Laser Activation of Endodontic Irrigants with Improved Conical Laser Fiber Tips for Removing Smear Layer in the Apical Third of the Root Canal
Abstract With a tube etching process, conical-ended optical fibers for middle infrared lasers that have lateral emissions can be produced, a feature of benefit for delivering laser energy onto the root canal walls. This study examined the ability of these improved laser tips when Er:YAG and Er,Cr:YS...
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Veröffentlicht in: | Journal of endodontics 2008-12, Vol.34 (12), p.1524-1527 |
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creator | George, Roy, BDS, MDS Meyers, Ian A., BDSc Walsh, Laurence J., PhD, DDSc |
description | Abstract With a tube etching process, conical-ended optical fibers for middle infrared lasers that have lateral emissions can be produced, a feature of benefit for delivering laser energy onto the root canal walls. This study examined the ability of these improved laser tips when Er:YAG and Er,Cr:YSGG lasers were used in root canals in which thick smear layers had been created intentionally to provide a challenge for the laser system. Smear layer was assessed from scanning electron microscopy images with an objective digital method. Lasing improved the action of ethylene diamine tetraacetic acid with cetavlon (EDTAC) in removing smear layer. Conical fibers performed better than plain fibers, but there was no difference in performance between the 2 laser systems when matched for all other parameters. These results provide a “proof of concept” for lateral emitting fibers for endodontic procedures and illustrate the novel contribution of lasing to the action of EDTAC in dissolving smear layer. |
doi_str_mv | 10.1016/j.joen.2008.08.029 |
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This study examined the ability of these improved laser tips when Er:YAG and Er,Cr:YSGG lasers were used in root canals in which thick smear layers had been created intentionally to provide a challenge for the laser system. Smear layer was assessed from scanning electron microscopy images with an objective digital method. Lasing improved the action of ethylene diamine tetraacetic acid with cetavlon (EDTAC) in removing smear layer. Conical fibers performed better than plain fibers, but there was no difference in performance between the 2 laser systems when matched for all other parameters. These results provide a “proof of concept” for lateral emitting fibers for endodontic procedures and illustrate the novel contribution of lasing to the action of EDTAC in dissolving smear layer.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2008.08.029</identifier><identifier>PMID: 19026887</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cetrimonium Compounds - radiation effects ; Cetrimonium Compounds - therapeutic use ; Chelating Agents - radiation effects ; Chelating Agents - therapeutic use ; Dental Pulp Cavity - drug effects ; Dental Pulp Cavity - ultrastructure ; Dentin - drug effects ; Dentin - ultrastructure ; Dentin ablation ; Dentistry ; Edetic Acid - analogs & derivatives ; Edetic Acid - radiation effects ; Edetic Acid - therapeutic use ; Endocrinology & Metabolism ; Equipment Design ; erbium lasers ; Humans ; Hydrogen Peroxide - radiation effects ; Hydrogen Peroxide - therapeutic use ; laser dentistry ; Lasers, Solid-State - therapeutic use ; Materials Testing ; Microscopy, Electron, Scanning ; Optical Fibers ; Root Canal Irrigants - radiation effects ; Root Canal Irrigants - therapeutic use ; Root Canal Preparation - instrumentation ; Root Canal Preparation - methods ; Smear Layer ; Sodium Hypochlorite - radiation effects ; Sodium Hypochlorite - therapeutic use ; Tooth Apex - drug effects ; Tooth Apex - ultrastructure</subject><ispartof>Journal of endodontics, 2008-12, Vol.34 (12), p.1524-1527</ispartof><rights>American Association of Endodontists</rights><rights>2008 American Association of Endodontists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-86beaf5af22795a9d16d5eaa430f5599c3ee1fec4ec60f7c7bbe508ba7b185f03</citedby><cites>FETCH-LOGICAL-c409t-86beaf5af22795a9d16d5eaa430f5599c3ee1fec4ec60f7c7bbe508ba7b185f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joen.2008.08.029$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19026887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>George, Roy, BDS, MDS</creatorcontrib><creatorcontrib>Meyers, Ian