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Temperature rise in the pulp chamber during different stripping procedures.

Asli Baysal¹, Tancan Uysal, Serdar Usumez

¹Department of Orthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.

The Angle Orthodontist

|May 1, 2007

Summary

Stripping teeth without coolant generates significant heat, with tungsten carbide burs on incisors causing the most dangerous temperature rise. Cooling is essential during dental stripping procedures to prevent pulp damage.

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Area of Science:

Dental materials science
Biomaterials engineering
Operative dentistry

Background:

Stripping procedures in dentistry can generate frictional heat.
Elevated temperatures in the pulp chamber pose a risk to dental vitality.
The impact of different stripping methods on pulp temperature is not fully understood without coolant.

Purpose of the Study:

To quantify pulp chamber temperature changes during various dental stripping procedures.
To evaluate the thermal effects of different instruments and tooth types without coolant application.

Main Methods:

Ninety human teeth (incisors, canines, premolars) were divided into nine groups.
Stripping was performed using a metal stripper, perforated disk, or tungsten carbide bur.

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Pulp temperature was monitored using a thermocouple in the pulp chamber.

Main Results:

A significant interaction was found between stripping method and tooth type (P = .000).
Tungsten carbide burs on mandibular incisors produced the highest temperature increase (5.63 ± 1.73°C), exceeding the critical 5.5°C threshold.
Six of nine groups showed temperature increases above the critical level.

Conclusions:

Frictional heat generation is a significant concern during dental stripping.
Cooling is crucial, especially when using high-speed handpieces on mandibular incisors, to prevent pulpal damage.