Laserski aktivirano ispiranje korijenskih kanala

master's thesis

• Title (english): Laser-activated Irrigation of Root Canals
• Author: Marta Lulić
• Mentor: Anja Baraba (mentor)
• Committee member: Anja Baraba (predsjednik povjerenstva)
• Committee member: Ivana Miletić (član povjerenstva)
• Committee member: Eva Klarić Sever (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Endodontics and Restorative Dentistry); Zagreb
• Defense date and country: 2016-09-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Konvencionalnom kemomehaničkom obradom korijenskih kanala nije
moguće u potpunosti očistiti zidove korijenskih kanala od zaostatnog sloja i debrisa s
bakterijama. Zato su se razvili različiti sustavi za aktivaciju sredstva za ispiranje, od
kojih su najnoviji laseri. LAI je metoda aktivacije sredstva za ispiranje stvaranjem
kavitacijskih mjehurića i agitacijom tekućine čime sredstva za ispiranje mogu doseći
teško dostupna područja i tamo djelovati antimikrobno ili ukloniti zaostatni sloj.
U ovome radu obrađen je slučaj traume gornjeg lijevog lateralnog sjekutića s
velikom periapikalnom radiolucencijom koja je bila vidljiva na RTG snimci. Zub je
nakon mehaničke instrumentacije Reciproc instrumentom R50 dezinficiran LAI
tehnikom, Er, Cr: YSGG laserom, valne duljine 2780 nm, koničnim RFT2
nastavkom uz fiziološku otopinu kao sredstvo za ispiranje. Nakon toga je zub
obturiran biokeramičkim punilom i odgovarajućom Reciproc R50 gutaperkom te je
pristupni kavitet zatvoren staklenoionomernim ispunom (Equia Fil). Stari kompozitni
ispun zamijenjen je novim ispunom. Na kontrolnoj RTG snimkci nakon 6 mjeseci
vidi se cijeljenje periapikalnog procesa.
Odgovarajuća mehanička obrada i dezinfekcija korijenskih kanala važni su za
uspjeh endodontskog liječenja zuba. U opisanom prikazu slučaja, nakon strojne
instrumentacije korijenskoga kanala zuba 22, dezinfekcije Er, Cr: YSGG laserom,
punjenja te izrade trajnog ispuna, nakon šest mjeseci vidljivo je cijeljenje
periapikalnog procesa, a zub je klinički asimptomatski.

Abstract (english)

It is not possible to fully clean the walls of the root canal from the smear layer and
bacteria-filled debris with a conventional chemo-mechanical root canal treatment.
Therefore, various systems for the activation of irrigants are being developed, the
most recent of which is lasers. The LAI method activates irrigants by creating
cavitation bubbles and agitating the irrigants which reach areas difficult to access,
have an antimicrobial effect and remove the smear layer.
This paper describes a case of trauma of the upper left lateral incisor, with a large
periapical radiolucency visible on an X-ray image. After a mechanical
instrumentation with the R50 reciprocating instrument, the tooth was disinfected with
the LAI technique and the Er, Cr: YSGG laser of a 2780 nm wavelength, using
conical RFT2 fiber with saline. The tooth was obturated with a bioceramic sealer and
the appropriate Reciproc R50 gutta-percha, while the access cavity was sealed with a
glass ionomer filling (Equia Fil). The old composite filling was removed and a new
one was made. A control X-ray after 6 months showed the healing of the periapical
area.
A suitable mechanical treatment and the disinfection of root canals are important
for the success of the endodontic treatment of teeth. In the present case report,
following mechanical instrumentation of the root canal of tooth #22, disinfection
with Er, Cr: YSGG laser, obturation and permanent filling, the healing of the
periapical area is visible after six months and the tooth is clinically asymptomatic.

• Keywords: korijenski kanal liječenje; korijensko ispiranje; laseri
• Keywords (english): root canal therapy; therapeutic irrigation; lasers
• Language: croatian
• URN:NBN: urn:nbn:hr:127:446308
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-11-11 09:04:29