Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study

Context: Regeneration of periodontal tissues depend on the adhesion and development of fibrin clots to the root surface. Demineralization of the root surface ensures removal of smear layer uncovering dentin tubules and collagen matrix. Root conditioning agents were introduced to remove the smear lay...

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Main Authors: Riya Liza Satish, Maya Rajan Peter, Anuradha Bhaskar, Rajesh Vylopillil, Biju Balakrishnan, Reshma Suresh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2023;volume=14;issue=1;spage=72;epage=78;aulast=Satish
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author Riya Liza Satish
Maya Rajan Peter
Anuradha Bhaskar
Rajesh Vylopillil
Biju Balakrishnan
Reshma Suresh
author_facet Riya Liza Satish
Maya Rajan Peter
Anuradha Bhaskar
Rajesh Vylopillil
Biju Balakrishnan
Reshma Suresh
author_sort Riya Liza Satish
collection DOAJ
description Context: Regeneration of periodontal tissues depend on the adhesion and development of fibrin clots to the root surface. Demineralization of the root surface ensures removal of smear layer uncovering dentin tubules and collagen matrix. Root conditioning agents were introduced to remove the smear layer and enhance the adhesion of blood components. Aims: The aim of the study was to determine the effect of erbium, chromium-doped yttrium, scandium, gallium and garnet (Er, Cr: YSGG) laser on smear layer removal (SLR) and fibrin network formation when compared to tetracycline, and ethylene-diamine-tetra-acetic acid (EDTA) for periodontal regeneration. Settings and Design: The study was conducted at Amrita school of dentistry and the study design involves in vitro comparative study. Subjects and Methods: Forty dentinal sections were prepared from freshly extracted teeth that were periodontally affected. The samples were divided into four groups: Scaling and root planing (SRP), tetracycline, EDTA, and Er, Cr: YSGG laser. The samples were assessed using a scanning electron microscope and photomicrographs were taken and analyzed for removal of smear layer, blood component adhesion (BCA), and fibrin network formation. Statistical Analysis Used: Analysis of variance test and Kruskal–Wallis test with P < 0.05 considered to be statistically significant. Results: There was a significant difference between Er, Cr: YSGG laser, tetracycline hydrochloride, and EDTA categories when compared with SRP categories. There was no significant difference between Er, Cr: YSGG laser, tetracycline, and EDTA according to SLR scoring and BCA scoring. Conclusions: It can be concluded that Er, Cr: YSGG laser-treated samples presented complete elimination of smear layer, formation of fibrin network, and BCA along with desensitizing effect for a better reduction in dentin hypersensitivity.
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spelling doaj.art-e13e69cfd1864aa8b9e1439c11fab70b2023-05-18T05:11:57ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612023-01-01141727810.4103/ccd.ccd_626_21Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic studyRiya Liza SatishMaya Rajan PeterAnuradha BhaskarRajesh VylopillilBiju BalakrishnanReshma SureshContext: Regeneration of periodontal tissues depend on the adhesion and development of fibrin clots to the root surface. Demineralization of the root surface ensures removal of smear layer uncovering dentin tubules and collagen matrix. Root conditioning agents were introduced to remove the smear layer and enhance the adhesion of blood components. Aims: The aim of the study was to determine the effect of erbium, chromium-doped yttrium, scandium, gallium and garnet (Er, Cr: YSGG) laser on smear layer removal (SLR) and fibrin network formation when compared to tetracycline, and ethylene-diamine-tetra-acetic acid (EDTA) for periodontal regeneration. Settings and Design: The study was conducted at Amrita school of dentistry and the study design involves in vitro comparative study. Subjects and Methods: Forty dentinal sections were prepared from freshly extracted teeth that were periodontally affected. The samples were divided into four groups: Scaling and root planing (SRP), tetracycline, EDTA, and Er, Cr: YSGG laser. The samples were assessed using a scanning electron microscope and photomicrographs were taken and analyzed for removal of smear layer, blood component adhesion (BCA), and fibrin network formation. Statistical Analysis Used: Analysis of variance test and Kruskal–Wallis test with P < 0.05 considered to be statistically significant. Results: There was a significant difference between Er, Cr: YSGG laser, tetracycline hydrochloride, and EDTA categories when compared with SRP categories. There was no significant difference between Er, Cr: YSGG laser, tetracycline, and EDTA according to SLR scoring and BCA scoring. Conclusions: It can be concluded that Er, Cr: YSGG laser-treated samples presented complete elimination of smear layer, formation of fibrin network, and BCA along with desensitizing effect for a better reduction in dentin hypersensitivity.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2023;volume=14;issue=1;spage=72;epage=78;aulast=Satishethylene-diamine-tetra-acetic aciderbium: yttriumscandiumgallium and garnet laserperiodontal regenerationroot conditioningtetracycline hydrochloride
spellingShingle Riya Liza Satish
Maya Rajan Peter
Anuradha Bhaskar
Rajesh Vylopillil
Biju Balakrishnan
Reshma Suresh
Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study
Contemporary Clinical Dentistry
ethylene-diamine-tetra-acetic acid
erbium: yttrium
scandium
gallium and garnet laser
periodontal regeneration
root conditioning
tetracycline hydrochloride
title Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study
title_full Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study
title_fullStr Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study
title_full_unstemmed Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study
title_short Comparative evaluation of fibrin network formation after root conditioning using erbium, chromium-doped yttrium scandium gallium and garnet laser, ethylene-diamine-tetra-acetic acid, and tetracycline on dentin: A scanning electron microscopic study
title_sort comparative evaluation of fibrin network formation after root conditioning using erbium chromium doped yttrium scandium gallium and garnet laser ethylene diamine tetra acetic acid and tetracycline on dentin a scanning electron microscopic study
topic ethylene-diamine-tetra-acetic acid
erbium: yttrium
scandium
gallium and garnet laser
periodontal regeneration
root conditioning
tetracycline hydrochloride
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2023;volume=14;issue=1;spage=72;epage=78;aulast=Satish
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