A., BDSc</creatorcontrib><creatorcontrib>Walsh, Laurence J., PhD, DDSc</creatorcontrib><title>Laser Activation of Endodontic Irrigants with Improved Conical Laser Fiber Tips for Removing Smear Layer in the Apical Third of the Root Canal</title><title>Journal of endodontics</title><addtitle>J Endod</addtitle><description>Abstract With a tube etching process, conical-ended optical fibers for middle infrared lasers that have lateral emissions can be produced, a feature of benefit for delivering laser energy onto the root canal walls. This study examined the ability of these improved laser tips when Er:YAG and Er,Cr:YSGG lasers were used in root canals in which thick smear layers had been created intentionally to provide a challenge for the laser system. Smear layer was assessed from scanning electron microscopy images with an objective digital method. Lasing improved the action of ethylene diamine tetraacetic acid with cetavlon (EDTAC) in removing smear layer. Conical fibers performed better than plain fibers, but there was no difference in performance between the 2 laser systems when matched for all other parameters. These results provide a “proof of concept” for lateral emitting fibers for endodontic procedures and illustrate the novel contribution of lasing to the action of EDTAC in dissolving smear layer.</description><subject>Cetrimonium Compounds - radiation effects</subject><subject>Cetrimonium Compounds - therapeutic use</subject><subject>Chelating Agents - radiation effects</subject><subject>Chelating Agents - therapeutic use</subject><subject>Dental Pulp Cavity - drug effects</subject><subject>Dental Pulp Cavity - ultrastructure</subject><subject>Dentin - drug effects</subject><subject>Dentin - ultrastructure</subject><subject>Dentin ablation</subject><subject>Dentistry</subject><subject>Edetic Acid - analogs & derivatives</subject><subject>Edetic Acid - radiation effects</subject><subject>Edetic Acid - therapeutic use</subject><subject>Endocrinology & Metabolism</subject><subject>Equipment Design</subject><subject>erbium lasers</subject><subject>Humans</subject><subject>Hydrogen Peroxide - radiation effects</subject><subject>Hydrogen Peroxide - therapeutic use</subject><subject>laser dentistry</subject><subject>Lasers, Solid-State - therapeutic use</subject><subject>Materials Testing</subject><subject>Microscopy, Electron, Scanning</subject><subject>Optical Fibers</subject><subject>Root Canal Irrigants - radiation effects</subject><subject>Root Canal Irrigants - therapeutic use</subject><subject>Root Canal Preparation - instrumentation</subject><subject>Root Canal Preparation - methods</subject><subject>Smear Layer</subject><subject>Sodium Hypochlorite - radiation effects</subject><subject>Sodium Hypochlorite - therapeutic use</subject><subject>Tooth Apex - drug effects</subject><subject>Tooth Apex - ultrastructure</subject><issn>0099-2399</issn><issn>1878-3554</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsGK2zAQFaWlm277Az0UnXpzVpItW4JSCGG3GwgUdtOzkOXRRqktpZKSJT_Rb669CRR6KAwzIL33hpk3CH2kZE4JrW92810AP2eEiPkUTL5CMyoaUZScV6_RjBApC1ZKeYXepbQjhDZl2bxFV1QSVgvRzNDvtU4Q8cJkd9TZBY-Dxbe-C13w2Rm8itE9aZ8TfnZ5i1fDPoYjdHgZvDO6x2f6nWvHvHH7hG2I-AGGcHT-CT8OoOOIOY2_zuO8BbzYv_A2Wxe7qdf09hBCxkvtdf8evbG6T_DhUq_Rj7vbzfK-WH__tlou1oWpiMyFqFvQlmvLWCO5lh2tOw5aVyWxnEtpSgBqwVRgamIb07QtcCJa3bRUcEvKa_T5rDuO8-sAKavBJQN9rz2EQ1K1FFQwxkcgOwNNDClFsGof3aDjSVGiJhfUTk0uqMkFNQWTI-nTRf3QDtD9pVzWPgK-nAEwznh0EFUyDryBzkUwWXXB_V__6z9007sXP37CCdIuHOK4y6SoSkwR9TjdwXQGRBDScFKVfwAVCa-9</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>George, Roy, BDS, MDS</creator><creator>Meyers, Ian A., BDSc</creator><creator>Walsh, Laurence J., PhD, DDSc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>Laser Activation of Endodontic Irrigants with Improved Conical Laser Fiber Tips for Removing Smear Layer in the Apical Third of the Root Canal</title><author>George, Roy, BDS, MDS ; Meyers, Ian A., BDSc ; Walsh, Laurence J., PhD, DDSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-86beaf5af22795a9d16d5eaa430f5599c3ee1fec4ec60f7c7bbe508ba7b185f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Cetrimonium Compounds - radiation effects</topic><topic>Cetrimonium Compounds - therapeutic