Cavity preparation by Er-YAG laser on pulpal temperature rise.
OBJECTIVE
To measure the intrapulpal temperature changes in vitro, during cavity preparation and caries removal, using the Opus 20 Er-YAG laser plotted as a function of the laser energy and pulse rate.


METHODS
Class I and V cavity preparations were made in 175 fresh extracted caries-free human teeth and caries removal was carried out in 42 carious extracted teeth by the Opus 20 Er-YAG laser. K-type thermocouples were inserted into the pulp chambers filled with heat conducting paste. Lasing was carried out at different irradiation energies and pulse frequencies, using air-water spray. Temperature changes in the pulp chamber were measured during lasing.


RESULTS
In all groups tested, the maximum temperature rise was lower than 5.5 degrees C, which is considered as critical value for pulp vitality. The highest temperature values were measured during Cl I preparations (3.13 degrees C +/- 1.54 - 4.11 degrees C +/- 1.29), medium values were in Cl V in enamel (2.38 degrees C +/- 1.37 - 4 degrees C +/- 1.07) and the lowest were in cementum (2.10 degrees C +/- 0.61 - 3.61 degrees C +/- 1.15) and during caries removal (1.21 degrees C +/- 0.46 - 3.51 degrees C +/- 0.68).
Oelgiesser
Dan
D
Laser Clinic, The Maurice and Gabriela Goldschleger, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. Ranoe@netvision.net
Blasbalg
Jaron
J
Ben-Amar
Ariel
A
D000704:Analysis of Variance; D001831:Body Temperature; D003737:Dental Cavity Preparation / Q000379:methods*; D003782:Dental Pulp / Q000502:physiology*; D004871:Erbium; D006358:Hot Temperature; D006801:Humans; D053685:Laser Therapy
D004871:Erbium