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Inability of laser and rotary instrumentation to eliminate root canal infection
D Jha1, A Guerrero, T Ngo
1Division of Endodontics, School of Dental and Oral Surgery, Columbia University, 630 West 168th St., P.O. Box, 20 (PH7E-117), New York, NY 10032, USA. dm762@Columbia.edu
Background:
The authors evaluated the antibacterial effectiveness of laser instrumentation and rotary instrumentation of anterior, single-rooted teeth infected with Enterococcus faecalis.
Methods:
The authors divided 35 infected samples into five groups: Group A: inoculation, laser, 17 percent ethylene-diamine-tetra-acetate (EDTA), 2.5 percent sodium hypochlorite (NaOCl) (n=10); Group B: inoculation, laser, 17 percent EDTA, sterile saline (n = 10); Group C: inoculation, rotary, 17 percent EDTA, 2.5 percent NaOCl (n=10); Group D: inoculation, no instrumentation (positive control) (n=5); Group E: no inoculation, no instrumentation (negative control) (n=5). They sampled and incubated dentin shavings from each canal for bacterial growth.
Results:
In Group A, eight tubes were positive for bacterial growth. In Group B, 10 tubes were positive for bacterial growth. In Group C, six tube were positive for bacterial growth. In Group D, all of the tubes were positive for bacterial growth. In Group E, no tubes showed bacterial growth. The Fisher exact test showed no significant differences among groups A, E and C.
Conclusion:
Neither the laser nor the rotary instrumentation was able to eliminate endodontic infection.
Clinical Implications:
Although lasers have been presented as high-tech tools for disinfecting root canals, the laser was ineffective in this study.