Effect of Er,Cr:YSGG Laser Irradiation with Radial Firing Tips onCandida albicansin Experimentally Infected Root Canals
Aim. To compare the disinfection effect of Er,Cr:YSGG laser using radial firing tips with NaOCI in root canals infected withC. albicansand to evaluate the irradiation effect on the dentinal surfaces.Material and Methods. In total seventy-six mandibular premolar teeth were used. In order to standardize the incubation and sterilization procedure, eight teeth were used. Sixty-eight of the root canals were incubated withC. albicanssuspension for 72 hours. The specimens were divided into 5 experimental groups. Two groups were constituted as Group 1 was irradiated with 1.5 W laser (n=8) and group 2, which was irradiated with 2 W laser (n=8). Two more groups were formed as Group 3 (2 W laser (n=25) and Group 4 NaOCI (5%) (n=25). Group 5 (n=2) did not receive any treatment. Mann-WhitneyUand Kruskal-WallisHtests were used to compare the different laser output powers. Wilcoxon Signed Ranks Test was used in order to compare theCandidacfu/ml levels according to treatment protocols (P<0.05).Results. Both 1.5 W and 2 W laser resulted in a major reduction ofC. albicanswithout a significant difference. The comparison of the dentin surfaces irradiated with Er,Cr:YSGG laser at two power settings resulted in similar morphological changes. However, NaOCI was found to be more effective in reduction ofC. albicansthan 2 W laser application.Conclusion. According to the results of the present study, the Er,Cr:YSGG laser with radial firing tips presented less antifungal effects onC. albicansin root canals of infected teeth than NaOCl solution.