Tissue Dissolution Ability of Sodium Hypochlorite Activated by Photon-initiated Photoacoustic Streaming Technique

Abstract

Introduction: The aim of this study was to evaluate the effect of the photon-initiated photoacoustic streaming (PIPS) technique on the pulp tissue-dissolving capacity of sodium hypochlorite (NaOCl) and compare it with the EndoActivator System (Dentsply Tulsa Dental Specialties, Tulsa, OK) and the Er:YAG laser with an endodontic fiber tip. Methods: Bovine pulp tissue samples (45 +/- 15 mg) and dentin powder (10 mg) were placed in 1.5-mL Eppendorf tubes with 1 mL 5.25% NaOCl (Wizard; Rehber Kimya, Istanbul, Turkey) or distilled water (control) for 5 minutes with activation by the EndoActivator System, the Er:YAG laser with an endodontic fiber tip, and the PIPS technique. Nonactivated NaOCl served as the positive control. All testing procedures were performed at room temperature. The tissue samples were weighed before and after treatment, and the percentage of weight loss was calculated. The differences were statistically analyzed. Results: The highest rate of tissue dissolution was observed in the NaOCl + Er:YAG group (P .05). Conclusions: NaOCl activation with the Er:YAG laser with an endodontic fiber tip was the most effective in bovine pulp tissue dissolution. The PIPS technique also promoted superior tissue-dissolving effects when compared with no activation. However, the EndoActivator System had no direct effect on tissue dissolution.