The comparative study of temperature rise, time consuming and cut quality among piezosurgery, conventional rotary instruments and Er: YAG laser in apicectomy.
Apicectomy
Endodontic surgery
Er: YAG laser
Scanning electronic microscopy
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
26 Oct 2024
26 Oct 2024
Historique:
received:
14
06
2024
accepted:
24
09
2024
medline:
27
10
2024
pubmed:
27
10
2024
entrez:
27
10
2024
Statut:
epublish
Résumé
This study aimed to compare the temperature rise, time consuming and cut quality of apicectomy using three different methods. Twenty-four single-rooted teeth were collected and divided into four groups operating apicectomy with a NINJA tip of a piezoelectric device (G1), a diamond bur with 300,000 rpm (G2), and Er: YAG laser at 200 mJ/ 30 Hz (G3) as well as 250 mJ/ 30 Hz (G4). The temperature elevation and time were recorded and the cut quality was evaluated via stereomicroscope and scanning electronic microscopy (SEM). The temperature increases for G1 was significantly higher than for G2. However, there was no significant difference between G1 and G2 with laser groups respectively. The median time for apicectomy was: 100.14s for G1, 22.65s for G2, 33.58s for G3, and 21.80s for G4. G1 is the most time-consuming group and there was no statistically significance in the comparisons with G2, G3 and G4. Cut quality was assessed by crack occurrence, smear layer formation and dentinal tubules exposed. The percentage of cracked teeth in G1 and G2 was 33.33% and for laser groups the percentage was 16.67% each. SEM showed that no smear layer formed and almost all dentinal tubules were exposed on resected surfaces for G3&G4, surfaces from G2 were partly covered by smear layer, and surfaces from G1 were fully covered by smear layer and with no dentinal tubules exposed. Er: YAG laser and conventional rotary instruments were safe and efficient for apicectomy and with a better cut quality when compared with piezoelectric equipment. Er: YAG laser could be a promising technique for apicectomy and further studies are necessary, especially larger sample in vivo investigations, to verify the feasibility of Er: YAG laser in endodontic surgery.
Identifiants
pubmed: 39462424
doi: 10.1186/s12903-024-04954-8
pii: 10.1186/s12903-024-04954-8
doi:
Types de publication
Journal Article
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1295Subventions
Organisme : China-Japan Friendship Hospital Scientific Research Projects
ID : 2019-2-QN-75
Informations de copyright
© 2024. The Author(s).
Références
Bernardes RA, de Souza Junior JV, Duarte MAH, de Moraes IG, Bramante CM. Ultrasonic chemical vapor deposition–coated tip versus high-and low-speed carbide burs for apicoectomy: time required for resection and scanning electron microscopy analysis of the root-end surfaces. J Endod. 2009;35(2):265–8.
doi: 10.1016/j.joen.2008.11.009
pubmed: 19166787
Del Fabbro M, Tsesis I, Rosano G, Bortolin M, Taschieri S. Scanning electron microscopic analysis of the integrity of the root-end surface after root-end management using a piezoelectric device: a cadaveric study. J Endod. 2010;36(10):1693–7.
doi: 10.1016/j.joen.2010.06.028
pubmed: 20850680
Nedderman TA, Hartwell GR, Portell FR. A comparison of root surfaces following apical root resection with various burs: scanning electron microscopic evaluation. J Endod. 1988;14(9):423–7.
doi: 10.1016/S0099-2399(88)80129-8
pubmed: 3273309
Morgan LA, Marshall JG. The topography of root ends resected with fissure burs and refined with two types of finishing burs. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 1998;85(5):585–91.
doi: 10.1016/S1079-2104(98)90296-7
Duarte MAH, Domingues R, Matsumoto MA, Padovan LEM, Kuga MC. Evaluation of apical surface roughness after root resection: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontology. 2007;104(6):e74–6.
doi: 10.1016/j.tripleo.2007.07.012
Nielsen AG, Richards JR, Wolcott RB. Ultrasonic dental cutting instruments. J Am Dent Association. 1955;50(4):392–9.
doi: 10.14219/jada.archive.1955.0077
Richman RJ. The use of ultrasonics in root canal therapy and root resection. J Dent Med. 1957;12:12–8.
