Impact of laser disinfection and passive ultrasonic irrigation on postoperative pain in single visit root canal therapy
Keywords:
PUI, disinfection, lasers, root canal therapyAbstract
Introduction: Postoperative endodontic pain is common. 3 to 58% of patients had post-op pain. Canal microbes are tough to eliminate. No irrigant meets all the perfect irrigant characteristics. Methods: In Kanpur, India, 46 participants were enrolled in this randomised clinical trial from January to June 2022. Department of Conservative Dentistry and Endodontics conducted the study. Local anaesthetic (1:2,000 lignocaine with adrenaline) was followed by rubber dam isolation and access cavity preparation. Teeth were cleaned and shaped. Patients were divided into two groups using a coin flip. Group A employed a 2 W 810 nm diode laser for laser disinfection. In Group B, sodium hypochlorite (NaOCl) was ultrasonically agitated. After a final treatment with saline, composite resin was used for obturation and post-endodontic restoration. A blinded assessor rated post-endodontic treatment after 6 hours, 24 hours, 48 hours, and 7 days. SPSS 20.0 was used to gather and analyse the data after utilising Pearson's Chi-square test with 5% significance. Results: 25 men and 19 women among 44 patients. 10 patients were 40-60, 28 were 30-40, and 12 were 18-29. No statistically significant difference was seen between PUI and laser disinfection in single visit root canal therapy (p=0.086).
Downloads
References
Ahmad M, Ford TP, Crum LA, Walton AJ. Ultrasonic debridement of root canals: Acoustic streaming and its possible role. J Endod. 1987;13(10):490-99.
Ahmetog˘lu F, S¸ ims¸ ek N, Keles¸ A, Ocak MS, Er K. Efficacy of self-adjusting file and passive ultrasonic irrigation on removing calcium hydroxide from root canals. Dent Mater J. 2013;32(6):1005-10.
Cameron JA. The Use of Ultrasound for the Removal of the Smear Layer. The Effect of Sodium Hypochlorite Concentration; SEM study. Aust Dent J. 1988;33(3):193-200.
Darmadi, N. M., Edi, D. G. S., Kawan, I. M., Semariyani, A. A. M., & Sudiarta, I. W. (2018). The changes in protein content, moisture content, and organoleptic pindang of auxis thazard due to re-boiling stored in cold temperatures. International Journal of Life Sciences, 2(3), 75–85. https://doi.org/10.29332/ijls.v2n3.210
De Meyer S, Meire MA, Coenye T, De Moor RJ. Effect of laser-activated irrigation on biofilms in artificial root canals. Int Endod J. 2017;50(5):472-79.
Giri, M. K. W. (2019). Immunological side in overtraining exercise. International Journal of Health & Medical Sciences, 2(1), 1-6. https://doi.org/10.31295/ijhms.v2n1.52
Gondim E Jr, Setzer FC, dos Carmo CB, Kim S. Postoperative pain after the application of two different irrigation devices in a prospective randomised clinical trial. J Endod. 2010;36(8):1295-301.
Gutkneeht N, Van Gogswaardt D, Conrads G, Apel C, Schubert C, Lampert F. Diode laser irradiation and its bactericidal effect in root canal wall dentin. J Clin Laser Med Surg. 2000;18(2):57-60.
Haapasalo M, Shen Y, Qian W, Gao Y. Irrigation in endodontics. Dent Clin N Am. 2010;54(2):291-312.
Kiran S, Prakash S, Siddharth PR, Saha S, Geojan NE, Ramachandran M. Comparative evaluation of smear layer and debris on the canal walls prepared with a combination of hand and rotary protaper technique using scanning electron microscope. J Contemp Dent Pract. 2016;17:574-81.
Klim JD, Fox DB, Coluzzi DJ, Neekel CP, Swick MD. The diode laser in dentistry. Rev Wavelengths. 2000;8(4):13-16.
Lacerda MF, Lacerda GP, Campos CN. Evaluation of the dentin changes in teeth subjected to endodontic treatment and photodynamic therapy. Revista de Odontologiada UNESP. 2016;45(6):339-43.
Lloyd A, Uhles JP, Clement DJ, Garcia-Godoy F. Elimination of intracanal tissue and debris through a novel laser-activated system assessed using high-resolution micro-computed tomography: A pilot study. J. Endod. 2014;40(4):584-87.
Mancini M, Cerroni L, Palopoli P, Olivi G, Olivi M, Buoni C, et al. FESEM evaluation of smear layerremoval from conservatively shaped canals: Laser activated irrigation (PIPS and SWEEPS) compared to sonic and passive ultrasonic activation-An ex vivo study. BMC Oral Health. 2021;21(1):81.
Mohan D, Maruthingal S, Indira R, Divakar DD, Al Kheraif AA, Ramakrishnaiah R, et al. Photoactivated disinfection (PAD) of dental root canal system-An ex-vivo study. Saudi J Biol Sci. 2016;23(1):122-27.
Özkoçak I, Göktürk H, Cos¸ kun US, Aytac F. Antibacterial efficiency of different irrigation solutions, lasers and photodynamic therapy with indocyanine green in root canals infected by enterococcus faecalis. Meandros Med Dent J. 2018;19(4):289-95.
Parakh P, Bhondwe S, Mahajan V, Dhoot R, Muthiyan S. Sequence of Irrigation in Endodontics. IOSR-JDMS. 2019;18(6):41-43.
Pearson GJ, Schuckert KH. The role of lasers in dentistry: Present and future. Dent Update. 2003;30(2):70-76.
Plotino G, Grande NM, Mercade M, Cortese T, Staffoli S, Gambarini G, et al. Efficacy of sonic and ultrasonic irrigation devices in the removal of debris from canal irregularities in artificial root canals. J Appl Oral Sci. 2019;27:e20180045.
Rao KN, Kandaswamy R, Umashetty G, Rathore VP, Hotkar C, Patil BS. Post- Obturation pain following one-visit and two-visit root canal treatment in necrotic anterior teeth. J Int Oral Health. 2014;6(2):28-32.
Rooney J, Midda M, Leeming J. A laboratory investigation of the bacteriocidal effect of a Nd: YAG laser. Br Dent J. 1994;176(2):61-64.
Siqueira JF, Jr Rôças IN. Optimising single-visit disinfection with supplementary approaches: a quest for predictability. Aust Endod J. 2011;37(3):92-98.
Souza EB, Amorim CV, Marques JL. Effect of diode laser irradiation on the apical sealing of MTA. Braz Oral Res. 2006;20:231-34.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937
Susila A, Minu J. Activated irrigation vs. conventional non activated Irrigation in endodontics-a systematic review. EurEndod J. 2019;4(3):96.
Tinaz AC, Alacam T, Uzun O, Maden M, Kayaoglu G. The effect of disruption of apical constriction on periapical extrusion. J Endod. 2005;31(7):533-35.
Weichman JA, Johnson FM. Laser use in endodontic: A preliminary investigation. Oral Surgery. 1971;31(3):828-30.
Weller RN, Brady JM, Bernier WE. Efficacy of ultrasonic cleaning. J Endod. 1980;6(9):740-43.
Wu MK, Wesselink PR. A primary observation on the preparation and obturation of oval canals. Int Endod J. 2001;34(2):137-41.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.