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Recently, root canal preparation using Nd:YAG laser has been introduced. Laser interaction
with matter may generate cavitation and subsequent pressure waves. This study characterized
the pressure waves induced in root canals by either Nd:YAG laser, sonically vibrated
files, or ultrasonically vibrated files. The root canals of 14 single-rooted teeth
were prepared conventionally and filled with water. In 12 teeth, a pulsed Nd:YAG laser
was activated in the canal using optical fibers of various diameters and various power
settings. In the remaining two teeth, either a sonic or ultrasonic file was activated.
The pressure waves induced in the canals were detected by a piezoelectric transducer.
The results were analyzed using correlation coefficient and coefficient of variation.
Laser irradiation resulted in pressure waves with amplitudes varying from 35.78 to
79.26 mV, being positively correlated with the laser power density (R2 = 0.870). Sonic and ultrasonic vibrations resulted in pressure waves with mean amplitudes
of 60.51 mV and 7.02 mV, respectively. It was concluded that Nd:YAG laser irradiation
induced pressure waves, with different characteristics from waves induced by freely
vibrating sonic and ultrasonic endodontic instruments when applied to water-filled
root canals.
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© 1996 The American Association of Endodontists. Published by Elsevier Inc. All rights reserved.