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[Root resection by Er:YAG laser: a scanning electron microscope study].

Xiao-yi Zhao1, Shi-ming Wang, Cheng-fei Zhang

  • 1Dept. of General Therapy, Peking University School and Hospital of Stomatology, Beijing 100081, China.

Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi Kouqiang Yixue Zazhi = West China Journal of Stomatology
|December 25, 2010
PubMed
Summary
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The Er:YAG laser demonstrated superior root resection surface quality compared to ultrasonic and high-speed handpiece methods. It produced less debris and smear layer, with no cracks, making it promising for clinical use.

Area of Science:

  • Endodontics
  • Dental Materials Science
  • Laser Dentistry

Background:

  • Root resection is a surgical endodontic procedure to treat persistent periapical infections.
  • The quality of the resected root surface impacts healing and long-term prognosis.
  • Current methods like ultrasonic and high-speed handpieces have limitations in surface preparation.

Purpose of the Study:

  • To compare the root resection surface characteristics created by Er:YAG laser, ultrasonic instruments, and high-speed handpieces using scanning electron microscopy (SEM).
  • To evaluate the potential clinical applicability of the Er:YAG laser for root resection.

Main Methods:

  • Thirty maxillary central incisors were divided into three groups: Er:YAG laser, ultrasonic, and high-speed handpiece.
  • Root resections were performed 3 mm from the root tip using the designated instrument for each group.

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  • SEM analysis evaluated debris, smear layer, opened dentinal tubules, cracks, and ablation characteristics.
  • Main Results:

    • Er:YAG laser and ultrasonic groups showed minimal debris and smear layer with open dentinal tubules.
    • The high-speed handpiece group exhibited significant debris and smear layer, with closed dentinal tubules.
    • Cracks were present in the ultrasonic and high-speed handpiece groups but absent in the Er:YAG laser group.
    • Ablation characteristics were noted with ultrasonic and high-speed handpieces, but not with the Er:YAG laser.

    Conclusions:

    • The Er:YAG laser produced a superior root resection surface morphology compared to ultrasonic instruments and diamond burs.
    • The Er:YAG laser's ability to minimize debris, smear layer, and cracks suggests significant advantages for clinical root resection procedures.