Efficacy of Ultrasonic versus Laser-activated Irrigation to Remove Artificially Placed Dentin Debris Plugs

Moor, R. J. G. De; Meire, Maarten; Goharkhay, K.; Moritz, Andreas; Vanobbergen, Jacques

doi:10.1016/j.joen.2010.06.007

Cited by 153 publications

(126 citation statements)

References 16 publications

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“…The vapour bubbles generated expand 1.600-fold to move the irrigant out of the canal. These bubbles explode after 100 to 200 ms and a secondary cavitation effect occurs whereby pressure develops and sucks irrigation fluid back into the canal (21). Limited information on the effects of LAI on removal of CH is described in the literature.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Various Irrigation Protocols in Removing Calcium Hydroxide from Root Canals

Göktürk¹,

Ozkocak²,

Büyükgebiz³

et al. 2018

meandros

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Anah tarKe li me ler Öz AbstractObjective: The purpose of this study was to investigate the removal efficiency of calcium hydroxide (CH) by CanalBrush, Vibringe, laser-activated irrigation (LAI), conventional syringe irrigation (CSI), XP-endo Finisher, and passive ultrasonic irrigation (PUI) in the root canal walls. Materials and Methods: Ninety-eight human mandibular premolar teeth were prepared. Root canals were filled with CH. The roots were divided into six experimental groups (n=15/group) according to the irrigation protocol used: group 1 (CSI), group 2 (Vibringe), group 3 (CanalBrush), group 4 (XP-endo Finisher), group 5 (PUI), and group 6 (LAI). The amount of residual CH in the canal walls for each canal third was scored. Data were analysed by using Kruskal-Wallis and Bonferroni-correction Mann-Whitney U tests. Results: None of the investigated protocols renders the root canal walls free of CH remnants. Significant differences were found between tooth regions in terms of CH removal (p<0.05), and all groups except group 6 (LAI) showed more residual CH in the apical region. PUI and LAI eliminated significantly more CH than CSI from the middle and apical thirds of the root canal, respectively. Conclusion: The activation of sodium hypochlorite with various devices increased CH removal at the apical and middle part of the canal. LAI and PUI produce better results in the apical and middle thirds, respectively. Amaç: Bu çalışmanın amacı, XP-endo Finisher, Vibringe, lazerle aktive edilmiş irrigasyon (LAİ), geleneksel iğne irrigasyonu (Gİİ) ve pasif ultrasonik irrigasyonun (PUİ) kök kanal duvarlarından kalsiyum hidroksit (KH) uzaklaştırma etkinliğini araştırmaktır. Gereç ve Yöntemler: Doksan sekiz adet alt çene küçük azı dişinin kök kanalları prepare edildi ve KH ile dolduruldu. Kökler, irrigasyon protokolüne göre rastgele altı deney grubuna ayrıldı (n=15/grup): grup 1 (Gİİ), grup 2 (Vibringe), grup 3 (CanalBrush), grup 4 (XP-endo Finisher), grup 5 (PUİ) ve grup 6 (LAİ). Her bir kanal üçlüsü için kanal duvarlarında kalan KH miktarı skorlandı. Veriler, Kruskal-Wallis ve Bonferronidüzeltmeli Mann-Whitney U testleri kullanılarak analiz edildi.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Various Irrigation Protocols in Removing Calcium Hydroxide from Root Canals

Göktürk¹,

Ozkocak²,

Büyükgebiz³

et al. 2018

meandros

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“…Kök kanal tedavisinde de; özelikle kök kanallarının temizlenmesi ve şekillen-dirilmesinde, smear tabakasının ve debrislerin uzaklastırılmasında, irrigasyon solüsyonlarının aktivasyonunda ve bakterilerin yok edilmesinde kullanılabileceği rapor edilmiştir. 12,[52][53][54][55][56][57] …”

