Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of Heat on the Teeth During Upper Lip Laser Epilation: Clinical Experiment
Üst Dudak Lazer Epilasyonu Sırasında Dişlerde Oluşan Isının Değerlendirilmesi: Klinik Deney
Server MUTLUAY ÜNALa, Hilal ÇİFTÇİ ASUTAYb, Serhat Emre ÖZKIRc, Mehmet BİÇERc
aDepartment of Prosthetic Dentistry, Afyonkarahisar University of Health Sciences Faculty of Dentistry, Afyonkarahisar, Türkiye
bPrivate, Bursa, Türkiye
cPrivate, Eskişehir, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):131-8
doi: 10.5336/dentalsci.2022-90918
Article Language: EN
Full Text
ABSTRACT
Objective: The temperature of adjacent tissues during epilation has long been the subject of research. However, there is no literature on the heat that occurs in the teeth during laser epilation of the upper lip. This study measured the increase in the heat of the teeth during upper lip laser epilation. Material and Methods: The study included 51 patients. Three heat measurement sensors were placed on the labial surface of the anterior teeth. Before starting the procedure, the first measurement was taken, and the maximum values were recorded as °C. After the procedure, a visual analog scale (VAS) was applied. Paired samples t-tests and one-way ANOVA (p<0.05) test were applied for the statistical analysis. Results: A statistically significant difference was determined between the maximum and initial heat in the 3 sensors (S1F 36±1.7, S1Max 40.8±2.3, S2F 36.3±0.9, S2Max 40.3±1.8, S3F 36.3±0.9, S3Max 40.7±2.9). No statistically significant difference was determined between the 3 sensors in the distribution of the maximum and initial heat (p>0.05). A statistically significant difference was determined regarding the distribution of VAS values in the teeth and lips (p<0.001). The pain felt in the upper lip (6±2) was significantly greater than the pain felt in the teeth (5±2) (p<0.001). Conclusion: The increase in heat during upper lip laser epilation can be said to be safe for the dental pulp. The sensitivity and pain experienced during the procedure are due to the heat increase. The use of a white-coloured appliance is recommended during upper lip laser epilation.

Keywords: Heat; enamel; pulp; diode laser; epilation
ÖZET
Amaç: Epilasyon sırasında komşu dokularda oluşan ısı her zaman araştırma konusu olmuştur. Ancak üst dudağın lazer epilasyonu sırasında dişlerde oluşan ısı ilgili literatür bulunmamaktadır. Bu çalışma, üst dudak lazer epilasyon sırasında dişlerde oluşan ısı artışını ölçmek amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışmaya 51 hasta dâhil edildi. Ön dişlerin labial yüzeyine 3 adet ısı ölçüm sensörü yerleştirildi. İşleme başlamadan önce ilk ölçüm yapılmış ve maksimum değerler °C olarak kaydedilmiştir. İşlem sonrasında görsel analog skala [visual analog scale (VAS)] uygulandı. İstatistiksel analiz için paired samples t-testi ve one-way ANOVA (p<0,05) testi uygulandı. Bulgular: Üç sensörde (S1F 36±1,7, S1Max 40,8±2,3, S2F 36,3±0,9, S2Max 40,3±1,8, S3F 36,3±0,9, S3Max 40,7±2,9) maksimum ve başlangıç ısılar arasında istatistiksel olarak anlamlı bir fark belirlendi. Maksimum ve başlangıç ısıların dağılımında 3 sensör arasında istatistiksel olarak anlamlı bir fark tespit edilmedi (p>0,05). Dişlerde ve dudaklarda VAS değerlerinin dağılımına göre istatistiksel olarak anlamlı fark saptandı (p<0,001). Üst dudakta hissedilen ağrı (6±2) dişlerde hissedilen ağrıdan (5±2) anlamlı olarak fazlaydı (p<0,001). Sonuç: Üst dudak lazer epilasyonu sırasında ısı artışının diş pulpası için güvenli olduğu söylenebilir. İşlem sırasında yaşanan hassasiyet ve ağrı ısı artışından kaynaklanmaktadır. Üst dudak lazer epilasyon sırasında beyaz renkli aparey kullanılması önerilebilir.

