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Lau XE, Liu X, Chua H, Wang WJ, Dias M, Choi JJE. Heat generated during dental treatments affecting intrapulpal temperature: a review. Clin Oral Investig 2023; 27:2277-2297. [PMID: 37022531 PMCID: PMC10159962 DOI: 10.1007/s00784-023-04951-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 03/14/2023] [Indexed: 04/07/2023]
Abstract
INTRODUCTION Heat is generated and transferred to the dentine-pulp complex during various dental procedures, such as from friction during cavity preparations, exothermic reactions during the polymerisation of restorative materials and when polishing restorations. For in vitro studies, detrimental effects are possible when intra-pulpal temperature increases by more than 5.5°C (that is, the intra-pulpal temperature exceeds 42.4°C). This excessive heat transfer results in inflammation and necrosis of the pulp. Despite numerous studies stating the importance of heat transfer and control during dental procedures, there are limited studies that have quantified the significance. Past studies incorporated an experimental setup where a thermocouple is placed inside the pulp of an extracted human tooth and connected to an electronic digital thermometer. METHODS This review identified the opportunity for future research and develop both the understanding of various influencing factors on heat generation and the different sensor systems to measure the intrapulpal temperature. CONCLUSION Various steps of dental restorative procedures have the potential to generate considerable amounts of heat which can permanently damage the pulp, leading to pulp necrosis, discoloration of the tooth and eventually tooth loss. Thus, measures should be undertaken to limit pulp irritation and injury during procedures. This review highlighted the gap for future research and a need for an experimental setup which can simulate pulp blood flow, temperature, intraoral temperature and intraoral humidity to accurately simulate the intraoral conditions and record temperature changes during various dental procedures.
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Affiliation(s)
- Xin Er Lau
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand
| | - Xiaoyun Liu
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand
| | - Helene Chua
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand
| | - Wendy Jingwen Wang
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand
| | - Maykon Dias
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand
| | - Joanne Jung Eun Choi
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin, 9016, New Zealand.
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Chen WC, Chen CH, Kung JC, Hsiao YC, Shih CJ, Chien CS. Phosphorus Effects of Mesoporous Bioactive Glass on Occlude Exposed Dentin. MATERIALS (BASEL, SWITZERLAND) 2013; 6:5335-5351. [PMID: 28788393 PMCID: PMC5452793 DOI: 10.3390/ma6115335] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2013] [Revised: 10/11/2013] [Accepted: 11/14/2013] [Indexed: 11/26/2022]
Abstract
In recent studies, sealing of exposed dentinal tubules is generally considered as one of the most effective strategies to treat dentin hypersensitivity. Mesoporous bioactive glass (MBG) is a potential material for treating dentin hypersensitivity due to its highly specific areas for dissolution and re-precipitated reaction for reduction in dentin permeability. The groups of commercial products of PerioGlas®, synthetic MBG and MBG without phosphorus (MBGNP) were compared. The MBG and MBGNP powders were prepared by the sol-gel method and mixed with different calculated ratios of phosphoric acid (PA) and then was brushed onto dentin surfaces. We used X-ray diffractometer (XRD), scanning electronic microscope (SEM), and Fourier transform infrared spectroscopy (FTIR) to investigate the physiochemistry and the occlusion ability of dentinal tubules. The results showed that MBG paste mixed with PA solution has a better ability for occluding dentinal tubules than MBGNP; it has a short reaction time and good operability. The major crystallite phase of MBG agents was monocalcium phosphate monohydrate [Ca(H₂PO₄)₂·H₂O] in the early stages of the reactions. MBG pastes that were mixed with 30% and 40% PA had the ability to create excellent penetration depth greater than 80 μm. These agents have the potential to treat dentin hypersensitivity.
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Affiliation(s)
- Wen-Cheng Chen
- Advanced Medical Devices and Composites Laboratory, Department of Fiber and Composite Materials, College of Engineering, Feng Chia University, Taichung 40724, Taiwan.
| | - Cheng-Hwei Chen
- School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
| | - Jung-Chang Kung
- Department of Family Dentistry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
| | - Yu-Cheng Hsiao
- Department of Fragrance and Cosmetic Science, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
| | - Chi-Jen Shih
- Department of Fragrance and Cosmetic Science, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
| | - Chi-Sheng Chien
- Department of Orthopaedics, Chi Mei Foundation Hospital, Tainan 71004, Taiwan.
