Skip to main content
Erschienen in: Lasers in Dental Science 1/2018

15.01.2018 | Original Article

Rationale for using a double-wavelength (940 nm + 2780 nm) laser in endodontics: literature overview and proof-of-concept

verfasst von: Miguel R. Martins, Rene Franzen, Frederick Depraet, Norbert Gutknecht

Erschienen in: Lasers in Dental Science | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

Aim

The goal of endodontic research is to report interventions, techniques or protocols that are most likely to deliver the outcomes that are of most interest to both clinicians and patients. The development of a double-wavelength laser delivered concomitantly and through the same radial firing tip (RFT) may provide a unique combination of beneficial properties that may clinically surpass all previously reported laser-assisted protocols. The aim is to present a rational literature overview that could support the adoption of simultaneous use 2780 and 940 nm wavelengths for smear layer removal and disinfection respectively.

Methods

In order to provide relevant clinical data, two distinct clinical cases of relatively high endodontic complexity are reported with 1-year follow-up.

Results

The results of both clinical cases show the immediate remission of symptoms, absence of clinical complications and complete radiographic healing.

Conlusions

Together with the available amount of literature that could support the effectiveness of these two wavelengths to remove SL and to achieve deep dentin disinfection, it is possible to expect that this innovative combination of lasers delivered by RFT may be of high clinical relevance in the near future.
Literatur
1.
Zurück zum Zitat Schilder H (1974) Cleaning and shaping the root canal. Dent Clin N Am 18(2):269–296PubMed Schilder H (1974) Cleaning and shaping the root canal. Dent Clin N Am 18(2):269–296PubMed
3.
Zurück zum Zitat Pashley DH (1992) Smear layer: overview of structure and function. Proc Finn Dent Soc 88(Suppl 1):215–224PubMed Pashley DH (1992) Smear layer: overview of structure and function. Proc Finn Dent Soc 88(Suppl 1):215–224PubMed
5.
Zurück zum Zitat Pashley DH (1984) Smear layer: physiological considerations. Oper Dent Suppl 3:13–29PubMed Pashley DH (1984) Smear layer: physiological considerations. Oper Dent Suppl 3:13–29PubMed
12.
Zurück zum Zitat Fedorowicz Z, Nasser M, Sequeira-Byron P, de Souza RF, Carter B, Heft M (2012) Irrigants for non-surgical root canal treatment in mature permanent teeth. Cochrane Database Syst Rev 9:CD008948 Fedorowicz Z, Nasser M, Sequeira-Byron P, de Souza RF, Carter B, Heft M (2012) Irrigants for non-surgical root canal treatment in mature permanent teeth. Cochrane Database Syst Rev 9:CD008948
15.
Zurück zum Zitat Manfredi M, Figini L, Gagliani M, Lodi G (2016) Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev 12:CD005296PubMed Manfredi M, Figini L, Gagliani M, Lodi G (2016) Single versus multiple visits for endodontic treatment of permanent teeth. Cochrane Database Syst Rev 12:CD005296PubMed
18.
Zurück zum Zitat Del Fabbro M, Corbella S, Sequeira-Byron P, Tsesis I, Rosen E, Lolato A, Taschieri S (2016) Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst Rev 10:CD005511PubMed Del Fabbro M, Corbella S, Sequeira-Byron P, Tsesis I, Rosen E, Lolato A, Taschieri S (2016) Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst Rev 10:CD005511PubMed
21.
Zurück zum Zitat Fried D, Featherstone JDB, Visuri SR, Seka W, Walsh JT (1996) The caries inhibition potential of Er:YAG and Er,Cr:YSGG laser radiation. SPIE Proc 2672:2673–2678 Fried D, Featherstone JDB, Visuri SR, Seka W, Walsh JT (1996) The caries inhibition potential of Er:YAG and Er,Cr:YSGG laser radiation. SPIE Proc 2672:2673–2678
24.
Zurück zum Zitat Mohammadi Z (2009) Laser applications in endodontics: an update review. Int Dent J 59(1):35–46PubMed Mohammadi Z (2009) Laser applications in endodontics: an update review. Int Dent J 59(1):35–46PubMed
25.
Zurück zum Zitat Cercadillo-Ibarguren I, Espana-Tost A, Arnabat-Dominguez J, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C (2010) Histologic evaluation of thermal damage produced on soft tissues by CO2, Er,Cr:YSGG and diode lasers. Med Oral Patol Oral Cir Bucal 15(6):e912–e918PubMedCrossRef Cercadillo-Ibarguren I, Espana-Tost A, Arnabat-Dominguez J, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C (2010) Histologic evaluation of thermal damage produced on soft tissues by CO2, Er,Cr:YSGG and diode lasers. Med Oral Patol Oral Cir Bucal 15(6):e912–e918PubMedCrossRef
