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 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. T he publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com) 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 ix
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