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Does the Photon-Induced Photoacoustic Streaming Activation of Irrigation Solutions Alter the Dentin Microhardness?

DOI:10.1089/photob.2018.4529 期刊:Photobiomodulation, Photomedicine, and Laser Surgery 出版年份:2019 更新时间:2025-09-23 15:22:29
摘要: Objective: The aim of this in vitro study was to evaluate the efficacy of photon-induced photoacoustic streaming (PIPS) activation of sodium hypochlorite (NaOCl), chlorhexidine (CHX) or ethylenediaminetetraacetic acid (EDTA) on the dentin microhardness and to assess the compositional changes of root dentin. Background data: It is still unclear whether PIPS activation of irrigants alters the dentin microhardness and mineral content of dentin. Materials and methods: Root canals of 72 extracted single-rooted teeth were prepared and teeth were fixed in microcentrifuge tubes with silicone impression material. After setting of the silicone, teeth were removed and split longitudinally in buccolingual direction. One half was used as control (pretreatment) while the other was placed into the tube (posttreatment). Then specimens were divided into six test groups (three with and three without PIPS activation). The irrigants tested were 2.5% NaOCl, 17% EDTA, and 2% CHX. Experimental tooth specimens were irrigated with 6 mL of test solution, with additional PIPS activation applied to the PIPS groups. Then specimens were subjected to Vickers microhardness testing. Percentage change of microhardness was calculated. Energy dispersive X-ray spectroscopy (SEM-EDX) was performed to measure element content. Results: Among the irrigant-alone groups, NaOCl and CHX did not alter the dentin microhardness, whereas statistically lower microhardness values were obtained in EDTA group. Chemical composition of dentin was affected from all irrigants used. PIPS activation led to no additional alteration in dentin microhardness. PIPS significantly increased the phosphorus level in NaOCl group. Conclusions: Dentin microhardness was significantly affected by the irrigation solution, not by the PIPS activation.
作者: Makbule Bilge Akbulut,Arslan Terlemez
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To evaluate the efficacy of photon-induced photoacoustic streaming (PIPS) activation of sodium hypochlorite (NaOCl), chlorhexidine (CHX), or ethylenediaminetetraacetic acid (EDTA) on dentin microhardness and to assess compositional changes in root dentin.

EDTA significantly reduced dentin microhardness, while NaOCl and CHX did not. PIPS activation did not cause additional changes in microhardness but increased phosphorus levels in the NaOCl group. The irrigation solution, not PIPS activation, primarily affects dentin microhardness.

The study is an in vitro model, which may not fully replicate clinical conditions. The use of half-root specimens against silicone could alter fluid dynamics and not represent confined root canal spaces. The sample size and specific conditions (e.g., irrigation time, concentration) may limit generalizability.

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