Effectiveness of Nd:YAG Laser on the elimination of debris and Smear Layer : a comparative study with two different irrigation solution: Edta and qmix® in addition to naocl
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Montero-Miralles, Paloma; Estévez Luaña, Roberto; DeGregorio-González, César; Valencia-dePablo, Oliver; Jaramillo, David E.; Cisneros Cabello, Rafael
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Aquest document és un/a article, creat/da en: 2018
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The aim of this study was to evaluate the effectiveness in dentin debris and smear layer removal from root canal walls using EDTA and QMix® alone and also activated with Nd:YAG laser. 50 single-rooted teeth were instrumented and divided in 5 groups according to irrigation protocol: 17% EDTA, QMix®, Nd:YAG laser alone, and combination of 17% EDTA - Nd:YAG laser and QMix® - Nd:YAG laser. Samples were evaluated using SEM. Statistical analysis was done using Chi-Square Fisher exact test and McNemar test. Dentinal debris analysis showed statistically significant differences when comparing 17% EDTA vs Laser and Laser vs QMix® in combination with Laser at the apical third. The Smear Layer analysis also showed statistically significant differences at the apical third when comparing 17% EDTA vs Laser, QMix® vs QMix® in combination with Laser and Laser vs QMix® in combination with Laser. 17% EDTA was the most efficient irrigant showing the best results. Laser alone was not effective removing either dentinal debris or smear layer.
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