Keyhan SO, Fallahi HR, Cheshmi B, Mokhtari S, Zandian D, Yousefi P. Use of piezoelectric surgery and Er: YAG laser: which one is more effective during impacted third molar surgery? Maxillofacial Plast Reconstr Surg. 2019;41:1–10.
de Melo Nogueira DG, Leao JC, da Hora Sales PH, de Barros Silva PG, Gomes ACA. Piezoelectric surgery is effective in reducing pain, swelling, and Trismus after removal of impacted lower third molars: a Meta-analysis. J Oral Maxillofac Surg. 2023;81(4):483–98.
doi: 10.1016/j.joms.2022.10.020
Sandhu R, Kumar H, Dubey R, Vyas D, Shahi AK. Comparative study of the Surgical excision of impacted Mandibular Third molars using Surgical burs and an erbium-doped Yttrium Aluminum Garnet (Er: YAG) laser. Cureus. 2023;15(12):49816.
Ayranci F, Ayranci LB, Arslan H, Omezli MM, Topcu MC. Assessment of root surfaces of apicected teeth: a scanning electron microscopy evaluation. Niger J Clin Pract. 2015;18(2):198–202.
doi: 10.4103/1119-3077.151041
pubmed: 25665992
Bornstein ES. Why wavelength and delivery systems are the most important factors in using a dental hard-tissue laser: a literature review. Compendium Continuing Educ Dentistry (Jamesburg NJ: 1995). 2003;24(11):837–8.
Mikami R, Mizutani K, Sasaki Y, Iwata T, Aoki A. (2020) Patient-reported outcomes of laser-assisted pain control following non-surgical and surgical periodontal therapy: a systematic review and meta-analysis. PLoS ONE, 15(9), e0238659.
Aoki A, Mizutani K, Taniguchi Y, Lin T, Ohsugi Y, Mikami R, et al. Current status of Er: YAG laser in periodontal surgery. Japanese Dent Sci Rev. 2024;60:1–14.
doi: 10.1016/j.jdsr.2023.11.002
Lin T, Yu CC, Liu CM, Hsieh PL, Liao YW, Yu CH, et al. Er: YAG laser promotes proliferation and wound healing capacity of human periodontal ligament fibroblasts through Galectin-7 induction. J Formos Med Assoc. 2021;120(1):388–94.
doi: 10.1016/j.jfma.2020.06.005
pubmed: 32540310
Niimi H, Ohsugi Y, Katagiri S, Watanabe K, Hatasa M, Shimohira T, et al. Effects of low-level Er: YAG laser irradiation on proliferation and calcification of primary osteoblast-like cells isolated from rat calvaria. Front cell Dev Biology. 2020;8:459.
doi: 10.3389/fcell.2020.00459
Ohsugi Y, Niimi H, Shimohira T, Hatasa M, Katagiri S, Aoki A, et al. In vitro cytological responses against laser photobiomodulation for periodontal regeneration. Int J Mol Sci. 2020;21(23):9002.
doi: 10.3390/ijms21239002
pubmed: 33256246
pmcid: 7730548
Bodrumlu E, Keskiner İ, Sumer M, Sumer AP, Telcıoglu NT. Temperature variation during apicectomy with Er: YAG laser. Photomed Laser Surg. 2012;30(8):425–8.
doi: 10.1089/pho.2012.3256
pubmed: 22730914
Paghdiwala AF. Root resection of endodontically treated teeth by Erbium: YAG laser radiation. J Endod. 1993;19(2):91–4.
doi: 10.1016/S0099-2399(06)81203-3
pubmed: 8509744
Hossain M, Nakamura Y, Yamada Y, Kimura Y, Nakamura G, Matsumoto K. Ablation depths and morphological changes in human enamel and dentin after Er: YAG laser irradiation with or without water mist. J Clin Laser Med Surg. 1999;17(3):105–9.
doi: 10.1089/clm.1999.17.105
pubmed: 11199828
Grgurević J, Grgurević L, Miletić I, Karlović Z, Krmek SJ, Anić I. In vitro study of the variable square pulse Er: YAG laser cutting efficacy for apicectomy. Lasers in surgery and medicine. Official J Am Soc Laser Med Surg. 2005;36(5):347–50.
doi: 10.1002/lsm.20168
Ani I, Dzubur A, Vidovi D, Tudja M. Temperature and surface changes of dentine and cementum induced by co2 laser exposure. Int Endod J. 1993;26:284–93.
