Temperature Variation on Root Surface with Three Root-End Cavity Preparation Techniques

Abstract

Introduction Thermal changes can occur on the external root surface when root-end cavity preparation is performed, which may damage periodontal ligament cells and alveolar bone. Objective The purpose of this study was to evaluate the temperature changes during preparation of the root-end cavities at 1 and 3 mm to the sectioned apical root surfaces when either tungsten carbide round bur, diamond round bur or ultrasonic diamond tip was used. Methods Root-end resection was performed at 90° to the long axis of the root, 3 mm from the apex. Specimens were randomly divided into three groups of 12 teeth each for three different root-end cavity preparation techniques to be used, i.e. tungsten carbide bur, diamond bur and ultrasonic diamond retro tip. Thermocouples were used to measure temperature changes at 1 mm (T1) and 3 mm (T2) to the cutting plane during the preparations. Results For T1, the lowest and the highest mean temperature increases of 3.53°C and 4.34°C were recorded for the carbide and diamond burs, respectively. For T2, the lowest and the highest mean temperature increases of 2.62°C and 4.39°C where recorded for the carbide and diamond burs, respectively. The mean temperatures with the ultrasonic tip were 3.68 and 3.04 °C at T1 and T2 region, respectively. For root-end preparation, the ultrasonic preparation technique took the shortest preparation time (10.25 sec) and the diamond bur took the longest time (28.17 sec). Conclusion Ultrasonic retro tips and burs caused temperature to rise from 2.62° to 4.39°C, and these rises were within safety levels.