Evidence map›Paper›PMID 40225823›Full record

ArticleActa stomatologica Croatica2025

Apical Irrigant Extrusion Using Two Er: YAG Laser Irrigation Modes with Three Types of Laser Tips.

Damir Šnjarić, Jelena Vidas Hrstić, Ivana Brekalo Pršo, Roeland De Moor, Ivona Bago

Abstract read
In one paragraph

Article in Acta stomatologica Croatica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Damir ŠnjarićDepartment of Endodontics and Restorative Dentistry, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.ORCID https://orcid.org/0000-0003-1785-5569
Jelena Vidas HrstićDepartment of Endodontics and Restorative Dentistry, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.ORCID https://orcid.org/0000-0001-7278-5837
Ivana Brekalo PršoDepartment of Endodontics and Restorative Dentistry, Faculty of Dental Medicine, University of Rijeka, Rijeka, Croatia.ORCID https://orcid.org/0000-0001-9303-0409
Roeland De MoorDepartment of Oral Health Sciences, Section of Endodontology, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-5637-6731
Ivona BagoDepartment of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Croatia.ORCID https://orcid.org/0000-0001-5938-4940

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The aim of this study was to evaluate the amounts of apically extruded 3% sodium hypochlorite using two modes of Er:YAG laser-activated irrigation (LAI), super short pulse (SSP) and shock wave enhanced emission photoacoustic streaming (SWEEPS®) by combining three types of laser tips (FT) and conventional syringe needle irrigation (SNI). Methods: Twenty extracted human maxillary central incisors were prepared using Reciproc® instruments (size 40, taper 0.06). The irrigant volumetric flow (IVF) was accurately standardized using a precision syringe pump with constant irrigant delivery through the 27G needle. The tested irrigation protocols (60 s) were groups 1: 27-G SNI with 0.05 ml/s constant IVF; group 2: SSP (10 mJ, 15 Hz, pulse duration 50 μs) + Radial SWEEPS FT; group 3: SSP + photon-induced photoacoustic streaming (PIPS) FT; group 4: SSP+SWEEPS FT; group 5: AutoSWEEPS (20 mJ, 15 Hz, pulse duration 25 µs) + Radial SWEEPS FT; group 6: AutoSWEEPS+PIPS FT; group 7: AutoSWEEPS+SWEEPS FT. Each protocol was evaluated in 10 repetitions each. Apically extruded irrigant was collected, and net weighted. Results: There were significantly lower amounts of extruded irrigant with SNI and SSP using radial SWEEPS and PIPS FTs compared to the other tested laser protocols (p<0.05). In the AutoSWEEPS groups, all three FTs had similar amounts of extruded irrigant (p>0.05). Conclusion: In straight root canals, the use of various fiber FTs in the AutoSWEEPS mode exhibited a higher potential for irrigant extrusion.

Indexed as

Er:YAGLaser-Activated IrrigationLaser TherapyMeSH terms: Root Canal PreparationPhoton-Induced Photoacoustic StreamingRoot CanalRoot Canal IrrigantsShock Wave Enhanced Emission Photoacoustic StreamingSodium Hypochlorite

Identifiers

PMID40225823
PMCPMC11984806

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.