doi: 10.1111/j.1365-2591.1993.tb00573.x
Armengol V, Jean A, Marion D. Temperature rise during Er: YAG and nd: YAP laser ablation of dentin. J Endod. 2000;26(3):138–41.
doi: 10.1097/00004770-200003000-00002
pubmed: 11199705
Ghidini G, Giovannacci I, Haddad CD, Mastromarino T, Del Mauro P, Seno M, et al. Correlation between temperature rise and auto-fluorescence: ex vivo study with Er: YAG laser, Quantum Molecular Resonance scalpel and nd: YAG laser on hard and soft tissues. J Biol Regulators Homostatic Agents. 2021;35(2 Suppl 1):357–64.
Nammour S, Kowaly K, Powell GL, Van Reck J, Rocca JP. External temperature during KTP-Nd: YAG laser irradiation in root canals: an in vitro study. Lasers Med Sci. 2004;19:27–32.
doi: 10.1007/s10103-004-0303-0
pubmed: 15278724
Machida T, Wilder-Smith P, Arrastia AM, Liaw LHL, Berns MW. Root canal preparation using the second harmonic KTP: YAG laser: a thermographic and scanning electron microscopic study. J Endod. 1995;21(2):88–91.
doi: 10.1016/S0099-2399(06)81102-7
pubmed: 7714444
Theodoro LH, Haypek P, Bachmann L, Garcia VG, Sampaio JE, Zezell DM, et al. Effect of Er: YAG and diode laser irradiation on the root surface: morphological and thermal analysis. J Periodontol. 2003;74(6):838–43.
doi: 10.1902/jop.2003.74.6.838
pubmed: 12886994
Esteves-Oliveira M, de Guglielmi CA, Ramalho KM, Arana-Chavez VE, de Eduardo CP. Comparison of dentin root canal permeability and morphology after irradiation with nd: YAG, Er: YAG, and diode lasers. Lasers Med Sci. 2010;25:755–60.
doi: 10.1007/s10103-010-0775-z
pubmed: 20422240
Kivanç BH, Ulusoy ÖİA, Görgül G. Effects of Er: YAG laser and nd: YAG laser treatment on the root canal dentin of human teeth: a SEM study. Lasers Med Sci. 2008;23:247–52.
doi: 10.1007/s10103-007-0474-6
pubmed: 17659428
Karthikeyan R, Yadalam PK, Anand AJ, Padmanabhan K, Sivaram G. Morphological and chemical alterations of root surface after Er: YAG laser, nd: YAG laser irradiation: a scanning electron microscopic and infrared spectroscopy study. J Int Soc Prev Community Dentistry. 2020;10(2):205–12.
doi: 10.4103/jispcd.JISPCD_437_18
Hibst R, Keller U. Experimental studies of the application of the Er: YAG laser on dental hard substances: I. Measurement of the ablation rate. Lasers Surg Med. 1989;9(4):338–44.
doi: 10.1002/lsm.1900090405
pubmed: 2761329
Zhao XY, Wang SM, Zhang CF. [root resection by er:yag laser: a scanning electron microscope study]. Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi Kouqiang Yixue Zazhi = West. China J Stomatology. 2010;28(5):526–8.
Aoki A, Mizutani K, Mikami R, Ohsugi Y, Kobayashi H, Akizuki T, et al. Er: YAG laser-assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: a randomized controlled clinical trial. J Periodontol. 2023;94(10):1187–99.
doi: 10.1002/JPER.22-0552
pubmed: 37015852
Crespi R, Romanos GE, Cassinelli C, Gherlone E. Effects of Er: YAG laser and ultrasonic treatment on fibroblast attachment to root surfaces: an in vitro study. J Periodontol. 2006;77(7):1217–22.
doi: 10.1902/jop.2006.050416
pubmed: 16805685
Kong S, Aoki A, Iwasaki K, Mizutani K, Katagiri S, Suda T et al. (2018) Biological effects of Er: YAG laser irradiation on the proliferation of primary human gingival fibroblasts. J Biophotonics, 11(3), e201700157.
Komori T, Yokoyama K, Takato T, Matsumoto K. Clinical application of the erbium: YAG laser for apicoectomy. J Endod. 1997;23(12):748–50.
doi: 10.1016/S0099-2399(97)80348-2
pubmed: 9487851