Temperature evolution on human teeth root surface after diode laser assisted endodontic treatment

The thermal rise threshold of an 810-nm semi-conductor diode laser on the root surface when used in root canals in vitro for laser assisted root canal treatment is investigated in this study. A total of 50 human single-rooted extracted teeth were included. For this study, the canals were enlarged up to an apical size of ISO#50 file. Laser irradiation was performed with six different settings. Specimens were irradiated at 0.6–1 W output power at the distal end of the fiber and about 1–1.5 W output power in the continuous mode (CW) as two groups. In the third group, 0.6–1 W output power, 10 ms pulse length (PL) and 10 ms interval duration (ID) were selected. In three other groups 1–1.5 W output power were used with different PL and ID as following: PL 10 and ID 10 ms, PL 10 and ID 20 ms and PL 20 and ID 20 ms. The total irradiation time was from 5 to 20 s per canal with a 200 μm in diameter and 25 mm long tip. After laser treatment, the temperature changes at the outer root surface were registered by means of NiCr-Ni measuring sensors and a T 202 thermometer. The safe temperature threshold for applying this diode laser in root canal is considered as 7°C increase. To avoid increasing the temperature changes at the outer root surface related to this threshold, following total irradiation times were found: 0.6–1 W output power (10 ms PL/10 ms ID): 20 s (s), 1–1.5 W output power (10 ms/10 ms and 20 ms/20 ms): 15 s, 0.6–1 W output power CW and 1–1.5 W output power (20 ms PL/10 ms ID): 10 s and 1–1.5 W output power CW: 5 s. In the first three groups, 5 s irradiation and 5 s rest period avoided a temperature increase above the threshold of 7°C).