The efficacy of laser, ultrasound and self-adjustable file in removing smear layer debris from oval root canals following retreatment: A scanning electron microscopy study

Keleş A., Kamalak A., Keskin C., Akcay M., UZUN İ.

AUSTRALIAN ENDODONTIC JOURNAL, vol.42, no.3, pp.104-111, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 42 Issue: 3
  • Publication Date: 2016
  • Doi Number: 10.1111/aej.12145
  • Journal Name: AUSTRALIAN ENDODONTIC JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.104-111
  • Keywords: Er:YAG laser, Nd:YAG laser, PIPS laser, retreatment, SAF, ultrasonic, ND-YAG LASER, ADJUSTING FILE, COMPUTED TOMOGRAPHY, SHAPED CANALS, CLEANING EFFICACY, INSTRUMENTATION TECHNIQUES, ROTARY INSTRUMENTS, IRRIGATION, VISUALIZATION, DEBRIDEMENT
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

This study aims to compare the efficacy of different irrigation activation methods to remove smear layer and debris from oval-shaped root canals following retreatment. Ninety mandibular canines with oval-shaped root canals were selected. Retreatment was performed with R-Endo retreatment files. The samples were randomly divided into six groups (n=15). Groups were assigned according to agitation technique: R-Endo with classic irrigation, with self-adjustable file, with passive ultrasonic irrigation, R-Endo+Er:YAG, R-Endo+PIPS and R-Endo+Nd:YAG. Compared with the classic irrigation (R-Endo+CI) group, all other groups were more successful in reducing smear layer and debris (P<0.05). The least amount of residual smear layer and debris was detected in the Er:YAG laser group (P<0.05). Additional use of different agitation methods contributes to removal of debris and smear layer following root canal filling removal with rotary instruments; however, none of the techniques tested render root canal walls completely free of smear layer or debris.