Anahtar Kelimeler: Isı; mine; pulpa; diyot lazer; epilasyon
REFERENCES:
  1. Karaca S, Kaçar SD, Ozuğuz P. Comparison of SHR mode IPL system with Alexandrite and Nd: YAG lasers for leg hair reduction. Balkan Med J. 2012;29(4):401-5. [Crossref]  [PubMed]  [PMC] 
  2. Gan SD, Graber EM. Laser hair removal: a review. Dermatol Surg. 2013;39(6):823-38. [Crossref]  [PubMed] 
  3. Tremaine AM, Avram MM. FDA MAUDE data on complications with lasers, light sources, and energy-based devices. Lasers Surg Med. 2015;47(2):133-40. [Crossref]  [PubMed] 
  4. Bjordal JM, Couppé C, Chow RT, Tunér J, Ljunggren EA. A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiother. 2003;49(2):107-16. [Crossref]  [PubMed] 
  5. Byrnes KR, Waynant RW, Ilev IK, Wu X, Barna L, Smith K, et al. Light promotes regeneration and functional recovery and alters the immune response after spinal cord injury. Lasers Surg Med. 2005;36(3):171-85. [Crossref]  [PubMed] 
  6. Sindel A, Dereci Ö, Hatipoğlu M, Özalp Ö, Dereci ON, Kocabalkan B, et al. Evaluation of temperature rise following the application of diode and ErCr:Ysgg lasers: an ex vivo study. Eur Oral Res. 2018;52(3):131-6. [PubMed]  [PMC] 
  7. Lin M, Xu F, Lu TJ, Bai BF. A review of heat transfer in human tooth--experimental characterization and mathematical modeling. Dent Mater. 2010;26(6):501-13. [Crossref]  [PubMed] 
  8. Jacobs HR, Thompson RE, Brown WS. Heat transfer in teeth. J Dent Res. 1973;52(2):248-52. [Crossref]  [PubMed] 
  9. Haskan H, Boyraz T, Kilicarslan MA. Investigation of thermal stresses in dental restoration by mathematical method. J Eur Ceram Soc. 2007;27(2-3):899-902. [Crossref] 
  10. Klaric E, Rakic M, Sever I, Tarle Z. Temperature rise during experimental light-activated bleaching. Lasers Med Sci. 2015;30(2):567-76. [Crossref]  [PubMed] 
  11. Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use? Am J Emerg Med. 2018;36(4):707-14. [Crossref]  [PubMed] 
  12. Sudhir NUK, Shafia KN, Shrutakirthi SD. Wooden spatula for pain reduction in upper lip laser hair removal. J Cutan Aesthet Surg. 2018;11(1):38-9. [Crossref]  [PubMed]  [PMC] 
  13. Çelik Köycü B, İmirzalıoğlu P. Heat transfer and thermal stress analysis of a mandibular molar tooth restored by different indirect restorations using a three-dimensional finite element method. J Prosthodont. 2017;26(5):460-73. [Crossref]  [PubMed] 
  14. Barclay CW, Spence D, Laird WR. Intra-oral temperatures during function. J Oral Rehabil. 2005;32(12):886-94. [Crossref]  [PubMed] 
  15. Eroğlu E, Baydır A. Ağız içi sınır sıcaklık değerlerinin termokupl ile in vivo ölçümü [In vivo evaluation of intra-oral temperature extremes via thermocouple]. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi. 2013;19(1):9-16. [Link] 
  16. Baldissara P, Catapano S, Scotti R. Clinical and histological evaluation of thermal injury thresholds in human teeth: a preliminary study. J Oral Rehabil. 1997;24(11):791-801. [Crossref]  [PubMed] 
  17. Sozzi M, Fornaini C, Cucinotta A, Merigo E, Vescovi P, Selleri S. Dental ablation with 1064 nm, 500 ps, Diode pumped solid state laser: A preliminary study. Laser Ther. 2013;22(3):195-9. [Crossref]  [PubMed]  [PMC] 
