nach oben

Erschienen in:

18.07.2019 | Original Article

Comparison of apical irrigant solution extrusion among conventional and laser-activated endodontic irrigation

verfasst von: Jelena Vidas, Damir Snjaric, Alen Braut, Zoran Carija, Romana Persic Bukmir, Roeland J. G. De Moor, Ivana Brekalo Prso

Erschienen in: Lasers in Medical Science | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to determine the amount of extruded endodontic irrigant among needle-syringe irrigation (NSI) and laser-activated irrigation (LAI) regimens. Twenty extracted maxillary central incisors were prepared utilizing GT professional rotary files (size 40, taper 0.06). Irrigation was performed with two 27 G irrigation needles (notched open ended (ON) and single side vented (SV)) each at two different irrigant volumetric flow rates (VFR)—0.05 ml/s (3 ml/min) and 0.10 ml/s (6 ml/min). LAI was performed with Er:YAG (erbium-doped yttrium aluminum garnet) using different fiber types (X-Pulse-14/400 cylindrical tip, Preciso- 14/300 flat cylindrical tip, PIPS- 14/400 quartz tapered tip). The Er:YAG laser with a wavelength of 2940 nm (Lightwalker AT, Fotona, Ljubljana, Slovenia) was used according to the following protocol: 10 mJ per pulse, 15 Hz, pulse duration 50 μs. Irrigation time was 60 s for all protocols. Precision syringe pump (PSP) maintained constant irrigant volumetric flow rate. Apically extruded irrigant was collected and net weighed for each protocol (N = 10). Data were analyzed by t tests and Kruskal-Wallis. All LAI regimens had statistically significant lower irrigant extrusion compared with NSI except for the SV 27 G needle used with 0.05 ml/s VFR when compared with the Preciso fiber tip (p = 0,230). The largest amount of extruded irrigant was with the ON 27 G needle at the 0.10 ml/s VFR, while the smallest was after LAI with PIPS fiber tip. The lower quantity of apically extruded irrigant during LAI (X-Pulse and PIPS) points out a safer endodontic irrigation method compared with conventional irrigations.

Khademi A, Zamani Naser A, Bahreinian Z, Mehdizadeh M, Najarian M, Khazaei S (2017) Root morphology and canal configuration of first and second maxillary molars in a selected iranian population: a cone-beam computed tomography evaluation. Iran Endod J 12:288–292. https://doi.org/10.22037/iej.v12i3.13708 CrossRefPubMedPubMedCentral

Peters OA, Schönenberger K, Laib A (2001) Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 34:221–230. https://doi.org/10.1046/j.1365-2591.2001.00373.x CrossRefPubMed

Baumgartner JC, Mader CL (1987) A scanning electron microscopic evaluation of four root canal irrigation regimens. J Endod 13:147–157. https://doi.org/10.1016/S0099-2399(87)80132-2 CrossRefPubMed

Haapasalo M, Endal U, Zandi H, Coil JM (2005) Eradication of endodontic infection by instrumentation and irrigation solutions. Endod Top 10:77–102. https://doi.org/10.1111/j.1601-1546.2005.00135.x CrossRef

Haapasalo M, Shen Y, Wang Z, Gao Y (2014) Irrigation in endodontics. Br Dent J 216:299–303. https://doi.org/10.1038/sj.bdj.2014.204 CrossRefPubMed

Psimma Z, Boutsioukis C, Vasiliadis L, Kastrinakis E (2013) A new method for real-time quantification of irrigant extrusion during root canal irrigation ex vivo. Int Endod J 46:619–631. https://doi.org/10.1111/iej.12036 CrossRefPubMed

Gu LS, Kim JR, Ling J et al (2009) Review of contemporary irrigant agitation techniques and devices. J Endod 35:791–804. https://doi.org/10.1016/j.joen.2009.03.010 CrossRefPubMed

Cameron JA (1987) The synergistic relationship between ultrasound and sodium hypochlorite: a scanning electron microscope evaluation. J Endod 13:541–545. https://doi.org/10.1016/S0099-2399(87)80034-1 CrossRefPubMed

Sabins RA, Johnson JD, Hellstein JW (2003) A comparison of the cleaning efficacy of short-term sonic and ultrasonic passive irrigation after hand instrumentation in molar root canals. J Endod 29:674–678. https://doi.org/10.1097/00004770-200310000-00016 CrossRefPubMed

10.

De Moor RJ, Blanken J, Meire M, Verdaasdonk R (2009) Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 2: evaluation of the efficacy. Lasers Med Sci 41:520–523. https://doi.org/10.1002/lsm.20798 CrossRef

11.

De Moor RJ, Meire M, Goharkhay K, Moritz A, Vanobbergen J (2010) Efficacy of ultrasonic versus laser-activated irrigation to remove artificially placed dentin debris plugs. J Endod 36:1580–1583. https://doi.org/10.1016/j.joen.2010.06.007 CrossRefPubMed

12.

