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EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL

Year 2021, Volume: 31 Issue: 4, 556 - 562, 14.10.2021
https://doi.org/10.17567/ataunidfd.981515

Abstract

Abstract
Aim: The present study aims to examine the impact of various laser-assisted irrigation activation techniques on the removal of Ca(OH)2 from coronal and apical artificial grooves prepared in canal walls.
Materials and Methods: The root canal instrumentation procedures of sixty extracted mandibular premolar teeth were performed using ProTaper Universal system. The grooves were prepared in the coronal and apical regions of the root canals. Ca(OH)2 was placed into the grooves for 1 week. Teeth were allocated into 4 groups according to the irrigation techniques of EDTA (n=15): needle irrigation, PIPS, Nd:YAG laser, and Er:YAG laser. The percentage of Ca(OH)2 remnants was quantified using image analysing software (Image J). For the statistical analysis, one-way analysis of variance and post-doc LSD tests were used (P = .05).
Results: For apical grooves, PIPS and Er:YAG laser groups were statistically more effective than needle irrigation and Nd:YAG laser groups (P < .05). No significant difference was determined between PIPS and Er:YAG laser groups; needle irrigation and Nd:YAG laser groups (P > .05). For coronal grooves, all of the groups showed statistically similar results (P > .05).
Conclusion: Within the limitations of this laboratory study, Er:YAG laser and PIPS techniques enhanced Ca(OH)2 removal ability of EDTA in apical region.
Key Words: irrigation, laser-assisted irrigation, irrigation activation, calcium hydroxide

Çeşitli Lazer Destekli İrrigasyon Aktivasyon Tekniklerinin Kalsiyum Hidroksit Uzaklaştırma Üzerine Etkisi
Öz
Amaç: Bu çalışma çeşitli lazer destekli irrigasyon aktivasyon tekniklerinin kanal duvarlarında oluşturulmuş koronal ve apical yapay oluklardan kalsiyum hidroksit uzaklaştırma üzerine etkisini incelemeyi amaçlamaktadır.
Gereç ve Yöntem: 60 adet çekilmiş mandibular premolar dişin kök kanal enstrümentasyon işlemleri ProTaper Universal system kullanılarak gerçekleştirildi. Kök kanallarının koronal ve apikal bölgelerinde oluklar hazırlandı. Oluklara bir hafta süreyle Ca(OH)2 yerleştirildi. Dişler EDTA’nın irrigasyon tekniğine gore 4 gruba ayrıldı (n=15): iğne irrigasyonu, PIPS, Nd:YAG lazer, ve Er:YAG lazer. Ca(OH)2 kalıntılarının yüzdesi görüntü analiz yazılımı kullanılarak ölçüldü (Image J). İstatistiksel analiz için tek tönlü varyans analizi ve post-doc LSD testleri kullanıldı (P = .05).
Bulgular: Apikal oluklar için, PIPS ve Er:YAG lazer grupları, iğne irrigasyounu ve Nd:YAG lazer gruplarından istatistiksel olarak daha etkiliydi (P < .05). PIPS ve Er:YAG lazer grupları; iğne irrigasyounu ve Nd:YAG lazer grupları arasında istatistiskel farklılık belirlenmedi (P > .05). Koronal oluklar için, tüm gruplar benzer sonuçlar gösterdi (P > .05).
Sonuç: Bu laboratuvar çalışmasının limitasyonları dahilinde, Er:YAG lazer and PIPS teknikleri EDTA’nın apikal bölgede Ca(OH)2 uzaklaştırma yeteneğini arttırdı.
Anahtar Kelimeler: irrigasyon, lazer destekli irrigasyon, irrigasyon aktivasyonu, kalsiyum hidroksit