30.
Zurück zum Zitat Lopez-Jimenez L, Arnabat-Dominguez J, Vinas M, Vinuesa T (2015) Atomic force microscopy visualization of injuries in Enterococcus faecalis surface caused by Er,Cr:YSGG and diode lasers. Med Oral Patol Oral Cir Bucal 20(1):e45–e51PubMedCrossRef Lopez-Jimenez L, Arnabat-Dominguez J, Vinas M, Vinuesa T (2015) Atomic force microscopy visualization of injuries in Enterococcus faecalis surface caused by Er,Cr:YSGG and diode lasers. Med Oral Patol Oral Cir Bucal 20(1):e45–e51PubMedCrossRef
34.
Zurück zum Zitat Raldi DPMI, Neves AC, Habitante SM, Miyagi SS, Lage-Marques JL (2010) Attachment of cultured fibroblasts and ultrastructural analysis of simulated cervical resorptions treated with high-power lasers and MTA. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109(2):154–161CrossRef Raldi DPMI, Neves AC, Habitante SM, Miyagi SS, Lage-Marques JL (2010) Attachment of cultured fibroblasts and ultrastructural analysis of simulated cervical resorptions treated with high-power lasers and MTA. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109(2):154–161CrossRef
38.
Zurück zum Zitat Moritz AGN, Goharkhay MD, Schoop U, Wernisch J, Sperr W (1997) In vitro irradiation of infected root canals with a diode laser: results of microbiologic, infrared spectrometric, and stain penetration examinations. Quintessence Int 28(3):205–209PubMed Moritz AGN, Goharkhay MD, Schoop U, Wernisch J, Sperr W (1997) In vitro irradiation of infected root canals with a diode laser: results of microbiologic, infrared spectrometric, and stain penetration examinations. Quintessence Int 28(3):205–209PubMed
40.
Zurück zum Zitat RadaelliCM ZD, Cai S, Antunes A, Gouw-Soares S (2003) Effect of a high power diode laser irradiation in root canals contaminated with Enterococcus faecalis. “In vitro” study. In: Ishikawa IFJ, Aoki A (eds) Lasers in dentistry, revolution of dental treatment in the new millennium. Elsevier Science, B.V, Amsterdam, pp 273–276 RadaelliCM ZD, Cai S, Antunes A, Gouw-Soares S (2003) Effect of a high power diode laser irradiation in root canals contaminated with Enterococcus faecalis. “In vitro” study. In: Ishikawa IFJ, Aoki A (eds) Lasers in dentistry, revolution of dental treatment in the new millennium. Elsevier Science, B.V, Amsterdam, pp 273–276
41.
48.
Zurück zum Zitat Faria MIS-GA, Alfredo E, Messias DCF, Silva-Sousa YTC (2001) Apical microleakage and SEM analyis of dentin surface after 980 nm diode laser irradiation. Braz Dent J 22(5):382–387CrossRef Faria MIS-GA, Alfredo E, Messias DCF, Silva-Sousa YTC (2001) Apical microleakage and SEM analyis of dentin surface after 980 nm diode laser irradiation. Braz Dent J 22(5):382–387CrossRef
51.
Zurück zum Zitat de Moor R, Torbeyns D, Meire M (2009) Lasers in endodontics. Part 2: root canal cleanliness and modification. Endo Endodontic Pract Today 3(1):19–33 de Moor R, Torbeyns D, Meire M (2009) Lasers in endodontics. Part 2: root canal cleanliness and modification. Endo Endodontic Pract Today 3(1):19–33
52.
Zurück zum Zitat Saydjari Y, Kuypers T, Gutknecht N (2016) Laser application in dentistry: irradiation effects of Nd:YAG 1064 nm and diode 810 nm and 980 nm in infected root canals—a literature overview. Biomed Res Int 2016:8421656PubMedPubMedCentralCrossRef Saydjari Y, Kuypers T, Gutknecht N (2016) Laser application in dentistry: irradiation effects of Nd:YAG 1064 nm and diode 810 nm and 980 nm in infected root canals—a literature overview. Biomed Res Int 2016:8421656PubMedPubMedCentralCrossRef
55.
Zurück zum Zitat Alfredo EMM, Sousa-Neto MD, Brugnera-Junior A, Silva-Sousa YTC (2008) Temperature variation at the external root surface during 980-nm diode laser irradiation in the root canal. J Dent 36(7):529–534PubMedCrossRef Alfredo EMM, Sousa-Neto MD, Brugnera-Junior A, Silva-Sousa YTC (2008) Temperature variation at the external root surface during 980-nm diode laser irradiation in the root canal. J Dent 36(7):529–534PubMedCrossRef
59.