Coluzzi DJ, Parker SP (2017) Lasers in dentistry - current concepts. Laser -assisted endodontics, Springer NatureCrossRef

13.

Meire MA, Poelman D, De Moor RJ (2014) Optical properties of root canal irrigants in the 300-3,000-nm wavelength region. Lasers Med Sci 29:1557–1562. https://doi.org/10.1007/s10103-013-1307-4 CrossRefPubMed

14.

DiVito E, Lloyd A (2012) ER:YAG laser for 3-dimensional debridement of canal systems: use of photon-induced photoacoustic streaming. Dent Today 31(122):124–127

15.

Gregorčič P, Jezeršek M, Možina J (2012) Optodynamic energy-conversion efficiency during an Er:YAG-laser-pulse delivery into a liquid through different fiber-tip geometries. J Biomed Opt 17:075006. https://doi.org/10.1117/1.jbo.17.7.075006 CrossRefPubMed

16.

George R, Walsh LJ (2008) Apical extrusion of root canal irrigants when using Er:YAG and Er,Cr:YSGG lasers with optical fibers: an in vitro dye study. J Endod 34:706–708. https://doi.org/10.1016/j.joen.2008.03.003 CrossRefPubMed

17.

Peeters HH, De Moor RJ (2015) Measurement of pressure changes during laser-activated irrigant by an erbium, chromium: yttrium, scandium, gallium, garnet laser. Lasers Med Sci 30:1449–1455. https://doi.org/10.1007/s10103-014-1605-5 CrossRefPubMed

18.

Pedullà E, Genovese C, Campagna E, Tempera G, Rapisarda E (2012) Decontamination efficacy of photon-initiated photoacoustic streaming (PIPS) of irrigants using low-energy laser settings: an ex vivo study. Int Endod J 45:865–870. https://doi.org/10.1111/j.1365-2591.2012.02044.x CrossRefPubMed

19.

Brown DC, Moore BK, Brown CE Jr, Newton CW (1995) An in vitro study of apical extrusion of sodium hypochlorite during endodontic canal preparation. J Endod 21:587–591. https://doi.org/10.1016/S0099-2399(06)81108-8 CrossRefPubMed

20.

Desai P, Himel V (2009) Comparative safety of various intracanal irrigation systems. J Endod 35:545–549. https://doi.org/10.1016/j.joen.2009.01.011 CrossRefPubMed

21.

Beeson TJ, Hartwell GR, Thornton JD, Gunsolley JC (1998) Comparison of debris extruded apically in straight canals: conventional filing versus profile. 04 taper series 29. J Endod 24:18–22. https://doi.org/10.1016/S0099-2399(98)80206-9 CrossRefPubMed

22.

Ferraz CC, Gomes NV, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ (2001) Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J 34:354–358. https://doi.org/10.4103/0976-237X.76390 CrossRefPubMed

23.

Tinaz AC, Alacam T, Uzun O, Maden M, Kayaoglu G (2005) The effect of disruption of apical constriction on periapical extrusion. J Endod 31:533–535. https://doi.org/10.1097/01.don.0000152294.35507.35 CrossRefPubMed

24.

Hülsmann M, Rödig T, Nordmeyer S (2007) Complications during root canal irrigation. Endod Top 16:27–63. https://doi.org/10.1111/j.1601-1546.2009.00237.x CrossRef

25.

Khan S, Niu LN, Eid AA, Looney SW, Didato A, Roberts S, Pashley DH, Tay FR (2013) Periapical pressures developed by nonbinding irrigation needles at various irrigation delivery rates. J Endod 39:529–533. https://doi.org/10.1016/j.joen.2013.01.001 CrossRefPubMed

26.

Arslan H, Capar ID, Saygili G, Gok T, Akcay M (2014) Effect of photon-initiated photoacoustic streaming on removal of apically placed dentinal debris. Int Endod J 47:1072–1077. https://doi.org/10.1111/iej.12251 CrossRefPubMed

27.

Silva PB, Krolow AM, Pilownic KJ, Casarin RP, Lima RK, Leonardo Rde T, Pappen FG (2016) Apical extrusion of debris and irrigants using different irrigation needles. Braz Dent J 27:192–195. https://doi.org/10.1590/0103-6440201600382 CrossRefPubMed

28.

Uzunoglu-Özyürek E, Küçükkaya Eren S, Karahan S (2018) Effect of root canal sealers on the fracture resistance of endodontically treated teeth: a systematic review of in vitro studies. Clin Oral Investig 22:2475–2485. https://doi.org/10.1007/s00784-018-2540-9 CrossRefPubMed

29.

Boutsioukis C, Lambrianidis T, Kastrinakis E (2009) Irrigant flow within a prepared root canal using various flow rates: a Computational Fluid Dynamics study. Int Endod J 42:144–155. https://doi.org/10.1111/j.1365-2591.2008.01503.x CrossRefPubMed

30.

