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牙本质矿化程度对牙本质内牙髓腔温度升高的影响:光固化树脂基复合材料(RBC)的影响。

Influence of the degree of dentine mineralization on pulp chamber temperature increase during resin-based composite (RBC) light-activation.

机构信息

Department of Restorative Dentistry, School of Dentistry, Federal Fluminense University, CEP 24040-110, Niterói, Rio de Janeiro, Brazil.

出版信息

J Dent. 2010 Apr;38(4):336-42. doi: 10.1016/j.jdent.2009.12.007. Epub 2010 Jan 4.

DOI:10.1016/j.jdent.2009.12.007
PMID:20045036
Abstract

OBJECTIVES

To analyse the influence of the degree of dentine mineralization on the pulp chamber temperature increase during composite light-activation.

METHODS

Dentine discs (2mm thick) obtained from recently extracted teeth or those with extensive dentine sclerosis were analysed by FT-IR spectrometry in order to choose the two discs with the greatest difference in the degree of mineralization. A model tooth was set up with the dentine discs between a molar with the pulp chamber exposed and a crown with a standardized class II cavity. A K-type thermocouple was introduced into the molar root until it came into contact with the dentine discs and the cavity was filled with P60 resin composite. The temperature rise was measured for 120s after light-activation began: Standard (S) 600 mW/cm(2)/40s; Ramp (R) 0-->800 mW/cm(2)/10s+800 mW/cm(2)/10s; Boost (B) 85 0mW/cm(2)/10s and LED (L) 1.300 mW/cm(2)/40s (n=10). The same protocol was repeated after grinding the dentine discs to 1.0 and 0.5mm thickness.

RESULTS

The temperature increase was significantly higher in dentine with high degree of mineralization (p<0.05). With respect to the dentine thickness, the following result was found: 2mm<1mm<0.5mm (p<0.05). The light-activation mode also presented significant difference as follows: S>R=L>B (p<0.05).

CONCLUSIONS

The higher the degree of dentine mineralization the greater the increase in pulp chamber temperature. The temperature increase was influenced by the light-polymerization mode and dentine thickness.

摘要

目的

分析牙本质矿化程度对复合树脂光固化过程中牙髓腔温度升高的影响。

方法

通过傅里叶变换红外光谱仪分析从最近拔出的牙齿或广泛牙本质硬化的牙齿中获得的牙本质片,以选择矿化程度差异最大的两个牙本质片。在暴露牙髓腔的磨牙和具有标准化 II 类腔的牙冠之间建立模型牙。将 K 型热电偶引入磨牙根部,直到与牙本质片接触,然后用 P60 树脂复合树脂填充腔。光激活开始后 120s 测量温度升高:标准(S)600 mW/cm(2)/40s;斜坡(R)0-->800 mW/cm(2)/10s+800 mW/cm(2)/10s;升压(B)850 mW/cm(2)/10s 和 LED(L)1.300 mW/cm(2)/40s(n=10)。重复该方案后,将牙本质片研磨至 1.0 和 0.5mm 厚度。

结果

高矿化度牙本质的温度升高明显更高(p<0.05)。关于牙本质厚度,发现以下结果:2mm>1mm>0.5mm(p<0.05)。光激活模式也有显著差异,如下所示:S>R=L>B(p<0.05)。

结论

牙本质矿化程度越高,牙髓腔温度升高越大。温度升高受光聚合模式和牙本质厚度的影响。

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