Immediate root canal disinfection with ultraviolet light: an ex vivo feasibility study

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Sep;104(3):425-33. doi: 10.1016/j.tripleo.2007.03.027.

Abstract

Objective: The study was designed to test application of ultraviolet light to root canal walls, as a mean of complementary immediate disinfection after the use of sodium hypochlorite.

Study design: Root canals were infected ex vivo with Enterococcus faecalis for 48 hours. Non-attached bacteria were washed away, and the remaining attached bacteria were subjected to disinfection, with 5% sodium hypochlorite alone or followed by exposure to ultraviolet light (254 nm, 300 mJ/cm(2)). Root canals were then tested for remaining viable bacteria. Canals were obturated and tested again after 14 days.

Results: Sodium hypochlorite alone achieved negative cultures in only 47% of the cases, but 96% was achieved with sodium hypochlorite followed by ultraviolet light (P < .001). This status was also maintained after 14 days.

Conclusions: Illumination of root canals with ultraviolet light may be an effective supplementary means to achieve immediate disinfection of infected root canals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Combined Modality Therapy / methods*
  • Dental Pulp Cavity / microbiology*
  • Dental Pulp Cavity / radiation effects
  • Dentin / radiation effects
  • Disinfection / methods*
  • Enterococcus faecalis / radiation effects*
  • Feasibility Studies
  • Humans
  • Stem Cells / drug effects
  • Ultraviolet Therapy / methods*