Intra pulp chamber temperature variation caused by Nd:YAG and Diode LASER irradiation

Sérgio Kiyoshi Ishikiriama, Rafael Massunari Maenosono, Letícia Ferreira de Freitas Brianezzi, Vanessa Maira Vieira Cunha, Rafael Francisco Lia Mondelli


Objective: Neodymium (Nd:YAG) and Diode LASER irradiation on adhesive systems canincrease bond strength to dentin, however, concerns about the temperature variation inside pulp chamber still remain. The aim of this study was to evaluate the intra pulp chamber temperature variation caused by irradiation with Nd:YAG or Diode LASER on different adhesive systems. Material and Methods: This study presented experimental design with two factors: LASER on two levels (Diode [D] and Nd:YAG [N]) and adhesive system on four levels (Adper™ Scotchbond™ Multi-Purpose [MP], Adper™ SingleBond 2 [SB], Clearfil™ SE Bond [CSE] and Adper™ Easy One [EO]). The quantitative response variable was the temperature variation (Δt) in  C. Forty bovine teeth, distributed into 8 groups (n = 5), had the buccal surface flattened up to1 mm thickness of dentin. After the application of each adhesive system, but previously to the light curing, specimens were irradiated with Nd:YAG or Diode LASER with standardized parameters. The Δt was obtained through a thermocouple inserted into pulp chamber. The values of Δt were submitted to two-way ANOVA, followed by Tukey (p < 0.05) for individual comparisons. Results: The means (± standard deviation) of Δt were: N-MP: 12.60 (± 2.51), N-SB: 10.40 (± 5.03), N-CSE: 11.80 (± 5.12) and N-EO: 10.20 (± 2.39), D-MP: 4.4 (± 1.82), D-SB: 5.20 (± 1.54), D-CSE: 4.60 (± 1.14), D-EO: 3.60 (± 1.52). Conclusion: The type of adhesive system  was not significant in temperature changes generated by LASER irradiation, but Nd:YAG LASER may provide a higher potential to cause pulp damage.

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