激光照射对根尖牙本质的影响:微渗漏及扫描电镜评价

Shachi Goenka, V. Hegde
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摘要

目的:采用扫描电镜(SEM)分析了钕钇铝石榴石(Nd:YAG)激光和二极管激光照射对牙本质表面的影响及其对充填根管根尖密封的干扰。材料与方法:根管治疗完成后,将60颗单根牙随机分为4组。阴性对照组(n = 15)不进行其他治疗,用侧缩胶填充牙齿;在Nd:YAG激光治疗组(n = 15)和二极管激光治疗组(n = 15)中,根管充填前采用200微米光纤照射Nd:YAG激光-1.5 W/二极管激光810 nm - 2 W/二极管激光980 nm - 2 W},与对照组相同。每组制备2个标本进行扫描电镜分析,以评估形态学变化和碎片去除的存在和程度;其余标本在2%罗丹明B中浸泡72 h, 37°C,评估根尖三分之一处的线性染料泄漏。结果:与对照组相比,激光组的线性渗漏明显减少。
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Effect on apical intracanal dentin after laser irradiation: A microleakage and scanning electron microscopic evaluation
Aim: The purpose of this in vitro study was to evaluate the effect of neodymium:Yttrium aluminum garnet (Nd:YAG) laser and diode laser irradiation on intracanal dentin surface by scanning electron microscopic (SEM) analysis, and its interference in the apical seal of filled canals. Materials and Methods: After endodontic treatment procedures, 60 single-rooted teeth were randomly assigned to four groups. In the negative control group (n = 15), no additional treatment was performed and teeth were filled with laterally condensed gutta-percha; in the Nd:YAG laser-treated group (n = 15) and in the diode laser-treated groups (n = 15), the root canals were irradiated with Nd:YAG laser -1.5 W/Diode laser 810 nm - 2 W /Diode laser 980 nm - 2 W } using 200 micron fiber before filling, as described for the control group. Two specimens of each group were prepared for SEM analysis to evaluate the presence and extent of morphological changes and removal of debris; the other specimens were immersed in 2% rhodamine B for 72 h at 37°C for evaluation of the linear dye leakage at the apical third. Results: Laser groups showed significantly less linear leakage as compared to the control group.
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