References

  • 1. Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J. 2009;59:5-11.
  • 2. Martins Justo A, Abreu da Rosa R, Santini MF, Cardoso Ferreira MB, Pereira JR, Hungaro Duarte MA, et al. Effectiveness of final irrigant protocols for debris removal from simulated canal irregularities. J Endod. 2014;40:2009-14.
  • 3. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J. 2007;40:2-10.
  • 4. Kim D, Kim E. Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - Part I. In vitro studies. Restor Dent Endod. 2014;39:241-52.
  • 5. Kim D, Kim E. Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - Part II. in vivo studies. Restor Dent Endod. 2015;40:97-103.
  • 6. Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod. 2006;32:563-5.
  • 7. van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J. 2007;40:52-7.
  • 8. Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod. 1999;25:85-8.
  • 9. Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J. 2002;35:623-8.
  • 10. Arslan H, Akcay M, Capar ID, Saygili G, Gok T, Ertas H. An in vitro comparison of irrigation using photon-initiated photoacoustic streaming, ultrasonic, sonic and needle techniques in removing calcium hydroxide. Int Endod J. 2015;48:246-51.
  • 11. Jiang LM, Verhaagen B, Versluis M, van der Sluis LW. Evaluation of a sonic device designed to activate irrigant in the root canal. J Endod. 2010;36:143-6.
  • 12. Macedo R, Verhaagen B, Rivas DF, Versluis M, Wesselink P, van der Sluis L. Cavitation measurement during sonic and ultrasonic activated irrigation. J Endod. 2014;40:580-3.
  • 13. Matsumoto H, Yoshimine Y, Akamine A. Visualization of irrigant flow and cavitation induced by Er:YAG laser within a root canal model. J Endod. 2011;37:839-43.
  • 14. Blanken J, De Moor RJ, Meire M, Verdaasdonk R. Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Lasers Surg Med. 2009;41:514-9.
  • 15. Do QL, Gaudin A. The Efficiency of the Er: YAG Laser and PhotonInduced Photoacoustic Streaming (PIPS) as an Activation Method in Endodontic Irrigation: A Literature Review. J Lasers Med Sci. 2020;11:316-34.
  • 16. Montero-Miralles P, Estévez-Luaña R, DeGregorio-González C, Valencia-dePablo O, Jaramillo DE, Cisneros-Cabello R. Effectiveness of Nd:YAG Laser on the elimination of debris and Smear Layer. A comparative study with two different irrigation solution: EDTA and QMix® in addition to NaOCl. J Clin Exp Dent. 2018;10:e70-e74.
  • 17. Bystrom A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol. 1985;1:170-5.
  • 18. Aricioglu B, Hatipoglu O. Comparison of calcium hydroxide removal activities from root canals of new sonic system vibringe and different irrigation systems J Dent Fac Atatürk Uni. 2019;29:407-15.
  • 19. Yang Q, Liu M, Zhu L, Zhang J, Peng B. Comparison of Needle, Ultrasonic, and Laser Irrigation for the Removal of Calcium Hydroxide from Mandibular Molar Root Canals. Photobiomodul Photomed Laser Surg. 2021;39:349-54.
  • 20. Anis Motiwala M, Badar SB, Ghafoor R. Comparison of Two Different Methods in the Removal of Oil-Based Calcium Hydroxide From Root Canal System: A Triple-Blinded Randomised Clinical Trial. Eur Endod J. 2021;6:38-43.
  • 21. Denna J, Shafie LA, Alsofi L, Al-Habib M, AlShwaimi E. Efficacy of the Rotary Instrument XP-Endo Finisher in the Removal of Calcium Hydroxide Intracanal Medicament in Combination with Different Irrigation Techniques: A Microtomographic Study. Materials (Basel). 2020;13.
  • 22. Kandaswamy D, Venkateshbabu N. Root canal irrigants. J Conserv Dent. 2010;13:256-64.
  • 23. Ram Z. Effectiveness of root canal irrigation. Oral Surg Oral Med Oral Pathol. 1977;44:306-12.
  • 24. Armengol V, Jean A, Rohanizadeh R, Hamel H. Scanning electron microscopic analysis of diseased and healthy dental hard tissues after Er:YAG laser irradiation: in vitro study. J Endod. 1999;25:543-6.
  • 25. Paghdiwala AF. Does the laser work on hard dental tissue? J Am Dent Assoc. 1991;122:79-80.
  • 26. Kivanc BH, Ulusoy OI, Gorgul G. Effects of Er:YAG laser and Nd:YAG laser treatment on the root canal dentin of human teeth: a SEM study. Lasers Med Sci. 2008;23:247-52.
  • 27. Brugnera A, Jr., Zanin F, Barbin EL, Spano JC, Santana R, Pecora JD. Effects of Er:YAG and Nd:YAG laser irradiation on radicular dentine permeability using different irrigating solutions. Lasers Surg Med. 2003;33:256-9.
  • 28. Meire MA, Poelman D, De Moor RJ. Optical properties of root canal irrigants in the 300-3,000-nm wavelength region. Lasers Med Sci. 2014;29:1557-62.
  • 29. Laky M, Volmer M, Arslan M, Agis H, Moritz A, Cvikl B. Efficacy and Safety of Photon Induced Photoacoustic Streaming for Removal of Calcium Hydroxide in Endodontic Treatment. Biomed Res Int. 2018;2018:2845705.
  • 30. Kaptan F, Karapinar-Kazandag M, Kayahan MB, Bora T, Bayirli G. Potential of an Er:YAG laser in the removal of calcium hydroxide from root canals. Photomed Laser Surg. 2012;30:250-4.
  • 31. Walsh LJ. The current status of laser applications in dentistry. Aust Dent J. 2003;48:146-55; quiz 98.
  • 32. Nelson JS, Yow L, Liaw LH, Macleay L, Zavar RB, Orenstein A, et al. Ablation of bone and methacrylate by a prototype mid-infrared erbium:YAG laser. Lasers Surg Med. 1988;8:494-500.
  • 33. George R, Walsh LJ. Apical extrusion of root canal irrigants when using Er:YAG and Er,Cr:YSGG lasers with optical fibers: an in vitro dye study. J Endod. 2008;34:706-8.
  • 34. George R, Meyers IA, Walsh LJ. Laser activation of endodontic irrigants with improved conical laser fiber tips for removing smear layer in the apical third of the root canal. J Endod. 2008;34:1524-7.
  • 35. Hamdan R, Michetti J, Pinchon D, Diemer F, Georgelin-Gurgel M. The XP-Endo Finisher for the removal of calcium hydroxide paste from root canals and from the apical third. J Clin Exp Dent. 2017;9:e855-e60.
  • 36. Donnermeyer D, Wyrsch H, Bürklein S, Schäfer E. Removal of Calcium Hydroxide from Artificial Grooves in Straight Root Canals: Sonic Activation Using EDDY Versus Passive Ultrasonic Irrigation and XPendo Finisher. J Endod. 2019;45:322-26.
  • 37. Harzivartyan S, Hazar AB, Kartal N, Cimilli ZH. Evaluation of different irrigation solutions and activation methods on removing calcium hydroxide. J Dent Sci. 2021;16:700-05.
  • 38. Turkaydin D, Basturk FB, Goker S, Tarcin B, Berker YG, Ovecoglu HS. Efficacy of Endoactivator, CanalBrush, and passive ultrasonic irrigation in the removal of calcium hydroxide paste with iodoform and p-chlorophenol from root canals. Niger J Clin Pract. 2020;23:1237-42.
  • 39. Rodig T, Vogel S, Zapf A, Hulsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J. 2010;43:519-27.
  • 40. Salgado RJ, Moura-Netto C, Yamazaki AK, Cardoso LN, de Moura AA, Prokopowitsch I. Comparison of different irrigants on calcium hydroxide medication removal: microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:580-4.
  • 41. Neelakantan P, Sriraman P, Gutmann JL. Removal of calcium hydroxide intracanal medicament by different irrigants and irrigating techniques: a cone beam computed tomography analysis. Gen Dent. 2017;65:45-49.
  • 42. Lukač N, Jezeršek M. Amplification of pressure waves in laser-assisted endodontics with synchronized delivery of Er:YAG laser pulses. Lasers Med Sci. 2018;33:823-33.

EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL

Year 2021, Volume: 31 Issue: 4, 556 - 562, 14.10.2021
https://doi.org/10.17567/ataunidfd.981515

Abstract

Aim: The present study aims to examine the impact of various laser-assisted irrigation activation techniques on the removal of Ca(OH)2 from coronal and apical artificial grooves prepared in canal walls.
Materials and Methods: The root canal instrumentation procedures of sixty extracted mandibular premolar teeth were performed using ProTaper Universal system. The grooves were prepared in the coronal and apical regions of the root canals. Ca(OH)2 was placed into the grooves for 1 week. Teeth were allocated into 4 groups according to the irrigation techniques of EDTA (n=15): needle irrigation, PIPS, Nd:YAG laser, and Er:YAG laser. The percentage of Ca(OH)2 remnants was quantified using image analysing software (Image J). For the statistical analysis, one-way analysis of variance and post-doc LSD tests were used (P = .05).
Results: For apical grooves, PIPS and Er:YAG laser groups were statistically more effective than needle irrigation and Nd:YAG laser groups (P < .05). No significant difference was determined between PIPS and Er:YAG laser groups; needle irrigation and Nd:YAG laser groups (P > .05). For coronal grooves, all of the groups showed statistically similar results (P > .05).
Conclusion: Within the limitations of this laboratory study, Er:YAG laser and PIPS techniques enhanced Ca(OH)2 removal ability of EDTA in apical region.
Key Words: irrigation, laser-assisted irrigation, irrigation activation, calcium hydroxide


