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彩色复合树脂固化过程中乳牙牙髓腔温度变化:一项使用牙髓血液微循环模型的体外研究

Temperature change in pulp chamber of primary teeth during curing of coloured compomers: an in vitro study using pulpal blood microcirculation model.

作者信息

Ertuğrul Ceylan Çağıl, Ertuğrul Ihsan Furkan

机构信息

Department of Pediatric Dentistry, Pamukkale University, Denizli, Turkey.

Department of Endodontics, Pamukkale University, Denizli, Turkey.

出版信息

PeerJ. 2019 Jul 8;7:e7284. doi: 10.7717/peerj.7284. eCollection 2019.

Abstract

INTRODUCTION

An increase in the temperature of the pulp chamber occurs during polymerisation of all types of light-curing resin-containing restorative materials, due to both the exothermic reaction of the material and the energy absorbed during the curing process. Increase in temperature of the pulp chamber of primary teeth during the curing process or the thermal conductivity properties of coloured compomers (CCs) have not yet been investigated in detail. The aim of the present study was to investigate the increase in pulpal temperature in primary teeth during curing of CCs.

MATERIALS AND METHODS

A Class-II cavity was prepared on the extracted primary mandibular second molar. Pulpal microcirculation of the tooth was performed using an experimental mechanism. The study included 15 groups and 10 experiments in each. Seven different CCs: pink, blue, gold, silver, orange, lemon, green, respectively from two different manufacturers (Groups 1-7: Twinky Star; VOCO, Cuxhaven, Germany. Groups 8-14: Nova Rainbow; IMICRYL, Konya, Turkey.) and a tooth-CC (Group 15: Dyract XP; DENTSPLY, Weybridge, UK.) were applied in prepared cavity. In all groups the compomers were light cured for 40 s. Intrapulpal temperature changes (Δ) in 20th and 40th second were recorded. In Group-15 the Δ values in 10th second were also recorded as per the manufacturer's instructions. The Kruskal-Wallis test and the Mann-Whitney- test were used for statistical analyses.

RESULTS

At the end of 40-s irradiation time, the orange, lemon and green colours of Nova Rainbow resulted in significantly lower Δ values than the same colours of Twinky Star ( = 0.0001), and silver, blue, lemon, green, orange, and pink CCs of Nova Rainbow and the blue and silver shades of Twinky Star demonstrated lower Δ values than the reported critical temperature increase (5.5 °C).

CONCLUSION

An increase in the irradiation time consequently led to an increase in the intrapulpal temperature. Therefore, manufacturers should focus on production of new CCs with shorter polimerization time.

摘要

引言

在所有含光固化树脂的修复材料聚合过程中,由于材料的放热反应以及固化过程中吸收的能量,牙髓腔温度会升高。乳牙在固化过程中牙髓腔温度的升高情况或彩色复合树脂(CCs)的热传导特性尚未得到详细研究。本研究的目的是调查CCs固化过程中乳牙牙髓温度的升高情况。

材料与方法

在拔除的下颌第一乳磨牙上制备Ⅱ类洞。使用实验装置对牙齿的牙髓微循环进行研究。该研究包括15组,每组10次实验。分别从两个不同制造商处选取七种不同的CCs:粉色、蓝色、金色、银色、橙色、柠檬色、绿色(第1 - 7组:Twinky Star;VOCO,德国库克斯港。第8 - 14组:Nova Rainbow;IMICRYL,土耳其科尼亚。)以及一种牙齿色CC(第15组:Dyract XP;登士柏,英国韦布里奇),将其应用于制备好的洞中。所有组的复合树脂均光固化40秒。记录第20秒和第40秒时牙髓内温度变化(Δ)。在第15组中,按照制造商的说明还记录了第10秒时的Δ值。采用Kruskal - Wallis检验和Mann - Whitney检验进行统计分析。

结果

在40秒照射时间结束时,Nova Rainbow的橙色、柠檬色和绿色所导致的Δ值显著低于Twinky Star相同颜色的Δ值(P = 0.0001),并且Nova Rainbow的银色、蓝色、柠檬色、绿色、橙色和粉色CCs以及Twinky Star的蓝色和银色色调所导致的Δ值低于报道的临界温度升高值(5.5℃)。

结论

照射时间的增加会导致牙髓内温度升高。因此,制造商应专注于生产聚合时间更短的新型CCs。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89cf/6622158/8a7d7873ef71/peerj-07-7284-g001.jpg

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