Antibiofilm Effect of Different Irrigation Solutions Activated with KTP Laser

Objectives: The aim of this study was to evaluate the antimicrobial efficacy of Potassium Titanium Phosphate (KTP) laser-activated irrigation solutions on intraradicular Enterococcus faecalis biofilms in invitro conditions by using a scanning electron microscope. Materials and Methods: 120 single-root, single canal permanent mandibular premolar human teeth were used. Sterilization and disinfection of the teeth were performed. E. faecalis biofilms were obtained after 4 weeks by re-inoculation procedures. Each group was divided into 6 groups consisting of 20 roots and root canal disinfection protocols were applied using irrigation solutions with 5.25% NaOCl, saline, super-oxidized water solution, 8ppm ozonated water, 2% CHX, 17% EDTA, all activated by KTP laser. It was smear-planted to a solid medium which split as before and after the disinfection applications for the aim of Counting Microorganism colonies from root canals and data were evaluated statistically. In this statistical evaluation one way ANOVA and Tukey tests were used. Before and after the irrigation procedures for presence and elimination of biofilm the root canals were processed for scanning electron microscopy and biofilm was examined on the standard images. Results: As a result of the statistical comparison performed among all groups, while NaOCl ensures the highest amount of elimination as a positive control group, the lowest amount of bacterial elimination was detected in the SF group that applied as the negative control group (P0,05), EDTA showed the lowest antibiofilm effect (P