J Korean Acad Conserv Dent.  2003 Jan;28(1):50-56. 10.5395/JKACD.2003.28.1.050.

The effects of EDTA and pulsed Nd:YAG laser on apical leakage of canal obturation

Affiliations
  • 1Department of Conservative dentistry, Collage of Dentistry, Pusan National University, Korea. hjolee@pusan.ac.kr

Abstract

The purpose of this study was to evaluate the effects of EDTA and pulsed Nd:YAG laser on apical leakage of canal obturation. Forty-eight single-rooted teeth were used in this study. The teeth were instrumented up to a size 40 K-file and irrigated with 2.5% NaOCl between each file size. And the teeth were divided into 4 groups. In group A, the root canals were irrigated with a final flush of 5ml 2.5% NaOCl as a control group. The teeth in group B were irrigated with a final flush of 5ml 17% EDTA. The teeth in group C and D were irradiated by pulsed Nd:YAG laser(laser parameters were set at 1W, 100mJ, 10Hz, and 2W, 100mJ, 20Hz respectively). The results were as follows: 1. Apical leakage was observed in 50% of samples in group A, 30% of samples in group B, 20% of samples in group C, and 10% of samples in group D. 2. The teeth in group B had less leakage than group A, but there was no statistically significant differences(p>0.05). 3. The teeth in group C, D had less leakage than group A, and there was statistically significant differences(p<0.05). 4. The teeth in group C, D had less leakage than group B, but there was no statistically significant differences(p>0.05). 5. There was no significant differences in apical leakage between group C and group D(p>0.05).

Keyword

EDTA; ND:YAG laser; Smear layer; Microleakage

MeSH Terms

Dental Pulp Cavity
Edetic Acid*
Smear Layer
Tooth
Edetic Acid

Figure

  • Fig. 1 Group A(2.5% NaOCl)

  • Fig. 2 Group B(17% EDTA)-Middle 1/3

  • Fig. 3 Group B(17% EDTA)-Apical 1/3

  • Fig. 4 Group C(1W, 100mJ, 10Hz Nd: YAG laser, parallel to canal wall

  • Fig. 5 Group D(2W, 100mJ, 20Hz Nd: YAG laser, parallel to canal wall

  • Fig. 6 Additional specimen(1W, 100mJ, 10Hz Nd:YAG laser, perpendicular to canal wall

  • Fig. 7 Additional specimen(2W, 100mJ, 20Hz Nd:YAG laser, perpendicular to canal wall