- Department of Electrical Engineering, Southern Taiwan University of Science and Technology, Tainan 71005, Taiwan.
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About I. Dentin-pulp regeneration: the primordial role of the microenvironment and its modification by traumatic injuries and bioactive materials. ACTA ACUST UNITED AC 2013. [DOI: 10.1111/etp.12038] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Chang HH, Chang MC, Lin LD, Lee JJ, Wang TM, Huang CH, Yang TT, Lin HJ, Jeng JH. The mechanisms of cytotoxicity of urethane dimethacrylate to Chinese hamster ovary cells. Biomaterials 2010; 31:6917-25. [DOI: 10.1016/j.biomaterials.2010.05.059] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2010] [Accepted: 05/21/2010] [Indexed: 12/11/2022]
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Bakopoulou A, Papadopoulos T, Garefis P. Molecular toxicology of substances released from resin-based dental restorative materials. Int J Mol Sci 2009; 10:3861-3899. [PMID: 19865523 PMCID: PMC2769064 DOI: 10.3390/ijms10093861] [Citation(s) in RCA: 138] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2009] [Revised: 08/24/2009] [Accepted: 09/02/2009] [Indexed: 01/22/2023] Open
Abstract
Resin-based dental restorative materials are extensively used today in dentistry. However, significant concerns still remain regarding their biocompatibility. For this reason, significant scientific effort has been focused on the determination of the molecular toxicology of substances released by these biomaterials, using several tools for risk assessment, including exposure assessment, hazard identification and dose-response analysis. These studies have shown that substances released by these materials can cause significant cytotoxic and genotoxic effects, leading to irreversible disturbance of basic cellular functions. The aim of this article is to review current knowledge related to dental composites' molecular toxicology and to give implications for possible improvements concerning their biocompatibility.
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Affiliation(s)
- Athina Bakopoulou
- Department of Fixed & Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki 541 24, Greece; E-Mails: (B.A.); (G.P.)
| | - Triantafillos Papadopoulos
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Athens, 115 27, Greece
| | - Pavlos Garefis
- Department of Fixed & Implant Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki 541 24, Greece; E-Mails: (B.A.); (G.P.)
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Abstract
Oral and mucosal adverse reactions to resin-based dental materials have been reported. Numerous studies have examined the biocompatibility of restorative dental materials and their components, and a wide range of test systems for the evaluation of the biological effects of these materials have been developed. This article reviews the biological aspects of resin-based dental materials and discusses the conventional as well as the new techniques used for biocompatibility assessment of dental materials.
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Hamid A, Okamoto A, Iwaku M, Hume WR. Component release from light-activated glass ionomer and compomer cements. J Oral Rehabil 1998; 25:94-9. [PMID: 9576591 DOI: 10.1046/j.1365-2842.1998.00247.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The purpose of this study was to identify and quantify any component released from seven commercially available light-cured or resin-modified glass ionomer and compomer cements. Twenty-one separate cylindrical stainless steel moulds 6 mm in diameter and 1.0 mm deep were filled with one of seven glass ionomer or compomer cements, light activated and then immediately immersed in separate containers of distilled water. Water samples were retrieved over a time period of up to 30 days and retained for analysis. An occlusal cavity 6 mm in diameter was prepared in extracted human third molar teeth with a remaining dentin thickness of 1.6-2.0 mm. A polypropylene chamber was attached to the cemento-enamel junction of each tooth to contain 1 mL of distilled water. Ten teeth were each filled with one of three cements and light activated. Water samples (eluates) were retrieved over a period of time. All samples were analysed by high performance liquid chromatography. Only one component, hydroxyethyl methacrylate (HEMA), was detected in the eluates from both tooth and mould samples. Analysis of diffusion of the HEMA through dentin showed a relatively sustained movement into the pulp space during the first day, with exponential decline thereafter. Our data show that HEMA was released from all of the light activated glass ionomer cements studied and from the compomer, both directly into water and through dentin. This release may be relevant both to the risk of adverse pulpal responses in patients and to the risk of allergy in patients and dental personnel.
