In vitro studies have provided conflicting evidence of temperature changes in the tooth pulp chamber after low-level laser
irradiation of the tooth surface. The present study was an in vitro evaluation of temperature increases in the human tooth
pulp chamber after diode laser irradiation (GaAlAs, λ = 808 nm) using different power densities. Twelve human teeth (three
incisors, three canines, three premolars and three molars) were sectioned in the cervical third of the root and enlarged for
the introduction of a thermocouple into the pulp chamber. The teeth were irradiated with 417 mW, 207 mW and 78 mW power outputs
for 30 s on the vestibular surface approximately 2 mm from the cervical line of the crown. The highest average increase in
temperature (5.6°C) was observed in incisors irradiated with 417 mW. None of the teeth (incisors, canines, premolars or molars)
irradiated with 207 mW showed temperature increases higher than 5.5°C that could potentially be harmful to pulp tissue. Teeth
irradiated with 78 mW showed lower temperature increases. The study showed that diode laser irradiation with a wavelength
of 808 nm at 417 mW power output increased the pulp chamber temperature of certain groups of teeth, especially incisors and
premolars, to critical threshold values for the dental pulp (5.5°C). Thus, this study serves as a warning to clinicians that
“more” is not necessarily “better”.
Keywords Temperature – Tooth pulp chamber – LLLT – Dentistry