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01-02-2020 | Erbium YAG Laser | Original Article

Comparison of apical irrigant solution extrusion among conventional and laser-activated endodontic irrigation

Authors: Jelena Vidas, Damir Snjaric, Alen Braut, Zoran Carija, Romana Persic Bukmir, Roeland J. G. De Moor, Ivana Brekalo Prso

Published in: Lasers in Medical Science | Issue 1/2020

Abstract

The aim of this study was to determine the amount of extruded endodontic irrigant among needle-syringe irrigation (NSI) and laser-activated irrigation (LAI) regimens. Twenty extracted maxillary central incisors were prepared utilizing GT professional rotary files (size 40, taper 0.06). Irrigation was performed with two 27 G irrigation needles (notched open ended (ON) and single side vented (SV)) each at two different irrigant volumetric flow rates (VFR)—0.05 ml/s (3 ml/min) and 0.10 ml/s (6 ml/min). LAI was performed with Er:YAG (erbium-doped yttrium aluminum garnet) using different fiber types (X-Pulse-14/400 cylindrical tip, Preciso- 14/300 flat cylindrical tip, PIPS- 14/400 quartz tapered tip). The Er:YAG laser with a wavelength of 2940 nm (Lightwalker AT, Fotona, Ljubljana, Slovenia) was used according to the following protocol: 10 mJ per pulse, 15 Hz, pulse duration 50 μs. Irrigation time was 60 s for all protocols. Precision syringe pump (PSP) maintained constant irrigant volumetric flow rate. Apically extruded irrigant was collected and net weighed for each protocol (N = 10). Data were analyzed by t tests and Kruskal-Wallis. All LAI regimens had statistically significant lower irrigant extrusion compared with NSI except for the SV 27 G needle used with 0.05 ml/s VFR when compared with the Preciso fiber tip (p = 0,230). The largest amount of extruded irrigant was with the ON 27 G needle at the 0.10 ml/s VFR, while the smallest was after LAI with PIPS fiber tip. The lower quantity of apically extruded irrigant during LAI (X-Pulse and PIPS) points out a safer endodontic irrigation method compared with conventional irrigations.

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Title: Comparison of apical irrigant solution extrusion among conventional and laser-activated endodontic irrigation
Authors: Jelena Vidas
Damir Snjaric
Alen Braut
Zoran Carija
Romana Persic Bukmir
Roeland J. G. De Moor
Ivana Brekalo Prso
Publication date: 01-02-2020
Publisher: Springer London
Keywords: Erbium YAG Laser
Laser
Endodontic Irrigation
Published in: Lasers in Medical Science / Issue 1/2020
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02846-w

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