Lasers in Medical Science

, Volume 28, Issue 1, pp 167–170 | Cite as

Effects of different dentin thicknesses and air cooling on pulpal temperature rise during laser welding

  • Asli Secilmis
  • Mehmet Bulbul
  • Tugrul Sari
  • Aslihan Usumez
Original Article
First Online:
Received:
Accepted:

Abstract

The neodymium/yttrium–aluminum–garnet (Nd/YAG) laser has been suggested to repair broken prostheses in the mouth. This study investigated the effects of different dentin thicknesses and air cooling on pulpal temperature rise during laser welding. Three intact human maxillary molars were prepared for full-veneer crown. For each tooth, dentin thicknesses in mesiobuccal cusp was 2, 3, or 4 mm. Twenty dies were duplicated from each of the prepared teeth. For metal copings with 0.5-mm thickness, wax patterns were prepared with dip wax technique directly onto each of dies. All patterns were sprued and invested. The castings were made using a nickel–chromium alloy (Nicromed Premium, Neodontics). A hole with 0.5-mm diameter was prepared on the mesiobuccal cusp of each crown. The Nd/YAG laser (9.85 W; 1 Hz repetition rate; fluence, 1.230 J/cm2; Fidelis Plus 3, Fotona) was used for welding with or without air cooling (n = 10). The temperature rise was measured in pulpal chamber with a J-type thermocouple wire that was connected to a data logger. Differences between start and highest temperature reading were taken, and temperature rise values were compared using two-way analysis of variance and Tukey’s honestly significant difference tests (α = .05). Pulpal temperature rise varied significantly depending on the dentin thickness and air cooling (p < 0.05). The non-air cooling group induced significantly the highest temperature increases. There were no significant differences between 2- and 3-mm dentin thicknesses groups (p > 0.05); however, pulpal temperature rise was the lowest for 4-mm dentin thickness group (p < 0.05). The highest values of thermal increase were found in the pulp chamber (6.8°C) when no air cooling was used in 2-mm dentin thickness group. Laser welding on base metal castings with Nd/YAG laser can be applied with air cooling to avoid temperature rises known to adversely affect pulpal health when dentin thickness is 2 or 3 mm.

Keywords

Neodymium/yttrium–aluminum–garnet (Nd/YAG) laser Temperature increase Laser welding Intra-oral welding 
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Notes

Acknowledgment

The authors would like to thank Fotona Company (Ljubljana, Slovenia) for providing special hand pieces for the study.

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Copyright information

© Springer-Verlag London Ltd 2012

Authors and Affiliations

  • Asli Secilmis
    • 1
  • Mehmet Bulbul
    • 1
  • Tugrul Sari
    • 2
  • Aslihan Usumez
    • 2
  1. 1.Faculty of Dentistry, Department of ProsthodonticsUniversity of GaziantepGaziantepTurkey
  2. 2.Faculty of Dentistry, Department of ProsthodonticsBezmialem Vakif UniversityIstanbulTurkey

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