Evolutionary Leap in Endodontics. Case report
DOI:
https://doi.org/10.33448/rsd-v10i3.13538Keywords:
Endodontics; LEAP protocol; Root canal therapy.Abstract
The Leap protocol combines the newest and most active association of reciprocal-rotary instrumentation, aluminum insert ultrasonic, and diode laser. The reciprocal-rotary technique consists of Niti instruments used in different motions depending on the stage of the treatment and promotes the balanced cutting effectiveness and reduced risk of fracture files. Moreover, it creates a centered and tapered shape. The aluminum tip for the ultrasonic unit delivers agitation, emulsification, and cavitation of antiseptic solutions that improve the cleaning. The dye and laser use cause the ablation and final disinfection. This paper describes the case of a patient with asymptomatic apical periodontitis in an upper first right molar submitted to endodontic treatment performed with Leap protocol. After conventional procedures, the root canals were prepared by using reciprocal-rotary instrumentation techniques. Between each file a new solution was placed and activated with the ultrasonic handpiece. At the end of instrumentation, the root canals were aspirated, dried with paper points, the indocyanine dye was placed into the root canals and, DaVinci laser was used for 30 seconds. The gutta-percha cones matching the final Niti file were used coated with AH Plus sealer. A periapical radiograph was taken to verify obturation and its anatomical complexity. Six months after the procedure, the patient was asymptomatic, and the radiographic examination showed healthy periradicular tissues. It is concluded that the use of Leap protocol in conventional endodontic treatment was effective, suggesting that this therapy may provide additional benefits to patients when compared to the conventional technique.
References
Akbari, T., Pourhajibagher, M., Hosseini, F., Chiniforush, N., Gholibegloo, E., Khoobi, M., Shahabi, S., & Bahador, A. (2017). The effect of indocyanine green loaded on a novel nano-graphene oxide for high performance of photodynamic therapy against Enterococcus faecalis. Photodiagnosis and photodynamic therapy, 20, 148–153.
Al Shaikhly, B., Harrel, S. K., Umorin, M., Augsburger, R. A., & Jalali, P. (2020). Comparison of a Dental Operating Microscope and High-resolution Videoscope for Endodontic Procedures. Journal of endodontics, 46(5), 688–693.
Bergenholtz G. (2016). Assessment of treatment failure in endodontic therapy. Journal of oral rehabilitation, 43(10), 753–758.
Bolhari, B., Pourhajibagher, M., Bazarjani, F., Chiniforush, N., Rad, M. R., Pirmoazen, S., & Bahador, A. (2018). Ex vivo assessment of synergic effect of chlorhexidine for enhancing antimicrobial photodynamic therapy efficiency on expression patterns of biofilm-associated genes of Enterococcus faecalis. Photodiagnosis and photodynamic therapy, 22, 227–232.
Bruellmann, D., Sander, S., & Schmidtmann, I. (2016). The design of an fast Fourier filter for enhancing diagnostically relevant structures - endodontic files. Computers in biology and medicine, 72, 212–217.
Bueno, M. R., Estrela, C., Azevedo, B. C., & Diogenes, A. (2018). Development of a New Cone-Beam Computed Tomography Software for Endodontic Diagnosis. Brazilian dental journal, 29(6), 517–529.
Celikten, B., F Uzuntas, C., I Orhan, A., Tufenkci, P., Misirli, M., O Demiralp, K., & Orhan, K. (2015). Micro-CT assessment of the sealing ability of three root canal filling techniques. Journal of oral science, 57(4), 361–366.
Cintra, L., Estrela, C., Azuma, M. M., Queiroz, Í., Kawai, T., & Gomes-Filho, J. E. (2018). Endodontic medicine: interrelationships among apical periodontitis, systemic disorders, and tissue responses of dental materials. Brazilian oral research, 32(suppl 1), e68.
de Sousa Gomide Guimarães, M., Samuel, R. O., Guimarães, G., Nalin, E., Bernardo, R. T., Dezan-Júnior, E., & Cintra, L. (2019). Evaluation of the relationship between obturation length and presence of apical periodontitis by CBCT: an observational cross-sectional study. Clinical oral investigations, 23(5), 2055–2060.
