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Comparative study of root canals instrumented manually and mechanically, with and without Er:YAG laser
Benjamín Martín Biedma1, Purificación Varela Patiño, Saem Ahn Park
1Division of Dental Pathology and Therapeutics, Department of Stomatology, Dental and Medicine School, University of Santiago de Compostela, Santiago de Compostela, Spain. bjmbptd@usc.es
Objective:
The aim of this study was to compare the scanning electron microscopic (SEM) morphology of root canal walls instrumented manually and mechanically with and without the application of Er:YAG laser.
Methods:
Single-rooted, human, extracted teeth were cut at the cementoenamel junction. The teeth were divided into four groups: teeth that were simply instrumented manually, those that were instrumented manually and laser treated, a group that was mechanically instrumented, and a fourth in which the teeth were mechanically instrumented and laser treated. After instrumentation, the teeth were split longitudinally to facilitate their evaluation by SEM.
Results:
The results show that the use of the Er:YAG laser is effective in removing the smear layer from root canal walls.
Conclusions:
The removal of the smear layer is essential to the success of endodontic treatment; the use of the Er:YAG laser combined with rotary and manual techniques improves the cleanliness of root canals.