  18. Zach L, Cohen G. Pulp response to externally applied heat. Oral Surg Oral Med Oral Pathol. 1965;19:515-30. [Crossref]  [PubMed] 
  19. Eldeniz AU, Usumez A, Usumez S, Ozturk N. Pulpal temperature rise during light-activated bleaching. J Biomed Mater Res B Appl Biomater. 2005;72(2):254-9. [Crossref]  [PubMed] 
  20. Eriksson A, Albrektsson T, Grane B, McQueen D. Thermal injury to bone. A vital-microscopic description of heat effects. Int J Oral Surg. 1982;11(2):115-21. [Crossref]  [PubMed] 
  21. Oskui IZ, Ashtiani MN, Hashemi A, Jafarzadeh H. Effect of thermal stresses on the mechanism of tooth pain. J Endod. 2014;40(11):1835-9. [Crossref]  [PubMed] 
  22. Bicalho AA, de Souza SJ, de Rosatto CM, Tantbirojn D, Versluis A, Soares CJ. Effect of temperature and humidity on post-gel shrinkage, cusp deformation, bond strength and shrinkage stress - Construction of a chamber to simulate the oral environment. Dent Mater. 2015;31(12):1523-32. [Crossref]  [PubMed] 
  23. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S240-52. [Crossref]  [PubMed] 
  24. Nanni CA, Alster TS. A practical review of laser-assisted hair removal using the Q-switched Nd:YAG, long-pulsed ruby, and long-pulsed alexandrite lasers. Dermatol Surg. 1998;24(12):1399-405; discussion 1405. [Crossref]  [PubMed] 
  25. Eremia S, Newman N. Topical anesthesia for laser hair removal: comparison of spot sizes and 755 nm versus 800 nm wavelengths. Dermatol Surg. 2000;26(7):667-9. [Crossref]  [PubMed] 
  26. Ataie-Fashtami L, Shirkavand A, Sarkar S, Alinaghizadeh M, Hejazi M, Fateh M, et al. Simulation of heat distribution and thermal damage patterns of diode hair-removal lasers: an applicable method for optimizing treatment parameters. Photomed Laser Surg. 2011;29(7):509-15. [Crossref]  [PubMed] 
  27. Essick G, Guest S, Martinez E, Chen C, McGlone F. Site-dependent and subject-related variations in perioral thermal sensitivity. Somatosens Mot Res. 2004;21(3-4):159-75. [Crossref]  [PubMed] 
  28. Nahm WK, Tsoukas MM, Falanga V, Carson PA, Sami N, Touma DJ. Preliminary study of fine changes in the duration of dynamic cooling during 755-nm laser hair removal on pain and epidermal damage in patients with skin types III-V. Lasers Surg Med. 2002;31(4):247-51. [Crossref]  [PubMed] 
  29. Rogachefsky AS, Silapunt S, Goldberg DJ. Evaluation of a new super-long-pulsed 810 nm diode laser for the removal of unwanted hair: the concept of thermal damage time. Dermatol Surg. 2002;28(5):410-4. [Crossref]  [PubMed] 
  30. Akinturk S, Eroglu A. Effect of piroxicam gel for pain control and inflammation in Nd:YAG 1064-nm laser hair removal. J Eur Acad Dermatol Venereol. 2007;21(3):380-3. [Crossref]  [PubMed] 
  31. Guardiano RA, Norwood CW. Direct comparison of EMLA versus lidocaine for pain control in Nd:YAG 1,064 nm laser hair removal. Dermatol Surg. 2005;31(4):396-8. Erratum in: Dermatol Surg. 2005;31(12):1747. [Crossref]  [PubMed] 
  32. Millar BJ, Louca C, Davies BR. Effect of electrosurgery and laser gingivoplasty on the temperature of pulp, bone, and gingivae in vitro. The Journal of Laser Applications. 2006;6(4):259-63. [Link] 

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