Download PDF
ZWR - Das Deutsche Zahnärzteblatt 2018; 127(06): 288-293
DOI: 10.1055/a-0624-4552
Fortbildung | Endodontie
Georg Thieme Verlag KG Stuttgart · New York

Die photoneninduzierte photoakustische Spülmethode (PIPS/SWEEPS) in der klinisch-endodontischen Anwendung

Johannes-Simon Wenzler
,
Roland Frankenberger
,
Andreas Braun
Further Information

Publication History

Publication Date:
20 June 2018 (online)

Also available at
    Permissions and Reprints

Die herkömmliche Wurzelkanalbehandlung sieht eine chemomechanische Aufbereitung unter Spülung mit Natriumhypochlorit, Ethylendiamintetraessigsäure und Chlorhexidindigluconat vor. Eine vollständige Elimierung der Keime im Wurzelkanalsystem ist diesen bewährten Spüllösungen jedoch nicht möglich. Unterstützend kommen daher während der systematischen endodontischen Behandlung weitere Therapieoptionen, wie zum Beispiel die photoneninduzierte photoakustische Spülmethode (PIPS) zum Einsatz. Diese neuartige laseraktivierte Spülmethode könnte einen Fortschritt hinsichtlich der Keimzahlreduktion, sowie der Biofilm- und Debrisdesintegration sein.
 

  • Literatur

  • 1 Wenzler J-S, Frankenberger R, Braun A. Integration eines 445-nm-Halbleiterlasers in die systematische endodontische Behandlung. ZWR 2017; 126: 370-374 doi:10.1055/s-0043-112180
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Hülsmann M, Heckendorff M, Lennon A. Chelating agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36: 810-830
    CrossrefPubMedGoogle Scholar
  • 3 Prati C, Selighini M, Ferrieri P. et al. Scanning electron microscopic evaluation of different endodontic procedures on dentin morphology of human teeth. J Endod 1994; 20: 174-179
    CrossrefPubMedGoogle Scholar
  • 4 Kockapan C. Curriculum Endodontie. 1. Aufl.. Berlin: Quintessenz; 2003
    Google Scholar
  • 5 Sjögren U, Figdor D, Persson S. et al. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J 1997; 30: 297-306
    CrossrefPubMedGoogle Scholar
  • 6 Blome B, Braun A, Sobarzo V. et al. Molecular identification and quantification of bacteria from endodontic infections using real-time polymerase chain reaction. Oral Microbiol Immunol 2008; 23: 384-390
    CrossrefPubMedGoogle Scholar
  • 7 Arneiro RA, Nakano RD, Antunes LA. et al. Efficacy of antimicrobial photodynamic therapy for root canals infected with Enterococcus faecalis. J Oral Sci 2014; 56: 277-285
    CrossrefPubMedGoogle Scholar
  • 8 Nakamura VC, Pinheiro ET, Prado LC. et al. Effect of ultrasonic activation on the reduction of bacteria and endotoxins in root canals: a randomized clinical trial. Int Endod J 2018; (Suppl. 01) e12-e22
    PubMedGoogle Scholar
  • 9 Cachovan G, Schiffner U, Altenhof S. et al. Comparative antibacterial efficacies of hydrodynamic and ultrasonic irrigation systems in vitro. J Endod 2013; 39: 1171-1175
    CrossrefPubMedGoogle Scholar
  • 10 Jaramillo D, Aguilar E, Arias A. et al. Root canal disinfection comparing conventional irrigation vs. photon-induced photoacoustic streaming (PIPS) using a buffered 0.5 % sodium hypochlorite solution. Evidence-Based Endodontics 2016; 1: 6
    PubMedGoogle Scholar
  • 11 Hauser V, Braun A, Frentzen M. Penetration depth of a dye marker into dentine using a novel hydrodynamic system (RinsEndo®). Int Endodon J 2017; 40: 644-652
    PubMedGoogle Scholar
  • 12 Blanken J, De Moor R, Meire M. et al. Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Lasers Surg Med 2017; 41: 514-519
    PubMedGoogle Scholar
  • 13 Lukac N, Muc B, Jezersek M. et al. Photoacoustic Endodontics Using the Novel SWEEPS Er:YAG Laser Modality. J Laser Health Academy 2017; 1: 01-07
    PubMedGoogle Scholar
  • 14 Koukouvinis P, Bruecker C, Gavaises M. Unveiling the physical mechanism behind pistol shrimp cavitation. Sci Rep 2017; 7: 13994
    CrossrefPubMedGoogle Scholar
  • 15 Olivi G, DiVito E. Photoacoustic Endodontics using PIPS™: experimental background and clinical protocol. J Laser Health Academy 2017; 1: 22-25
    PubMedGoogle Scholar
  • 16 Peters OA, Bardsley S, Fong J. et al. Disinfection of root canals with photon-initiated photoacoustic streaming. J Endod 2011; 37: 1008-1012
    CrossrefPubMedGoogle Scholar
  • 17 Zhu X, Yin X, Chang J. et al. Comparison of the Antibacterial Effect and Smear Layer Removal Using Photon-Initiated Photoacoustic Streaming Aided Irrigation Versus a Conventional Irrigation in Single-Rooted Canals: An In VitroStudy. Photomed Laser Surg 2013; 31: 371-377
    CrossrefPubMedGoogle Scholar
  • 18 Berutti E, Marini R, Angeretti A. Penetration ability of different irrigants into dentinal tubules. J Endod 1997; 23: 725-727
    CrossrefPubMedGoogle Scholar
  • 19 Vatkar NA, Hegde V, Sathe S. Vitality of Enterococcus faecalis inside dentinal tubules after five root canal disinfection methods. J Conserv Dent 2016; 19: 445-449
    CrossrefPubMedGoogle Scholar
  • 20 Olivi G, DiVito E, Peters O. et al. Disinfection efficacy of photon-induced photoacoustic streaming on root canals infected with Enterococcus faecalis: an ex vivo study. J Am Dent Assoc 2014; 145: 843-848
    CrossrefPubMedGoogle Scholar
  • 21 Franzen R, Al Hassan N, Conrads G. et al. Der 445 nm Diodenlaser in der Endodontie. Erste In-vitro-Ergebnisse. Int Mag Laser Dent 2016; 8: 45
    PubMedGoogle Scholar
  • 22 Mathew J, Emil J, Paulaian B. et al. Viability and antibacterial efficacy of four root canal disinfection techniques evaluated using confocal laser scanning microscopy. J Conserv Dent 2014; 17: 444-448
    CrossrefPubMedGoogle Scholar
  • 23 Ozses Ozkaya B, Gulsahi K, Ungor M. et al. A Comparison of Er:YAG Laser with Photon-Initiated Photoacoustic Streaming, Nd:YAG Laser, and Conventional Irrigation on the Eradication of Root Dentinal Tubule Infection by Enterococcus faecalis Biofilms: A Scanning Electron Microscopy Study. Scanning 2017; 2017: 6215482 doi:10.1155/2017/6215482
    CrossrefPubMedGoogle Scholar