Department of Conservative Dentistry and Endodontics, Manav Rachna Dental College, Sector - 43, Delhi, Suraj Kund Badkhal Rd, Faridabad, Haryana, 121004, India.
Lasers Med Sci. 2023 Mar 1;38(1):81. doi: 10.1007/s10103-023-03742-0.
Elimination of Enterococcus faecalis is vital during root canal treatment. Owing to their antimicrobial properties, laser-activated nanoparticles (NPs) have been used in root canal irrigation in the recent past. The aim of this review is to conduct a qualitative analysis of the published data evaluating the antibacterial efficacy of laser-activated nanoparticles in the elimination of E. faecalis from the root canal system. Considering all the papers published till August 2022, a search of the databases PubMed, SCOPUS, and EBSCOhost was conducted. All the articles that were published in English were included. The review process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The risk of bias was assessed after the extraction of the data. After screening the distinguished 51 studies according to the inclusion criteria, five in vitro studies were included for the systematic review. A systematic review of the selected studies showed a positive impact on E. faecalis load reduction following irrigation with nanoparticles irradiated using lasers. Laser-activated nanoparticles have shown superior antibacterial efficacy compared to conventional irrigation techniques and may be used as an alternative for root canal disinfection.
在根管治疗过程中，消除粪肠球菌至关重要。由于其抗菌特性，激光激活纳米颗粒（NPs）在最近的根管冲洗中得到了应用。本综述的目的是对已发表的评估激光激活纳米颗粒在从根管系统中消除粪肠球菌的抗菌功效的数据进行定性分析。考虑到截至 2022 年 8 月发表的所有论文，在 PubMed、SCOPUS 和 EBSCOhost 数据库中进行了检索。所有发表的英文文章都包括在内。该综述过程遵循系统评价和荟萃分析的首选报告项目清单进行指导。在提取数据后评估了偏倚风险。根据纳入标准筛选出 51 项有区别的研究后，纳入了五项体外研究进行系统评价。对选定研究的系统评价表明，在用激光照射的纳米颗粒冲洗后，粪肠球菌负荷减少有积极影响。激光激活纳米颗粒显示出比传统冲洗技术更好的抗菌功效，可作为根管消毒的替代方法。
