Characteristics of the Irrigant Flow in a Simulated Lateral Canal Under Two Typical Laser-Activated Irrigation Regimens

© 2020 Wiley Periodicals LLC..

BACKGROUND AND OBJECTIVES: Photon-induced photoacoustic streaming (PIPS) and shockwave-enhanced emission photoacoustic streaming (SWEEPS) are two promising laser-activated irrigation (LAI) methods for root canal irrigation. Their performance in driving irrigant flush in a complex root canal system will be evaluated by microscale particle image velocimetry (μPIV) measurement and will be compared with that of ultrasonic-activated irrigation (UAI).

STUDY DESIGN/MATERIALS AND METHODS: A μPIV system with 7 μm fluorescent tracer particles was adopted to measure two-dimensional (2D) velocity fields around the junction region, with a size of 1.8 mm × 1.5 mm, between one main canal and one lateral canal in an endodontic training block, which was driven by SWEEPS (Er:YAG laser) operating at 15 Hz and 20 mJ. The flow field driven by PIPS (Er:YAG laser) at the same frequency and energy, as well as by UAI (with non-cutting insert) operating at 40% unit power, was also measured for a direct comparison.

RESULTS: It was found that both SWEEPS and PIPS can activate a so-called "breath mode" during the irrigation. Namely, the induced irrigant flush presented a back-and-forth oscillation along both the main canal and the lateral one. The maximum flow speed in the lateral canal was observed to be up to 10 m/s in the SWEEPS modality, while reduced to around 7 m/s in the PIPS modality. The penetration length in the lateral canal in both modalities was estimated to be larger than 1 mm. In comparison, the flow field induced by UAI was characterized as irregular vortical structures, the maximum flow speed in the lateral canal was 0.15 m/s and significantly lower than LAI (P < 0.01), and the penetration length was less than 300 μm and lower than LAI (P < 0.05).

CONCLUSION: Compared to UAI, PIPS, and SWEEPS are more capable of delivering the irrigant deeper into the lateral canal. Furthermore, the back-and-forth flush in the breath mode is ideal for removing debris during irrigation. Lasers Surg. Med. © 2020 Wiley Periodicals LLC.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - year:2020

Enthalten in:

Lasers in surgery and medicine - (2020) vom: 10. Sept.

Sprache:

Englisch

Beteiligte Personen:

Su, Zheng [VerfasserIn]
Li, Zhibo [VerfasserIn]
Shen, Ya [VerfasserIn]
Bai, Yuhao [VerfasserIn]
Zheng, Ying [VerfasserIn]
Pan, Chong [VerfasserIn]
Hou, Benxiang [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Lateral canal
Microscale particle image velocimetry
Photon‐induced photoacoustic streaming
Shockwave‐enhanced emission photoacoustic streaming
Ultrasonic‐activated irrigation

Anmerkungen:

Date Revised 22.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1002/lsm.23317

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315356537