Zurück zum Zitat Klinke TKW, Gutknecht N (1997) Antibacterial effects of Nd:YAG laser irradiation within root canal dentin. J Clin Laser Med Surg 15(1):29–31PubMed Klinke TKW, Gutknecht N (1997) Antibacterial effects of Nd:YAG laser irradiation within root canal dentin. J Clin Laser Med Surg 15(1):29–31PubMed
60.
Zurück zum Zitat Asnaashari M, Safavi N (2013) Disinfection of contaminated canals by different laser wavelengths, while performing root canal therapy. J Lasers Med Sci 4(1):8–16PubMedPubMedCentral Asnaashari M, Safavi N (2013) Disinfection of contaminated canals by different laser wavelengths, while performing root canal therapy. J Lasers Med Sci 4(1):8–16PubMedPubMedCentral
66.
Zurück zum Zitat Gutknecht NVGD, Conrads G, Apel C, Schubert C, Lampert F (2000) Diode laser radiation and its bactericidal effect in root canal wall dentin. J Clin Laser Med Surg 18(2):57–60PubMed Gutknecht NVGD, Conrads G, Apel C, Schubert C, Lampert F (2000) Diode laser radiation and its bactericidal effect in root canal wall dentin. J Clin Laser Med Surg 18(2):57–60PubMed
68.
76.
Zurück zum Zitat DG Y, Kimura Y, Kinoshita J, Matsumoto K (2000) Morphological and atomic analytical studies on enamel and dentin irradiated by an erbium, chromium:YSGG laser. J Clin Laser Med Surg 18(3):139–143 DG Y, Kimura Y, Kinoshita J, Matsumoto K (2000) Morphological and atomic analytical studies on enamel and dentin irradiated by an erbium, chromium:YSGG laser. J Clin Laser Med Surg 18(3):139–143
86.
Zurück zum Zitat 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(9):1580–1583PubMedCrossRef 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(9):1580–1583PubMedCrossRef
97.
Zurück zum Zitat Abad-Gallegos M, Arnabat-Dominguez J, Espana-Tost A, Berini-Aytes L, Gay-Escoda C (2009) In vitro evaluation of the temperature increment at the external root surface after Er,Cr:YSGG laser irradiation of the root canal. Med Oral Patol Oral Cir Bucal 14(12):e658–e662PubMedCrossRef Abad-Gallegos M, Arnabat-Dominguez J, Espana-Tost A, Berini-Aytes L, Gay-Escoda C (2009) In vitro evaluation of the temperature increment at the external root surface after Er,Cr:YSGG laser irradiation of the root canal. Med Oral Patol Oral Cir Bucal 14(12):e658–e662PubMedCrossRef
103.
Zurück zum Zitat Ozkan L, Cetiner S, Sanlidag T (2014) Effect of Er,Cr:YSGG laser irradiation with radial firing tips on Candida albicans in experimentally infected root canals. Biomed Res Int 2014:938245PubMedPubMedCentralCrossRef Ozkan L, Cetiner S, Sanlidag T (2014) Effect of Er,Cr:YSGG laser irradiation with radial firing tips on Candida albicans in experimentally infected root canals. Biomed Res Int 2014:938245PubMedPubMedCentralCrossRef
104.
Zurück zum Zitat Martins MR, Carvalho MF, Vaz IP, Capelas JA, Martins MA, Gutknecht N (2013) Efficacy of Er,Cr:YSGG laser with endodontical radial firing tips on the outcome of endodontic treatment: blind randomized controlled clinical trial with six-month evaluation. Lasers Med Sci 28(4):1049–1055. https://doi.org/10.1007/s10103-012-1172-6 PubMedCrossRef Martins MR, Carvalho MF, Vaz IP, Capelas JA, Martins MA, Gutknecht N (2013) Efficacy of Er,Cr:YSGG laser with endodontical radial firing tips on the outcome of endodontic treatment: blind randomized controlled clinical trial with six-month evaluation. Lasers Med Sci 28(4):1049–1055. https://​doi.​org/​10.​1007/​s10103-012-1172-6 PubMedCrossRef
123.
Zurück zum Zitat Stabholz A, Zeltser R, Sela M, Peretz B, Moshonov J, Ziskind D (2003) The use of lasers in dentistry: principles of operation and clinical applications. Compend Contin Educ Dent 24(12):935–948 quiz 949PubMed Stabholz A, Zeltser R, Sela M, Peretz B, Moshonov J, Ziskind D (2003) The use of lasers in dentistry: principles of operation and clinical applications. Compend Contin Educ Dent 24(12):935–948 quiz 949PubMed
Metadaten
Titel
Rationale for using a double-wavelength (940 nm + 2780 nm) laser in endodontics: literature overview and proof-of-concept
verfasst von
Miguel R. Martins
Rene Franzen
Frederick Depraet
Norbert Gutknecht
Publikationsdatum
15.01.2018
Verlag
Springer International Publishing
Erschienen in
Lasers in Dental Science / Ausgabe 1/2018
Elektronische ISSN: 2367-2587
DOI
https://doi.org/10.1007/s41547-017-0017-9

Weitere Artikel der Ausgabe 1/2018

Lasers in Dental Science 1/2018 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.