Download PDF
ZWR - Das Deutsche Zahnärzteblatt 2013; 122(6): 308-311
DOI: 10.1055/s-0033-1347096
Fortbildung
Endodontie
© Georg Thieme Verlag Stuttgart · New York

Laserunterstützte Wurzelkanaldesinfektion

T Schwarze
Further Information

Publication History

Publication Date:
16 July 2013 (online)

Also available at
    Permissions and Reprints

Als der amerikanische Physiker Theodore Harold Maiman 1960 den ersten funktionstüchtigen Laser vorstellte [1], befürchtete er, so lautet eine häufig zitierte Anekdote, „eine Lösung für ein noch zu suchendes Problem“ entwickelt zu haben. Vor 50 Jahren bestanden erhebliche Zweifel daran, ob sich je eine praktische Nutzanwendung für Laserlicht finden ließe. Heute sind solche Zweifel zwar längst ausgeräumt, aber die Suche nach sinnvollen Anwendungsmöglichkeiten für den Laser geht weiter, auch in der Zahnmedizin.

 

  • Literatur

  • 1 Maiman TH. Stimulated optical radiation in ruby. Nature 1960; 187: 493-494
    CrossrefPubMedGoogle Scholar
  • 2 Hopp M, Bogusch G, Biffar R. Lasereinsatz in der Endodontie. LaserZahnheilkunde 2006; 3: 49-63
    PubMedGoogle Scholar
  • 3 Byström A, Sundqvist G. The antibacterial action of sodium hypochlorite and EDTA in 60 cases of endodontic therapy. Int Endod J 1985; 18: 35-40
    CrossrefPubMedGoogle Scholar
  • 4 Wu MK, Dummer PMH, Wesselink P. Consequences of and strategies to deal with residual post-treatment root canal infection. Int Endod J 2006; 39: 343-356
    CrossrefPubMedGoogle Scholar
  • 5 Wu MK, Sluis van der LWM, Wesselink PR. The capability of two hand instrumentation techniques to remove the inner layer of dentine in oval canals. Int Endod J 2003; 36: 218-224
    CrossrefPubMedGoogle Scholar
  • 6 Svensäter G, Bergenholtz G. Biofilms in endodontic infections. Endod Topics 2004; 9: 27-36
    CrossrefPubMedGoogle Scholar
  • 7 Zehnder M, Guggenheim B. The mysterious appearance of enterococci in filled root canals. Int Endod J 2009; 42: 277-287
    CrossrefPubMedGoogle Scholar
  • 8 Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004; 30: 559-567
    CrossrefPubMedGoogle Scholar
  • 9 Bach G. Laserzahnheilkunde – ein Arbeitsbuch für die tägliche Praxis. Balingen: Spitta; 2007
    Google Scholar
  • 10 Gordon W, Atabakhsh VA, Meza F. The antimicrobial efficacy of the erbium, Chromium:yttrium-scandium-gallium-garnet laser with radial emitting tips on root canal dentin walls infected with Enterococcus faecalis. J Am Dent Assoc 2007; 138: 992-1002
    CrossrefPubMedGoogle Scholar
  • 11 Busch M, Haak R, Jentsch H. Antibakterielle photodynamische Therapie im Rahmen der Wurzelkanalbehandlung. ZWR 2011; 120-120
    PubMedGoogle Scholar
  • 12 Rödig T. Laseraktivierte Wurzelkanalspülung. Endodontie 2012; 21: 307-3016
    PubMedGoogle Scholar
  • 13 Peters OA, Bardsley S, Fong J et al. Disinfection of root canals with photon-initiated photoacoustic streaming. J Endod 2011; 37: 1088-1012
    PubMedGoogle Scholar
  • 14 Schoop U, Kluger W, Moritz A et al. Bacterial effect of different laser systems in the deep layers of dentin. Lasers Surg Med 2004; 35: 111-116
    CrossrefPubMedGoogle Scholar
