MedPath

Temperature Rise Caused by Short or Long-wavelengths

Not Applicable
Not yet recruiting
Conditions
Post-operative Pain
Interventions
Device: Red Light
Device: Blue Light
Registration Number
NCT06418958
Lead Sponsor
University of Florida
Brief Summary

Red light has been shown to be less harmful than blue light in vitro and in vivo. Although red light has been already introduced in the market and is currently being used in patients for several reasons, no data exist on the use of red light applied to restorative procedures. This study aims to specifically measure the in vivo temperature rise in simulated restorative procedures using blue light (standard) and red light and its post-operative sensitivity rates.

Detailed Description

Light-cured materials revolutionized dentistry as they allowed to control the setting of the materials in a timely manner simply upon light exposure. Although blue light has been routinely used to cure dental restorative materials for over 50 years, there are still potential risks to dental patients. These risks include gingiva burn or recession and pulp inflammation that can lead to necrosis in more severe situations due to the heat generated by this short wavelength (blue light). In addition, blue light has direct deleterious effects on cells, including irreversible imbalance in reactive oxygen species (ROS), damage to the mitochondrial DNA, and promoting collagen degradation. On the other hand, long wavelengths (such as red light) are known to have opposite effects, reducing inflammation and increasing cell proliferation. Although red light has been already introduced in the market and is currently being used in patients for several reasons, no in vivo data exist on the use of red-light applied to restorative procedures. Thus, this study aims to specifically measure the in vivo temperature rise in the tooth and gingival tissues surrounding restorative procedures using blue light (standard of care) and red light (investigational device) and evaluate/compare its post-operative sensitivity rates. The research hypothesis is that red light will generate less heat and less post-operative sensitivity than blue light (standard of care) while being used in dental restorative procedures.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  • ASA I classification
  • Fully erupted pre-molar(s);
  • Absence of caries;
  • Absence of restoration.
Exclusion Criteria
  • Radiographic constriction of the pulp chamber;
  • Absence of apical closure;
  • Formation of pulp stones or diffuse calcification at the pulp chamber;
  • Presence of active carious lesions;
  • Diagnosed reversible or irreversible pulpitis;
  • Existing periapical lesion;
  • Existing or planned root canal treatment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Red LightRed LightLight-curing procedure performed using red light emission.
Blue LightBlue LightLight-curing procedure performed using blue light emission.
Primary Outcome Measures
NameTimeMethod
Temperature ChangeDuring restorative procedure.

Temperature changes in degrees Celsius will be live-recorded by means of temperature probes for surface temperature acquisition.

Secondary Outcome Measures
NameTimeMethod
Post-Operative SensitivityOne week (±2 days) after intervention.

All patients will be called after the restoration(s) were placed to follow-up on any possible post-operative sensitivity or other questions or concerns. Post-operative sensitivity will be recorded as present or absent. If present, the post-operative sensitivity will be classified as mild, moderate, or severe according to the visual analog scale (VAS).

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