Table 1.
Group | Description | Irrigation procedure | Final methylene blue application |
---|---|---|---|
POS | Positive control | Rinsing with ultrapure water during instrumentation (10 mL), drying the canal with paper points (Large, WaveOne Gold, Dentsply Sirona, Baden, Switzerland), etching the canal walls with 35% H3PO4 (Ultra-Etch, Ultradent, South Jordan, UT, USA) for 60 s under constant movement with a paper-point and verifying that excess etching gel extruded the apex. Rinsing with ultra-pure water (5 mL) | 100 s |
NEG | Negative control (smear layer) | 2 mL ultra-pure water between each file and a final rinse with 5 mL ultra-pure water | 100 s |
CONV | Conventional syringe irrigation | 2 mL NaOCl (3%, Hänseler Swiss Pharma, Herisau, Switzerland) between each file followed by 5 mL EDTA (17%, Pharma24 SA, Geneva, Switzerland) and 5 mL ultra-pure water | 100 s |
Er:YAG | ER:YAG laser ((AS7066(X), 1.3×14 mm; 50 mJ, 15 Hz | 2 mL ultra-pure water between each file | 5× 20 s of laser activation |
CO2 | 9.3 µm CO2 laser (Ultra-guide hand piece with endo-tip Ø 1.25 mm; 40%) | 2 mL ultra-pure water between each file | 5× 20 s of laser activation |
D455 | SIROLASE 455 nm (black coated tip Ø 0.4 mm; 0.8 W, 40% duty cycle, 15 Hz) | 2 mL ultra-pure water between each file | 5× 20 s of laser activation |
D970 | SIROLASE 970 nm (black coated tip Ø 0.4 mm; 0.8 W, 40% duty cycle, 15 Hz) | 2 mL ultra-pure water between each file | 5× 20 s of laser activation |
D808 | WISER 808 nm (black coated tip Ø 0.2 mm; 1 W, 26,666 µs on, 40,000 off) | 2 mL ultra-pure water between each file | 5× 20 s of laser activation |
D980 | WISER 980 nm (black coated tip Ø 0.2 mm; 1 W, 26,666 µs on, 40,000 off) | 2 mL ultra-pure water between each file | 5× 20 s of laser activation |
EDTA: ethylenediaminetetraacetic acid; H3PO4: Phosphoric acid; NaOCl: Sodium hypochlorite