Inability of laser and rotary instrumentation to eliminate root canal infection

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Inability of laser and rotary instrumentation to eliminate root canal infection
J Am Dent Assoc, Vol 137, No 1, 67-70.
D. Jha, DDS, A. Guerrero, DDS, T. Ngo, DDS, A. Helfer, DDS, MSD and G. Hasselgren, DDS, PhD

Background. The authors evaluated the antibacterial effectiveness of laser instrumentation and rotary instrumentation of anterior, single-rooted teeth infected with Enterococcus faecalis.

Methods. The authors divided 35 infected samples into five groups: Group A: inoculation, laser, 17 percent ethylene-diamine-tetra-acetate (EDTA), 2.5 percent sodium hypochlorite (NaOCl) (n = 10); Group B: inoculation, laser, 17 percent EDTA, sterile saline (n = 10); Group C: inoculation, rotary, 17 percent EDTA, 2.5 percent NaOCl (n = 10); Group D: inoculation, no instrumentation (positive control) (n = 5); Group E: no inoculation, no instrumentation (negative control) (n = 5). They sampled and incubated dentin shavings from each canal for bacterial growth.

Results. In Group A, eight tubes were positive for bacterial growth. In Group B, 10 tubes were positive for bacterial growth. In Group C, six tubes were positive for bacterial growth. In Group D, all of the tubes were positive for bacterial growth. In Group E, no tubes showed bacterial growth. The Fisher exact test showed no significant differences among groups A, B and C.

Conclusion. Neither the laser nor the rotary instrumentation was able to eliminate endodontic infection.

Clinical Implications. Although lasers have been presented as high-tech tools for disinfecting root canals, the laser was ineffective in this study.

Key Words: Laser; root canal disinfection; root canal instrumentation
© 2006 American Dental Association