Investigations of the Antimicrobial Effectiveness of Different Disinfection Protocols Against Endodontic Pathogens in Root Canal Systems

Objective: To compare the antimicrobial effectiveness of erbium-doped yttrium-aluminum-garnet (Er: YAG) laser, ozone therapy, photodynamic therapy (PDT), and sodium hypochlorite against endodontic pathogens. Methods: Standardized root canal models inoculated with Enterococcus faecalis, Pseudomonas a...

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Main Authors: Hitesh Chohan, Sanjana Khullar, Ria H Patel, Jyotirmayee Rath, Sameera Mohammed, Savadamoorthi Kamatchi Subramani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1116_24
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Summary:Objective: To compare the antimicrobial effectiveness of erbium-doped yttrium-aluminum-garnet (Er: YAG) laser, ozone therapy, photodynamic therapy (PDT), and sodium hypochlorite against endodontic pathogens. Methods: Standardized root canal models inoculated with Enterococcus faecalis, Pseudomonas aeruginosa, and Candida albicans were treated with Er: YAG laser, 5.25% NaOCl, ozone, or PDT with methylene blue. Microbial loads, treatment time, and depth of penetration were assessed. Results: Er: YAG laser demonstrated the highest efficacy against Enterococcus faecalis and Pseudomonas aeruginosa, followed by PDT. Effects on Candida albicans were not statistically significant across treatments. Er: YAG achieved the greatest depth of penetration, while PDT required the longest application time. Conclusions: Laser and photodynamic therapies show promise as alternatives to traditional chemical disinfection in endodontics, potentially improving treatment outcomes. Further research is needed to optimize these protocols for clinical use.
ISSN:0976-4879
0975-7406