Section: Lazerlerunclassified

“…[5][6][7][8][9] Mevcut kanal genişletmesinde kullanılan tekniklerin ve bilinen irrigasyon solüsyonlarının smear tabakasını kaldırmada yetersizliği göz önünde bulundurularak, araştırıcılar yeni sistemlerin etkinliği yönünde çalışmalarına devam etmektedirler. 10 12,13 Aktif irrigasyonla; solüsyonların kök kanalında hidrodinamik etkinliği güçlendirilerek dezenfeksiyonun etkinliğininin artırılması hedeflenmektedir. Smear tabakasını ve dentin debrislerini uzaklaştırmak için organik ve inorganik çözücülerin yanı sıra manuel ve mekanik aktivasyon tekniklerinin kullanımı öneril-mektedir.…”

unclassified

Endodonti̇de İrri̇gasyon Akti̇vasyon Yöntemleri̇

Ekim¹,

Erdemir²

2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Until today, with technological advances in endodontics, many different irrigation delivery and agitation techniques have been developed in order to increase the success of a root canal treatment. These systems categorize as manual or mechanical agitation techniques. Since its introduction, these systems has become increasingly more useful in clinical applications such as delivering of irrigation solutions to the root canal, removing debris smear layer from root cannal. The aim of this review is to summarize and discuss the available information concerning present irrigant agitation methods available in endodontics and to provide a critique of irrigation methods and their debridement efficacy in endodontics.

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“…Studies have shown that PUI with NaOCl could not only effectively remove the smear layer inside infected root canals but also significantly improve the cleaning of biofilm-infected dentine (George et al, 2008;De Moor et al, 2010;Ordinola-Zapata et al, 2014). For PUI, however, the apical third of a root canal should be enlarged to at least an International Organization for Standardization (ISO) size of 35-40 to allow needle placement to within 1-2 mm of the apical seat (Huang et al, 2008;Peeters & Gutknecht, 2014), which might limit its application.…”

Section: Introductionmentioning

confidence: 99%

Bactericidal effect of Er:YAG laser combined with sodium hypochlorite irrigation against Enterococcus faecalis deep inside dentinal tubules in experimentally infected root canals

Cheng

Chen

Qiu

et al. 2016

Journal of Medical Microbiology

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This study evaluated the bactericidal effect of Er:YAG laser radiation combined with sodium hypochlorite (NaOCl) irrigation in the treatment of Enterococcus faecalis deep inside dentinal tubules. The Er:YAG laser was activated, respectively, at 0.3, 0.5 and 1.0 W for either 20 or 30 s; 52.5 g l 21 NaOCl and normal saline were used for the control groups. Root canals before and after treatments were examined using scanning electron microscopy (SEM). Bacterial reductions both on the root canal walls and at 100, 200, 300, 400 and 500 mm inside the dentinal tubules were analysed using a one-way analysis of variance. SEM results showed that the Er:YAG laser combined with NaOCl disinfected the dentinal tubules from 200 to over 500 mm depth as irradiation power and time increased. This combination killed significantly more bacteria than both the negative control group at each level tested and the positive control group at 300, 400 and 500 mm inside the dentinal tubules. It reached 100 % in all experimental groups, both on the root canal walls and at 100 and 200 mm inside the dentinal tubules. However, at 300, 400 and 500 mm inside the dentinal tubules, only the groups treated with 0.5 and 1.0 W for 30s exhibited no bacterial growth. Of the two groups in which no bacteria were detected at all tested depths, Er:YAG laser irradiation at 0.5 W for 30 s combined with NaOCl irrigation was preferable because of the lower emission power and shorter irradiation time, and may serve as a new option for effective root canal disinfection.

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Efficacy of Ultrasonic versus Laser-activated Irrigation to Remove Artificially Placed Dentin Debris Plugs

Cited by 153 publications

References 16 publications

Effectiveness of Various Irrigation Protocols in Removing Calcium Hydroxide from Root Canals

Effectiveness of Various Irrigation Protocols in Removing Calcium Hydroxide from Root Canals

Endodonti̇de İrri̇gasyon Akti̇vasyon Yöntemleri̇

Bactericidal effect of Er:YAG laser combined with sodium hypochlorite irrigation against Enterococcus faecalis deep inside dentinal tubules in experimentally infected root canals

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