Öz
Amaç: Bu çalışma çeşitli lazer destekli irrigasyon aktivasyon tekniklerinin kanal duvarlarında oluşturulmuş koronal ve apical yapay oluklardan kalsiyum hidroksit uzaklaştırma üzerine etkisini incelemeyi amaçlamaktadır.
Gereç ve Yöntem: 60 adet çekilmiş mandibular premolar dişin kök kanal enstrümentasyon işlemleri ProTaper Universal system kullanılarak gerçekleştirildi. Kök kanallarının koronal ve apikal bölgelerinde oluklar hazırlandı. Oluklara bir hafta süreyle Ca(OH)2 yerleştirildi. Dişler EDTA’nın irrigasyon tekniğine gore 4 gruba ayrıldı (n=15): iğne irrigasyonu, PIPS, Nd:YAG lazer, ve Er:YAG lazer. Ca(OH)2 kalıntılarının yüzdesi görüntü analiz yazılımı kullanılarak ölçüldü (Image J). İstatistiksel analiz için tek tönlü varyans analizi ve post-doc LSD testleri kullanıldı (P = .05).
Bulgular: Apikal oluklar için, PIPS ve Er:YAG lazer grupları, iğne irrigasyounu ve Nd:YAG lazer gruplarından istatistiksel olarak daha etkiliydi (P < .05). PIPS ve Er:YAG lazer grupları; iğne irrigasyounu ve Nd:YAG lazer grupları arasında istatistiskel farklılık belirlenmedi (P > .05). Koronal oluklar için, tüm gruplar benzer sonuçlar gösterdi (P > .05).
Sonuç: Bu laboratuvar çalışmasının limitasyonları dahilinde, Er:YAG lazer and PIPS teknikleri EDTA’nın apikal bölgede Ca(OH)2 uzaklaştırma yeteneğini arttırdı.
Anahtar Kelimeler: irrigasyon, lazer destekli irrigasyon, irrigasyon aktivasyonu, kalsiyum hidroksit

