P. Baldissara et al., CLINICAL AND HISTOLOGICAL-EVALUATION OF THERMAL-INJURY THRESHOLDS IN HUMAN TEETH - A PRELIMINARY-STUDY, Journal of oral rehabilitation, 24(11), 1997, pp. 791-801
The effect on healthy dental pulp of thermal increases ranging from 8.
9 to 14.7 degrees C was evaluated. These temperature increases corresp
ond approximately to those caused by certain restorative procedures, s
uch as tooth preparation with highspeed instruments and the fabricatio
n of direct provisional crowns. Two criteria of evaluation have been u
sed in conjunction, a clinical (symptomatic) and a histological one, t
o assert with greater precision potential damage to the pulp. The resu
lts suggest a low susceptibility of cells to heat, which does not appe
ar to be a major factor of injury, at least in the short term. The mai
n cause of postoperative inflammation or necrosis of the pulp is proba
bly the injury of the dentine, a tissue in direct functional and physi
ological connection with the pulp.