Evaluation of Er,Cr:YSGG laser technique for fiber post removal of endodontically treated teeth using micro-computed tomography.
Er,Cr:YSGG laser
fiber post removal
micro-computed tomography
ultrasonic vibration
Journal
Microscopy research and technique
ISSN: 1097-0029
Titre abrégé: Microsc Res Tech
Pays: United States
ID NLM: 9203012
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
revised:
12
04
2023
received:
07
03
2023
accepted:
25
04
2023
medline:
22
6
2023
pubmed:
9
5
2023
entrez:
9
5
2023
Statut:
ppublish
Résumé
Various clinical techniques such as removal kits, ultrasonic tips, burs, and drills, have been used for fiber post removal in endodontically treated teeth. In most clinical cases, the dental practitioners prefer to use ultrasonic tips, despite the heat generation and the formation of microcracks induced in the radicular dentin. The purpose of this study was to investigate the effectiveness of using erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser (2780 nm) as an alternative fiber post removal technique and to compare it to an ultrasonic method using micro-computed tomography (micro-CT). The operating parameters of the X-ray tube were set to 50 kVp and 300 mA. This approach allowed the generation of 2D lateral projections that were then used to reconstruct the 3D volume in DICOM format. Fiber posts were removed from 20 endodontically treated single-rooted premolars (n = 10) using an ultrasonic vibrator with diamond-coated ultrasonic tip (control method), or Er,Cr:YSGG laser irradiation protocol; average power 2.5 W, repetition rate 20 Hz, pulse duration 140 μs, 40% air and 20% water, and close-contact mode. The number of sections with newly formed microcracks, the loss of dentinal tissue, the amount of the residual resin cement, and the removal time were evaluated for both methods. The data were analyzed using paired t-test, Wilcoxon signed-rank and Mann-Whitney U tests at level of significance a = .05. In the laser-treated group the parameters regarding microcracks formation (21 ± 16) and removal time (4.7 ± 1.1 min) were advantageous compared to the ultrasonic-treated group (42 ± 27 and 9.2 ± 1.0 min, respectively), indicating that Er,Cr:YSGG laser could be an alternative fiber post removal technique.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
803-812Informations de copyright
© 2023 The Authors. Microscopy Research and Technique published by Wiley Periodicals LLC.
Références
Ahmed, S. N., Donovan, T. E., & Ghuman, T. (2017). Survey of dentists to determine contemporary use of endodontic posts. The Journal of Prosthetic Dentistry, 117(5), 642-645.
AlBalkhi, M., Swed, E., & Hamadah, O. (2018). Efficiency of Er:YAG laser in debonding of porcelain laminate veneers by contact and non-contact laser application modes (in vitro study). Journal of Esthetic and Restorative Dentistry, 30(3), 223-228.
Alikhasi, M., Monzavi, A., Ebrahimi, H., Pirmoradian, M., Shamshiri, A., & Ghazanfari, R. (2019). Debonding time and dental pulp temperature with the Er, Cr: YSGG laser for debonding feldespathic and lithium disilicate veneers. J. Lasers Med. Sci., 10(3), 211-214.
Altshul, J. H., Marshall, G., Morgan, L. A., & Baumgartner, J. C. (1997). Comparison of dentinal crack incidence and of post removal time resulting from post removal by ultrasonic or mechanical force. Journal of Endodontia, 23(11), 683-686.
Apel, C., Meister, J., Ioana, R. S., Franzen, R., Hering, P., & Gutknecht, N. (2002). The ablation threshold of Er:YAG and Er,Cr:YSGG laser radiation in dental enamel. Lasers in Medical Science, 17(4), 246-252.
Arias, A., Lee, Y. H., Peters, C. I., Gluskin, A. H., & Peters, O. A. (2014). Comparison of 2 canal preparation techniques in the induction of microcracks: A pilot study with cadaver mandibles. Journal of Endodontia, 40(7), 982-985.
Arukaslan, G., & Aydemir, S. (2019). Comparison of the efficacies of two different fiber post-removal systems: A micro-computed tomography study. Microscopy Research and Technique, 82(4), 394-401.
Atrizadeh, F., Kennedy, J., & Zander, H. (1971). Ankylosis of teeth following thermal injury. Journal of Periodontal Research, 6(3), 159-167.
Aydemir, S., Arukaslan, G., Sarıdağ, S., Kaya-Büyükbayram, I., & Ylıdıran, Y. (2018). Comparing fracture resistance and the time required for two different fiber post removal systems. Journal of Prosthodontics, 27(8), 771-774.
Bergeron, B., Murchison, D., Schindler, W., & Walker, W. A. (2001). Effect of ultrasonic vibration and various sealer and cement combinations on titanium post removal. Journal of Endodontia, 27(1), 13-17.
