Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Series Volume 5 Issue 12

Laser Assisted Disinfection in Regenerative Endodontics with CBCT Follow Up - Case Series

Divya Doddamani*, Saraswathi V. Naik, Basappa Nadig, Sanjana Ratnakar Kodical, Swapna Shailendra Virdikar and Payel Banerjee

Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, India

*Corresponding Author: Divya Doddamani, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, India.

Received: October 25, 2021; Published: November 15, 2021

Abstract

  Management of necrotic young permanent teeth poses greater endodontic challenge to the clinicians. Regenerative endodontics involves the interplay of three key elements of tissue engineering—stem cells, scaffolds, and growth factors. Along with this, efficient root canal disinfection plays a major role. These procedures rely heavily on root canal disinfection. Traditionally used irrigants and medicaments were reported to show drawbacks. Therefore, the purpose of the report is to present the results of laser assisted disinfection in regenerative endodontic cases. Case series describes about the management of four cases of necrotic young permanent teeth. Cases were treated using laser assisted disinfection method. Blood clot was used as a scaffold and coronal seal was given using Mineral trioxide aggregate and final restoration was placed. Laser assisted disinfection combined with blood clot scaffold systems lead to apical closure and increasing radicular thickness in necrotic young permanent teeth. Laser assisted disinfection has been confirmed as an effective adjunct for root canal disinfection. This is the rarest case series which documents the efficacy of a new disinfection protocol in pulp regeneration which showed quantitative outcome of Regenerative Endodontic Therapy when followed for 12 months with CBCT follow up.

Keywords: Regenerative Endodontics; Laser; Disinfection; Sodium hypochlorite; Tooth Apex

References

  1. Lin Jiacheng., et al. “Regenerative Endodontics versus Apexification in Immature Permanent Teeth with Apical Periodontitis: A Prospective Randomized Controlled Study”. Journal of Endodontics 11 (2017): 1821-1827.
  2. Kim Sahng. “Infection and Pulp Regeneration”. Dentistry Journal1 (2016): 4.
  3. Becerra Patricia., et al. “Histologic Study of a Human Immature Permanent Premolar with Chronic Apical Abscess after Revascularization/Revitalization”. Journal of Endodontics 1 (2014): 133-139.
  4. Vishwanat Lakshmi., et al. “Effect of Bacterial Biofilm on the Osteogenic Differentiation of Stem Cells of Apical Papilla”. Journal of Endodontics 6 (2017): 916-922.
  5. Fouad Ashraf F. “Microbial Factors and Antimicrobial Strategies in Dental Pulp Regeneration”. Journal of Endodontics 9 (2017).
  6. Diogenes Anibal., et al. “An Update on Clinical Regenerative Endodontics”. Endodontic Topics1 (2013): 2-23.
  7. Kahler Bill and Louis M Lin. “A Review of Regenerative Endodontics: Current Protocols and Future Directions”. Journal of Istanbul University Faculty of Dentistry 51 (2017).
  8. Hmud Raghad., et al. “Cavitational Effects in Aqueous Endodontic Irrigants Generated by near-Infrared Lasers”. Journal of Endodontics 2 (2010): 275-278.
  9. GUTKNECHT NORBERT., et al. “Diode Laser Radiation and Its Bactericidal Effect in Root Canal Wall Dentin”. Journal of Clinical Laser Medicine and Surgery2 (2000): 57-60.
  10. El A Ossama R., et al. “Evaluation of the Efficacy of Diode Laser in Maturogenesis of Immature Teeth with Necrotic Pulps: An in Vivo Study “Part One”. Indian Journal of Public Health Research and Dentistry03 (2020): 1387.
  11. Abdel Hafiz Abdel., et al. “Case Report: Single Visit Photo-Activated Disinfection in Regenerative Endodontics”. F1000Research 8 (2020): 1519.
  12. Johns Dexton Antony., et al. “Use of Photoactivated Disinfection and Platelet-Rich Fibrin in Regenerative Endodontics”. Journal of Conservative Dentistry5 (2014): 487.
  13. AAE Clinical Considerations for a Regenerative Procedure Revised 6-8-16, American Association of Endodontics (2016).
  14. Naik RashmiG., et al. “Diode Lasers for Pediatric Endodontics: State-of-the-Art!” Journal of Dental Lasers1 (2017): 7.
  15. Meschi Nastaran., et al. “A Retrospective Case Series in Regenerative Endodontics: Trend Analysis Based on Clinical Evaluation and 2- and 3-Dimensional Radiology”. Journal of Endodontics 10 (2018): 1517-1525.
  16. Liu C., et al. “Long-Term Exposure to pro-Inflammatory Cytokines Inhibits the Osteogenic/Dentinogenic Differentiation of Stem Cells from the Apical Papilla”. International Endodontic Journal 10 (2015): 950-959.
  17. Lin Louis M., et al. “Histologic and Histobacteriologic Observations of Failed Revascularization/Revitalization Therapy: A Case Report”. Journal of Endodontics 2 (2014): 291-295.
  18. Geisler Todd M. “Clinical Considerations for Regenerative Endodontic Procedures”. Dental Clinics of North America3 (2012): 603-626.
  19. Kharchi Adam S.., et al. “Regenerative Endodontic Procedures, Disinfectants and Outcomes: A Systematic Review”. Primary Dental Journal4 (2020): 65-84.
  20. Tunç Hamit., et al. “Evaluation of Low-Level Diode Laser Irradiation and Various IRRIGANT Solutions on the Biological Response of Stem Cells from Exfoliated Deciduous Teeth”. Journal of Photochemistry and Photobiology B: Biology 191 (2019): 156-163.
  21. Gutknecht N., et al. “Bactericidal Effect of a 980-Nm Diode Laser in the Root Canal Wall Dentin of Bovine Teeth”. Journal of Clinical Laser Medicine and Surgery1 (2004): 9-13.
  22. Hmud Raghad., et al. “Cavitational Effects in Aqueous Endodontic Irrigants Generated by near-Infrared Lasers”. Journal of Endodontics 2 (2010): 275-278.
  23. Arslan Hakan., et al. “Effect of Agitation of EDTA with 808-Nanometer Diode Laser on Removal of Smear Layer”. Journal of Endodontics 12 (2013): 1589-1592.
  24. Ruparel Nikita B., et al. “Direct Effect of Intracanal Medicaments on Survival of Stem Cells of the Apical Papilla”. Journal of Endodontics 10 (2012): 1372-1375.
  25. Yilmaz Sehnaz., et al. “The Effect of Antibiotic Pastes on Microhardness of Dentin”. Dental Traumatology 1 (2015): 27-31.
  26. Nagata JY., et al. “Microbial evaluation of traumatized teeth treated with triple antibiotic paste or calcium hydroxide with 2% chlorhexidine gel in pulp revascularization”. Journal of Endodontics 40 (2014): 778-783.
  27. Alshehadat Saaid Ayesh., et al. “Scaff Olds for Dental Pulp Tissue Regeneration: A Review”. International Dental and Medical Journal of Advanced Research - VOLUME 2015 1 (2016): 1-12.

Citation

Citation: Divya Doddamani., et al. “Laser Assisted Disinfection in Regenerative Endodontics with CBCT Follow Up - Case Series". Acta Scientific Dental Sciences 5.12 (2021): 23-28.

Copyright

Copyright: © 2021 Divya Doddamani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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