References

  • 1. Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J. 2009;59:5-11.
  • 2. Martins Justo A, Abreu da Rosa R, Santini MF, Cardoso Ferreira MB, Pereira JR, Hungaro Duarte MA, et al. Effectiveness of final irrigant protocols for debris removal from simulated canal irregularities. J Endod. 2014;40:2009-14.
  • 3. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J. 2007;40:2-10.
  • 4. Kim D, Kim E. Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - Part I. In vitro studies. Restor Dent Endod. 2014;39:241-52.
  • 5. Kim D, Kim E. Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - Part II. in vivo studies. Restor Dent Endod. 2015;40:97-103.
  • 6. Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod. 2006;32:563-5.
  • 7. van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J. 2007;40:52-7.
  • 8. Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod. 1999;25:85-8.
  • 9. Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J. 2002;35:623-8.
  • 10. Arslan H, Akcay M, Capar ID, Saygili G, Gok T, Ertas H. An in vitro comparison of irrigation using photon-initiated photoacoustic streaming, ultrasonic, sonic and needle techniques in removing calcium hydroxide. Int Endod J. 2015;48:246-51.
  • 11. Jiang LM, Verhaagen B, Versluis M, van der Sluis LW. Evaluation of a sonic device designed to activate irrigant in the root canal. J Endod. 2010;36:143-6.
  • 12. Macedo R, Verhaagen B, Rivas DF, Versluis M, Wesselink P, van der Sluis L. Cavitation measurement during sonic and ultrasonic activated irrigation. J Endod. 2014;40:580-3.
  • 13. Matsumoto H, Yoshimine Y, Akamine A. Visualization of irrigant flow and cavitation induced by Er:YAG laser within a root canal model. J Endod. 2011;37:839-43.
  • 14. Blanken J, De Moor RJ, Meire M, Verdaasdonk R. Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Lasers Surg Med. 2009;41:514-9.
  • 15. Do QL, Gaudin A. The Efficiency of the Er: YAG Laser and PhotonInduced Photoacoustic Streaming (PIPS) as an Activation Method in Endodontic Irrigation: A Literature Review. J Lasers Med Sci. 2020;11:316-34.
  • 16. Montero-Miralles P, Estévez-Luaña R, DeGregorio-González C, Valencia-dePablo O, Jaramillo DE, Cisneros-Cabello R. Effectiveness of Nd:YAG Laser on the elimination of debris and Smear Layer. A comparative study with two different irrigation solution: EDTA and QMix® in addition to NaOCl. J Clin Exp Dent. 2018;10:e70-e74.
  • 17. Bystrom A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol. 1985;1:170-5.
  • 18. Aricioglu B, Hatipoglu O. Comparison of calcium hydroxide removal activities from root canals of new sonic system vibringe and different irrigation systems J Dent Fac Atatürk Uni. 2019;29:407-15.
  • 19. Yang Q, Liu M, Zhu L, Zhang J, Peng B. Comparison of Needle, Ultrasonic, and Laser Irrigation for the Removal of Calcium Hydroxide from Mandibular Molar Root Canals. Photobiomodul Photomed Laser Surg. 2021;39:349-54.
  • 20. Anis Motiwala M, Badar SB, Ghafoor R. Comparison of Two Different Methods in the Removal of Oil-Based Calcium Hydroxide From Root Canal System: A Triple-Blinded Randomised Clinical Trial. Eur Endod J. 2021;6:38-43.
  • 21. Denna J, Shafie LA, Alsofi L, Al-Habib M, AlShwaimi E. Efficacy of the Rotary Instrument XP-Endo Finisher in the Removal of Calcium Hydroxide Intracanal Medicament in Combination with Different Irrigation Techniques: A Microtomographic Study. Materials (Basel). 2020;13.
  • 22. Kandaswamy D, Venkateshbabu N. Root canal irrigants. J Conserv Dent. 2010;13:256-64.
  • 23. Ram Z. Effectiveness of root canal irrigation. Oral Surg Oral Med Oral Pathol. 1977;44:306-12.
  • 24. Armengol V, Jean A, Rohanizadeh R, Hamel H. Scanning electron microscopic analysis of diseased and healthy dental hard tissues after Er:YAG laser irradiation: in vitro study. J Endod. 1999;25:543-6.
  • 25. Paghdiwala AF. Does the laser work on hard dental tissue? J Am Dent Assoc. 1991;122:79-80.
  • 26. Kivanc BH, Ulusoy OI, Gorgul G. Effects of Er:YAG laser and Nd:YAG laser treatment on the root canal dentin of human teeth: a SEM study. Lasers Med Sci. 2008;23:247-52.
  • 27. Brugnera A, Jr., Zanin F, Barbin EL, Spano JC, Santana R, Pecora JD. Effects of Er:YAG and Nd:YAG laser irradiation on radicular dentine permeability using different irrigating solutions. Lasers Surg Med. 2003;33:256-9.
  • 28. Meire MA, Poelman D, De Moor RJ. Optical properties of root canal irrigants in the 300-3,000-nm wavelength region. Lasers Med Sci. 2014;29:1557-62.
  • 29. Laky M, Volmer M, Arslan M, Agis H, Moritz A, Cvikl B. Efficacy and Safety of Photon Induced Photoacoustic Streaming for Removal of Calcium Hydroxide in Endodontic Treatment. Biomed Res Int. 2018;2018:2845705.
  • 30. Kaptan F, Karapinar-Kazandag M, Kayahan MB, Bora T, Bayirli G. Potential of an Er:YAG laser in the removal of calcium hydroxide from root canals. Photomed Laser Surg. 2012;30:250-4.
  • 31. Walsh LJ. The current status of laser applications in dentistry. Aust Dent J. 2003;48:146-55; quiz 98.
  • 32. Nelson JS, Yow L, Liaw LH, Macleay L, Zavar RB, Orenstein A, et al. Ablation of bone and methacrylate by a prototype mid-infrared erbium:YAG laser. Lasers Surg Med. 1988;8:494-500.
  • 33. George R, Walsh LJ. Apical extrusion of root canal irrigants when using Er:YAG and Er,Cr:YSGG lasers with optical fibers: an in vitro dye study. J Endod. 2008;34:706-8.
  • 34. George R, Meyers IA, Walsh LJ. Laser activation of endodontic irrigants with improved conical laser fiber tips for removing smear layer in the apical third of the root canal. J Endod. 2008;34:1524-7.
  • 35. Hamdan R, Michetti J, Pinchon D, Diemer F, Georgelin-Gurgel M. The XP-Endo Finisher for the removal of calcium hydroxide paste from root canals and from the apical third. J Clin Exp Dent. 2017;9:e855-e60.
  • 36. Donnermeyer D, Wyrsch H, Bürklein S, Schäfer E. Removal of Calcium Hydroxide from Artificial Grooves in Straight Root Canals: Sonic Activation Using EDDY Versus Passive Ultrasonic Irrigation and XPendo Finisher. J Endod. 2019;45:322-26.
  • 37. Harzivartyan S, Hazar AB, Kartal N, Cimilli ZH. Evaluation of different irrigation solutions and activation methods on removing calcium hydroxide. J Dent Sci. 2021;16:700-05.
  • 38. Turkaydin D, Basturk FB, Goker S, Tarcin B, Berker YG, Ovecoglu HS. Efficacy of Endoactivator, CanalBrush, and passive ultrasonic irrigation in the removal of calcium hydroxide paste with iodoform and p-chlorophenol from root canals. Niger J Clin Pract. 2020;23:1237-42.
  • 39. Rodig T, Vogel S, Zapf A, Hulsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J. 2010;43:519-27.
  • 40. Salgado RJ, Moura-Netto C, Yamazaki AK, Cardoso LN, de Moura AA, Prokopowitsch I. Comparison of different irrigants on calcium hydroxide medication removal: microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:580-4.
  • 41. Neelakantan P, Sriraman P, Gutmann JL. Removal of calcium hydroxide intracanal medicament by different irrigants and irrigating techniques: a cone beam computed tomography analysis. Gen Dent. 2017;65:45-49.
  • 42. Lukač N, Jezeršek M. Amplification of pressure waves in laser-assisted endodontics with synchronized delivery of Er:YAG laser pulses. Lasers Med Sci. 2018;33:823-33.
There are 42 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Araştırma Makalesi
Authors

