Temperature rise in pulpal chamber during fabrication of provisional resinous crowns.
BACKGROUND
The heat generated during the exothermic polymerization reaction of autopolymerizing resinous materials and the heat generated by ultraviolet lamps during irradiation of photopolymerizing resinous materials could cause pulpal damage when a direct technique is used to fabricate provisional restorations. This could occur if temperature elevations overcome the physiological heat dissipating mechanisms of the dental-periodontal system.


OBJECTIVE
This in vitro study compared the rise in temperatures in the pulpal chamber during fabrication of provisional complete veneer crowns by direct method with different autopolymerizing and photopolymerizing resins. The effect of curing resinous crowns in different matrices, such as a polyvinyl siloxane impression and a vaccuum-formed polypropylene sheet, was also evaluated.


RESULTS
The results demonstrated that the amount of heat generated during resin polymerization and transmitted to the pulpal chamber could be damaging to pulpal tissues including odontoblasts. When curing of provisional resinous crowns was performed in the polyvinyl siloxane impression, significantly lower temperatures were recorded compared with curing in the vacuum-formed polypropylene sheet.


CONCLUSIONS
To prevent pulpal damage, effective cooling procedures are strongly recommended when directly fabricating resinous provisional crowns.
Castelnuovo
J
J
University of Washington School of Dentistry, Seattle, USA.
Tjan
A H
AH
D000704:Analysis of Variance; D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D001831:Body Temperature; D003080:Cold Temperature; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D003760:Dental Impression Materials; D017267:Dental Prosthesis Design; D003782:Dental Pulp / Q000502:physiology; D003786:Dental Pulp Cavity / Q000502:physiology*; D003801:Dental Veneers; D006358:Hot Temperature; D006801:Humans; D008689:Methacrylates / Q000737:chemistry; D020366:Methylmethacrylate; D008768:Methylmethacrylates / Q000737:chemistry; D009804:Odontoblasts / Q000502:physiology; D010519:Periodontium / Q000502:physiology; D011108:Polymers / Q000737:chemistry; D011126:Polypropylenes / Q000737:chemistry; D011140:Polyurethanes / Q000737:chemistry; D011145:Polyvinyls / Q000737:chemistry; D012117:Resins, Synthetic / Q000737:chemistry; D012833:Siloxanes / Q000737:chemistry; D014466:Ultraviolet Rays; D014618:Vacuum
D003188:Composite Resins; D003760:Dental Impression Materials; D008689:Methacrylates; D008768:Methylmethacrylates; D011108:Polymers; D011126:Polypropylenes; D011140:Polyurethanes; D011145:Polyvinyls; D012117:Resins, Synthetic; D012833:Siloxanes; C034183:vinyl polysiloxane; C029824:urethane dimethacrylate luting resin; D020366:Methylmethacrylate; D017438:Bisphenol A-Glycidyl Methacrylate; C009931:poly(ethylmethacrylate)