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Computer-assisted evaluation of microleakage after apical resection with laser and conventional techniques

Abstract

The purpose of this in vitro study was to observe the morphological changes and apical dye penetration at apical dentin surfaces after apicoectomy with conventional techniques and laser beam. Sixty single-rooted extracted teeth were selected for the study. The crowns were resected below the cemento-enamel junction. Then, these teeth were treated endodontically and filled with gutta-percha using AH-26 root canal sealer. The teeth were randomly divided into four groups of 15 teeth in each. The roots were resected perpendicular to its long axis 3 mm from the apex using Er: yttrium–aluminium–garnet (YAG) laser irradiation in groups 1 and 2, and the resected root surfaces were lased with Nd:YAG laser in group 2. The apexes were resected by a high-speed handpiece in groups 3 and 4, and the resected root surfaces were lased with Nd:YAG laser in group 4. Ten teeth in each group were used for leakage studies, and the other five teeth were used for scanning electron microscopic examinations. Seven sections were obtained from each root to assess the microleakage, and the sections were analyzed in a computer-assisted manner. No statistically significant differences were observed between the leakage percentage of groups 1 and 3 and groups 2 and 4 (p > 0.05). Morphological differences were observed between apical dentin surfaces resected with conventional techniques and laser beam.

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References

  1. Danin J, Stromberg T, Forsgren H, Linder LE, Ramskold LO (1996) Clinical management of nonhealing periradicular pathosis. Surgery versus endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 82:213–217

    Article  CAS  Google Scholar 

  2. Briggs PF, Scott BJ (1997) Evidence-based dentistry: endodontic failure—how should it be managed? Br Dent J 183:159–164

    PubMed  CAS  Google Scholar 

  3. El-Swiah JM, Walker RT (1996) Reasons for apicectomies. A retrospective study. Endod Dent Traumatol 12:185–191

    PubMed  Article  CAS  Google Scholar 

  4. Wada M, Takase T, Nakanuma K, Arisue K, Nagahama F, Yamazaki M (1998) Clinical study of refractory apical periodontitis treated by apicectomy. Part 1. Root canal morphology of resected apex. Int Endod J 31:53–56

    PubMed  Article  CAS  Google Scholar 

  5. Danin J, Linder LE, Lundqvist G, Ohlsson L, Ramskold LO, Stromberg T (1999) Outcomes of periradicular surgery in cases with apical pathosis and untreated canals. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 87:227–232

    Article  CAS  Google Scholar 

  6. von Arx T, Gerber C, Hardt N (2001) Periradicular surgery of molars: a prospective clinical study with a 1-year follow-up. Int Endod J 34:520–525

    Article  Google Scholar 

  7. Delivanis P, Tabibi A (1978) A comparative sealability study by different retrofilling materials. Oral Surg Oral Med Oral Pathol 45:273–281

    PubMed  Article  CAS  Google Scholar 

  8. Stabholz A, Khayat A, Weeks DA, Neev J, Torabinejad M (1992) Scanning electron microscopic study of the apical dentine surfaces lased with Nd:YAG laser following apicectomy and retrofill. Int Endod J 25:288–291

    PubMed  Article  CAS  Google Scholar 

  9. Lindeboom JA, Frenken JW, Kroon FH, van den Akker HP (2005) A comparative prospective randomized clinical study of MTA and IRM as root-end filling materials in single-rooted teeth in endodontic surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 100:495–500

    Article  Google Scholar 

  10. Baek SH, Plenk H Jr, Kim S (2005) Periapical tissue responses and cementum regeneration with amalgam, Super EBA, and MTA as root-end filling materials. J Endod 31:444–449

    PubMed  Article  Google Scholar 

  11. Theodosopoulou JN, Niedeman R (2005) A systematic review of in vitro retrograde obturation materials. J Endod 31:341–349

    PubMed  Article  Google Scholar 

  12. Hibst R, Keller U (1989) Experimental studies of the application of the Er:YAG laser on dental hard substances: I. Measurement of the ablation rate. Lasers Surg Med 9:338–344

    PubMed  Article  CAS  Google Scholar 

  13. Keller U, Hibst R (1989) Experimental studies of the application of the Er:YAG laser on dental hard substances: II. Light microscopic and SEM investigations. Lasers Surg Med 9:345–351

    PubMed  Article  CAS  Google Scholar 

  14. Paghdiwala AF (1993) Root resection of endodontically treated teeth by Erbium:YAG laser radiation. J Endod 19:91–94

    PubMed  Article  CAS  Google Scholar 

  15. Komori T, Yokoyama K, Takato T, Matsumoto K (1997) Clinical application of the erbium:YAG laser for apicoectomy. J Endod 23:748–750

    PubMed  Article  CAS  Google Scholar 

  16. Muehling B, Kolb A, Ramadani M, Schmidt E, Gansauge F, Beger HG (2004) Comparative Analysis of extracellular matrix proteins in chronic pancreatitis: differences between pancreatic head and tail. Pancreas 28:174–180

    PubMed  Article  CAS  Google Scholar 

  17. Dederich DN, Zakariasen KL, Tulip J (1984) Scanning electron microscopic analysis of canal wall dentin following neodymium–yttrium–aluminium–garnet laser irradiation. J Endod 10:428–431

    PubMed  Article  CAS  Google Scholar 

  18. Levy G (1992) Cleaning and shaping the root canal with a Nd:YAG laser beam: a comparative study. J Endod 18:123–127

    Article  PubMed  CAS  Google Scholar 

  19. Miserendino LJ, Levy GC, Riziou IM (1995) Effects of Nd:YAG laser on the permeability of root canal wall dentin. J Endod 21:83–87