Ezgi Doğanay Yıldız This is me

Fatma Durna Yurtseven This is me

Dilek Hançerlioğulları This is me

Publication Date October 14, 2021
Published in Issue Year 2021 Volume: 31 Issue: 4

Cite

APA Doğanay Yıldız, E., Durna Yurtseven, F., & Hançerlioğulları, D. (2021). EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 31(4), 556-562. https://doi.org/10.17567/ataunidfd.981515
AMA Doğanay Yıldız E, Durna Yurtseven F, Hançerlioğulları D. EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL. Ata Diş Hek Fak Derg. October 2021;31(4):556-562. doi:10.17567/ataunidfd.981515
Chicago Doğanay Yıldız, Ezgi, Fatma Durna Yurtseven, and Dilek Hançerlioğulları. “EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31, no. 4 (October 2021): 556-62. https://doi.org/10.17567/ataunidfd.981515.
EndNote Doğanay Yıldız E, Durna Yurtseven F, Hançerlioğulları D (October 1, 2021) EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 4 556–562.
IEEE E. Doğanay Yıldız, F. Durna Yurtseven, and D. Hançerlioğulları, “EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL”, Ata Diş Hek Fak Derg, vol. 31, no. 4, pp. 556–562, 2021, doi: 10.17567/ataunidfd.981515.
ISNAD Doğanay Yıldız, Ezgi et al. “EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31/4 (October 2021), 556-562. https://doi.org/10.17567/ataunidfd.981515.
JAMA Doğanay Yıldız E, Durna Yurtseven F, Hançerlioğulları D. EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL. Ata Diş Hek Fak Derg. 2021;31:556–562.
MLA Doğanay Yıldız, Ezgi et al. “EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 31, no. 4, 2021, pp. 556-62, doi:10.17567/ataunidfd.981515.
Vancouver Doğanay Yıldız E, Durna Yurtseven F, Hançerlioğulları D. EFFICACY OF VARIOUS LASER-ASSISTED IRRIGATION ACTIVATION TECHNIQUES ON CALCIUM HYDROXIDE REMOVAL. Ata Diş Hek Fak Derg. 2021;31(4):556-62.

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