Document Detail


Parameters influencing increase in pulp chamber temperature with light-curing devices: curing lights and pulpal flow rates.
MedLine Citation:
PMID:  20533637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This laboratory study examined the effects of curing lights with different light intensities and changing flow rate on the increase in pulpal temperature during the light curing process and the rate of the subsequent decrease in temperature after the termination of light curing. The tip of a temperature sensor was positioned on the pulpal dentinal wall of the buccal side of the maxillary premolar. Metal tubes were inserted in the palatal and buccal root of the tooth, one for water inflow and the other for water outflow. The tubes were connected to a pump to control the flow rate. The water flow rate was set to 4.2 microl/minute, 28 microl/minute or 70 microl/minute. At each flow rate, the unprepared tooth was light cured from the buccal side 1 mm from the buccalsurface, using four different curing lights. The temperature data were recorded and stored on a computer every second for three minutes. The curing lights that were used were: Astralis 10 (QTH(high), Ivoclar Vivadent), Bluephase 16i (LED(conv), Ivoclar Vivadent) and two experimental LED-curing lights (LED(exp2000), LED(exp3000), Ivoclar Vivadent). The power densities were 1200 mW/cm2, 1600 mW/cm2, 2000 mW/cm2 and 3000 mW/cm2, respectively. The curing lights, LED(conv), LED(exp2000) and LED(exp3000) were activated for 60 seconds, and the QTH(high) was activated for 30 sec- onds. The maximum intrapulpal temperature (TM) and rate of temperature change at 30 seconds after turning off the light (S(30LO)) were analyzed by two-way ANOVA with a post-hoc Tukey test (p < 0.05). The influencing factors were the flow rates and curing lights. RESULTS: The T(MAX) ranged from 41.0 degrees C to 53.5 degrees C. There was a difference between the curing lights (p < 0.05), with LED(exp3000) > LED(exp2000) > LED(conv) > QTH(high). There was no difference in T(MAX) between the different flow rates (p > 0.05). Both the curing lights and flow rates affected the SE(30LO) (p < 0.05). The S(30LO) was LED(exp3000) < LED(exp2000) > LEDon, , QTH(high) (p < 0.05). The S(30LO) at 70 microl/minutes was higher than at 4.2 pd/minutes and 28 microl/minutes (p < 0.05). CLINICAL IMPLICATION: Because the increase in temperature is directly related to the light intensity and exposure time, curing devices with high power density (> 1200 mW/cm2) should only be activated for a short period of time (< 15 seconds) even in teeth without cavity preparation. The flow rate had only a negligible effect on the temperature increase.
Authors:
Sung-Ho Park; Jean-François Roulet; Siegward D Heintze
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Operative dentistry     Volume:  35     ISSN:  0361-7734     ISO Abbreviation:  Oper Dent     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-06-10     Completed Date:  2010-07-22     Revised Date:  2010-08-02    
Medline Journal Info:
Nlm Unique ID:  7605679     Medline TA:  Oper Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  353-61     Citation Subset:  D    
Affiliation:
Department of Conservative Dentistry, College of Dentistry, Yonsei University, Seoul, Korea. sung-hopark@yuhs.ac
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MeSH Terms
Descriptor/Qualifier:
Bicuspid
Body Temperature / physiology*
Curing Lights, Dental / classification*
Dental Materials / chemistry
Dental Pulp Cavity / blood supply,  physiology*
Dentin / physiology
Humans
Materials Testing
Radiation Dosage
Regional Blood Flow / physiology
Thermometers
Time Factors
Chemical
Reg. No./Substance:
0/Dental Materials
Comments/Corrections
Erratum In:
Oper Dent. 2010 Jul-Aug;35(4):487

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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