EL-Gendy, S., Moussa, S., Zaazou, A., Meheissen, M. (2017). ANTIBACTERIAL EFFECT OF Er,Cr:YSGG LASER UNDER VARIOUS IRRADIATION CONDITIONS IN ROOT CANALS CONTAMINATED WITH ENTEROCOCCUS FAECALIS (In vitro study). Alexandria Dental Journal, 42(1), 108-112. doi: 10.21608/adjalexu.2017.57870
Saad El-Din S. EL-Gendy; Sybel M. Moussa; Ashraf M. Zaazou; Marwa A. Meheissen. "ANTIBACTERIAL EFFECT OF Er,Cr:YSGG LASER UNDER VARIOUS IRRADIATION CONDITIONS IN ROOT CANALS CONTAMINATED WITH ENTEROCOCCUS FAECALIS (In vitro study)". Alexandria Dental Journal, 42, 1, 2017, 108-112. doi: 10.21608/adjalexu.2017.57870
EL-Gendy, S., Moussa, S., Zaazou, A., Meheissen, M. (2017). 'ANTIBACTERIAL EFFECT OF Er,Cr:YSGG LASER UNDER VARIOUS IRRADIATION CONDITIONS IN ROOT CANALS CONTAMINATED WITH ENTEROCOCCUS FAECALIS (In vitro study)', Alexandria Dental Journal, 42(1), pp. 108-112. doi: 10.21608/adjalexu.2017.57870
EL-Gendy, S., Moussa, S., Zaazou, A., Meheissen, M. ANTIBACTERIAL EFFECT OF Er,Cr:YSGG LASER UNDER VARIOUS IRRADIATION CONDITIONS IN ROOT CANALS CONTAMINATED WITH ENTEROCOCCUS FAECALIS (In vitro study). Alexandria Dental Journal, 2017; 42(1): 108-112. doi: 10.21608/adjalexu.2017.57870
ANTIBACTERIAL EFFECT OF Er,Cr:YSGG LASER UNDER VARIOUS IRRADIATION CONDITIONS IN ROOT CANALS CONTAMINATED WITH ENTEROCOCCUS FAECALIS (In vitro study)
1- Instructor of Endodontics, Conservative Dentistry Department, Faculty of Dentistry, Alexandria University
2Professor of Endodontics, Conservative Dentistry Department, Faculty of Dentistry, Alexandria University
3Lecturer of Medical Microbiology and Immunology, Faculty of Medicine, Alexandria University.
Abstract
INTRODUCTION: The fundamental aim of endodontic therapy is to completely disinfect the root canal and its three-dimensional tubular network. OBJECTIVES: This in-vitro study compared the antibacterial effect of intracanal irradiation with Er,Cr:YSGG laser in dry condition to laser activated irrigation in root canals contaminated with Enterococcus faecalis. MATERIALS AND METHODS: Twenty-six extracted human single-canaled lower bicuspids were used. Teeth were instrumented and autoclaved, and then three specimens were randomly chosen to serve as negative control. The remaining specimens were inoculated with Enterococcus faecalis for two weeks and then additional three specimens were selected to serve as positive control. The remaining specimens were divided into two equal experimental groups according to the disinfection procedure, Group I: Dry Laser Irradiation, Group II: Laser Activated Irrigation. Bacterial sampling was collected by both paper points and dentin chips from the canal walls and analyzed for the presence of Enterococcus faecalis using culture method. The CFU% reduction of each group was determined in relation to the positive control. RESULTS: For the paper points method of sampling, a statistically significant difference was found between group II (99.60%) and group I (82.50%) (P=0.012). While for the dentin chips method, a statistically significant difference was found between group II (100.00%) and group I (50.00%) (P=0.005). CONCLUSIONS: Er,Cr:YSGG dry laser irradiation is not an alternative but a possible supplement to existing protocols for root canal disinfection. The use of NaOCl together with Er,Cr:YSGG laser activation yields superior disinfecting results
1. Nair PR, Sjögren U, Krey G, Kahnberg K-E, Sundqvist G. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic followup study. J Endod. 1990;16:580-8.
2. Stuart CH, Schwartz SA, Beeson TJ, Owatz CB. Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment. J Endod. 2006;32:93- 8.
3. Al-Nazhan S, Al-Sulaiman A, Al-Rasheed F, Alnajjar F, Al-Abdulwahab B, Al-Badah A. Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study. Restor Dent Endod. 2014;39:258-64.
4. Peters OA, Schonenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J. 2001;34:221-30.
5. Moorer WR, Wesselink PR. Factors promoting the tissue dissolving capability of sodium hypochlorite. Int Endod J. 1982;15:187-96.
