67°C), and on-off group (1.94°C). Precooled putty index group took maximum time to reach the baseline temperature (847.5 seconds). On-off technique is the most effective method to reduce the intrapulpal temperature during polymerization, as compared to the other techniques used in the study. Retardation in the polymerization process was seen in precooled putty group, which may make this technique clinically inadvisable. Thermal protection of pulp must always be considered during direct fabrication of provisional restoration when a PMMA-based resin is used. By using on-off technique, not only the thermal insult to the pulp can be effectively minimized but also the harmful effects of residual monomer (poor marginal fit and pulpal irritation) can be eliminated.

Evaluation of heated air jet on pulp chamber temperature at different steps of the restorative protocol

Objectives: Evaluate of the heated air jet temperature (T) in the pulp chamber on cavity 5 depths and photoactivation stages for a bulk fill resin restorative protocol is evaluated. Methods: Class I cavity preparations were conducted at different depths (n = 8) through two protocols for adhesive volatilization (23 °C and 40 °C) and cavities were restored with the Filtek Bulk Fill resin. The pulp chamber temperature variation was evaluated at four steps (times) during the restorative protocol: I (initial), V (after volatilization), A (after photoactivation of the adhesive), and C (after photoactivation of the composite resin). To verify the assumptions of the normality of the errors and homoscedasticity, the Shapiro Wilk and Levene tests were conducted. Subsequently, two-way and three-way analysis of variance was carried out, followed by Tukey's post-hoc analysis (α = 0.05). Results: The maximum T at the different restorative steps, regardless of the volatilization protocol and cavity depth, was as follows: I (36.8 °C) = V (36.9 ºC) &lt; A (37.2 °C) = R (37.8 ºC) (p &lt;0.05). During V, a small greater variation was observed in pulp chamber temperature when dentin was volatilized at 40 °C (p &lt;0.05) at very deep cavity depths (0.31 °C). The largest temperature variations (p &lt;0.05) were observed during A (0.17–0.59 °C) and R (0.50–1.06 °C), reaching peak temperatures in the cavities.

Pulp chamber temperature changes during orthodontic bonding – an in vitro study

Abstract Aim Using a thermal camera, the aim of the study was to determine pulp chamber temperature changes during orthodontic bonding produced as a result of variations in curing light sources, different curing distances and bracket types. Methods One hundred sixty maxillary premolar teeth were sectioned into two halves and embedded into acrylic moulds. Four curing light sources were used which further divided the overall sample into Halogen, light emitting diode (LED), powered LED, and high-power LED groups. Additional subgroups were created according to the applied curing distances (5 mm, 10 mm) and different bracket types (metallic or ceramic). A standardised bonding procedure was performed and pulp chamber temperature changes were evaluated using a thermal camera. Statistical analysis was performed using a three-way ANOVA. Results The Halogen light curing group revealed a significantly higher temperature rise in the pulp chamber compared to the other groups. A shorter curing distance produced increases in pulpal temperature. There was no significant effect as a result of the bracket type. Conclusions None of the curing light sources exceeded the critical value for pulp chamber temperature rise. The primary desirable outcome was the lowest temperature increase noted with the high-power LED unit. The secondary outcome related to the different brackets revealed no difference relative to pulp chamber temperature change. From a clinical perspective, high-power LED units could be safely used.

The effect of laser-activated bleaching with 445 nm and 970 nm diode lasers on pulp chamber temperature rise: an in vitro study

The aim of this study was to determine the pulp chamber temperature changes during bleaching procedures with irradiation from 445 nm and 970 nm diode lasers at different powers. A total of 120 human maxillary central incisors were used for this study. Diode lasers at two different wavelengths were irradiated in this evaluation: 970 nm at 1.5 W of power, 970 nm at 2 W, 445 nm at 1 W and 445 nm at 1.5 W. A thermometer was inserted into the pulp chamber and the temperature increase after bleaching was recorded. The results indicated that there was not a significant difference between the groups at the same wavelengths (P > 0.05). However, there was a significant difference between groups at different wavelengths (P < 0.05). The highest recorded pulp temperature increase was for the 970 nm diode laser with 2 W of power (2.0 0.5), and the lowest pulp temperature rise was 0.1 0.2 for the 445 nm diode laser with 1 W of power. According to the results of this study it can be concluded that the temperature elevation after bleaching with the diode laser at the wavelengths 970 nm and 445 nm is in the safe range, and both wavelengths with the parameters applied in this study can be used as prudent in-office bleaching techniques.

Pulp chamber temperature changes during orthodontic bonding – an in vitro study

Pulp chamber temperature changes during orthodontic bonding – an in vitro study

Impact of the Enamel Cleaning Procedure during Debonding on Endodontium Temperature: In Vitro Tests

Interference with live tooth tissue during dental treatment affects the temperature within the pulp. The pulp is sensitive to temperature changes, which can cause its inflammation. The aim of this study was to analyze the dynamics of pulp chamber temperature changes in response to the enamel cleaning procedure after orthodontic treatment. In the presented in vitro studies, by using a thermal imaging camera, the change in the temperature of the vestibular wall of the pulp chamber of the incisors and premolars was assessed as a function of time under the influence of polishing the enamel with the silicone rubber and aluminum oxides used during the debonding procedure after completion of orthodontic treatment with fixed appliances. The relationship between dentin density and enamel from changing the chamber temperature was evaluated by using Micro computed tomography, microtomography (micro-CT). The maximum achieved tooth surface temperature during polishing was 52.34 °C without water cooling and 43.15 °C using water cooling. The time after which a safe pulp temperature of 40 °C was obtained without water cooling was 29.4 s, while the time with water cooling was 34.6 s. The correlation between the maximum and average temperature achieved and the density of the teeth was analyzed based on micro-CT scans. No correlation between enamel or dentin density and rise in temperature was found.

Pulp chamber temperature variation evaluation using fiber Bragg grating sensor.

The present in vitro study proposes a novel (to the best of our knowledge) methodology employing a fiber Bragg grating sensor for the evaluation of pulp chamber temperature increase during the polymerization of the composite resin induced by the light-curing process. A fiber Bragg grating temperature sensor (FBGTS) has been developed in view of its ease of insertion into the pulp chamber with minimal widening of the pulpal canal. The temperature increase in the pulpal chamber during the polymerization of the composite resin by light curing has been characterized with varying depths of cavities of 1 mm, 1.5 mm, and 2 mm employing FBGTS. Also, the increase in temperature of the pulpal chamber during the polymerization of the composite resin has been studied with variants of the light-curing device. The obtained results are expected to be an indicator towards the potential hazard caused by heat induced pulpal injuries during the polymerization of composite resins using a light-curing device.