use</topic><topic>Chelating Agents - radiation effects</topic><topic>Chelating Agents - therapeutic use</topic><topic>Dental Pulp Cavity - drug effects</topic><topic>Dental Pulp Cavity - ultrastructure</topic><topic>Dentin - drug effects</topic><topic>Dentin - ultrastructure</topic><topic>Dentin ablation</topic><topic>Dentistry</topic><topic>Edetic Acid - analogs & derivatives</topic><topic>Edetic Acid - radiation effects</topic><topic>Edetic Acid - therapeutic use</topic><topic>Endocrinology & Metabolism</topic><topic>Equipment Design</topic><topic>erbium lasers</topic><topic>Humans</topic><topic>Hydrogen Peroxide - radiation effects</topic><topic>Hydrogen Peroxide - therapeutic use</topic><topic>laser dentistry</topic><topic>Lasers, Solid-State - therapeutic use</topic><topic>Materials Testing</topic><topic>Microscopy, Electron, Scanning</topic><topic>Optical Fibers</topic><topic>Root Canal Irrigants - radiation effects</topic><topic>Root Canal Irrigants - therapeutic use</topic><topic>Root Canal Preparation - instrumentation</topic><topic>Root Canal Preparation - methods</topic><topic>Smear Layer</topic><topic>Sodium Hypochlorite - radiation effects</topic><topic>Sodium Hypochlorite - therapeutic use</topic><topic>Tooth Apex - drug effects</topic><topic>Tooth Apex - ultrastructure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>George, Roy, BDS, MDS</creatorcontrib><creatorcontrib>Meyers, Ian A., BDSc</creatorcontrib><creatorcontrib>Walsh, Laurence J., PhD, DDSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>George, Roy, BDS, MDS</au><au>Meyers, Ian A., BDSc</au><au>Walsh, Laurence J., PhD, DDSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laser Activation of Endodontic Irrigants with Improved Conical Laser Fiber Tips for Removing Smear Layer in the Apical Third of the Root Canal</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>34</volume><issue>12</issue><spage>1524</spage><epage>1527</epage><pages>1524-1527</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>Abstract With a tube etching process, conical-ended optical fibers for middle infrared lasers that have lateral emissions can be produced, a feature of benefit for delivering laser energy onto the root canal walls. This study examined the ability of these improved laser tips when Er:YAG and Er,Cr:YSGG lasers were used in root canals in which thick smear layers had been created intentionally to provide a challenge for the laser system. Smear layer was assessed from scanning electron microscopy images with an objective digital method. Lasing improved the action of ethylene diamine tetraacetic acid with cetavlon (EDTAC) in removing smear layer. Conical fibers performed better than plain fibers, but there was no difference in performance between the 2 laser systems when matched for all other parameters. These results provide a “proof of concept” for lateral emitting fibers for endodontic procedures and illustrate the novel contribution of lasing to the action of EDTAC in dissolving smear layer.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19026887</pmid><doi>10.1016/j.joen.2008.08.029</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Cetrimonium Compounds - radiation effects Cetrimonium Compounds - therapeutic use Chelating Agents - radiation effects Chelating Agents - therapeutic use Dental Pulp Cavity - drug effects Dental Pulp Cavity - ultrastructure Dentin - drug effects Dentin - ultrastructure Dentin ablation Dentistry Edetic Acid - analogs & derivatives Edetic Acid - radiation effects Edetic Acid - therapeutic use Endocrinology & Metabolism Equipment Design erbium lasers Humans Hydrogen Peroxide - radiation effects Hydrogen Peroxide - therapeutic use laser dentistry Lasers, Solid-State - therapeutic use Materials Testing Microscopy, Electron, Scanning Optical Fibers Root Canal Irrigants - radiation effects Root Canal Irrigants - therapeutic use Root Canal Preparation - instrumentation Root Canal Preparation - methods Smear Layer Sodium Hypochlorite - radiation effects Sodium Hypochlorite - therapeutic use Tooth Apex - drug effects Tooth Apex - ultrastructure |
title | Laser Activation of Endodontic Irrigants with Improved Conical Laser Fiber Tips for Removing Smear Layer in the Apical Third of the Root Canal |
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