Evidence map›Paper›PMID 40892096›Full record

ArticleLasers in medical science2025

Determination of a safe protocol for using laser ablation with indocyanine green dye in endodontic treatment. In vitro, in vivo and human study.

Renato de Toledo Leonardo, Mirtha Perdomo, Marcelo Costa Perdomo, María Betania Acevedo Giménez, Celso Kenji Nishiyama, Fernando Accorsi Orosco, Arturo Javier Aranda Garcia, Carolina Sayuri Wajima, Cristiane Cantiga-Silva, Ana Maria Veiga Vasques and 3 more

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Article in Lasers in medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Renato de Toledo LeonardoSão Paulo State University (UNESP), School of Dentistry, Araraquara, SP, Brazil.
Mirtha PerdomoUniversidad Autónoma del Paraguay, Asunción, Paraguay.
Marcelo Costa PerdomoUniversidad Autónoma del Paraguay, Asunción, Paraguay.
María Betania Acevedo GiménezUniversidad Autónoma del Paraguay, Asunción, Paraguay.
Celso Kenji NishiyamaIbero-American Faculty of São Paulo (FIASP), Piraju, SP, Brazil.
Fernando Accorsi OroscoFaculty of the Center West Paulista (FACOP), Piratininga, SP, Brazil.
Arturo Javier Aranda GarciaSecretariat of the Mexican Navy, Mexico City, Mexico.
Carolina Sayuri WajimaSão Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0003-3629-4904
Cristiane Cantiga-SilvaSão Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0003-4313-7149
Ana Maria Veiga VasquesSão Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0002-1211-2363
Flávio Duarte FariaSão Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0003-4269-7902
Eloi Dezan JúniorSão Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil.ORCID http://orcid.org/0000-0002-5699-6578
Luciano Tavares Angelo CintraSão Paulo State University (UNESP), School of Dentistry, Araçatuba, SP, Brazil. luciano.cintra@unesp.br.ORCID http://orcid.org/0000-0003-2348-7846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to determine a safe protocol for using Laser Ablation therapy (LA) with Indocyanine Green (ICG) to treat infected root canals.

methodsIn vitro study - The root canal of an extracted human lower incisor was prepared to #35/.06 and was filled with 0.05% ICG dye. The λ 810 nm infrared diode laser was activated during the movement of introducing a #20 fiber into the root canals. The maximum temperature reached in the three root thirds was considered for protocols, modifying the power, pulse interval, and pulse duration. In vivo study - Extracted human lower incisor, lower premolar, and upper molar were selected. Their canals were prepared to #35/0.04, and the teeth were inserted into the subcutaneous tissue of Wistar rats. LA with ICG protocol selected in the in vitro study was performed on each root. The root surface temperature was measured in the three thirds. Then, the subcutaneous tissue adjacent to the roots was removed immediately or after 7 days and subjected to histological analysis in H&E stain. Human study - Thirteen lower incisors indicated for extraction from eleven patients were included. The canals of all teeth were prepared and received LA treatment with ICG in a similar way to the in vivo study. After tooth extraction, the apical thirds of the roots were processed for histopathological analysis.

resultsThe in vitro study revealed that the increase in power and pulse duration, or the reduction in pulse interval, determined the temperature rise. The protocol with the highest power that showed a temperature increase below 40 °C was the 2.5 W (power), 300 ms (interval), and 100 ms (duration). The in vivo study revealed that the greatest temperature variation was observed in the lower incisor; for this reason, it was selected for the human study. In the human study, a structure of the periodontal ligament with histological and morphological characteristics comparable to those of healthy tissues and similar to the roots of control teeth was observed in the treated teeth (p < 0.05). No harmful effects were observed on the cementum structure, periodontal ligament, and alveolar bone in any teeth evaluated.

conclusionsIt was concluded that the LA protocol used is safe and can be performed during the treatment of infected root canals.

Indexed as

Indocyanine GreenLasers, SemiconductorLaser TherapyRoot Canal TherapyAdultAnimalsColoring AgentsDental Pulp CavityFemaleHumansIncisorIn Vitro TechniquesMaleRatsRats, WistarColoring AgentsIndocyanine GreenCementum, periodontal ligamentICG, 810nm wavelength diode laserLaser ablationLaser absorption

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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.