  • 15 Bronnec F, Bouillaguet S, Machtou P. Ex vivo assessment of irrigant penetration and renewal during the cleaning and shaping of root canals: a digital subtraction radiographic study. Int Endod J 2010; 43: 275-292
    CrossrefPubMedGoogle Scholar
  • 16 Sluis van der LWM, Versluis M, Wu MK et al. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J 2007; 40: 415-426
    CrossrefPubMedGoogle Scholar
  • 17 Berutti E, Marini R, Angeretti A. Penetration ability of different irrigants into dentinal tubules. J Endod 1997; 23: 725-727
    CrossrefPubMedGoogle Scholar
  • 18 Hülsmann M. Desinfektion des endodontischen Systems. Endodontie 2006; 15: 147-168
    PubMedGoogle Scholar
  • 19 Violich DR, Chandler NP. The smear layer in endodontics – a review. Int Endod J 2010; 43: 2-15
    CrossrefPubMedGoogle Scholar
  • 20 Moritz A, Doertbudak O, Gutknecht N et al. NdYAG laser irradiation of infected root canals in combination with microbiological examinations. J Am Dent Assoc 1997; 128: 1525-1530
    CrossrefPubMedGoogle Scholar
  • 21 Meire MA, Coenye T, Nelis HJ et al. Evaluation of Nd:YAG and Er:YAG irradiation, antbacterial photodynamic therapy and sodium hypochlorite treatment on Enterococcus faecalis biofilms. Int Endod J 2012; 45: 482-491
    CrossrefPubMedGoogle Scholar
  • 22 Meire MA, De Prijck K, Coenye T et al. Effectiveness of different laser systems to kill Enterococcus faecalis in aqueous suspension and in infected tooth model. Int Endod J 2009; 42: 351-359
    CrossrefPubMedGoogle Scholar
  • 23 Eldeniz AU, Ozer F, Hadimli HH et al. Bactericidal efficacy of Er,Cr:YSGG laser irradiation against Enterococcus faecalis compared with NaOCl irrigation: an ex vivo pilot study. Int Endod J 2006; 40: 112-119
    PubMedGoogle Scholar
  • 24 Matsumoto H, Yoshimine Y, Akamine A. Visualization of irrigant flow and cavitation induced by Er:YAG laser within a root canal model. J Endod 2011; 37: 839-843
    CrossrefPubMedGoogle Scholar
  • 25 De Groot SD, Verhaagen B, Versluis M et al. Laser-activated irrigation within root canals: cleaning efficacy and flow visualization. Int Endod J 2009; 42: 1077-1083
    CrossrefPubMedGoogle Scholar
  • 26 De Moor RJ, Meire M, Goharhay K et al. Efficacy of ultrasonic versus laser-activated irrigation to remove artificial placed dentin debris plugs. J Endod 2010; 36: 1580-1583
    CrossrefPubMedGoogle Scholar
  • 27 DiVito E, Peters OA, Olivi G. Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation. Laser Med Sci 2012; 27: 273-280
    CrossrefPubMedGoogle Scholar
  • 28 Pedulla E, Genovese C, Campagn E et al. Decontamination of photon-initiated photoacoustic streaming (PIPS) of irrigants using low-energy laser settings: an ex vivo study. Int Endod J 2012; 45: 865-870
    CrossrefPubMedGoogle Scholar
  • 29 Bago I, Plecko V, Gabric Panduric D et al. Antimicrobial efficacy of a high-power diode laser, photo-activated disinfection, conventional and sonic activated irrigation during root canal treatment. Int Endod J 2013; 46: 339-347
    CrossrefPubMedGoogle Scholar
  • 30 Fransson H, Larsson KM, Wolf E. Efficacy of lasers as an adjunct to chemo-mechanical disinfection of infected root canals: a systematic review. Int Endod J 2013; 46: 296-307
    CrossrefPubMedGoogle Scholar