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在模拟牙髓微循环条件下,不同光固化模式导致的髓腔内温度升高。

Temperature rise caused in the pulp chamber under simulated intrapulpal microcirculation with different light-curing modes.

作者信息

Ramoglu Sabri Ilhan, Karamehmetoglu Hilal, Sari Tugrul, Usumez Serdar

机构信息

a  Associate Professor and Department Chair, Department of Orthodontics, Faculty of Dentistry, Bezmialem Vakif University, Istanbul, Turkey.

出版信息

Angle Orthod. 2015 May;85(3):381-5. doi: 10.2319/030814-164.1. Epub 2014 Oct 15.

Abstract

OBJECTIVE

To evaluate and compare intrapulpal temperature rise with three different light-curing units by using a study model simulating pulpal blood microcirculation.

MATERIALS AND METHODS

The roots of 10 extracted intact maxillary central incisors were separated approximately 2 mm below the cement-enamel junction. The crowns of these teeth were fixed on an apparatus for the simulation of blood microcirculation in pulp. A J-type thermocouple wire was inserted into the pulp chamber through a drilled access on the palatal surfaces of the teeth. Four measurements were made using each tooth for four different modes: group 1, 1000 mW/cm(2) for 15 seconds; group 2, 1200 mW/cm(2) for 10 seconds; group 3, 1400 mW/cm(2) for 8 seconds; and group 4, 3200 mW/cm(2) for 3 seconds. The tip of the light source was positioned at 2 mm to the incisor's labial surface.

RESULTS

The highest temperature rise was recorded in group 1 (2.6°C ± 0.54°C), followed by group 2 (2.57°C ± 0.62°C) and group 3 (2.35°C ± 0.61°C). The lowest temperature rise value was found in group 4 (1.74°C ± 0.52°C); this value represented significantly lower ΔT values when compared to group 1 and group 2 (P  =  .01 and P  =  .013, respectively).

CONCLUSIONS

The lowest intrapulpal temperature rise was induced by 3200 mW/cm(2) for 3 seconds of irradiation. Despite the significant differences among the groups, the temperature increases recorded for all groups were below the critical value of 5.6°C.

摘要

目的

通过使用模拟牙髓血液微循环的研究模型,评估和比较三种不同光固化灯引起的牙髓腔内温度升高情况。

材料与方法

选取10颗完整拔除的上颌中切牙,在牙骨质 - 釉质界下方约2mm处截断牙根。将这些牙齿的冠部固定在模拟牙髓血液微循环的装置上。通过在牙齿腭侧表面钻出的通道将J型热电偶丝插入牙髓腔。每颗牙齿针对四种不同模式进行四次测量:第1组,1000 mW/cm²照射15秒;第2组,1200 mW/cm²照射10秒;第3组,1400 mW/cm²照射8秒;第4组,3200 mW/cm²照射3秒。光源尖端位于距切牙唇面2mm处。

结果

第1组记录到的温度升高最高(2.6°C ± 0.54°C),其次是第2组(2.57°C ± 0.62°C)和第3组(2.35°C ± 0.61°C)。第4组的温度升高值最低(1.74°C ± 0.52°C);与第1组和第2组相比,该值代表的ΔT值显著更低(分别为P = 0.01和P = 0.013)。

结论

3200 mW/cm²照射3秒引起的牙髓腔内温度升高最低。尽管各组之间存在显著差异,但所有组记录到的温度升高均低于5.6°C的临界值。

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