6. Berutti E, Marini R, Angeretti A. Penetration ability of different irrigants into dentinal tubules. J Endod. 1997;23:725-7
7. Sjögren U, Figdor D, Persson S, Sundqvist G. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J. 1997;30:297-306.
8. Chiniforush N, Pourhajibagher M, Shahabi S, Bahador A. Clinical Approach of High Technology Techniques for Control and Elimination of Endodontic Microbiota. Lasers Med Sci. 2015;6:139-50.
9. Wang Q-q, Zhang C-f, Yin X-z. Evaluation of the bactericidal effect of Er, Cr: YSGG, and Nd: YAG lasers in experimentally infected root canals. J Endod. 2007;33:830- 2.
10. de Souza EB, Cai S, Simionato MRL, 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:e68-e72.
11. López-Jiménez L, Arnabat-Domínguez J, Viñas 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:e45- e51.
12. Sulewski JG. Making the Most of the 16th Annual Conference and Exhibition: a practical orientation for attendees. Academy of Laser Dentistry 16th Annual Conference and Exhibition, 22-26 April 2009, Las Vegas, Nevada.
13. Coluzzi DJ. Fundamentals of dental lasers: science and instruments. Dent Clin North Am. 2004;48:751-70.
14. Mehrvarzfar P, Saghiri MA, Asatourian A, Fekrazad R, Karamifar K, Eslami G, et al. 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;53:355-60.
15. Dewsnup N, Pileggi R, Haddix J, Nair U, Walker C, Varella CH. Comparison of bacterial reduction in straight and curved canals using erbium, chromium: yttrium-scandiumgallium-garnet laser treatment versus a traditional irrigation technique with sodium hypochlorite. J Endod. 2010;36:725- 8.
16. Bago Jurič I, Plečko V, Anić I. Antimicrobial Efficacy of Er, Cr: YSGG Laser-Activated Irrigation Compared with Passive Ultrasonic Irrigation and RinsEndo® Against Intracanal Enterococcus faecalis. Photomed Laser Surg. 2014;32:600-5.
17. Balić M, Lucić R, Mehadžić K, Bago I, Anić I, Jakovljević S, et al. The efficacy of photon-initiated photoacoustic streaming and sonic-activated irrigation combined with QMiX solution or sodium hypochlorite against intracanal E. faecalis biofilm. Laser Med Sci. 2016;31:335-42.
18. Gordon W, Atabakhsh VA, Meza F, Doms A, Nissan R, Rizoiu I, et al. The antimicrobial efficacy of the erbium, chromium: yttrium-scandium-gallium-garnet laser with radial emitting tips on root canal dentin walls infected with Enterococcus faecalis. J Am Dent Assoc. 2007;138:992- 1002. 19. Costerton JW, Stewart PS, Greenberg E. Bacterial biofilms: a common cause of persistent infections. Science. 1999;284:1318-22.
20. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endodontic topics. 2005;10:3-29.
21. Peters LB, Wesselink PR, Buijs JF, van Winkelhoff AJ. Viable bacteria in root dentinal tubules of teeth with apical periodontitis. J Endod. 2001;27:76-81.
22. Yavari HR, Rahimi S, Shahi S, Lotfi M, Barhaghi MH, Fatemi A, et al. Effect of Er, Cr: YSGG laser irradiation on Enterococcus faecalis in infected root canals. Photomed Laser Surg. 2010;28:S91-6.
23. Kishen A, George S, Kumar R. Enterococcus faecalis‐ mediated biomineralized biofilm formation on root canal dentine in vitro. J Biomed Mater Res A. 2006;77:406-15.
24. Gutknecht N, Al-Karadaghi TS, Al-Maliky MA, Conrads G, Franzen R. The Bactericidal Effect of 2780 and 940 nm Laser Irradiation on Enterococcus faecalis in Bovine Root Dentin Slices of Different Thicknesses. Photomed Laser Surg. 2016;34:11-6.
25. Blanken J, De Moor RJG, Meire M, Verdaasdonk R. Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Laser Surg Med. 2009;41:514-9.
26. De Groot S, Verhaagen B, Versluis M, Wu MK, Wesselink P, Van Der Sluis L. Laser‐activated irrigation within root canals: cleaning efficacy and flow visualization. Int Endod J. 2009;42:1077-83.
27. Blanken JW, Verdaasdonk RM. Cavitation as a working mechanism of the Er, Cr: YSGG laser in endodontics: a visualization study. J Oral Laser Appl. 2007;7:97-106.
28. Seet AN, Zilm PS, Gully NJ, Cathro PR. Qualitative comparison of sonic or laser energisation of 4% sodium hypochlorite on an Enterococcus faecalis biofilm grown in vitro. Aust Endod J. 2012;38:100-6.