The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 22 , ISSUE 6 ( June, 2021 ) > List of Articles

ORIGINAL RESEARCH

Effect of Three Different Cooling and Insulation Techniques on Pulp Chamber Temperature during Direct Temporization with Polymethyl methacrylate-based Resin

Aryen Kaushik, Rajeev R Singh, Pooja Rani, G Vinaya Kumar, Punit RS Khurana, Taranjeet Kaur

Keywords : Cooling techniques, Intrapulpal temperature, Laboratory research, Polymethyl methacrylate, Provisionalization

Citation Information : Kaushik A, Singh RR, Rani P, Kumar GV, Khurana PR, Kaur T. Effect of Three Different Cooling and Insulation Techniques on Pulp Chamber Temperature during Direct Temporization with Polymethyl methacrylate-based Resin. J Contemp Dent Pract 2021; 22 (6):644-649.

DOI: 10.5005/jp-journals-10024-3110

License: CC BY-NC 4.0

Published Online: 09-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim and objective: This in vitro study evaluates and compares the changes in pulp chamber temperature during direct fabrication of provisional restorations in maxillary central incisors after using three different cooling techniques. Materials and methods: Total of 60 samples of maxillary central incisors along with their putty indices were divided into four groups (one control and three experimental) and were prepared using a surveyor cum milling machine. Teeth were sectioned 2 mm below cementoenamel junction and a K-type thermocouple wire was inserted in the tooth and secured at the pulpal roof using amalgam. Putty index filled with DPI tooth molding resin material [polymethyl methacrylate (PMMA)] was placed on the tooth and temperature changes per 5 seconds were recorded by temperature indicating device for the control, on–off, precooled putty, and dentin bonding agent (DBA) group. Results: The highest mean obtained was of the control (11.04°C), followed by DBA group (9.53°C), precooled putty group (6.67°C), and on–off group (1.94°C). Precooled putty index group took maximum time to reach the baseline temperature (847.5 seconds). Conclusion: On–off technique is the most effective method to reduce the intrapulpal temperature during polymerization, as compared to the other techniques used in the study. Retardation in the polymerization process was seen in precooled putty group, which may make this technique clinically inadvisable. Clinical significance: Thermal protection of pulp must always be considered during direct fabrication of provisional restoration when a PMMA-based resin is used. By using on–off technique, not only the thermal insult to the pulp can be effectively minimized but also the harmful effects of residual monomer (poor marginal fit and pulpal irritation) can be eliminated.


HTML PDF Share
  1. Dhillon N, Kumar M, D'Souza D. Effect of water temperature and duration of immersion on the marginal accuracy of provisional crowns. Med J Armed Forces India 2011;67(3):237–240. DOI: 10.1016/S0377-1237(11)60049-X.
  2. Patras M, Naka O, Doukoudakis S, et al. Management of provisional restorations’ deficiencies: a literature review. J Esthet Restor Dent 2012;24(1):26–38. DOI: 10.1111/j.1708-8240.2011.00467.x.
  3. Regish KM, Sharma D, Prithviraj DR. Techniques of fabrication of provisional restoration: an overview. Int J Dent 2011;2011:134659. DOI: 10.1155/2011/134659.
  4. Rashid H, Sheikh Z, Vohra F. Allergic effects of the residual monomer used in denture base acrylic resins. Eur J Dent 2015;9(4):614–619. DOI: 10.4103/1305-7456.172621.
  5. Wiltshire WA, Ferreira MR, Ligthelm AJ. Allergies to dental materials. Quintessence Int 1996;27(8):513–520. PMID: 9161254
  6. Khajuria RR, Madan R, Agarwal S, et al. Comparison of temperature rise in pulp chamber during polymerization of materials used for direct fabrication of provisional restorations: an in-vitro study. Eur J Dent 2015;9(2):194–200. DOI: 10.4103/1305-7456.156807.
  7. Tjan AH, Grant BE, Godfrey MF 3rd. Temperature rise in the pulp chamber during fabrication of provisional crowns. J Prosthet Dent 1989;62(6):622–626. DOI: 10.1016/0022-3913(89)90578-7.
  8. Zach L, Cohen G. Pulp response to externally applied heat. Oral Surg Oral Med Oral Pathol 1965;19:515–530. DOI: 10.1016/0030-4220(65)90015-0.
  9. Moulding MB, Loney RW. The effect of cooling techniques on intrapulpal temperature during direct fabrication of provisional restorations. Int J Prosthodont 1991;4(4):332–336. PMID: 1811626
  10. Chiodera G, Gastaldi G, Millar BJ. Temperature change in pulp cavity in vitro during the polymerization of provisional resins. Dent Mater 2009;25(3):321–325. DOI: 10.1016/j.dental.2008.08.006.
  11. Gurbulak AG, Kiliç K, Zortuk M, et al. The effect of dentin desensitizer with different layers on thermal changes on the pulp during fabrication of provisional restoration. J Biomed Mater Res B Appl Biomater 2009;91(1):362–365. DOI: 10.1002/jbm.b.31410.
  12. Yuodelis RA, Faucher R. Provisional restorations: an integrated approach to periodontics and restorative dentistry. Dent Clin North Am 1980;24(2):285–303. PMID: 6988242
  13. Michalakis K, Pissiotis A, Hirayama H, et al. Comparison of temperature increase in the pulp chamber during the polymerization of materials used for the direct fabrication of provisional restorations. J Prosthet Dent 2006;96(6):418–423. DOI: 10.1016/j.prosdent.2006.10.005.
  14. Moulding MB, Teplitsky PE. Intrapulpal temperature during direct fabrication of provisional restorations. Int J Prosthodont 1990;3(3):299–304. PMID: 2083018
  15. Briseño B, Ernst CP, Willershausen-Zönnchen B. Rise in pulp temperature during finishing and polishing of resin composite restorations: an in vitro study. Quintessence Int 1995;26(5): 361–365. PMID: 7568761
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.