STEREOMICROSCOPIC ASPECTS OF ROOT CANAL WALLS AFTER CONVENTIONAL LASER ENDODONTICS – A PRELIMINARY STUDY

Abstract

Bacterial decontamination of root canals can be improved by directly irradiating the dentinal walls with dental lasers or by irradiating/activating the irrigation solutions, the laser having an indirect clinical action. Inside the root canal, laser irradiation produces a thermal effect on the dentine walls and bacteria, which generates unwanted side effects, if the therapeutic protocol is not followed. The aim of this study was to evaluate the root canal walls by stereomicroscopic ex-amination, after their chemo-mechanical instrumentation and conventional laser irradiation. For this study, 35 palatal roots of upper first molars were used. For some of the palatal canals, con-ventional laser irradiation was performed using a diode laser with a wavelength of 980 nm and two different irradiation protocols. The root canal walls were examined stereomicroscopically at different degrees of magnification. The study demonstrated the effectiveness of the stereomicro-scope in examining the walls of prepared and laser irradiated root canals. Areas of morphological alteration were identified and measured on the walls of the root canals for which the irradiation protocol was not applied correctly.

Keywords

• stereomicroscope; diode laser; endodontic disinfection; laser assisted endodontics