Effectiveness of KTP laser versus 980 nm diode laser to kill Enterococcus faecalis in biofilms developed in experimentally infected root canals

Aust Endod J. 2015 Apr;41(1):17-23. doi: 10.1111/aej.12057. Epub 2014 Mar 3.

Abstract

This study aimed to evaluate the antibacterial action of KTP (potassium-titanyl-phosphate) laser irradiations (compared with 980 nm diode laser), associated with conventional endodontic procedures, on Enterococcus faecalis biofilms. Fifty-six dental roots with single canals were prepared with Ni-Ti rotary instruments, autoclaved, inoculated with an E. faecalis suspension and incubated for 72 h. They were randomly allocated to control and treatment groups. Laser parameters were as follows: power 2.5 W, Ton 35 ms, Toff 50 ms (KTP laser); power 2.5 W, Ton 30 ms, Toff 30 ms (980 nm diode laser). To evaluate the residual bacterial load, BioTimer Assay was employed. The chemo-mechanical treatment together with laser irradiations (KTP and 980 nm diode lasers) achieved a considerable reduction of bacterial load (higher than 96% and 93%, respectively). Regarding both laser systems, comparisons with conventional endodontic procedures (mortality rate of about 67%) revealed statistically highly significant differences (P ≤ 0.01). This study confirms that laser systems can provide an additional aid in endodontic disinfection.

Keywords: BioTimer Assay; Enterococcus faecalis biofilm; endodontic infections; laser; root canal disinfection.

Publication types

  • Comparative Study

MeSH terms

  • Bacterial Load
  • Biofilms
  • Dental Pulp Cavity / microbiology*
  • Enterococcus faecalis / growth & development*
  • Humans
  • Lasers, Semiconductor / therapeutic use*
  • Lasers, Solid-State / therapeutic use*
  • Root Canal Preparation / methods
  • Treatment Outcome