Çapar, İ. D., Uysal, B., Ok, E., & Arslan, H. (2015). Effect of the size of the apical enlargement with rotary instruments, single-cone filling, post space preparation with drills, fiber post removal, and root canal filling removal on apical crack initiation and propagation. Journal of Endodontia, 41(2), 253-256.
Carroll, L., & Humphreys, T. R. (2006). Laser-tissue interactions. Clinics in Dermatology, 24(1), 2-7.
Carvalho, M. A., Lazari, P. C., Gresnigt, M., Del Bel Cury, A. A., & Magne, P. (2018). Current options concerning the endodontically-treated teeth restoration with the adhesive approach. Brazilian Oral Research, 32(suppl 1), e74.
Cho, J., Liu, J., Bukhari, E. A., Zheng, F., Kim, D. G., & Lee, D. J. (2022). Comparison of post space volume changes following fiber post removal using Er,Cr:YSGG laser versus ultrasonic instrument. Journal of Prosthodontics, 31(3), 245-251.
Comba, A., Baldi, A., Saratti, C. M., Rocca, G. T., Torres, C. R. G., Pereira, G. K. R., Valandro, F. L., & Scotti, N. (2021). Could different direct restoration techniques affect interfacial gap and fracture resistance of endodontically treated anterior teeth? Clin. Oral Invest., 25(10), 5967-5975.
Corsentino, G., Pedullà, E., Castelli, L., Liguori, M., Spicciarelli, V., Martignoni, M., Ferrari, M., & Grandini, S. (2018). Influence of access cavity preparation and remaining tooth substance on fracture strength of endodontically treated teeth. Journal of Endodontia, 44(9), 1416-1421.
da Silva, N. R., Raposo, L. H., Versluis, A., Fernandes-Neto, A. J., & Soares, C. J. (2010). The effect of post, core, crown type, and ferrule presence on the biomechanical behavior of endodontically treated bovine anterior teeth. The Journal of Prosthetic Dentistry, 104(5), 306-317.
De-Deus, G., Belladonna, F. G., Silva, E. J. N. L., Souza, E. M., Carvalhal, J. C. A., Perez, R., Lopes, R. T., & Versiani, M. A. (2017). Micro-CT assessment of dentinal micro-cracks after root canal filling procedures. International Endodontic Journal, 50(9), 895-901.
Deeb, J. G., Grzech-Leśniak, K., Brody, E. R., Matys, J., & Bencharit, S. (2022). Erbium laser-assisted ceramic debonding: A scoping review. Journal of Prosthodontics, 31(9), e100-e124. https://doi.org/10.1111/jopr.13613
Deeb, J. G., Grzech-Leśniak, K., Weaver, C., Matys, J., & Bencharit, S. (2019). Retrieval of glass fiber post using Er:YAG laser and conventional endodontic ultrasonic method: An in vitro study. Journal of Prosthodontics, 28(9), 1024-1028.
Diaci, J., & Gaspirc, B. (2012). Comparison of Er:YAG and Er,Cr:YSGG lasers used in dentistry. Journal of Laser & Health Academy, 1(2012), 1-13.
Dietschi, D., Duc, O., Krejci, I., & Sadan, A. (2008). Biomechanical considerations for the restoration of endodontically treated teeth: A systematic review of the literature, part II (evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence International, 39(2), 117-129.
Dominici, J. T., Clark, S., Scheetz, J., & Eleazer, P. D. (2005). Analysis of heat generation using ultrasonic vibration for post removal. Journal of Endodontia, 31(4), 301-303.
Ettrich, C. A., Labossière, P. E., Pitts, D. L., & Johnson, J. D. (2007). An investigation of the heat induced during ultrasonic post removal. Journal of Endodontia, 33(10), 1222-1226.
Giraldo-Cifuentes, H., España-Tost, A., & Arnabat-Dominguez, J. (2020). Er,Cr:YSGG laser in the debonding of feldspathic porcelain veneers: An in vitro study of two different fluences. Photobiomodulation, Photomedicine, and Laser Surgery, 38(10), 640-645.
Haupt, F., Pfitzner, J., & Hülsmann, M. (2018). A comparative in vitro study of different techniques for removal of fibre posts from root canals. Australian Endodontic Journal, 44(3), 245-250.
Haupt, F., Riggers, I., Konietschke, F., & Rödig, T. (2022). Effectiveness of different fiber post removal techniques and their influence on dentinal microcrack formation. Clinical Oral Investigations, 26(4), 3679-3685.
Kahler, B., Swain, M. V., & Moule, A. (2003). Fracture-toughening mechanisms responsible for differences in work to fracture of hydrated and dehydrated dentine. Journal of Biomechanics, 36(2), 229-237.
Kruzic, J. J., Nalla, R. K., Kinney, J. H., & Ritchie, R. O. (2003). Crack blunting, crack bridging and resistance-curve fracture mechanics in dentin: Effect of hydration. Biomaterials, 24(28), 5209-5221.
