Effect of Er,Cr:YSGG laser irradiation on the apical sealing ability of AH Plus/gutta-percha and Hybrid Root Seal/Resilon Combinations.
OBJECTIVE
The objective of this study was to evaluate the sealing ability of 2 different resin-based endodontic filling systems after smear layer removal with 2 different techniques.


METHODS
Extracted human single-rooted teeth (n = 74) were instrumented using HERO Shaper rotary instruments and irrigated with 1 mL of 2.5% NaOCl between each instrument. Additionally, the canals received either an extra 3-minute rinse with 2 mL of 17% EDTA or a 40-second Er,Cr:YSGG laser treatment. The root canals were filled with either Hybrid Root Seal/Resilon combination or AH Plus/gutta-percha combination using lateral condensation technique (n = 11). Apical leakage quantity was measured with the computerized fluid filtration meter at 1 and 4 weeks. One root from each group, which was not submitted to the fluid filtration test, was selected for scanning electron microscopy (SEM) analysis. Statistical analysis was performed using 3-way ANOVA and the post hoc Tukey HSD test (α = 0.05).


RESULTS
A significant decrease was observed in the microleakage values of all the experimental groups tested with time (P < .0001). EDTA + AH Plus/gutta-percha combination exhibited the least microleakage, whereas laser irradiation + Hybrid Root Seal/Resilon combination showed the greatest microleakage at each of the 2 time periods. Each experimental combination exhibited architecture in SEM that seemed to correlate with its sealing performance.


CONCLUSIONS
Er,Cr:YSGG laser treatment does not enhance the sealing ability of the sealers compared with EDTA application. The root canal adaptation and sealing ability of the Hybrid Root Seal/Resilon combination is not superior to that of the AH Plus/gutta-percha combination.
Onay
Emel Olga
EO
Department of Endodontics, Baskent University School of Dentistry, Ankara, Turkey. eonay@baskent.edu.tr
Orucoglu
Hasan
H
Kiremitci
Arlin
A
Korkmaz
Yonca
Y
Berk
Gizem
G
D001840:Dental Bonding; D003763:Dental Leakage / Q000145:classification; D003786:Dental Pulp Cavity / Q000528:radiation effects / Q000648:ultrastructure; D003804:Dentin / Q000528:radiation effects / Q000648:ultrastructure; D004492:Edetic Acid / Q000627:therapeutic use; D004853:Epoxy Resins / Q000737:chemistry / Q000627:therapeutic use; D006171:Gutta-Percha / Q000737:chemistry / Q000627:therapeutic use; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D019279:Resin Cements / Q000737:chemistry / Q000627:therapeutic use*; D012387:Root Canal Filling Materials / Q000737:chemistry / Q000627:therapeutic use*; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012389:Root Canal Obturation / Q000379:methods; D018915:Root Canal Preparation / Q000379:methods*; D016369:Smear Layer; D012973:Sodium Hypochlorite / Q000627:therapeutic use; D013997:Time Factors
D004853:Epoxy Resins; D019279:Resin Cements; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; C534916:epoxy resin-based root canal sealer; C486892:resilon sealer; D006171:Gutta-Percha; D004492:Edetic Acid; D012973:Sodium Hypochlorite