Effect of the Nd:YAG laser on sealer penetration into root canal surfaces: a confocal microscope analysis

Objectives: The objective of this in vitro study was to evaluate the use of the Neodymium:Yttrium-Aluminium-Garnet (Nd:YAG) laser as part of the root canal treatment on the penetration of sealer into dentinal tubules. Methods: Eighty extracted lower premolars were randomly assigned to two groups (n...

ver descrição completa

Detalhes bibliográficos
Autores: Montero Miralles, Paloma, Castillo-Oyagüe, Raquel, Saéz de la Fuente, Isabel, Lynch, Christopher D., Castillo-Dalí, Gabriel, Torres-Lagares, Daniel
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2014
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/106217
Acesso em linha:https://hdl.handle.net/11441/106217
Access Level:acceso abierto
Palavra-chave:Confocal microscope
Nd:YAG laser
Endodontic instrumentation
Dentinal permeability
Endodontic sealer
Sealer penetration
Descrição
Resumo:Objectives: The objective of this in vitro study was to evaluate the use of the Neodymium:Yttrium-Aluminium-Garnet (Nd:YAG) laser as part of the root canal treatment on the penetration of sealer into dentinal tubules. Methods: Eighty extracted lower premolars were randomly assigned to two groups (n = 40 each): Control group (CG), subjected to a conventional protocol of endodontic instrumentation and obturation; and Laser group (LG), in which Nd:YAG laser irradiations were combined with conventional preparation and obturation. Endodonted samples were sectioned at 3 and 5 mm from the apex and observed under a confocal scanning microscope (CLSM). The penetration depth into the dentinal tubules and the extension of the intracanal perimeter infiltrated by sealer were measured. The Student-Newman Keuls test was run for between-group comparisons (α=.05). Results: The depth of sealer penetration into dentinal tubules did not differ among groups. LG samples showed the significantly highest percentage of penetrated perimeter at 3 mm from the root apex. Within each group, the greatest depth of penetration (P=.0001), and the major percentage of penetrated perimeter (P <.001), were recorded at 5 mm. Conclusions: The application of the Nd:YAG laser after instrumentation did not improve the depth of sealer penetration into the dentinal tubules. The laser enlarged the total penetrable perimeter near the apex