To test the efficacy of debris removal of 5 in vitro irrigation protocols: conventional irrigation, irrigation activated by ultrasound, Er:YAG laser with photon-induced photoacoustic streaming (PIPS) tip, and 2 diode laser techniques.
The root canals of 75 extracted human canine teeth were enlarged and bisected longitudinally. Standardized grooves were prepared 2-6 mm from the root apex and filled with 0.5 mm of dentine debris. The teeth were reassembled and irrigated using 1 of the following techniques (n = 15/technique): (1) conventional irrigation, (2) diode laser irrigation - tip placed 2 mm from working length, (3) diode laser irrigation - tip placed at root canal orifice, (4) Er:YAG laser - PIPS, and (5) ultrasonically activated irrigation. The root segments were disassembled, and the amount of remaining debris was evaluated by 3 examiners under a stereomicroscope at ×20 magnification using a 4-grade scoring system. The data were statistically analyzed using Kruskal-Wallis and Dunn’s multiple comparison tests, with a 95% confidence level (p = 0.05). Cohen’s kappa test was used to evaluate inter-observer and intra-observer agreement.
Ultrasonically activated irrigation removed significantly more dentinal debris than conventional irrigation (p = 0.016), but there were no significant differences between the other groups.
Ultrasonically activated irrigation was more effective than conventional irrigation in the removal of apically placed dentine debris.
Post author correction
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsAysenur Kamaci, Berdan Aydin, Necdet Erdilek
- • Accepted on 31/08/2017
- • Available online on 22/09/2017
This article is available as full text PDF.
- Kamaci, Aysenur [PubMed] [Google Scholar] 1, * Corresponding Author (firstname.lastname@example.org)
- Aydin, Berdan [PubMed] [Google Scholar] 2
- Erdilek, Necdet [PubMed] [Google Scholar] 1
Department of Endodontics, Faculty of Dentistry, Ege University, Izmir - Turkey
Dentist Private Practice, Izmir - Turkey