Optimization of root canal system disinfection using laser
https://doi.org/10.36377/1683-2981-2019-17-4-43-45
Abstract
Relevance. When using drug irrigants during endodontic treatment it is not always possible to achieve complete disinfection in the root canals, as well as in periapical tissues. This literature review aims to identify the effectiveness of the disinfecting effect of lasers in the root canals compared to other protocols.
Aim. To identify the effectiveness of using lasers as a disinfectant in the root canals.
Materials and methods. The literature was selected through the following databases PubMed, Google Scholar, eLibrary and Embase (Elsevier). Keywords that were used: lasers, endodontics, disinfection, photodynamic therapy. The search was limited to English and Russian language publications published from 2001 to 2018.
Results. A total of 49 articles were identified. After their selection by the criteria of inclusion and removal of duplicate articles, the total number became 12.
Conclusions. Lasers are effective as disinfectants in root canals, especially erbium lasers. The best activity is observed when they are used together with NaOCl. It should also be remembered that if we used lasers incorrectly, they can harm healthy tissues.
About the Authors
K. N. Kerimova
Department of Therapeutic Dentistry
Russian Federation
Russian Federation
I. V. Bagdasarova
Department of Therapeutic Dentistry
Russian Federation
Ph.D.
Russian Federation
Ph.D.
M. K. Makeeva
Department of Therapeutic Dentistry
Russian Federation
Ph.D.
Russian Federation
Ph.D.
A. V. Zoryan
Department of Therapeutic Dentistry
Russian Federation
Ph.D.
Russian Federation
Ph.D.
V. E. Magay
Department of Therapeutic Dentistry
Russian Federation
Russian Federation
N. L. Lezhava
Department of Oral and Maxillofacial Surgery
Russian Federation
Ph.D.
Russian Federation
Ph.D.
A. I. Markova
Department of Pediatric Dentistry and Orthodontics Federal State Autonomous Educational Institution of Higher Education Peoples' Friendship University of Russia (RUDN University), Medical institute
Russian Federation
Russian Federation
References
1. N. Gutknecht, “Lasereinsatz in der Endodontie–Voraussetzungen fur den Therapieerfolg,” in Laserzahnmedizin Jahrbuch, vol.11,pp.57–61, Oemus, Aachen, Germany, 2011.
2. Ellen Deleu & Maarten A. Meire & Roeland J. G. De Moor, Efficacy of laser-based irrigant activation methods in removing debris from simulated root canal irregularities, 2013
3. Paque F, Laib A, Gautschi H, Zehnder M, Hard-tissue debris accumulation analysis by high-resolution computed tomography scans. J Endod, 2009, 35:1044–1047
4. Peters OA, Schonenberger K, Laib A, Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J, 2001, 34:221–230
5. Lee SJ, Wu MK, Wesselink PR, The effectiveness of syringe irrig ationandultrasonicstoremovedebrisfromsimulatedirregularities within prepared root canal walls. Int Endod J, 2004, 37:672–678
6. Wu MK, Wesselink PR, A primary observation on the preparation and obturation of oval canals. Int Endod J, 2001, 34:137–141
7. Huang TY, Gulabivala K, Ng YL, A bio-molecular film exvivo model to evaluate the influence of canal dimensions and irrigation variables on the efficacy of irrigation. Int Endod J, 2008, 41:60–71
8. Bronnec F, Bouillaguet S, Machtou P, Ex vivo assessment of irrigant penetration and renewal during the final irrigation regimen. Int Endod J, 2010, 43:663–672
9. De Moor RJ, Blanken J, Meire M, Verdaasdonk R, Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 2: evaluation of the efficacy. Lasers Surg Med, 2009, 41:520–523
10. Blanken J, De Moor RJ, Meire M, Verdaasdonk R, Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Lasers Surg Med, 2009, 41:514–519
11. Matsumoto H, Yoshimine Y, Akamine A, Visualization of irrigant flow and cavitation induced by Er:YAG laser within a root canal model. J Endod, 2011, 37:839–843
12. de Groot SD, Verhaagen B,Versluis M, Wu MK, Wesselink PR, van der Sluis LW, Laser-activated irrigation within root canals: cleaning efficacy and flow visualization. Int Endod J, 2009, 42:1077–1083
13. De Moor RJ, Meire M, Goharkhay K, Moritz A, Vanobbergen J, Efficacy of ultrasonic versus laser-activated irrigation to remove artificially placed dentin debris plugs. J Endod, 2010, 36:1580–1583
Review
For citations:
Kerimova K.N., Bagdasarova I.V., Makeeva M.K., Zoryan A.V., Magay V.E., Lezhava N.L., Markova A.I. Optimization of root canal system disinfection using laser. Endodontics Today. 2019;17(4):43-45. (In Russ.) https://doi.org/10.36377/1683-2981-2019-17-4-43-45
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