Landrigan, M. D., Flatley, J. C., Turnbull, T. L., Kruzic, J. J., Ferracane, J. L., Hilton, T. J., & Roeder, R. K. (2010). Detection of dentinal cracks using contrast-enhanced micro-computed tomography. Journal of the Mechanical Behavior of Biomedical Materials, 3(2), 223-227.
Lin, S., Liu, Q., Peng, Q., Lin, M. J., Zhan, Z., Zhang, X. Z., & Feng, C. (2010). The ablation threshold of Er:YAG laser and Er,Cr:YSGG laser in dental dentin. Scientific Research and Essays, 5(16), 2128-2135.
Lindemann, M., Yaman, P., Dennison, J. B., & Herrero, A. A. (2005). Comparison of the efficiency and effectiveness of various techniques for removal of fiber posts. J Endod, 31, 520-522.
Liu, R., Hou, B. X., Wesselink, P. R., Wu, M. K., & Shemesh, H. (2013). The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. Journal of Endodontia, 39(8), 1054-1056.
Papadopoulos, A., Dionysopoulos, D., Strakas, D., Koumpia, E., & Tolidis, K. (2021). Spectrophotometric evaluation of the effectiveness of Er,Cr:YSGG laser-assisted intracoronal tooth bleaching treatment using different power settings. Photodiagnosis and Photodynamic Therapy, 34 (), 102272, 102272.
Purger, L. O., Tavares, S. J., Martinez, R. L., Caldas, I., Antunes, L. A., & Scelza, M. Z. (2021). Comparing techniques for removing fiber endodontic posts: A systematic review. The Journal of Contemporary Dental Practice, 22(5), 587-595.
Rechmann, P., Buu, N. C., Rechmann, B. M., Le, C. Q., Finzen, F. C., & Featherstone, J. D. (2014). Laser all-ceramic crown removal-a laboratory proof-of-principle study-phase 1 material characteristics. Lasers in Surgery and Medicine, 46(8), 628-635.
Rödig, T., Müller, C., Hoch, M., Haupt, F., Schulz, X., Wiegand, A., & Rizk, M. (2018). Moisture content of root canal dentine affects detection of microcracks using micro-computed tomography. International Endodontic Journal, 51(3), 357-363.
Rodrigues, R. V., Sampaio, C. S., Pacheco, R. R., Pascon, F. M., Puppin-Rontani, R. M., & Giannini, M. (2017). Influence of adhesive cementation systems on the bond strength of relined fiber posts to root dentin. The Journal of Prosthetic Dentistry, 118(4), 493-499.
Sabeti, M., Kazem, M., Dianat, O., Bahrololumi, N., Beglou, A., Rahimipour, K., & Dehnavi, F. (2018). Impact of access cavity design and root canal taper on fracture resistance of endodontically treated teeth: An ex vivo investigation. Journal of Endodontia, 44(9), 1402-1406.
Sari, T., Tuncel, I., Usumez, A., & Gutknecht, N. (2014). Transmission of Er:YAG laser through different dental ceramics. Photomedicine and Laser Surgery, 32(1), 37-41.
Shemesh, H., Lindtner, T., Portoles, C. A., & Zaslansky, P. (2018). Dehydration induces cracking in root dentin irrespective of instrumentation: A two-dimensional and three-dimensional study. Journal of Endodontia, 44(1), 120-125.
Silva, L. R., de Lima, K. L., Santos, A. A., Leles, C. R., Estrela, C., de Freitas Silva, B. S., & Yamamoto-Silva, F. P. (2021). Dentin thickness as a risk factor for vertical root fracture in endodontically treated teeth: A case-control study. Clinical Oral Investigations, 25(3), 1099-1105.
Siqueira, J. F. (2001). An etiology of root canal treatment failure. Why well-treated teeth can fail. International Endodontic Journal, 34(1), 1-10.
Stringheta, C. P., Pelegrine, R. A., Kato, A. S., Freire, L. G., Iglecias, E. F., Gavini, G., & da Silveira Bueno, C. E. (2017). Micro-computed tomography versus the cross-sectioning method to evaluate dentin defects induced by different mechanized instrumentation techniques. Journal of Endodontia, 43(12), 2102-2107.
Sulieman, M. (2005). An overview of the use of lasers in general dentist practice: Laser physics and tissue interactions. Dental Update, 32(4), 228-230 233-234, 236.
Swain, M. V., & Xue, J. (2009). State of the art of micro-CT applications in dental research. International Journal of Oral Science, 1(4), 177-188.
Torabinejad, M., Corr, R., Handysides, R., & Shabahang, S. (2009). Outcomes of nonsurgical retreatment and endodontic surgery: A systematic review. Journal of Endodontia, 35(7), 930-937.
Yoldas, O., Yilmaz, S., Atakan, G., Kuden, C., & Kasan, Z. (2012). Dentinal microcrack formation during root canal preparations by different NiTi rotary instruments and the self-adjusting file. Journal of Endodontia, 38(2), 232-235.