Efficacy of ultrasonic vs. Laser-activated irrigation in endodontics. Bibliographic review.

Authors

DOI:

https://doi.org/10.59471/ijhsc202492

Keywords:

ultrasonic irrigation, laser-activated irrigation, Er:YAG, RinsEndo, endodontics

Abstract

Introduction: Endodontics is the treatment that starts from the correct diagnosis, etiology and preparation of the dental organ to be treated, its purpose is to repair diseased tissues stimulating their function and esthetics, it involves the irrigation of the root canal system as a phase to achieve success in endodontic therapy, such as ultrasonic irrigation and laser-activated irrigation, same that when correctly executed avoid accidents and complications, during and after treatment. Objective: To compare the efficacy of ultrasonic irrigation and laser-activated irrigation in the elimination of bacteria and dentinal debris during root canal treatment. Materials and methods: Databases such as PubMed, Elsevier and Scielo were used to find scientific studies related to the established topic. According to inclusion and exclusion criteria, in order to obtain studies related to the present research, a total of 19 articles were selected. Results: Finally, after comparing the information obtained, it was possible to define that both methods are effective in disinfecting root canals, with a high index of 95%. Conclusion: It is advisable to implement the use of both methods with a final irrigation reinforcement to ensure better results, an excellent procedure by the operator, less risk of pain and complications in the patient.

References

Aung N, Watanabe S, Okiji T. (2021). Photobiomodulation, photomedicine, and laser surgery. Er:YAG Laser-Activated Irrigation in Comparison with Different Irrigation Systems for Cleaning the Apical Root Canal Area Beyond Ledge. 759-765, 39 (12) 10.1089/photob.2021.0044

Aung N, Watanabe S, Okiji T. (2020). Photobiomodulation, photomedicine, and laser surgery. Fluid Movement in the Apical Area Beyond the Ledge During Er:YAG Laser-Activated Irrigation: A Particle Image Velocimetry Analysis. 438-443, 38 (7) 10.1089/photob.2019.4758

Betancourt P, Arnabat-Domínguez J, Viñas M, et al. (2021). International journal of odontostomatology. Irrigación Activada por Láser en Endodoncia. 773-781, 15 (3) http://dx.doi.org/10.4067/S0718-381X2021000300773

Bordea I, Hanna R, Chiniforush N et al. (2020). Photodiagnosis and photodynamic therapy. Evaluation of the outcome of various laser therapy applications in root canal disinfection: A systematic review. 29. 10.1016/j.pdpdt.2019.101611

Căpută P, Retsas A, Kuijk L et al. (2019). Journal of endodontics. Ultrasonic Irrigant Activation during Root Canal Treatment: A Systematic Review. 31-44, e13, 45 (1). 10.1016/J.JOEN.2018.09.010

Cheng X, Wang X, Liu N et al. (2021). Photobiomodulation, photomedicine, and laser surgery. Effect of Various Laser-Activated Irrigation Protocols on Endodontic Sealer Penetration into the Dentinal Tubules: A Confocal Laser Scanning Microscopy Study. 544-549, 39(8). 2-s2.0-85113747494

Do Q, Gaudin A. (2020). Journal of lasers in medical sciences. The Efficiency of the Er: YAG Laser and PhotonInduced Photoacoustic Streaming (PIPS) as an Activation Method in Endodontic Irrigation: A Literature Review. 316-331, 11(3). 2-s2.0-85088241654

Erkan E, Gündoğar M, Uslu G et al. (2022). Odontology. Postoperative pain after SWEEPS, PIPS, sonic and ultrasonic-assisted irrigation activation techniques: a randomized clinical trial.786-794, 110(4). 10.1007/S10266-022-00700-0

Jezeršek M, Jereb T, Lukač N et al. (2019). Photobiomodulation, photomedicine, and laser surgery. Evaluation of Apical Extrusion During Novel Er:YAG Laser-Activated Irrigation Modality. 544-550, 37(9). 10.1089/PHOTOB.2018.4608

Jezeršek M, Lukač N, Lukač M et al. (2020). Photobiomodulation, photomedicine, and laser surgery. Measurement of Pressures Generated in Root Canal During Er:YAG Laser-Activated Irrigation. 625-631, 38 (10). 10.1089/PHOTOB.2019.4776

Kapetanović Petričević G, Katić M et al. (2022). Bioengineering (Basel, Switzerland). The Efficacy of Er:YAG Laser-Activated Shock Wave-Enhanced Emission Photoacoustic Streaming Compared to Ultrasonically Activated Irrigation and Needle Irrigation in the Removal of Bioceramic Filling Remnants from Oval Root Canals-An Ex Vivo Study. 9(12). 10.3390/BIOENGINEERING9120820

Kirmizi D, Aksoy U, Orhan K. (2021). Photobiomodulation, photomedicine, and laser surgery. Efficacy of Laser-Activated Irrigation and Conventional Techniques in Calcium Hydroxide Removal from Simulated Internal Resorption Cavities: Micro-CT Study. 674-681, 38(10). 2-s2.0-85117913432

Lei L, Wang F, Wang Y et al. (2022). Photodiagnosis and photodynamic therapy. Laser activated irrigation with SWEEPS modality reduces concentration of sodium hypochlorite in root canal irrigation. 39. 2-s2.0-85131511080

Liapis D, De Bruyne M, De Moor R et al. (2021). International endodontic journal. Postoperative pain after ultrasonically and laser-activated irrigation during root canal treatment: a randomized clinical trial. 1037-1050, 54(7). 10.1111/IEJ.13500

Lukač M, Olivi G, Constantin M et al. (2021). Lasers in surgery and medicine. Determination of Optimal Separation Times for Dual-Pulse SWEEPS Laser-Assisted Irrigation in Different Endodontic Access Cavities. 998-1004, 53(7). 2-s2.0-85096972941

Petričević G, Katić M, Anić I et al. (2022). Clinical oral investigations. Efficacy of different Er:YAG laser-activated photoacoustic streaming modes compared to passive ultrasonic irrigation in the retreatment of curved root canals. 6773-6781, 26(11). 10.1007/S00784-022-04637-0

Race J, Zilm P, Ratnayeke J et al. (2019). Australian Endodontic Journal. Efficacy of laser and ultrasonic-activated irrigation on eradicating a mixed-species biofilm in human mesial roots. 317-324, 45(3). 2-s2.0-85059684472

Su Z, Li Z, Shen Y et al. (2020). Lasers in surgery and medicine. Characteristics of the Irrigant Flow in a Simulated Lateral Canal Under Two Typical Laser-Activated Irrigation Regimens. 587-594, 53(4). 10.1002/LSM.23317

Zen Aldeen R, Aljabban O, Milly H et al. (2018). Dental and medical problems. Effect of Er:YAG laser-activated irrigation on dentine debris removal from different parts of the root canal system: An in vitro study. 133-138, 55(2). 10.17219/DMP/85709.

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Published

2024-07-22

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Original

How to Cite

1.
Fierro Ortiz KE, Valle Baldeón LA, López Torres RG, Salame Ortiz VA. Efficacy of ultrasonic vs. Laser-activated irrigation in endodontics. Bibliographic review. Interamerican Journal of Health Sciences [Internet]. 2024 Jul. 22 [cited 2024 Dec. 14];4:92. Available from: https://ijhsc.uai.edu.ar/index.php/ijhsc/article/view/92