If root and resection is done during surgical endodontic treatment, newly exposed dentinal tubules form pathways between the canal and the peripheral tissue. Nd:YAG laser was used to block this phenomenon, and its effect was studied with dye
penetration
and SEM techniques.
40 intact single rooted teeth were divided into 4 groups(10 each) : control group and test groups, in which retrograde cavity surface, cutting surface, retrograde cavity surface & cutting surface were treated with laser(1watt 15pps) and finally
retrograde filling with IRM was conducted. After that, they were stained with 2% methylene blue, sectioned and evaluated by the maximum infiltration depth.
And to observe surface change, they were prepared for SEM.
@ES The results were as follows;
@EN 1. All experimental groups showed microleakage with variation in amount.
2. The 2nd group which treated both the retrograde cavity and cutting surface showed significantly less microleakage than the other groups(p<0.05). There was no significant difference between groups treated on one side only.
3. As a result of SEM observation of dentin surface, obstruction of dentinal tubules with marble shaped granules, which were different from normal dentin could be seen. Cracks could be seen also.
4. In summary of this experiment, it is thought that effort to obstruct the exposed dentinal tubules as well as retrograde cavity after root end resection is needed.
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