Skip to main content

Advertisement

Log in

Histological examination of experimentally infected root canals after preparation by Er:YAG laser irradiation

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The influence of Er:YAG laser irradiation on periodontal tissues along the root surface and apical region during root canal preparation was histologically evaluated using experimentally infected root canals of rats. Eighty experimentally mesial infected root canals of mandibular first molars in rats were divided into four groups. In three groups, root canals were irradiated using an Er:YAG laser at 2 Hz with 34, 68, or 102 mJ/pulse for 30 s. Non-irradiated canals served as controls. The influence of laser irradiation on periodontal tissues along the root surface and apical area was evaluated histologically under light microscopy at 0 (immediately after), 1, 2, 4, and 8 weeks after irradiation. At all periods, no inflammation or resorption on the root surfaces caused by laser irradiation was observed in any cases in the control or 34 mJ/pulse-irradiated groups. However, mild to severe inflammation with resorption of root surfaces was observed in some cases in the 68- and 102-mJ/pulse-irradiated groups. No significant difference was apparent between control and laser-irradiated groups at the apical area for all experimental periods (p > 0.05). These results suggest that thermal influences on periodontal tissues of experimentally infected root canals during root canal preparation by Er:YAG laser irradiation are minimal if appropriate parameters are selected. Er:YAG laser irradiation is thus a potential therapy for human infected root canals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Stern RH, Sognnaes RF (1964) Laser beam effect on dental hard tissues. J Dent Res 43:873

    Google Scholar 

  2. Goldman L, Hornby P, Meyer R, Goldman B (1964) Impact of the laser on dental caries. Nature 203:417

    Article  PubMed  CAS  Google Scholar 

  3. Wigdor HA, Walsh JT, Featherstone JDB, Visuri SR, Fried D, Waldvogel JL (1995) Lasers in dentistry. Lasers Surg Med 16:103–133

    Article  PubMed  CAS  Google Scholar 

  4. Kimura Y, Wilder-Smith P, Matsumoto K (2000) Lasers in endodontics: a review. Int Endod J 33:173–185

    Article  PubMed  CAS  Google Scholar 

  5. Yamazaki R, Goya C, Yu D-G, Kimura Y, Matsumoto K (2001) Effects of erbium, chromium:YSGG laser irradiation on root canal walls: a scanning electron microscopic and thermographic study. J Endodon 27:9–12

    Article  CAS  Google Scholar 

  6. 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 

  7. Mazeki K, Kouji R, Saito K, Funato A, Matsumoto K (1998) Morphological study on preparation of root canal orifices by Er:YAG laser. J Jpn Endod Assoc 19:5–9

    Google Scholar 

  8. Machida T, Mazeki K, Narushima K, Matsumoto K (1996) Study on temperature raising in tooth structure at irradiating Er-YAG laser. J Jpn Endod Assoc 17:38–40

    Google Scholar 

  9. Matsuoka E, Yonaga K, Kinoshita J, Kimura Y, Matsumoto K (2000) Morphological study on the capability of Er:YAG laser irradiation for root canal preparation. J Clin Laser Med Surg 18:215–219

    Article  PubMed  CAS  Google Scholar 

  10. Kimura Y, Yonaga K, Yokoyama K, Kinoshita J, Ogata Y, Matsumoto K (2002) Root surface temperature increase during Er:YAG laser irradiation of root canals. J Endodon 28:76–78

    Article  Google Scholar 

  11. Cohen BI, Deutsch AS, Musikant BL, Pagnillo MK (1998) Effect of power settings versus temperature change at the root surface when using multiple fiber sizes with a holmium YAG laser while enlarging a root canal. J Endodon 24:802–806

    Article  CAS  Google Scholar 

  12. Lan W-H (1999) Temperature elevation on the root surface during Nd:YAG laser irradiation in the root canal. J Endodon 25:155–156

    Article  CAS  Google Scholar 

  13. Eriksson AR, Albrektsson T (1983) Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent 50:101–107

    Article  PubMed  CAS  Google Scholar 

  14. Burkers EJ, Gomes E, Wolbarsht M (1992) Wet versus dry enamel ablation by Er:YAG laser. J Prosthet Dent 67:847–851

    Article  Google Scholar 

  15. Kimura Y, Yonaga K, Murakoshi M, Yokoyama K, Watanabe H, Matsumoto K (2003) Histopathological study of the effects of Er:YAG laser irradiation on root canals in rats. Int Congree Series 1248:281–284

    Article  Google Scholar 

  16. Kimura Y, Yonaga K, Murakoshi M, Yokoyama K, Watanabe H, Matsumoto K (2004) Effects on periradicular periodontal tissues of root canal irradiation with Er:YAG laser in rats. Photomed Laser Surg 22:335–341

    Article  PubMed  Google Scholar 

  17. Lin SK, Hong CY, Chang HH et al (2000) Immunolocalization of macrophages and transforming growth factor-beta 1 in induced rat periapical lesions. J Endodon 26:335–340

    Article  CAS  Google Scholar 

  18. Grossman LI (1981) Preparation of the root canal. In: Grossman LI (ed) Endodontic practice, 10th edn. Lea & Febiger, Philadelphia, pp 200–236

    Google Scholar 

  19. Koba K, Kimura Y, Matsumoto K, Takeuchi T, Ikarugi T, Shimizu T (1998) A histopathological study of the morphological changes at the apical seat and in the periapical region after irradiation with a pulsed Nd:YAG laser. Int Endod J 31:415–420

    Article  PubMed  CAS  Google Scholar 

  20. Kimura Y, Yonaga K, Yokoyama K, Watanabe H, Wang X, Matsumoto K (2003) Histopathological changes in dental pulp irradiated by Er:YAG laser: a preliminary report on laser pulpotomy. J Clin Laser Med Surg 21:345–350

    Article  PubMed  Google Scholar 

  21. Kayano T, Ochiai S, Kiyono K, Yamamoto H, Nakajima S, Mochizuki T (1991) Effect of Er:YAG laser irradiation on human extracted teeth. J Clin Laser Med Surg 9:147–150

    Google Scholar 

  22. Jelinkova H, Dostalova T, Duskova J et al (1999) Er:YAG and alexandrite laser radiation propagation in root canal and its effect on bacteria. J Clin Laser Med Surg 17:267–272

    PubMed  CAS  Google Scholar 

  23. Hossain M, Nakamura Y, Kimura Y, Yamada Y, Ito M, Matsumoto K (2000) Caries-preventive effect of Er:YAG laser irradiation with or without water mist. J Clin Laser Med Surg 18:61–65

    PubMed  CAS  Google Scholar 

  24. Watanabe H, Ishikawa I, Suzuki M, Hasegawa K (1996) Clinical assessments of the erbium:YAG laser for soft tissue surgery and scaling. J Clin Laser Med Surg 14:67–75

    PubMed  CAS  Google Scholar 

  25. Kimura Y, Yonaga K, Yokoyama K, Matsuoka E, Sakai K, Matsumoto K (2001) Apical leakage of obturated canals prepared by Er:YAG laser. J Endodon 27:567–570

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This study was supported in part by a Grant-in-Aid for Scientific Research (11671902) from the Japan Society for the Promotion of Science (JSPS) and also by MEXT. HITEKU (2005–2009).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yuichi Kimura.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kimura, Y., Tanabe, M., Imai, H. et al. Histological examination of experimentally infected root canals after preparation by Er:YAG laser irradiation. Lasers Med Sci 26, 749–754 (2011). https://doi.org/10.1007/s10103-010-0804-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-010-0804-y

Keywords

Navigation