    PubMed  Article  CAS  Google Scholar 

  20. Goodis HE, White JM, Marshall SJ, Marshall GW (1993) Scanning electron microscopic examination of intracanal wall dentin: hand versus laser treatment. Scanning Microsc 7:979–987

    PubMed  CAS  Google Scholar 

  21. Kinney JH, Haupt DL, Balooch M, White JM, Bell WL, Marshall SJ, Marshall GW Jr (1996) The thereshold effect of Nd and Ho:YAG laser-induced surface modification on dentin demineralization of dentin surfaces. J Dent Res 75:1388–1395

    PubMed  CAS  Article  Google Scholar 

  22. Clark-Holke D, Drake D, Walton R, Rivera E, Guthmiller JM (2003) Bacterial penetration through canals of endodontically treated teeth in the presence or absence of the smear layer. J Dent 31:275–281

    PubMed  Article  Google Scholar 

  23. Yamazaki R, Goya C, Tomita Y, Kimura Y, Matsumoto K (1999) Study on apical leakage of the teeth after argon laser treatment and obturation. J Clin Laser Med Surg 17:121–125

    PubMed  CAS  Google Scholar 

  24. Kimura Y, Yamazaki R, Goya C, Tomita Y, Yokoyama K, Matsumato K (1999) A comparative study on the effect of three types of laser irradiation at the apical stop and apical leakage after obturation. J Clin Laser Med Surg 17:261–266

    PubMed  CAS  Google Scholar 

  25. Goya C, Yamazaki R, Tomita Y, Kimura Y, Matsumato K (2000) Effects of pulsed Nd:YAG laser irradiation on smear layer at the apical stop and apical leakage after obturation. Int Endod J 33:266–271

    PubMed  Article  CAS  Google Scholar 

  26. Takeda FH, Harashima T, Kimura Y, Matsumoto K (1998) Comparative study about the removal of smear layer by three types of laser devices. J Clin Laser Med Surg 16:117–122

    PubMed  CAS  Google Scholar 

  27. Esen E, Yoldas O, Kürkcü M, Doğan MC, Seydaoğlu G (2004) Apical microleakage of root-end cavities prepared by CO2 laser. J Endod 30:662–664

    PubMed  Article  Google Scholar 

  28. De Moor RJ, Hommez GM (2002) The long-term sealing ability of an epoxy resin root canal sealer used with five gutta percha obturation techniques. Int Endod J 35:275–282

    PubMed  Article  Google Scholar 

  29. De Bruyne MAA, De Bruyne RJE, Rosiers L, De Moor RJG (2005) Longitudinal study on microleakage of three root end filling materials by fluid transport method and by capillary flow porometry. Int Endod J 38:129–136

    PubMed  Article  Google Scholar 

  30. Pommel L, Jacquot B, Camps J (2001) Lack of correlation among three methods for evaluation of apical leakage. J Endod 21:347–350

    Article  Google Scholar 

  31. Wu M-K, Wesselink PR (1993) Endodontic leakage studies reconsidered. Part I. Methodology, application and relevance. Int Endod J 26:37–43

    PubMed  Article  CAS  Google Scholar 

  32. Raskin A, D’Hoore W, Gonthier S, Degrange M, Dejou J (2001) Reliability of in vitro microleakage tests: a literature review. J Adhes Dent 3:295–308

    PubMed  CAS  Google Scholar 

  33. Stabholz A, Khayat A, Ravanshad SH, McCarthy DW, Neev J, Torabinejad M (1992) Effects of Nd:YAG laser on apical seal of teeth after apicoectomy and retrofill. J Endod 18:371–375

    PubMed  Article  CAS  Google Scholar 

  34. Francischone CE, Padovan LA, Padovan LE, Duarte MA, Fraga Sde C, Curvello VP (2005) Apicoectomy with the Er:YAG laser or bur, followed by retrograde root filling with zinc oxide/eugenol or sealer 26. Photomed Laser Surg 23:395–398

    PubMed  Article  Google Scholar 

  35. Oliveira RG, Gouw-Soares S, Baldochi SL, Eduardo CP (2004) Scanning electron microscopy (SEM) and optical microscopy: effects of Er:YAG and Nd:YAG lasers on apical seals after apicoectomy and retrofill. Photomed Laser Surg 22:533–536

    PubMed  Article  CAS  Google Scholar 

  36. Arens DL, Levy GC, Rizoiu IM (1993) A comparison of dentin permeability after bur and laser apicoectomies. Compendium 14:1290–1294

    PubMed  CAS  Google Scholar 

  37. Friedman S, Rotstein I, Koren L, Trope M (1991) Dye leakage in retrofilled teeth and its correlation with radiographic healing. J Endod 17:392–395

    PubMed  CAS  Article  Google Scholar 

  38. Wu M-K, van der Sluis LWM, Wesselink PR (2002) A preliminary study of the percentage of gutta-percha-filled area in the apical canal filled with vertically compacted warm gutta-percha. Int Endod J 35:527–535

    PubMed  Article  Google Scholar 

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Correspondence to Hacer Deniz Arisu.

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Arisu, H.D., Sadik, B., Bala, O. et al. Computer-assisted evaluation of microleakage after apical resection with laser and conventional techniques. Lasers Med Sci 23, 415 (2008). https://doi.org/10.1007/s10103-007-0497-z

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  • DOI: https://doi.org/10.1007/s10103-007-0497-z

Keywords

  • Er:YAG laser
  • Nd:YAG laser
  • Apicoectomy