Gao Y, Haapasalo M, Shen Y, Wu H, Li B, Ruse ND, Zhou X (2009) Development and validation of a three-dimensional computational fluid dynamics model of root canal irrigation. J Endod 35:1282–1287. https://doi.org/10.1016/j.joen.2009.06.018 CrossRefPubMed

31.

Šnjarić D, Čarija Z, Braut A, Halaji A, Kovačević M, Kuiš D (2012) Irrigation of human prepared root canal-ex vivo based computational fluid dynamics analysis. Croat Med J 53:470–479. https://doi.org/10.3325/cmj.2012.53.470 CrossRefPubMedPubMedCentral

32.

Boutsioukis C, Psimma Z, Kastrinakis E (2014) The effect of flow rate and agitation technique on irrigant extrusion ex vivo. Int Endod J 47:487–496. https://doi.org/10.1111/iej.12176 CrossRefPubMed

33.

Guivarc’h M, Ordioni U, Ahmed HM, Cohen S, Catherine JH, Bukiet F (2017) Sodium hypochlorite accident: a systematic review. J Endod 43:16–24. https://doi.org/10.1016/j.joen.2016.09.023 CrossRefPubMed

34.

Peeters HH, Mooduto L (2013) Radiographic examination of apical extrusion of root canal irrigants during cavitation induced by Er,Cr:YSGG laser irradiation: an in vivo study. Clin Oral Investig 17:2105–2112. https://doi.org/10.1007/s00784-012-0910-2 CrossRefPubMed

35.

Yao K, Satake K, Watanabe S, Ebihara A, Kobayashi C, Okiji T (2017) Effect of laser energy and tip insertion depth on the pressure generated outside the apical foramen during Er:YAG laser-activated root canal irrigation. Photomed Laser Surg 35:682–687. https://doi.org/10.1089/pho.2017.4268 CrossRefPubMed

36.

Yost RA, Bergeron BE, Kirkpatrick TC, Roberts MD, Roberts HW, Himel VT, Sabey KA (2015) Evaluation of 4 different irrigating systems for apical extrusion of sodium hypochlorite. J Endod 41:1530–1534. https://doi.org/10.1016/j.joen.2015.05.007 CrossRefPubMed

37.

Arslan H, Akcay M, Ertas H, Capar ID, Saygili G, Meşe M (2015) Effect of PIPS technique at different power settings on irrigating solution extrusion. Lasers Med Sci 30:1641–1645. https://doi.org/10.1007/s10103-014-1633-1 CrossRefPubMed

38.

Lukač N, Suhovršnik T, Lukač M, Jezeršek M (2016) Ablation characteristics of quantum square pulse mode dental erbium laser. J Biomed Opt 21:15012. https://doi.org/10.1117/1.JBO.21.1.015012 CrossRefPubMed

39.

Matsumoto H, Yoshimine Y, Akamine A (2011) Visualization of irrigant flow and cavitation induced by Er:YAG laser within a root canal model. J Endod 37:839–843. https://doi.org/10.1016/j.joen.2011.02.035 CrossRefPubMed

40.

Lloyd A, Uhles JP, Clement DJ, Garcia-Godoy F (2014) Elimination of intracanal tissue and debris through a novel laser-activated system assessed using high-resolution micro-computed tomography: a pilot study. J Endod 40:584–587. https://doi.org/10.1016/j.joen.2013.10.040 CrossRefPubMed

41.

Verstraeten J, Jacquet W, De Moor RJ, Meire MA (2017) Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study. Lasers Med Sci 32:1965–1970. https://doi.org/10.1007/s10103-017-2297-4 CrossRefPubMed

42.

Koch JD, Jaramillo DE, DiVito E, Peters OA (2016) Irrigant flow during photon-induced photoacoustic streaming (PIPS) using particle image velocimetry (PIV). Clin Oral Investig 20:381–386. https://doi.org/10.1007/s00784-015-1562-9 CrossRefPubMed

Titel: Comparison of apical irrigant solution extrusion among conventional and laser-activated endodontic irrigation
verfasst von: Jelena Vidas
Damir Snjaric
Alen Braut
Zoran Carija
Romana Persic Bukmir
Roeland J. G. De Moor
Ivana Brekalo Prso
Publikationsdatum: 18.07.2019
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 1/2020
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02846-w

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2020

Recalcitrant viral warts treated with photodynamic therapy methyl aminolevulinate and red light (630 nm): a case series of 51 patients

Laser-assisted endoscopic lumbar foraminotomy for failed back surgery syndrome in elderly patients

A randomized clinical trial comparing the efficacy of low-level laser therapy (LLLT) and laser acupuncture therapy (LAT) in patients with temporomandibular disorders

Utilizing 808 nm laser for sensitizing of melanoma tumors to megavoltage radiation therapy

Near-infrared irradiation of the thyroid area: effects on weight development and thyroid and parathyroid secretory patterns

Effect of 650-nm low-level laser irradiation on c-Jun, c-Fos, ICAM-1, and CCL2 expression in experimental periodontitis