Abstract
The success of endodontic treatment depends on the complete elimination of microorganisms from the root canal system, thus the search for new procedures to eliminate them is justified. The aim of this study was to assess bacterial reduction after intracanal irradiation with the Er:YAG laser. The canals of 70 extracted human maxillary canines were prepared up to file #40 using 1% NaOCl, irrigated with 17% EDTA, and then washed with physiological solution activated by ultrasound. The roots were sterilized by autoclaving, inoculated with 10 μl of a suspension containing 1.5 × 108 CFU/ml of Enterococcus faecalis ATCC 29212 and incubated at 37°C for 72 h. The canals were irradiated with the Er:YAG laser using two energy settings: 60 mJ and 15 Hz, and 100 mJ and 10 Hz. The remaining bacteria were counted immediately and 48 h after laser irradiation. The results showed a high bacterial reduction at both time points. With 60 mJ and 15 Hz there was an immediate reduction of 99.73% and the reduction was 77.02% after 48 h, and with 100 mJ and 10 Hz there was an immediate reduction of 99.95% and the reduction was 84.52% after 48 h. Although the best results were observed with 100 mJ of energy, the difference between the two settings was not statistically significant. The count performed 48 h after irradiation showed that E. faecalis were able to survive, and can grow even from small numbers.
Similar content being viewed by others
References
Sundqvist G (1992) Ecology of the root canal flora. J Endod 18:427–430
Moura-Netto C, Moura AAM, Davidowicz H, Aun CE, Santos Antonio MP (2008) Morphologic changes and removal of debris on apical dentin surfaces after Nd:YAG laser and diode laser Irradiation. Photomed Laser Surg 26:263–266
Franzen R, Esteves-Oliveira M, Meister J, Wallerang A, Vanweersch L, Lampert F, Gutknecht N (2009) Decontamination of deep dentin by means of erbium, chromium:yttrium-scandium-gallium-garnet laser irradiation. Lasers Med Sci 24:75–80
Sundqvist G, Figdor D, Persson S, Sjögren U (1998) Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol 85:86–93
Peciuliene V, Balciuniene I, Eriksen HM, Haapasalo M (2000) Isolation of Enterococcus faecalis in previously root-filled canals in a Lithuanian population. J Endod 26:593–595
Dahlén G, Samuelsson W, Molander A, Reit C (2000) Identification and antimicrobial susceptibility of enterococci isolated from the root canal. Oral Microbiol Immunol 15:309–311
Orstavik D, Haapasalo M (1990) Disinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 6:142–149
Siqueira JF Jr, De Uzeda M, Fonseca MEF (1996) A scanning electron microscopic evaluation of in vitro dentinal tubules penetration by selected anaerobic bacteria. J Endod 22:308–310
Hibst R, Stock K, Gall K, Keller U (1997) Er:YAG laser for endodontics: efficiency and safety. In: Altshuler GB, Birngruber R, Dal Fante M, Hibst R, Hoenigsmann H, Krasner N, Laffitte F (eds) Medical applications of lasers in dermatology, ophthalmology, dentistry, and endoscopy. Proceedings of SPIE, vol. 3192, pp 14–21. doi:10.1117/12.297860
Mehl A, Folwaczny M, Haffner C, Hickel R (1999) Bactericidal effects of 2.94 μm Er:YAG laser radiation in dental root canals. J Endod 25:490–493
Moritz A, Schoop U, Goharkhay K, Jakolitsch S, Kluger W, Wernisch J, Sperr W (1999) The bactericidal effect of Nd:YAG and Er:YAG laser irradiation in the root canal: an in vitro comparison. J Clin Laser Med Surg 17:161–164
