evaluation of periapical safety of various laser-activated irrigation protocols using a quantitative assessment method.

CONTEXT

Successful root canal treatment (RCT) depends on effective irrigant activation to enhance disinfection and minimize the risk of apical periodontitis. Laser-activated irrigation (LAI) has shown promise; however, its periapical safety remains to be fully evaluated.

AIMS

The aim of this study was to assess and compare the periapical safety of erbium:yttrium-aluminum-garnet (Er: YAG) and diode laser irrigation protocols with passive ultrasonic irrigation (PUI) during RCT.

SETTINGS AND DESIGN

This was a quantitative experimental study.

METHODS

Sixty-six extracted human single-rooted teeth were standardized and fixed into a 96-well plate containing 300 μL of a pH indicator solution. Teeth were randomly allocated to three groups: PUI, diode laser, and Er: YAG laser. Irrigation with 5.25% sodium hypochlorite (NaOCl) was activated using the designated technique. Apical extrusion of NaOCl was quantified using ELISA-based spectrophotometry.

STATISTICAL ANALYSIS USED

Kruskal-Wallis and pairwise comparison tests were performed ( < 0.05).

RESULTS

All groups showed apical extrusion. The Er: YAG group had significantly less extrusion than the diode and PUI groups ( < 0.05).

CONCLUSIONS

Within the study's limitations, Er: YAG and diode LAI reduced apical NaOCl extrusion compared to PUI, indicating improved periapical safety. Further clinical studies are needed.