歯冠遠心部モルを用いた残存充填材除去におけるレーザー活性化 vs 音波活性化洗浄の比較:Micro-CT研究
Yuhong Lin1, Fabricio Teixeira1, Jianing He1
1Department of Endodontics, Texas A&M College of Dentistry, 3302 Gaston Ave, Dallas, TX, 75246.
Introduction:
Advanced irrigation plays a crucial role in nonsurgical retreatment cases, as these procedures require the removal of existing obturation materials while preserving dentin. The aim of this study was to compare the effectiveness of laser-activated versus sonic-activated irrigation in removing residual obturation material in the mesial canals of mandibular molars with isthmuses during non-surgical root canal retreatment.
Methods:
Forty mesial canals of extracted mandibular molars were instrumented and obturated with gutta-percha and a bioceramic sealer. Retretments was performed using rotary instruments, followed by a final irrigation protocol consisting of 2.5% NaOCl, 17% EDTA, and a final rinse of 2.5% NaOCl using either sonic-activated or laser-activated irrigation. Micro-computed tomography scans were obtained before and after final irrigation. The volume of obturation material was measured to calculate the median percentage of remaining material in each group.
Results:
The laser-activated irrigation group showed a significantly lower median percentage of remaining filling material than the sonic group (73.9% vs. 93.8%, p = 0.0165). However, neither irrigation protocol completely eliminates residual obturation material from the canals.
Conclusion:
Laser-activated irrigation was more effective at removing remaining obturation material compared to sonic-activated irrigation.
関連する概念動画
Molar Mass
Co-activators and Co-repressors
tRNA Activation
Activation Energy
Imaging Studies I: CT and MRI
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Eukaryotic Transcription Activators
The binding domains are capable of recognizing and interacting with regulatory sequences on the DNA. These...


