Avaliação da alteração térmica da câmara pulpar durante a colagem de bráquetes ortodônticos

Abstract

Introduction: the objective of this study was to evaluate the temperature variation of the pulp chamber during brackets bonding in different teeth types, with and without primer and in healthy or filled teeth. Materials and Methods: ninety human permanent teeth were used, 30 mandibular incisors, 30 maxillary bicuspid and 30 mandibular third molars, which were divided into 9 groups according to bonding technique (with or without light-curing primer), tooth type, filled or healthy tooth and thickness. A K-type thermocouple connected in a digital thermometer was introduced into the pulp chamber. Periapical radiographs were taken to check the thermocouple positioning and the brackets were bonded using a LED. The initial and maximum temperature reached during light curing were used to calculate the temperature variation. Results: the ANCOVA analysis showed that the bonding technique and tooth type (p≤0.05) influenced the temperature variation. There was a greater increase in temperature using primer. Regarding the tooth type, the incisors experienced a major temperature increase, followed by molars and bicuspids. There was no statistically significant difference for healthy or filled teeth groups and thickness factor. Conclusion: a molar showed the lowest temperature variation with 0.2°C and a lower incisor with the greatest variation of 4.3°C. The bonding technique using primer and adhesive caused a greater temperature range compared to the bonding with adhesive only. The mandibular incisor obtained a greater temperature range, then the molar and bicuspid. Therefore, the brackets bonding didn`t exceed the 5,5ºC recommended for the pulp health maintenance. Key words: light curing of dental adhesives, thermometers, braces, hot temperature, orthodontics.