The efficacy of a novel SWEEPS laser-activated irrigation compared to ultrasonic activation in the removal of pulp tissue from an isthmus area in the apical third of the root canal

被引:4
作者
Bago, Ivona [1 ]
Durin, Adriana [1 ]
Kanizaj, Debora [1 ]
Vuletic, Lovorka Batelja [2 ]
Zdrilic, Ivana Vidovic [3 ]
Anic, Ivica [1 ]
机构
[1] Univ Zagreb, Sch Dent Med, Dept Endodont & Restorat Dent, Gunduliceva 5, Zagreb, Croatia
[2] Univ Zagreb, Sch Med, Dept Pathol, Zagreb, Croatia
[3] Univ Rijeka, Fac Dent Med, Dept Endodont & Restorat Dent, Rijeka, Croatia
关键词
Debridement; Histology; Irrigation; Laser-activated irrigation; Ultrasonic irrigation; MICRO-COMPUTED TOMOGRAPHY; INSTRUMENTATION SYSTEMS; SODIUM-HYPOCHLORITE; DISINFECTION; GEOMETRY;
D O I
10.1007/s10103-023-03857-4
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
This study aimed to evaluate the efficacy of Shock Wave Enhanced Emission Photoacoustic Streaming (SWEEPS) in the removal of remaining pulp tissue from the root canal isthmus area in lower molars and compare it with ultrasonically activated irrigation (UAI) and conventional needle irrigation (NI). Forty-one lower molars with isthmuses between mesial canals were included in the study. The teeth were randomly distributed into experimental groups (n = 12/each) based on the final irrigation protocol (SWEEPS, UAI, or NI) and a control group (C) (n = 5). The traditional access cavity of the mesial part of each tooth was made in all samples. The mesial root canals in the experimental groups were instrumented with a Wave One Gold Primary (25/.07) file using 3% sodium hypochlorite (NaOCl) while the distal canal served as a control for the presence of pulp tissue. No treatment was performed in the C group. Sections from the isthmus region were processed for histopathology to measure the remaining pulp tissue (RPT). The results were analyzed using analysis of variance and the Kruskal-Wallis test (& alpha; = 0.05). There were no significant differences in the relative surface area of root canals and isthmus among the groups (p > 0.05). Samples in the SWEEPS group had significantly less RPT than UAI, NI, and C (p = 0.003, 0.014, 0.003, respectively). There were no significant differences between the UAI and NI (p = 0.583). SWEEPS was the most efficient in debridement of the root canal isthmus area. UAI and NI showed similar but lower efficiency.
引用
收藏
页数:8
相关论文
共 36 条
[1]   Adjunctive Steps for Disinfection of the Mandibular Molar Root Canal System: A Correlative Bacteriologic, Micro-Computed Tomography, and Cryopulverization Approach [J].
Alves, Flavio R. F. ;
Andrade-Junior, Carlos V. ;
Marceliano-Alves, Marilia E. ;
Perez, Alejandro R. ;
Rocas, Isabela N. ;
Versiani, Marco A. ;
Sousa-Neto, Manoel D. ;
Provenzano, Jose C. ;
Siqueira, Jose F., Jr. .
JOURNAL OF ENDODONTICS, 2016, 42 (11) :1667-1672
[2]   Efficacy of Needle Irrigation, EndoActivator, and Photon-initiated Photoacoustic Streaming Technique on Removal of Double and Triple Antibiotic Pastes [J].
Arslan, Hakan ;
Akcay, Merve ;
Capar, Ismail Davut ;
Ertas, Huseyin ;
Ok, Evren ;
Uysal, Banu .
JOURNAL OF ENDODONTICS, 2014, 40 (09) :1439-1442
[3]   Novel laser activated photoacoustic streaming for removing pulp remnants from round root canals after single file reciprocating instrumentation [J].
Bago, Ivona ;
Batelja-Vuletic, Lovorka ;
Tarle, Antonia ;
Sesar, Anja ;
Anic, Ivica .
PHOTODIAGNOSIS AND PHOTODYNAMIC THERAPY, 2022, 37
[4]   Present status and future directions - irrigants and irrigation methods [J].
Boutsioukis, Christos ;
Arias-Moliz, Maria Teresa .
INTERNATIONAL ENDODONTIC JOURNAL, 2022, 55 :588-612
[5]   Ultrasonic Irrigant Activation during Root Canal Treatment: A Systematic Review [J].
Caputa, Petruta E. ;
Retsas, Anastasios ;
Kuijk, Lydwien ;
de Paz, Luis E. Chavez ;
Boutsioukis, Christos .
JOURNAL OF ENDODONTICS, 2019, 45 (01) :31-44
[6]   Effectiveness in the Removal of Endotoxins and Microbiological Profile in Primary Endodontic Infections Using 3 Different Instrumentation Systems: A Randomized Clinical Study [J].
Cavalli, Daiana ;
Toia, Cassia Cestari ;
Flores Orozco, Esteban Isai ;
Khoury, Rayana Duarte ;
da Rosa Cardoso, Flavia Goulart ;
Alves, Marcelo Correa ;
Talge Carvalho, Claudio Antonio ;
Valera, Marcia Carneiro .
JOURNAL OF ENDODONTICS, 2017, 43 (08) :1237-1245
[7]  
Chuppani Dastgerdi Aria, 2020, Restor Dent Endod, V45, pe7, DOI 10.5395/rde.2020.45.e7
[8]   Differences in disinfection protocols for root canal treatments between general dentists and endodontists A Web-based survey [J].
de Gregorio, Cesar ;
Arias, Ana ;
Navarrete, Natalia ;
Cisneros, Rafael ;
Cohenca, Nestor .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2015, 146 (07) :536-543
[9]   Laser-activated irrigation within root canals: cleaning efficacy and flow visualization [J].
de Groot, S. D. ;
Verhaagen, B. ;
Versluis, M. ;
Wu, M. -K. ;
Wesselink, P. R. ;
van der Sluis, L. W. M. .
INTERNATIONAL ENDODONTIC JOURNAL, 2009, 42 (12) :1077-1083
[10]   Effect of laser-activated irrigation on biofilms in artificial root canals [J].
De Meyer, S. ;
Meire, M. A. ;
Coenye, T. ;
De Moor, R. J. G. .
INTERNATIONAL ENDODONTIC JOURNAL, 2017, 50 (05) :472-479