Efficacy of NaOCl/H₂O₂ irrigation and GaAlAs laser in decontamination of root canals in vitro

Abstract

The application of the diode laser might be an adjunct to conventional endodontic treatment when used in combination with a NaOCl/H(2)O(2) solution.

Innovative wavelengths in endodontic treatment

“…In general, dental lasers provide greater accessibility of formerly unreachable parts of the tubular network due to their better penetration into dentinal tissues [9][10][11]. Scientific research was first conducted with the Nd:YAG [12][13][14][15] and the diode lasers [16][17][18][19], which gained widespread acceptance in the fields of laser-assisted endodontics. For both wavelengths, a high disinfecting capability was reported.…”

Clinical Approach of High Technology Techniques for Control and Elimination of Endodontic Microbiota

“…52 Some studies suggested applying this technique in canals filled with irrigants such as EDTA, citric acid or NaOCl reduces the thermal side effects. 53 It should be considered that irradiation of the Nd:YAG and diode laser can create fusion and superficial re-solidification in the dentine with a clear glazed surface. 54 We should always keep in mind that it is better to move the fiber inside the canal and not to stay or touch the root canal wall for a long time to avoid producing craters with microcracks.…”

Surgical laser use in implantology and endodontics

“…[63][64][65] Of the current lasers available, the CO 2 wavelength would appear least successful in effecting bacterial decontamination 66 and the effectiveness of laser use appears to depend on fl uence values and direct access. 67 In addition, some concern has been expressed that the plume produced during laser action might allow bacterial contamination to spread. 68,69 As with laser bacterial action in other clinical sites, subablative energy levels should be employed for all wavelengths.…”