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
Hauptverfasser: George, Roy, BDS, MDS, Meyers, Ian A., BDSc, Walsh, Laurence J., PhD, DDSc
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container_end_page 1527
container_issue 12
container_start_page 1524
container_title Journal of endodontics
container_volume 34
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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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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