Effect of an 810 nm Diode Laser on the Healing of a Periapical Abscess
Journal of Lasers in Medical Sciences,
Vol. 12 (2021),
13 Bahman 2021
,
Page e3
Abstract
Introduction: The golden standard of the treatment of radicular cysts is mainly root canal therapy or surgical excision with apicectomy. The root canals are usually disinfected by the mechanical and chemical actions of instruments and chemical irrigating solutions respectively. To improve the efficacy of the root canal disinfection process, many techniques have been used and many researchers are still trying to reach the quickest and most convenient way to achieve this goal. Diode lasers have shown antibacterial activity on dentinal tubules, and they can penetrate more than 1000 μm into the dentin.
Case Presentation: Our patient was a 25-year-old female with an infraorbital abscess caused by a non-vital maxillary canine with periapical radiolucency. After completing the conventional treatment, the optical fiber was inserted into the canal according to the working length previously measured. An 810 nm diode laser at the output power of 4 W was used to irradiate the root canals, with a 300 μm fiber.The lesion was resolved in radiographic follow-ups, 3 and 6 months after the root canal treatment.
Conclusion: A combination of conventional root canal therapy and an 810 nm diode laser is an effective treatment for non-vital teeth with periapical lesions.
- Diode laser; 810 nm Laser; Laser-assisted root canal therapy; Periapical abscess
How to Cite
References
Kafas P, Kalfas S. Carbonization of a radicular cyst using fiber-optic diode laser: a case report. Cases J. 2008;1(1):113. doi: 10.1186/1757-1626-1-113.
Riachi F, Tabarani C. Effective management of large radicular cysts using surgical enucleation vs marsupialisation. Int Arab J Dent. 2010;1(1):44-51.
Carrillo García C, Vera Sempere F, Peñarrocha Diago M, Martí Bowen E. The post-endodontic periapical lesion: histologic and etiopathogenic aspects. Med Oral Patol Oral Cir Bucal. 2007;12(8):585-90.
Sabeti MA, Nekofar M, Motahhary P, Ghandi M, Simon JH. Healing of apical periodontitis after endodontic treatment with and without obturation in dogs. J Endod. 2006;32(7):628-33. doi: 10.1016/j.joen.2005.12.014.
Alfredo E, Marchesan MA, Sousa-Neto MD, Brugnera-Junior A, Silva-Sousa YT. Temperature variation at the external root surface during 980-nm diode laser irradiation in the root canal. J Dent. 2008;36(7):529-34. doi: 10.1016/j.jdent.2008.03.009.
Gutknecht N, Franzen R, Schippers M, Lampert F. Bactericidal effect of a 980-nm diode laser in the root canal wall dentin of bovine teeth. J Clin Laser Med Surg. 2004;22(1):9-13. doi: 10.1089/104454704773660912.
Tilakchand M, Singh NN, Yeli MM, Naik BD. “Evaluation of the antibacterial efficacy of EZLASE diode LASER on the infected root canal system:” An in vivo study. J Conserv Dent. 2018;21(3):306-10. doi: 10.4103/jcd.jcd_14_18.
Kimura Y, Wilder‐Smith P, Matsumoto K. Lasers in endodontics: a review. Int Endod J. 2000;33(3):173-85. doi: 10.1046/j.1365-2591.2000.00280.x.
Giusti JS, Santos-Pinto L, Pizzolito AC, Helmerson K, Carvalho-Filho E, Kurachi C, et al. Antimicrobial photodynamic action on dentin using a light-emitting diode light source. Photomed Laser Surg. 2008;26(4):281-287. doi: 10.1089/pho.2007.2149.
De Souza EB, Cai S, Simionato MR, Lage-Marques JL. High-power diode laser in the disinfection in depth of the root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(1):e68-e72. doi: 10.1016/j.tripleo.2008.02.032.
Shehab NF, Alshamaa ZA, Taha MY. Evaluation of antibacterial efficacy of Elexxion diode laser 810nm on the infected root canals (in vitro and in vivo study). Int J Dent Sci Res. 2013;1(2):23-7.
Jurič IB, Anić I. The use of lasers in disinfection and cleanliness of root canals: a review. Acta stomatol Croat. 2014;48(1)1:6-15. doi: 10.15644/asc48/1/1.
Ashofteh K, Sohrabi K, Iranparvar K, Chiniforush N. In vitro comparison of the antibacterial effect of three intracanal irrigants and diode laser on root canals infected with Enterococcus faecalis. Iran J Microbiol. 2014;6(1):26-30.
Gutknecht N, van Gogswaardt D, Conrads G, Apel C, Schubert C, Lampert F. Diode laser radiation and its bactericidal effect in root canal wall dentin. J Clin Laser Med Surg. 2000;18(2):57-60. doi: 10.1089/clm.2000.18.57.
Moritz A, Beer F, Goharkhay K, Schoop U. Laser supported root canal sterilization. Oral Laser Application. Quintessence Publ. 2006;1:254-77.
Mehrvarzfar P, Saghiri MA, Asatourian A, Fekrazad R, Karamifar K, Eslami G, Dadresanfar B. Additive effect of a diode laser on the antibacterial activity of 2.5% NaOCl, 2% CHX and MTAD against Enterococcus faecalis contaminating root canals: an in vitro study. J Oral Sci. 2011;53(3):355-60. doi: 10.2334/josnusd.53.355.
Meral G, Tasar F, Kocagoz S, Sener C. Factors affecting the antibacterial effects of Nd:YAG laser in vivo. Lasers Surg Med. 2003;32(3):197-202. doi: 10.1002/lsm.10128.
Lopez-Jimenez L, Arnabat-Dominguez J, Vinas M, Vinuesa T. Atomic force microscopy visualization of injuries in Enterococcus faecalis surface caused by Er,Cr:YSGG and diode lasers. Med Oral Patol Oral Cir Bucal. 2015;20(1):e45-e51. doi: 10.4317/medoral.19991.
Martins MR, Franzen R, Depraet F, Gutknecht N. Rationale for using a double-wavelength (940 nm+ 2780 nm) laser in endodontics: literature overview and proof-of-concept. Lasers Dent Sci. 2018;2(1):29-41. doi: 10.1007/s41547-017-0017-9.
Zhu L, Tolba M, Arola D, Salloum M, Meza F. Evaluation of effectiveness of Er,Cr:YSGG laser for root canal disinfection: theoretical simulation of temperature elevations in root dentin. J Biomech Eng. 2009;131(7):71004. doi: 10.1115/1.3147801.
Schoop U, Kluger W, Moritz A, Nedjelik N, Georgopoulos A, Sperr W. Bactericidal effect of different laser systems in the deep layers of dentin. Lasers Surg Med. 2004;35(2):111-116. doi: 10.1002/lsm.20026.
- Abstract Viewed: 818 times
- PDF Downloaded: 544 times