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通过热成像评估不同牙间隙清洁程序期间随时间变化的温度变化:一项体外研究。

Evaluation of Time-Dependent Temperature Changes during Different Interdental Stripping Procedures by Thermal Imaging: An In Vitro Study.

作者信息

Gul Amuk Nisa, Kurt Gokmen, Cakmak Gulsen, Er Ozgur

出版信息

Oral Health Prev Dent. 2019;17(6):591-598. doi: 10.3290/j.ohpd.a43274.

Abstract

PURPOSE

To investigate the temperature changes in pulp chamber of incisor and canine teeth during different stripping procedures with thermal imaging.

MATERIALS AND METHODS

Intact and freshly extracted human permanent 40 maxillary lateral incisor, 40 mandibular canine and 40 mandibular incisor teeth were selected for this study. Diamond bur, tungsten carbide bur and perforated diamond-coated disc were used for interdental stripping in high and low speed handpieces by air and water cooling. Temperature changes and cooling time of the tooth groups were recorded by a thermal imaging system. Paired t test and one-way analysis of variance (ANOVA) tests were performed for intragroup and intergroup comparisons of temperature changes and cooling time values.

RESULTS

Stripping procedures created a statistically significant temperature rise in all study groups (p < 0.05). For maxillary lateral incisors and mandibular incisors, the greatest temperature rise was calculated during stripping with tungsten bur and perforated disk under air cooling (p < 0.001), while no statistically significant difference was found between the temperature rise values of mandibular canine teeth during different stripping procedures (p = 0.053). The lowest temperature rise and cooling time values among all tooth groups were observed during stripping with diamond bur under water cooling and the longest cooling time values were detected during stripping with perforated disc under air cooling (maxillary incisor; p < 0.001, mandibular incisor; p < 0.05, mandibular canine; p < 0.05).

CONCLUSION

For all tooth groups, stripping with diamond bur in a high speed handpiece under water cooling produced the lowest temperature rise in the pulp chamber and the shortest cooling time values among different stripping procedures.

摘要

目的

利用热成像技术研究不同去牙间隙操作过程中切牙和尖牙牙髓腔的温度变化。

材料与方法

本研究选取了40颗完整的新鲜拔除的人类恒牙,包括40颗上颌侧切牙、40颗下颌尖牙和40颗下颌切牙。使用金刚石车针、碳化钨车针和穿孔金刚石涂层盘,通过高速和低速手机在气冷和水冷条件下进行牙间隙去牙操作。用热成像系统记录各牙组的温度变化和冷却时间。对温度变化和冷却时间值进行组内和组间比较,采用配对t检验和单因素方差分析(ANOVA)。

结果

所有研究组的去牙间隙操作均导致温度显著升高(p < 0.05)。对于上颌侧切牙和下颌切牙,气冷条件下使用钨车针和穿孔盘去牙时温度升高最大(p < 0.001),而不同去牙间隙操作过程中下颌尖牙的温度升高值之间未发现统计学显著差异(p = 0.053)。所有牙组中,水冷条件下使用金刚石车针去牙时温度升高最低且冷却时间最短,气冷条件下使用穿孔盘去牙时冷却时间最长(上颌切牙;p < 0.001,下颌切牙;p < 0.05,下颌尖牙;p < 0.05)。

结论

对于所有牙组,在水冷条件下使用高速手机中的金刚石车针去牙,在不同去牙间隙操作中牙髓腔温度升高最低且冷却时间最短。

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