Reference

1. McComb D, Smith DC. A preliminary scanning electron microscopic study of root canals after endodontic procedures. J Endod. 1975. 1:238–242.
Article
2. Vojinović O, Nyborgh H, Brõnnstrõm M. Acid treatment of cavities under resin fillings: Bacterial growth in dentinal tubules and pulpal reactions. J Dent Res. 1973. 52:1189–1193.
Article
3. Michelich VJ, Schuster GS, Pashley DH. Bacterial penetration of human dentine in vitro. J Dent Res. 1980. 59:1398–1403.
4. Diamond A, Carrel R. The smear layer: a review of restorative progress. J Pedod. 1984. 8:219–226.
5. Baker NA, Eleazer PD, Averbach RE, Seltzer S. Scanning electron microscopic study of the efficacy of various irrigation solutions. J Endod. 1975. 1:127–135.
Article
6. Yamada RS, Armas A, Goldman M, Lin PS. A scanning electron microscopic comparison of a high volume final flush with several irrigation solutions: Part III. J Endod. 1983. 9:137–142.
Article
7. Meryon SD, Jakeman KJ, Browne RM. Penetration in vitro of human and ferret dentine by three bacterial species in relation to their potential role in pulpal inflammation. Int Endod J. 1986. 19:213–220.
Article
8. Madison S, Krell KV. Comparison of ethylene diamine tetraacetic acid and sodium hypochlorite on the apical seal of endodontically treated teeth. J Endod. 1984. 10:499–503.
Article
9. Evans JT, Simon JH. Evaluation of the apical seal produced by injected thermoplasticized gutta-percha in the absence of smear layer and root canal sealer. J Endod. 1986. 12:100–107.
Article
10. Kennedy WA, Walker WA, Gough RW. Smear layer removal effects on apical leakage. J Endod. 1986. 12:21–27.
Article
11. Cergneux M, Ciucchi B, Dietschi JM, Holz J. The influence of smear layer on the sealing ability of canal obturation. Int Endod J. 1987. 20:228–232.
Article
12. Saunders WP, Saunders EM. The effect of smear layer upon the coronal leakage of gutta-percha root fillings and a glass ionomer sealer. Int Endod J. 1992. 25:245–249.
Article
13. Sen BH, Wesselink PR, Turkun M. The smear layer: a phenomenon in root canal therapy. Int Endod J. 1995. 28:141–148.
Article
14. Baumgartner JC, Mader CL. A scanning electron microscopic evaluation of four root canal irrigation regimens. J Endod. 1987. 13:147–157.
Article
15. Pashley EL, Birdsong NL, Bowman K, Pashley DH. Cytotoxic effects of NaOCl on vital tissues. J Endod. 1985. 11:525–528.
16. Goldman LB, Goldman M, Kronman JH, Lin PS. The efficacy of several irrigation solutions for endodontics: A scanning electron microscopic study. Oral Surg Oral Med Oral Pathol. 1981. 52:197–204.
Article
17. Weine FS. Endodontic therapy. 1996. 5th edn. St. Louis: Mosby.
18. Kimura Y, Wilder-Smith P, Matsumoto K. Laser in endodontics: a review. Int Endod J. 2000. 33:173–185.
19. Dederich D, Zakariasen K, Tulip J. Scanning electron microscopic analysis of root canal wall dentin follow Neodymium Yttrium garnet laser irradiation. J Endod. 1984. 10:428–431.
Article
20. Levy G. Cleaning and shaping the root canal with a Nd:YAG laser beam: a comparative study. J Endod. 1992. 18:123–127.
Article
21. Goya C, Yamazaki R, Tomita Y, Kimura Y, Matsumoto K. Effects of pulsed Nd:YAG laser irradiation on smear layer at the apical stop and apical leakage after obturation. Int Endod J. 2000. 33:266–271.
Article
22. Williams S, Goldman M. Penetrability of the smeared layer by a strain of Proteus vulgaris. J Endod. 1985. 11:385–388.
Article
23. Goldman M, Goldman LB, Cavaleri R, Bogis J, Lin PS. The efficacy of several irrigation solutions for endodontics: A scanning electron microscopic study: Part II. J Endod. 1982. 8:487–492.
Article
24. Fraser JG. Chelating agents: Their softening effect on root canal dentin. Oral Surg Oral Med Oral Pathol. 1974. 37:803–811.
Article
25. Verdelis K, Eliades G, Oviir T, Margelos J. Effect of chelating agents on the molecular composition and extent of decalcification at cervical, middle and apical root dentin locations. Endod Dent Traumatol. 1999. 15:164–170.
Article
26. Takeda F, Harashima T, Kimura Y, Matsumoto K. A comparative study of the removal of smear layer by three endodontic irrigants and two types of laser. Int Endod J. 1999. 32:32–39.
Article
27. Tani Y, Kawada H. Effects of laser irradiation on dentin. 1. Effect on smear layer. Dent Mater J. 1987. 6:127–134.
28. Saunders WP, Whitters CJ, Strang R, Moseley H, Payne AP, McGadey J. The effect of an Nd:YAG pulsed laser on the cleaning of the root canal and the formation of a fused apical plug. Int Endod J. 1995. 28:213–220.
Article
29. Anic I, Segovic S, Katanec D, Prskalo K, Najzar-Fleger D. Scanning electron microscopic study of dentin lased with argon, CO2, and Nd:YAG laser. J Endod. 1998. 24:77–81.
Article
30. Harashima T, Takeda FH, Kimura Y, Matsumoto K. Effect of Nd:YAG laser irradiation for removal of intracanal debris and smear layer in extracted human teeth. J Clin Laser Med Surg. 1997. 15:131–135.
Article
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