Pulp temperature increase during photo-activated disinfection (PAD) of periodontal pockets: an in vitro study.

in Lasers in medical science (2010)

The capacity of photo-sensitizers, used in combination with laser light to kill micro-organisms has been demonstrated in different studies. Photo-activated disinfection (PAD) has been introduced in ... [more ▼]

The capacity of photo-sensitizers, used in combination with laser light to kill micro-organisms has been demonstrated in different studies. Photo-activated disinfection (PAD) has been introduced in periodontology as an aid for disinfection of periodontal pockets. The aim of this study is to verify the harm for dental vitality of the use of PAD in periodontal pockets. Root canals of 24 freshly extracted human teeth where prepared using profiles up to a size of ISO #50 and filled with thermo-conductor paste. A silicon-based false gum was made in which a periodontal pocket was created and filled with photo-sensitizer phenothiazine chloride (phenothiazine-5-ium, 3.7-bis (dimethylamino)-, chloride). The external root surface was irradiated during 60 s with a 660-nm diode laser (output power: 20 mW; power density: 0.090 W/cm(2); Energy density: 5.46 J/cm(2)) using a periodontal tip with a diameter of 1 mm and a length of 7 mm. Temperatures were recorded inside the root canal using a thermocouple. Measurements were recorded every second, starting at 10 s before lasering, during the irradiation and were continued for 150 s after the end of irradiation, and six measurements were done per tooth. An average temperature increase of 0.48 +/- 0.11 degrees C was recorded. Our results demonstrated that pulp temperature increase was lower than 3 degrees C, which is considered to be harmless for pulp injury. Regarding pulp temperature increase, the use of PAD for disinfection of periodontal pockets can be considered as a safe procedure for dental vitality. [less ▲]

Comparison of microleakage of photo-cured composites using three different light sources: halogen lamp, LED and argon laser: an in vitro study

in Lasers in Medical Science (2009), 24(1), 1-5

Evaluation of dental pulp temperature rise during photo-activated decontamination (PAD) of caries: an in vitro study.

in Lasers in Medical Science (2009)

Photo-activated decontamination (PAD) has been reported in caries treatment as an aid in dentine decontamination. The aim of this study is to verify the harmlessness for pulp vitality of photo-activated ... [more ▼]

Photo-activated decontamination (PAD) has been reported in caries treatment as an aid in dentine decontamination. The aim of this study is to verify the harmlessness for pulp vitality of photo-activated decontamination (PAD) in caries treatment. Twenty freshly extracted single-rooted teeth were used. Deep class I cavities with a </= 0.5 mm dentine thickness between the floor of the cavity and the roof of cameral pulp were prepared. Following the manufacturer's instructions, cavities were filled with a photo-sensitizer (Phenothiazinechloride: 10 mg /ml), irradiated during 30 s with a 660-nm diode laser (output power: 40 mW in continuous wave; total delivered energy density: 4.87 J/cm(2)). Pulp temperature raises were recorded using a thermocouple (ALCr). Measurements were recorded every second during the irradiation and 150 s afterwards. Six records were repeated for each tooth. After 30 s of irradiation, the mean of temperature rise was 0.83 degrees C +/- 0.22 degrees C. All records showed temperature increases lower than the 3 degrees C (safety level for pulp injury). Based on our in vitro study, we can conclude that the dental pulp temperature rise following the use of PAD technique for the decontamination of dentine can be considered as save procedure for pulp vitality. [less ▲]

Optimalisation des techniques prothetiques de rehabilitation orale grace a l'orthodontie: analyse d'un cas clinique.

in Revue Médicale de Liège (2008), 63(10), 609-14

This clinical case underlines the importance of a multidisciplinary approach, prosthetic and orthodontic, for the achievement of an oral rehabilitation treatment plan. Preliminary orthodontic treatment ... [more ▼]

This clinical case underlines the importance of a multidisciplinary approach, prosthetic and orthodontic, for the achievement of an oral rehabilitation treatment plan. Preliminary orthodontic treatment has significantly improved, the position of some natural teeth, which can serve or not as a prosthetic abutment. This has produced a direct prosthetic benefit by limiting tissue reduction for preparation and by giving a better biomechanical and functional context to the restoration.Thus, after an orthodontic treatment step, lasting a year and a half, using both removable appliance and fixed appliance, prosthetic rehabilitation was possible. This included a fixed prosthesis and a removable prosthesis that gave a very satisfying an esthetic result and good masticatory function. [less ▲]

Comparison of microleakages of photo-cured composites using three different light sources: halogen lamp, LED and argon laser: an in vitro study.

in Lasers in Medical Science (2007)

In this study, we compared the microleakage of composite fillings cured with halogen bulb, LED and argon ion laser (488 nm). Twenty-four extracted human molars were divided randomly in three groups. Six ... [more ▼]

In this study, we compared the microleakage of composite fillings cured with halogen bulb, LED and argon ion laser (488 nm). Twenty-four extracted human molars were divided randomly in three groups. Six cavities were prepared on the coronal part of each tooth. Standard cavities (1.7 x 2 mm) were prepared. Cavities were acid etched, sealed with Scotch Bond 1 and filled by a hybrid composite. Cavities were exposed to one light source, thermocycled and immersed in a 2% methylene blue dye solution. Dye penetration in the leakage of cavities was recorded using a digital optical microscope. Mean values of percentage of dye penetrations in microleakages of cavities were 49.303 +/- 5.178% for cavities cured with LED, 44.486 +/- 6.075% with halogen bulb and 36.647 +/- 5.936% for those cured by argon laser. Statistically significant difference exists between cavities cured by halogen vs LED (P < 0.01), halogen vs laser (P < 0.001) and LED vs laser (P < 0.001). The lowest microleakage was observed in the cavities and composites cured with argon ion laser. [less ▲]

Contribution to a jaw behavior and deformation study

Conference (2006, May)