Effectiveness of the erbium:YAG laser and new design radial  and stripped tips in removing the smear layer after root  canal instrumentation

Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : E. DiVito & O. A. Peters & G. Olivi
  • چاپ و سال / کشور: 2010

Description

The aim of this study was to analyze in vitro the debriding ability of an Er:YAG laser system (2,940 nm) equipped with a newly designed radial and stripped tip of 400 ىm diameter by scanning electron microscopy (SEM). A total of 80 single-rooted extracted human teeth were endodontically prepared with rotary instrumentation and standardized chemical irrigation using 5.25% sodium hypochlorite. At the end of mechanical instrumentation, four different final protocols were used. Group 1 was irrigated for 2 min with saline water as a control group. Groups 2, 3 and 4 were irradiated with an Er:YAG laser at 25 mJ and 15 Hz with a pulse duration of 50 ىs and laser spray off using the tip in the coronal opening of the wet root canal. Different solutions and irradiation times were used: group 2 20 s, laser irradiation in sterile distilled water, wet canal; group 3 20 s, laser irradiation in 17% EDTA, wet canal; and group 4 40 s, laser irradiation in 17% EDTA, wet canal. Debridement of and smear layer removal from the apical third of root canals were evaluated by SEM. The study showed that standardized instrumentation, followed by a final Er:YAG laser irradiation in wet canals with EDTA irrigation resulted in more cleaning of the root canal walls and a higher quantity of open tubules in comparison with the traditional irrigation method.
Lasers Med Sci DOI 10.1007/s10103-010-0858-x Received: 7 April 2010 / Accepted: 28 October 2010
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