Effect of resin photopolymerization on primary teeth pulpal temperature change

Öz

Purpose: The polymerization of restorative materials has the potential to increase pulpal temperature and may result in damage to the health of pulpal tissue. The aim of this study is to investigate the pulpal temperature change of primary teeth with two light-emitting diode (LED) light-curing units (LCUs) (Valo Cordless®, EliparTM DeepCure-S) and three restorative groups (Filtek™ Bulk Fill Flowable, Filtek™ Z250 Universal Restorative and empty cavity) by using a microcirculation model. Material and methods: Ten sound human maxillary second primary molars were used. Standardized Class V cavity preparations were performed with a dentin thickness of 1 mm and restorative groups were cured with LED LCUs. The highest temperature point in the pulp chamber was recorded. A repeated measures ANOVA and paired samples t-test were used for analysis of the data (p<0.05). Results: EliparTM DeepCure-S groups exceeded the accepted critical temperature point of 5.6°C for Z250, Bulk Fill, and empty cavity (7.6±0.36, 7.44±0.7, and 5.81±1.6, respectively). None of the groups cured with Valo Cordless® reached the critical point (5.35±0.54, 5.44±0.41, and 5.02±0.89, respectively). The values in the different groups cured with Valo Cordless® were not significantly different (p≥0.05), but empty cavity showed significantly lower temperature values than the composite resin groups when the EliparTM DeepCure-S device was used (p<0.05). Conclusion: The study demonstrated a correlation between the increased power of LED LCUs and pulp damage in restorative procedures.

Anahtar Kelimeler

• Dental pulp
• deciduous tooth
• microcirculation
• temperature
• composite resins

Rezin fotopolimerizasyonunun süt dişleri pulpal sıcaklık değişimi üzerine etkisi

Öz

Amaç: Restoratif materyallerin polimerizasyonu pulpal sıcaklığı artırma potansiyeline sahiptir ve pulpa dokusuna zarar verebilir. Çalışmanın amacı, süt dişi pulpal sıcaklık değişimini bir mikrosirkülasyon modeli kullanarak iki LED ışık cihazı (Valo Cordless®, EliparTM DeepCure-S) ve üç restoratif grup (Filtek™ Bulk Fill Flowable, Filtek™ Z250 Universal Restorative ve boş kavite) ile karşılaştırmaktır. Gereç ve yöntem: On adet sağlam insan üst ikinci süt azı dişi kullanıldı. 1 mm dentin kalınlığı kalacak şekilde standardize Sınıf V kavite preparasyonları yapıldı ve restoratif gruplarda LED ışık cihazları kullanıldı. Pulpa odasındaki en yüksek sıcaklık noktası kaydedildi. Verilerin analizi için tekrarlı ölçümler ANOVA ve eşleştirilmiş örneklemler t-testi kullanıldı (p<0,05). Bulgular: EliparTM DeepCure-S grupları, Z250, Bulk Fill ve boş kavite için kabul edilen kritik sıcaklık noktası olan 5,6°C'yi aştı (sırasıyla 7,6±0,36, 7,44±0,7 ve 5,81±1,6). Valo Cordless® ile ışık uygulanan grupların hiçbiri kritik noktaya ulaşmadı (sırasıyla 5,35±0,54, 5,44±0,41 ve 5,02±0,89). Valo Cordless® ile ışık uygulanan farklı gruplardaki değerler arasında anlamlı fark yoktu (p≥0,05), ancak EliparTM DeepCure-S cihazı kullanıldığında boş kavite, kompozit rezin gruplarına göre anlamlı derecede daha düşük sıcaklık değerleri gösterdi (p<0,05). Sonuç: Çalışma, LED ışık cihazlarının artan gücü ile restoratif işlemlerde pulpa hasarı arasında bir ilişki olduğunu göstermiştir.

Anahtar Kelimeler

• Diş pulpası
• süt dişi
• mikrosirkülasyon
• sıcaklık
• kompozit rezinler

Kaynakça

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