Jelinková H, Dostalová T, Dusková J, Krátky M, Miyagi M, Shoji S, Sulc J, Nemec M (1999) Er:YAG and alexandrite laser radiation propagation in root canal and its effect on bacteria. J Clin Laser Med Surg 17:267–272
Schoop U, Kluger W, Moritz A, Nedjelik N, Georgopoulos A, Sperr W (2004) Bactericidal effect of different laser systems in the deep layers of dentin. Lasers Surg Med 35:111–116
Vezzani MS, Pietro R, Silva-Sousa Y, Brugnera-Junior A, Sousa-Neto MD (2006) Disinfection of root canals using Er:YAG laser at different frequencies. Photomed Laser Surg 24:499–502
Gutknecht N, Moritz A, Burghardt SF, Lampert F (1997) The efficiency of root canal disinfection using a holmium:yttrium-aluminum-garnet laser in vitro. J Clin Laser Med Surg 15:75–78
Fabricius L, Dahlén G, Öhman AE, Möller AJR (1982) Predominant indigenous oral bacteria isolated from infected root canals after varied times of closure. Scand J Dent Res 90:134–143
Fabricius L, Dahlén G, Holm SE, Möller AJR (1982) Influence of combinations of oral bacteria on periapical tissues of monkeys. Scand J Dent Res 90:200–206
Estrela C, Pimenta FC, Ito IY, Bammann LL (1999) Antimicrobial evaluation of calcium hydroxide in infected dentinal tubules. J Endod 25:416–418
Noda M, Komatsu H, Inoue S, Sano H (2000) Antibiotic susceptibility of bacteria detected from the root canal exudate of persistent apical periodontitis. J Endod 26:221–224
Gutknecht N, Moritz A, Conrads G, Sievert T, Lampert F (1996) Bactericidal effect of the Nd:YAG laser in in vitro root canals. J Clin Laser Med Surg 14:77–80
Berutti E, Marini R, Angeretti A (1997) Penetration ability of different irrigants into dentinal tubules. J Endod 23:725–727
Moritz A, Jakolitsch S, Goharkhay K, Schoop U, Kluger W, Mallinger R, Sperr W, Georgopoulos A (2000) Morphologic changes correlating to different sensitivities of Escherichia coli and Enterococcus faecalis to Nd:YAG laser irradiation through dentin. J Clin Laser Med Surg 26:250–261
Oguntebi BR (1994) Dentine tubule infection and endodontic therapy implications. Int Endod J 27:218–222
Berkiten M, Berkiten R, Okar I (2000) Comparative evaluation of antibacterial effects of Nd:YAG laser irradiation in root canals and dentinal tubules. J Endod 26:268–270
Peters LB, Wesselink PR, Buijs JF, Winkelhoff A (2001) Viable bacteria in root dentinal tubules of teeth with apical periodontitis. J Endod 27:76–81
Franzen R, Gutknecht N, Falken S, Heussen N, Meister J (2011) Bactericidal effect of a Nd:YAG laser on Enterococcus faecalis at pulse durations of 15 and 25 ms in dentine depths of 500 and 1,000 μm. Lasers Med Sci 26:95–101
Fegan SE, Steiman HR (1995) Comparative evaluation of the antibacterial effects of intracanal Nd:YAG laser irradiation. J Endod 21:415–417
Ramskold LO, Fong CD, Stromberg T (1997) Thermal effects and antibacterial properties of energy levels required to sterilize stained root canals with an Nd:YAG laser. J Endod 23:96–100
Blum JY, Michailesco P, Abadie MJM (1997) An evaluation of the bactericidal effect of the Nd:YAP laser. J Endod 23:583–585
Yasuda Y, Kawamorita T, Yamaguchi H, Saito T (2010) Bactericidal effect of Nd:YAG and Er:YAG lasers in experimentally infected curved root canals. Photomed Laser Surg 28:S75–S78
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
dos Santos Antonio, M.P., Moura-Netto, C., Camargo, S.E.A. et al. Bactericidal effects of two parameters of Er:YAG laser intracanal irradiation: ex-vivo study. Lasers Med Sci 27, 1165–1168 (2012). https://doi.org/10.1007/s10103-011-1023-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10103-011-1023-x