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Affiliation(s)
- A Hamid
- Department of Resorative Dentistry, University of California, San Francisco, CA, USA
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Kuhar M, Cevc P, Schara M, Funduk N. Enhanced permeability of acid-etched or ground dental enamel. J Prosthet Dent 1997; 77:578-82. [PMID: 9185049 DOI: 10.1016/s0022-3913(97)70098-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
STATEMENT OF PROBLEM Acid etching creates retentive microcraters on enamel surfaces. Designing of a partial denture often involves reshaping the supporting and retentive teeth by grinding the enamel. Unfortunately, both these procedures damage the enamel surface. In vivo such surface damage takes several months to recover. PURPOSE This study evaluated the effect of 1-minute etching, prolonged etching, and grinding on the permeability of dental enamel for water-soluble molecules. MATERIAL AND METHODS With the electron paramagnetic resonance and a two-chamber diffusion cell, the influence of etching and grinding on the diffusion of spin label molecules through the enamel was studied quantitatively. The enamel permeability was measured in 30 sound enamel samples, of which 10 samples were exposed to 1-minute etching with 37% phosphoric acid, 10 samples were etched for 5 minutes, and 10 samples were ground with a diamond bur. RESULTS AND CONCLUSIONS All procedures significantly increased the permeability of dental enamel. These results demonstrate that in vivo the acid-etched and ground dental enamel surfaces are less protected and consequently, unless the tooth is properly protected, are more susceptible to carious lesions. Therefore ground or accidentally etched enamel should be protected.
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Affiliation(s)
- M Kuhar
- Department of Dentistry, Medical Faculty, University of Ljubljana, Slovenia
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Hume WR, Gerzina TM. Bioavailability of components of resin-based materials which are applied to teeth. CRITICAL REVIEWS IN ORAL BIOLOGY AND MEDICINE : AN OFFICIAL PUBLICATION OF THE AMERICAN ASSOCIATION OF ORAL BIOLOGISTS 1996; 7:172-9. [PMID: 8875031 DOI: 10.1177/10454411960070020501] [Citation(s) in RCA: 121] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Chemical components of many materials used in dental practice can move into the local biophase, where they can have beneficial or adverse effects. The strongest indirect evidence that components of resin-based materials used in dentistry can move into the biophase are the many reports of allergic dermatitis in dental personnel. Direct measurement of component release has shown that triethylene glycol dimethacrylate (TEGDMA), hydroxyethyl methacrylate (HEMA), and, in the case of some orthodontic cements, bis-glycidyl methacrylate and benzoyl peroxide can move into an aqueous medium from a range of resin-based materials which are applied to teeth as part of oral care. In the case of resin composite restorations, HEMA and TEGDMA are available in microgram quantities via the salivary surface in the minutes and hours after clinical placement and via dentin and pulp in the hours and days after placement. Fortunately, moderate thickness of dentin protects pulp tissue against local toxicity. There are no data which suggest that systemic toxicity is a risk with any of these materials. There are some case reports of allergic responses to the monomers in patients, but the incidence of such responses appears at present to be much lower than that in dental personnel.
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Affiliation(s)
- W R Hume
- Department of Restorative Dentistry, University of California, San Francisco 94143-0758, USA
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Kedici PS, Kalipcilar B, Bilir OG. Effect of glass ionomer liners on bonding strength of laminate veneers. J Prosthet Dent 1992; 68:29-32. [PMID: 1403914 DOI: 10.1016/0022-3913(92)90279-j] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
This study compared shear bond strengths of porcelain laminate veneers, fabricated on refractory dies, which were lengthened incisally by 0.5 mm. Specimens were divided into four separate groups. In group A, the teeth were reduced 0.5 mm and the bonding was to enamel. The teeth of the remaining groups were reduced 1.0 mm and the bonding was to dentin. For two of the groups glass ionomer liners were applied before etching. Bonding to enamel was best, with cohesive fractures in porcelain. In the other groups, failure was adhesive in nature, occurring at the resin-tooth interface.
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Affiliation(s)
- P S Kedici
- Department of Prosthodontics, Faculty of Dentistry, University of Ankara, Turkey
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Abstract
Four hundred and thirty nine chemical-cured composite resin restorations were placed in the anterior teeth of 86 patients treated in a private dental practice. Four anterior resins were used, and placement was performed with acid etching and appropriate enamel bonding resins. Assessments were made of the handling characteristics, condition of the gingiva, surface staining, marginal staining, color deterioration, and of the longevity of the four materials. Clinical deterioration rates and failures of the different types of composites were evaluated over periods of up to five years. Although all the assessed clinical factors deteriorated with time, there were very few unsatisfactory rating scores. Most of the composite restorations performed well over the study. Eight per cent of the restorations failed during the study. Class IV preparations showed the highest restoration failure rates.
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Affiliation(s)
- R J Smales
- Department of Dentistry, University of Adelaide, South Australia
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