Nd: YAP Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 1: Teeth With Minimal Root Curvature)
2024

Using Nd: YAP Laser to Remove Broken Dental Files

Sample size: 60 publication Evidence: high

Author Information

Author(s): Muacevic Alexander, Adler John R, Namour Amaury, El Mobadder Marwan, Matamba Patrick, Misoaga Lucia, Magnin Delphine, Arany Praveen, Nammour Samir

Primary Institution: Department of Dental Sciences, Faculty of Medicine, University of Liege

Hypothesis

The treatment protocol using Nd: YAP laser will be successful in removing or bypassing fractured instruments in teeth with minimal root curvature.

Conclusion

The Nd: YAP laser protocol is effective for removing fractured Ni-Ti files in teeth with minimal root curvature, achieving a 100% success rate.

Supporting Evidence

  • The Nd: YAP laser achieved a 100% success rate in removing or bypassing fractured Ni-Ti files.
  • 71.66% of cases resulted in bypassing the fractured instrument, while 28.33% achieved total elimination.
  • The average time for bypassing or removing the broken files was 7.463 seconds.
  • Chemical analysis showed significant presence of Ni and Ti residues in the irradiated canal area.

Takeaway

This study shows that a special laser can help dentists remove broken tools from teeth without causing damage, and it works really well.

Methodology

The study used Nd: YAP laser on 66 extracted teeth with notched Ni-Ti files, evaluating success based on complete removal or bypassing of the fractured instruments.

Limitations

The study only included teeth with minimal root curvature and did not compare different tooth types.

Participant Demographics

Human permanent teeth with minimal root curvature (less than 15 degrees).

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.7759/cureus.75276

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