PubMed · 5760329
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C Parrini. 1968. [On dentin sensitivity].. https://pubmed.ncbi.nlm.nih.gov/5760329/
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The effects of the Luxar LX-20 CO2 dental laser on resected apical root dentin were examined using stereomicroscopy and scanning electron microscopy. The surfaces of 2-mm-thick sections of dentin from freshly extracted human teeth were exposed to CO2 laser radiation. Fluences used ranged from 2.1 to 625.0 J/cm2. The effects of the laser energy on the dentin ranged from no visible effects, to charring, cracking, cratering, and glazing. The most dramatic effect was cracking. Cracking was evident on all specimens having any visible modification of the dentin. A prototype-curved laser tip was used and compared with a standard straight tip. The curved tip did not deliver laser energy to the dentin as efficiently as a straight tip. CO2 laser radiation did not consistently obliterate dentin tubules.
The feasibility of using dentine from surgically extracted human teeth as in vivo dosimeters was investigated. The organic fraction of human dentine was removed by Soxhlet extraction with diethylenetriamine. The specimens were then crushed and 75 to 250 microns granules were given doses of gamma radiation ranging from 50 mGy to 8 Gy. Following irradiation, electron paramagnetic resonance spectra were collected. Signals were detected with Lande factors of g = 2.0018, line width = 0.903 mT; and g = 1.9961, line width = 0.444 mT. These signals have both been reported for hydroxyapatite of bone and enamel. Several other signals were also seen but not characterized. It was concluded that doses of 500 mGy or less may be resolved with prior removal of the organic component of dentine.
The purpose of this pilot study was to investigate some of the clinical variables in ultrasonic endodontics. forty extracted human teeth with a single, straight root 21-25 mm in length were prepared using combinations of the following variables: hand or ultrasonic instrumentation; apical seat prepared to file sizes 35, 40, 45 or 50; 1 ml of water, 4% sodium hypochlorite or EDTAC as irrigant between each instrument size; three brands of ultrasound generator and inserts; a 'low', 'medium' or 'high' effective power output; a tuned or untuned circuit; post-instrumentation ultrasonic irrigation with either 4% sodium hypochlorite, EDTAC, or the two used in sequence. The specimens were viewed in a scanning electron microscope and scored for the presence or absence of a smear layer at levels < 1 mm, 5 mm and 10 mm from the apical seat. The most effective combination, as tested, was hand instrumentation to file size 40 with 1 ml EDTAC irrigation between each instrument size, supplemented by intermittent flush irrigation with EDTAC with ultrasound then 4% sodium hypochlorite with ultrasound. This technique left a minimum smear layer restricted to the apical seat. Other combinations of instrumentation and irrigation were not consistent in their effectiveness.