Lasers in Endodontics: Scientific Background and Clinical Applications

297 Pages·2016·5.47 MB·English

by  Giovanni Olivi

Lasers in
Endodontics
Scientifi c Background
and Clinical Applications
Giovanni Olivi
Roeland De Moor
Enrico DiVito
Editors
123
Lasers in Endodontics

Giovanni Olivi (cid:129) R oeland De Moor
Enrico DiVito
Editors
Lasers in Endodontics
Scientifi c Background and Clinical
Applications
Editors
Giovanni Olivi Enrico DiVito
InLaser Rome Arizona School of Dentistry and Oral
Advanced Center for Esthetic Health
and Laser Dentistry Mesa
Rome Arizona
Italy USA
Roeland De Moor
Restorative Dentistry and
Endodontology
Ghent University
Ghent
Belgium
ISBN 978-3-319-19326-7 ISBN 978-3-319-19327-4 (eBook)
DOI 10.1007/978-3-319-19327-4
Library of Congress Control Number: 2016930668
Springer Cham Heidelberg New York Dordrecht London
© Springer International Publishing Switzerland 2016
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Foreword I
T here has been a volcanic eruption of endodontic technology over the past
30 years. This renaissance began in the early 1980s with the introduction of
the dental operating microscope, continued with the development of NiTi
shaping fi les, and was followed by the debut of a remarkable biocompatible
material, MTA. More recently, the transformation has continued with the
advent of CBCT for improved diagnostics, minimally invasive technologies
that promote the maximum preservation of tooth structure, and breakthrough
methods for 3D disinfecting root canal systems , a term fi rst coined by
Professor Herbert Schilder. In conjunction with better-trained general den-
tists and specialists alike, these unprecedented advancements have sparked an
endodontic awakening that predictably successful endodontics is not only
possible, but, with desire, is readily attainable, and the naturally retained root
is the ultimate dental implant.
To this end, it is a pleasure and honor for me to write the Foreword for this
textbook, L aser Applications in Endodontics . The authors, Drs. Giovanni
Olivi, Enrico DiVito, and Roeland De Moor, as well as their impressive con-
tributors, are recognized experts in this subject matter. This book begins by
emphasizing endodontic morphology and anatomy, shaping the root canal,
and the role of irrigation in 3D disinfection. The authors go on to clearly
describe the basic science and physics of lasers and, specifi cally, identify the
different lasers used in endodontics. Various clinical applications of lasers in
endodontics are completely discussed, as well as leading-edge advancements
in laser-activated irrigation. The book’s organization and thoroughness, as
well as the sheer volume of knowledge contained within, makes this effort
unmatched. Each chapter brilliantly balances intelligent scholarly text with
outstanding visual content.
I n every instance, the contributors worked diligently in spite of many other
heavy professional responsibilities. All are teachers and authors of consider-
able note, and many also devote substantial time to clinical practice. They
have contributed with enthusiasm, and their efforts will undoubtedly be
appreciated by any dentist who is committed to exquisitely cleaning root
canal systems. I recommend this book to all dentists who aspire to move ever
closer toward their full potential. Laser applications in endodontics will have
v
vi Foreword I
a profound impact in the coming years; specifi cally, laser-activated irrigation
is creating a genuine opportunity for the fi eld of regenerative endodontics to
accelerate forward. What once seemed the basis of science fi ction is now
clinical reality; the future is now! “W hatever you can do or dream you can ,
begin it. Boldness has genius , power and magic in it !” – Scottish Himalayan
Expedition.
Santa Barbara, CA-USA Clifford J. Ruddle, DDS
Foreword II
I n the most recent years, notable progress has been made in all facets of den-
tistry and even more so in endodontics. The laser has opened new horizons
and improved the possibilities of long-term success for our therapies. In the
fi eld of endodontics, lasers have numerous applications ranging from access
preparation to disinfection, activated irrigation, and even surgical. All these
applications, together with numerous others, are magnifi cently described in
this book authored by doctors Giovanni Olivi, Enrico DiVito, and Roeland
De Moor to which I have the pleasure to recommend to all my colleagues that
wish to learn more about this fascinating branch of endodontics. Also dis-
cussed in this book are the details of various lasers and the principles of phys-
ics that governs them, helping the reader to determine which type is best
suited for their use. I congratulate all the authors of this book for their accu-
racy in writing the chapters and for the clarity in their description of the laws
of physics that form the fundamentals of knowledge for all laser types and for
making this subject easy to read and comprehend. The endodontic literature
was lacking a book of this caliber. I want again to congratulate the authors
and all the collaborators for completing this diffi cult task and sharing with the
readers all their knowledge and clinical experience in this fascinating fi eld of
endodontics.
Florence, Italy Arnaldo Castellucci MD, DDS
vii

Contents
Part I Endodontic Background
1 Endodontic Morphology and Anatomy of Human Teeth . . . . . . . 3
Vasilios Kaitsas and Giovanni Olivi
2 Root Canal Catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Mohammed Alshahrani , Roberto DiVito , and Enrico E. DiVito
3 The Role of Irrigation in Endodontics . . . . . . . . . . . . . . . . . . . . . 45
Luc W . M. van der Sluis , Bram Verhaagen , Ricardo Macedo ,
and Michel Versluis
Part II Basic Science of Laser Dentistry
4 The Physics of Lasers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Matteo Olivi and Giovanni Olivi
5 Different Lasers Used in Endodontics . . . . . . . . . . . . . . . . . . . . . . 83
Giovanni Olivi and M atteo Olivi
Part III Clinical Applications of Laser in Endodontics
6 Conventional Laser Endodontics . . . . . . . . . . . . . . . . . . . . . . . . . 111
Giovanni Olivi and M atteo Olivi
7 Photoactivated Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Giovanni Olivi and M aarten Meire
8 Pulp Therapy for Primary Teeth . . . . . . . . . . . . . . . . . . . . . . . . . 157
Lawrence Kotlow
9 Laser Doppler Flowmetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Herman J.J. Roeykens and Roeland J.G. De Moor
Part IV New Development of Laser for Endodontic Irrigation
10 Laser-Activated Irrigation (LAI) . . . . . . . . . . . . . . . . . . . . . . . . . 193
Giovanni Olivi and Roeland J.G. De Moor
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