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Morphological Analysis of Root Canal Walls after Laser Treatment


Authors: L. Roubalíková 1;  J. Trčka 2;  M. Bumbálek 1
Authors place of work: Stomatologická klinika LF MU a FN u sv. Anny, Brno, 2VOP - 026 Šternberk, divize VTÚO, Brno 1
Published in the journal: Česká stomatologie / Praktické zubní lékařství, ročník 110, 2010, 4, s. 78-82

Summary

The objective of the work was to investigate and compare the appearance of root canal walls after treatment with the Er, Cr:YSGG laser and a diode laser. Fifteen extrated teeth divided at random into three groups were treated by endodontic methods using manual tools up to the ISO 30 size. The first group was subsequently exposed to Er, Cr:YSGG laser, the other group was exposed to diode laser and the samples of the third group was then treated manually by the balanced force method up to the ISO 40 size. The irrigation was made by 0.12% chlorhexidine solution.

After the treatment with the Er,Cr:YSGG laser the walls were predominantly deprived of the smear layer, the entries into the dentin tubules were opened. After the irradiation with the diode laser, a recrystallized smear layer became apparent which closed the entries into the dentine tubules. The manual preparation with irrigation by chlorhexidine resulted into more extensive areas of smear layer, especially in the apical area.

Key words:
laser – root canal preparation and treatment – smear layer


Zdroje

1. Berutti, E., Marini, R., Angeretti, A.: Penetration ability of different irrigants into dentinal tubules. J. Endod., 23, 1997, s. 725-727.

2. Cohen, S., Hargreaves, K. M.: Pathways of the pulp. Mosby Elsevier, St. Louis Misouri, 2006.

3. Gutknecht, N., Alt, T., Slaus, G., Bottenberg, P. et al.: A clinical comparison of the bacteridical effect of the diode laser and 5% sodium hypochlorite in necrotic root canals. J. Oral Laser Appl., 2, 2002, s. 151-157.

4. Kouchi, Y., Ninomiya, J., Yasuda, H., Fukni, K., Moriyana, T., Okamoto, H.: Location of Streptococcus mutans in the dentinal tubules of open infected canals. J. Dent. Res., 59, 1980, s. 2038-2046.

5. Moritz, A., Beer, F., Goharkhay, K. et al.: Oral laser application. Quintessenz, Berlin, 2006.

6. Moritz, A., Gutknecht, N., Goharkhay, K. et al.: In vitro irradiation of infected root canals with a diode laser: results of microbiologic, infrared apectrometric, and starin penetration examinations. Quintessence Int., 28, 1997, s. 205-209.

7. Moritz, A., Jakolitsch, S., Goharkhay, K. et al.: Morphologic changes correlating to different sensitivities of Escherichia coli and Enterococcus faecalis to Nd:YAG laser irradiation through dentin. Lasers Surg. Med., 26, 2000, s. 250-261.

8. Schlip, U., Goharkhay, K., Klimscha, J. et al.: The use of erbium, chromium: yttrium-scandium-gallium-garnet laser in endodontic treatment: The results of an in vitro study. J. Amer. Dent. Assoc., 138, 2007, s. 949-955.

Štítky
Maxillofacial surgery Orthodontics Dental medicine
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