Prawnapa Natongkham1, Pattaranat Banthitkhunanon1, Sitthichai Wanachantararak2. 1. Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand. 2. Department of Oral Biology and Oral Diagnosis Sciences, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.
Abstract
Background: Patients often compliant sensitivity to high-intensity light irradiated application during dental procedures. This study aims to investigate tooth sensitivity caused by high-intensity light irradiated from an intraoral scanner (IOS) and a light-curing unit (LCU). Material and Methods: Forty-five teeth from 45 healthy volunteers were included. These were equally classified into three groups using the cold test (4 ± 1 °C) and NRS pain assessment; A=control, B=cavity without sensitivity, and C=cavity with sensitivity. Two thermocouple probes were attached to the cervical area of the experimental and control tooth with a composite resin. Tooth sensitivity response by participant grip force was monitored. The digital oscilloscope was used to record two surface temperatures and a pain response during an IOS or a LCU irradiation. The high-intensity light from a LCU and an IOS was randomly applied at 2 mm above the cervical area for 20s. The data were compared statistical with two-way repeated measures ANOVA and Pearson's correlation. Results: The illumination caused increasing surface temperatures of about 22.98 ± 3.20 °C for a LCU and 5.86 ± 1.46 °C for an IOS from a 29.5 °C baseline. As the light intensity from the LCU generated more heat, participants reported more tooth sensitivity with a shorter response time (2.10s to 18.70s). There was a positive correlation between surface temperature and pain response (R2 = 0.232; p<0.01). Conclusions: The heat from high-intensity light from a LCU and an IOS can cause tooth sensitivity in some individuals especially those who had a cervical cavity with dentine sensitivity. The higher light intensity would raise the surface temperature and cause a higher sensitivity response. Key words:Light curing unit, intraoral scanner, tooth temperature, dentine sensitivity. Copyright:
Background: Patients often compliant sensitivity to high-intensity light irradiated application during dental procedures. This study aims to investigate tooth sensitivity caused by high-intensity light irradiated from an intraoral scanner (IOS) and a light-curing unit (LCU). Material and Methods: Forty-five teeth from 45 healthy volunteers were included. These were equally classified into three groups using the cold test (4 ± 1 °C) and NRS pain assessment; A=control, B=cavity without sensitivity, and C=cavity with sensitivity. Two thermocouple probes were attached to the cervical area of the experimental and control tooth with a composite resin. Tooth sensitivity response by participant grip force was monitored. The digital oscilloscope was used to record two surface temperatures and a pain response during an IOS or a LCU irradiation. The high-intensity light from a LCU and an IOS was randomly applied at 2 mm above the cervical area for 20s. The data were compared statistical with two-way repeated measures ANOVA and Pearson's correlation. Results: The illumination caused increasing surface temperatures of about 22.98 ± 3.20 °C for a LCU and 5.86 ± 1.46 °C for an IOS from a 29.5 °C baseline. As the light intensity from the LCU generated more heat, participants reported more tooth sensitivity with a shorter response time (2.10s to 18.70s). There was a positive correlation between surface temperature and pain response (R2 = 0.232; p<0.01). Conclusions: The heat from high-intensity light from a LCU and an IOS can cause tooth sensitivity in some individuals especially those who had a cervical cavity with dentine sensitivity. The higher light intensity would raise the surface temperature and cause a higher sensitivity response. Key words:Light curing unit, intraoral scanner, tooth temperature, dentine sensitivity. Copyright: