Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance

Hüseyin Ürkmez; Hüseyin Gürkan Güneç; Faruk Haznedaroğlu

EN

Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance

Abstract

Objectives: The aim of this in-vitro study was to evaluate the impact of the use of different laser types--particularly diode, Nd:YAG and Er:YAG--on dentin fracture resistance, with the assistance of fracture testing methods. Materials and Methods: Ninety human maxillary incisors were used. The teeth were divided into three experimental groups and three control groups, each of which included 15 samples. Group 1 had diode, group 2 had Nd:YAG, and group 3 had Er:YAG laser performed on them, after which they were dried and obturated using AH-Plus sealer and RevoS AS40 Gutta Percha (GP). Control group 1 was obturated just as in the experimental groups but without laser application; 2) control group was instrumented but not obturated; and 3) negative control group had no procedure performed at all. All the samples were fixed in acrylic blocks and had fracture tests performed on them using an Autograph Universal Testing Machine. The results were analyzed using IBM SPSS Statistics 22 software, the one-way ANOVA test and Tukey HDS (group identified that causes a difference) with significance p<0.05. Results: The force applied on control group 2 was significantly lower than on the Er:YAG laser and negative control groups (p<0.05). The remaining groups had no significant difference statistically (p>0.05) Conclusions: In light of this study, it is possible to conclude that Nd:YAG, Er:YAG and diode lasers used in endodontic treatments has no negative impact on dentin fracture resistance and can be used safely.

Keywords

References

Reference1 Siqueira JF, Lima KC, Magalhaes FAC, Lopes HD, de Uzeda M. Mechanical reduction of the bacterial population in the root canal by tree instrumentation techniques. J Endod 1999; 25:332-35.
Reference2 Pasricha SK, Makkar S, & Gupta P. Pressure alteration techniques in endodontics-a review of literature. J Clin Diagn Res 2015; 9(3): ZE01.
Reference3 Dahlen G, Bergenholtz G. Endotoxic activity in teeth with necrotic pulps. J Dent Res 1980; 59:1033-1040.
Reference4 Byström A, & Sundqvıst G. Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Eur J Oral Sci 1981; 89(4): 321-328.
Reference5 Vianna ME, Horz HP, Conrads G, Zaia AA, Souza‐Filho FJ, & Gomes, BPFA. Effect of root canal procedures on endotoxins and endodontic pathogens. Oral Microbiol Immun 2007; 22(6): 411-418.
Reference6 Triches TC, Zimmermann GS, de Freitas SFT, Ximenes M, Vieira RS, Cordeiro MMR. Efficacy of a single session protocol for endodontic treatment in primary teeth: in vivo study. Eur Arch Paediatr Dent 2018;19(1):47-55.
Reference7 Nair PNR, Henry S, Cano V, Vera J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after ‘one-visit’ endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:231–52.
Reference8 Tziafas D, Alraeesi D, Al Hormoodi R, Ataya M, Fezai H, Aga N. Preparation Prerequisites for Effective Irrigation of Apical Root Canal: A Critical Review. J Clin Exp Dent. 2017;9(10):e1256-e1263.

Reference9 Aveiro E, Chiarelli-Neto VM, de-Jesus-Soares A, et al. Efficacy of reciprocating and ultrasonic activation of 6% sodium hypochlorite in the reduction of microbial content and virulence factors in teeth with primary endodontic infection. Int Endod J. 2020;53(5):604-618.
Reference10 Sundqvist G, Figdor D, Persson S, & Sjögren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998; 85(1): 86-93.
Reference11 Gergova RT, Gueorgieva T, Dencheva‐Garova MS, Krasteva‐Panova AZ, Kalchinov V, Mitov I, & Kamenoff J. Antimicrobial activity of different disinfection methods against biofilms in root canals. J Investig Clin Dent 2016;7(3):254-262.
Reference12 Quiram G, Montagner F, Palmer KL, Stefan MC, Washington KE, Rodrigues DC. Novel Chlorhexidine-Loaded Polymeric Nanoparticles for Root Canal Treatment. J Funct Biomater. 2018;9(2):29.
Reference13 Schoop U, Kluger W, Moritz A, Nedjelik N, Georgopoulos A & Sperr W. Bactericidal effect of different laser systems in the deep layers of dentin. Laser Surg Med 2004; 35(2): 111-116.
Reference14 Öter B, Topçuoglu N, Tank MK, Çehreli SB. Evaluation of Antibacterial Efficiency of Different Root Canal Disinfection Techniques in Primary Teeth. Photomed Laser Surg. 2018;36(4):179-184.
Reference15 Kokuzawa C, Ebihara A, Watanabe S, Anjo T, Bolortuya G, Saegusa H & Suda H. Shaping of the root canal using Er: YAG laser irradiation. Photomed Laser Surg. 2012;30(7): 367-373.
Reference16 Mohammadi Z, Jafarzadeh H, Shalavi S, Kinoshita JI, Giardino L. Lasers in Apicoectomy: A Brief Review. J Contemp Dent Pract. 2017;18(2):170-173.
Reference17 Zerbinati LPS, Tonietto L, de Moraes JFD & de Oliveira MG. Assessment of marginal adaptation after apicoectomy and apical sealing with Nd: YAG laser. Photomed Laser Surg 2012; 30(8): 444-450.
Reference18 Metin R, Tatli U, Evlice B. Effects of low-level laser therapy on soft and hard tissue healing after endodontic surgery. Lasers Med Sci 2018;33(8):1699-1706.
Reference19 Vidučić D, Jukić S, Karlović Z, Božić Ž, Miletić I, & Anić I. Removal of gutta‐percha from root canals using an Nd: YAG laser. Int Endod J 2003; 36(10), 670-673.
Reference20 Asnaashari M, Ashraf H, Daghayeghi AH, Mojahedi SM & Azari-Marhabi S. Management of Post Endodontic Retreatment Pain With Low Level Laser Therapy. J Lasers Med Sci 2017; 8(3): 128.
Reference21 Dönmez Özkan H, Kaval ME, Özkan G, Yiğit Özer S. Efficacy of Two Different Nickel-Titanium Rotary Systems in Retreatment Procedure With or Without Laser-Activated Irrigation: An In Vitro Study. Photobiomodul Photomed Laser Surg 2019;37(8):495-499.
Reference22 Baechtold M, da Cunha L, Souza E, et al. Effect of Endodontic Irrigation Protocols on Crown Fracture Resistance. J Contemp Dent Pract 2018;19(7):768-772.
Reference23 Khoshbin E, Donyavi Z, Atibeh EA, Roshanaei G & Amani F. The Effect of Canal Preparation with Four Different Rotary Systems on Formation of Dentinal Cracks: An In Vitro Evaluation. Iran Endod J 2018; 13(2): 163.
Reference24 Shantiaee Y, Dianat O, Mosayebi G, Namdari M, Tordik P. Effect of Root Canal Preparation Techniques on Crack Formation in Root Dentin. J Endod 2019;45(4):447-452.
Reference25 Pişkin B, B. Aydın and M. Sarıkanat. The effect of spreader size on fracture resistance of maxillary incisor roots. Int Endod J 2008; 41.1: 54-59.
Reference26 Lertchirakarn V, A. Poonkaew and H. Messer. Fracture resistance of roots filled with gutta‐percha or RealSeal®. Int Endod J 2011;44.11:1005-1010.
Reference27 Jamshidi D, Homayouni H, Moradi Majd N, Shahabi S, Arvin A, Ranjbar Omidi B. Impact and Fracture Strength of Simulated Immature Teeth Treated with Mineral Trioxide Aggregate Apical Plug and Fiber Post Versus Revascularization. J Endod 2018;44(12):1878-1882.
Reference28 Ulusoy ÖİA, Genç Ö, Arslan S, Alaçam T & Görgül G. (2007). Fracture resistance of roots obturated with three different materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104(5): 705-708.
Reference29 Zadik Y, Sandler V, Bechor R & Salehrabi R. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106(5): e31-e35.
Reference30 Touré B, Faye B, Kane AW, Lo CM, Niang B & Boucher Y. (). Analysis of reasons for extraction of endodontically treated teeth: a prospective study. J Endod 2011; 37(11):1512-1515.
Reference31 White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 2002; 28:828–830
Reference32 Gu LS, Huang XQ, Griffin B, et al. Primum non nocere - The effects of sodium hypochlorite on dentin as used in endodontics. Acta Biomater 2017;61:144-156.
Reference33 Coluzzi DJ. An overview of laser wavelengths used in dentistry. Dent Clin North Am 2000;44:753–761
Reference34 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;22:9–13
Reference35 Wang X, Sun Y, Kimura Y, Kinoshita J, Ishizaki NT, Matsumoto K. Effects of diode laser irradiation on smear layer removal from root canal walls and apical leakage after obturation. Photom Laser Surg 2005;23:575–581
Reference36 Dhawan S, Jasuja P, Khurana H, Gakhar E, Singh H. A comparative evaluation of the efficacy of erbium: yttrium-aluminum-garnet and diode lasers in smear layer removal and dentin permeability of root canal after biomechanical preparation - A scanning electron microscopy study. J Indian Soc Pedod Prev Dent 2020;38(1):64-70.
Reference37 Alfredo E, Marchesan MA, Sousa-Neto MD, Brugnera-Junior A & Silva-Sousa YTC. Temperature variation at the external root surface during 980-nm diode laser irradiation in the root canal. J Dent 2008;36(7): 529-534.
Reference38 Alvarez dFA, Moura-Netto C, Frugoli AD, Fernando C, Aranha ACC & Davidowicz H. Temperature changes on the root surfaces of mandibular incisors after an 810-nm high-intensity intracanal diode laser irradiation. J Biomed Opt 2012;17(1): 0150061-0150063.
Reference39 Bergmans L, Moisiadis P, Teughels W, Van Meerbeek B, Quirynen M & Lambrechts P. Bactericidal effect of Nd: YAG laser irradiation on some endodontic pathogens ex vivo. Int Endod J 2006;39(7):547-557.
Reference40 Yuan-Gao L, Xiao W, Kexian X & Dan L. Temperature variation at the external root surface during Nd: YAG laser irradiation in the root canal in vitro. West China Journal of Stomatology 2014;32(5): 480-483.
Reference41 Schoop U, Moritz A, Kluger W, Patruta S, Goharkhay K, Sperr W, ... & Georgopoulos, A. The Er: YAG laser in endodontics: results of an in vitro study. Laser Surg Med 2002; 30(5):360-364.
Reference42 Brandao CB, Contente MMMG, De Lima FA, Galo R, CorrÊA‐Afonso AM, Bachmann L & Borsatto MC. Thermal alteration and morphological changes of sound and demineralized primary dentin after Er: YAG laser ablation. Microsc Res Techniq 2012;75(2):126-132.
Reference43 Raucci-Neto W, dos Santos CR, de Lima FA, Pécora JD, Bachmann L & Palma-Dibb RG. Thermal effects and morphological aspects of varying Er: YAG laser energy on demineralized dentin removal: an in vitro study. Lasers Med Sci 2014:1-6.
Reference44 Kamalak A, Uzun I, Arslan H, et al. Fracture Resistance of Endodontically Retreated Roots After Retreatment Using Self-Adjusting File, Passive Ultrasonic Irrigation, Photon-Induced Photoacoustic Streaming, or Laser. Photomed Laser Surg 2016;34(10):467-472.
Reference45 Faria MIA, Sousa-Neto MD, Souza-Gabriel AE, Alfredo E, Romeo U & Silva-Sousa YTC. Effects of 980-nm diode laser on the ultrastructure and fracture resistance of dentine. Lasers Med Sci 2013;28(1):275-280.
Reference46 Braun A, Hagelauer FJ, Wenzler J, Heimer M, Frankenberger R, Stein S. Microcrack Analysis of Dental Hard Tissue After Root Canal Irradiation with a 970-nm Diode Laser. Photomed Laser Surg 2018;36(11):621-628.
Reference47 Karataş E, Arslan H, Topçuoğlu HS, Yılmaz CB, Yeter KY & Ayrancı LB. The effect of diode laser with different parameters on root fracture during irrigation procedure. Artif Organs 2016;40(6):604-609.
Reference48 Ayrancı F, Ayrancı LB, Özdoğan A, Özkan S, Peker MÖ, Aras MH. Resistance to vertical root fracture of apicoected teeth using different devices during two root canal irrigation procedures. Lasers Med Sci 2018;33(8):1685-169.
Reference49 Sandikci T & Kaptan RF. Comparative evaluation of the fracture resistances of endodontically treated teeth filled using five different root canal filling systems. Niger J Clin Pract 2014;17(6):667-672.
Reference50 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):338-344.
Reference51 Firoozmand L, Faria R, Araujo MA, Di Nicoló R & Huthala MF. Temperature rise in cavities prepared by high and low torque handpieces and Er: YAG laser. Br Dent J 2008;205(1):E1-E1

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Hüseyin Ürkmez
0000-0002-0034-2057
Türkiye

Hüseyin Gürkan Güneç ^*
0000-0002-7056-7876
Türkiye

Faruk Haznedaroğlu
0000-0003-1658-2976
Türkiye

Publication Date

May 31, 2021

Submission Date

July 29, 2020

Acceptance Date

April 9, 2021

Published in Issue

Year 2021 Volume: 24 Number: 2

IZ

https://izlik.org/JA72ZA72NY

Cite

RIS / Bibtex

APA

Ürkmez, H., Güneç, H. G., & Haznedaroğlu, F. (2021). Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance. Cumhuriyet Dental Journal, 24(2), 145-152. https://izlik.org/JA72ZA72NY

AMA

1.Ürkmez H, Güneç HG, Haznedaroğlu F. Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance. Cumhuriyet Dent J. 2021;24(2):145-152. https://izlik.org/JA72ZA72NY

Chicago

Ürkmez, Hüseyin, Hüseyin Gürkan Güneç, and Faruk Haznedaroğlu. 2021. “Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance”. Cumhuriyet Dental Journal 24 (2): 145-52. https://izlik.org/JA72ZA72NY.

EndNote

Ürkmez H, Güneç HG, Haznedaroğlu F (May 1, 2021) Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance. Cumhuriyet Dental Journal 24 2 145–152.

IEEE

[1]H. Ürkmez, H. G. Güneç, and F. Haznedaroğlu, “Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance”, Cumhuriyet Dent J, vol. 24, no. 2, pp. 145–152, May 2021, [Online]. Available: https://izlik.org/JA72ZA72NY

ISNAD

Ürkmez, Hüseyin - Güneç, Hüseyin Gürkan - Haznedaroğlu, Faruk. “Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance”. Cumhuriyet Dental Journal 24/2 (May 1, 2021): 145-152. https://izlik.org/JA72ZA72NY.

JAMA

1.Ürkmez H, Güneç HG, Haznedaroğlu F. Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance. Cumhuriyet Dent J. 2021;24:145–152.

MLA

Ürkmez, Hüseyin, et al. “Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance”. Cumhuriyet Dental Journal, vol. 24, no. 2, May 2021, pp. 145-52, https://izlik.org/JA72ZA72NY.

Vancouver

1.Hüseyin Ürkmez, Hüseyin Gürkan Güneç, Faruk Haznedaroğlu. Evaluating the Effect of Different Laser Types on Dentin Fracture Resistance. Cumhuriyet Dent J [Internet]. 2021 May 1;24(2):145-52. Available from: https://izlik.org/JA72ZA72NY