HOW TO DISINFECT

ROOT CANAL IN AN
APPROPRIATE WAY
USING LASER
TECHNOLOGY:
Fiction and facts
Prof. Roeland De Moor
Questions Asked
 LENTULOSPIRAL

• Cone shaped spiral prevents air bubble inculsions.

• Notches at left allow it to fit into a slow-speed latch
handpiece.
• Atypical left-handed screw threading so that the
application of sealer or cement will flow down the
tip of the spiral when the slow-speed is in forward
mode.

Torres CP, Apicella MJ, Yancich PP, Parker MH. Intracanal placement of calcium hydroxide: a comparison of techniques revisited. J Endod 2004;30:225–7.
Mahajan N, Bansal A. Various obturation methods used in deciduous teeth. Int J Med Dent Sci 2015;4:708-13
Aylard SR, Johnson R. Assessment of filling techniques for primary teeth. Pediatr Dent 1987;9:195-8. 
 LENTULOSPIRAL

INSTRUCTONS:
• Passively placed to the working length
before cement is applied.
• Then coated with the paste
• Introduced into the root canal, and the
paste slowly rotated into the canal.

Disadvantages
• Difficulties in fitting the rubber stop
• Instrument fracture
• Tendency for extrusion beyond the apex

Torres CP, Apicella MJ, Yancich PP, Parker MH. Intracanal placement of calcium hydroxide: a comparison of techniques revisited. J Endod 2004;30:225–7.
Mahajan N, Bansal A. Various obturation methods used in deciduous teeth. Int J Med Dent Sci 2015;4:708-13
Aylard SR, Johnson R. Assessment of filling techniques for primary teeth. Pediatr Dent 1987;9:195-8. 
 Pulp stones

Goga, R., Chandler, N., & Oginni, A. (2008). Pulp stones: a review. International Endodontic Journal, 41(6), 457-
468.
PROPOSED MECHANISM OF FORMATION OF PULP STONES

Localized metabolic dysfunction

trauma

Hyalinization Vascular damage

of injured cells

fibrosis

mineralization (nidus formation)

Growth with time

Pulp stone
Shafer'S Textbook Of Oral Pathology 6Th Edition). Elsevier India, 2009
 HOW TO DISINFECT
ROOT CANAL IN AN
APPROPRIATE WAY
USING LASER
TECHNOLOGY:
Fiction and facts
Prof. Roeland De Moor
 1 st
2 nd

Overview: Clinical:
Laser Technology For Root Laser Activated Irrigation
Canal Disinfection With PIPS AND SWEEPS
BASIC CONCEPTS
LASER-TISSUE INTERACTION
 EFFECTS OF LASER
IRRADIATION

Photochemical Photothermal Photomechanical Photoelectrical

Interaction Interaction Interaction Interaction

Photoacousti
Biostimulation Photodynamic Photoablation Photopyrolysis Photodisruption c interactions Photoplasmolysis
Therapy
 PHOTOCHEMICAL INTERACTION

• Low Power Densities

• Long Pulses

BIOSTIMULATION PHOTODYNAMIC
THERAPY

Low Level Laser Therapy (LLLT)

PHOTOACTIVATED DISINFECTION
 EFFECTS OF LASER
IRRADIATION

Photochemical Photothermal Photomechanical Photoelectrical

Interaction Interaction Interaction Interaction

Photoacoustic
Biostimulation Photodynami Photoablation Photopyrolysis Photodisruption interactions Photoplasmolysis
c Therapy
 PHOTOTHERMAL INTERACTION

• Higher Power Densities

• Shorter Pulses

Photoablation Photopyrolysis

Process of removing material from a

solid (or occasionally liquid) surface
by irradiating it with a laser beam.
 LASERS IN
ENDODONTICS
LASERS IN ENDODONTICS

GOOD ABSORPTION

+
MINIMUM COLLATERAL DAMAGE
Direct Laser Irradiation of Intracanal Fibre Placement
the root canal walls and Movement

ND:YAG 1064 nm

DIODES 810-980 nm
 BACTERICIDAL EFFECT

Death of
Absorbed in the Local Rise in attached
Incident light substrate temperature microorganism
s

Direct
Absorbed by
Incident light damage to
the bacteria
bacterial cell
STUDIES
STUDIES
 CAVITATION
‘Power of Bubble’
CONCLUSION
Why LASERS are better?
THANK
YOU