De-Deus, G., Simões-Carvalho, M., Belladonna, F. G., Cavalcante, D. M., Portugal, L. S., Prado, C. G., Souza, E. M., Lopes, R. T., & Silva, E. (2020). Arrowhead design ultrasonic tip as a supplementary tool for canal debridement. International endodontic journal, 53(3), 410–420.
Ghorbanzadeh, A., Bahador, A., Sarraf, P., Ayar, R., Fekrazad, R., & Asefi, S. (2020). Ex vivo comparison of antibacterial efficacy of conventional chemomechanical debridement alone and in combination with light-activated disinfection and laser irradiation against Enterococcus faecalis biofilm. Photodiagnosis and photodynamic therapy, 29, 101648.
Gomes, B., & Herrera, D. R. (2018). Etiologic role of root canal infection in apical periodontitis and its relationship with clinical symptomatology. Brazilian oral research, 32(suppl 1), e69.
Gonçalves, L. S., Rodrigues, R. C., Andrade Junior, C. V., Soares, R. G., & Vettore, M. V. (2016). The Effect of Sodium Hypochlorite and Chlorhexidine as Irrigant Solutions for Root Canal Disinfection: A Systematic Review of Clinical Trials. Journal of endodontics, 42(4), 527–532.
Khalil, I., Naaman, A., & Camilleri, J. (2016). Properties of Tricalcium Silicate Sealers. Journal of endodontics, 42(10), 1529–1535.
Mladenovic, R., Pereira, L., Mladenovic, K., Videnovic, N., Bukumiric, Z., & Mladenovic, J. (2019). Effectiveness of Augmented Reality Mobile Simulator in Teaching Local Anesthesia of Inferior Alveolar Nerve Block. Journal of dental education, 83(4), 423–428.
Nagendrababu, V., Segura-Egea, J. J., Fouad, A. F., Pulikkotil, S. J., & Dummer, P. (2020). Association between diabetes and the outcome of root canal treatment in adults: an umbrella review. International endodontic journal, 53(4), 455–466.
Plotino, G., Cortese, T., Grande, N. M., Leonardi, D. P., Di Giorgio, G., Testarelli, L., & Gambarini, G. (2016). New Technologies to Improve Root Canal Disinfection. Brazilian dental journal, 27(1), 3–8.
Rôças, I. N., Provenzano, J. C., Neves, M. A., & Siqueira, J. F., Jr (2016). Disinfecting Effects of Rotary Instrumentation with Either 2.5% Sodium Hypochlorite or 2% Chlorhexidine as the Main Irrigant: A Randomized Clinical Study. Journal of endodontics, 42(6), 943–947.
Wang, X., Cheng, X., Liu, B., Liu, X., Yu, Q., & He, W. (2017). Effect of Laser-Activated Irrigations on Smear Layer Removal from the Root Canal Wall. Photomedicine and laser surgery, 35(12), 688–694.
Zand, V., Rahimi, S., Davoudi, P., & Afshang, A. (2017). Accuracy of Working Length Determination using NovApex and Root-ZX Apex Locators: An in vitro Study. The journal of contemporary dental practice, 18(5), 383–385.
Zorita-García, M., Alonso-Ezpeleta, L. Ó., Cobo, M., Del Campo, R., Rico-Romano, C., Mena-Álvarez, J., & Zubizarreta-Macho, Á. (2019). Photodynamic therapy in endodontic root canal treatment significantly increases bacterial clearance, preventing apical periodontitis. Quintessence international (Berlin, Germany : 1985), 50(10), 782–789.
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Copyright (c) 2021 Jose Maurício Paradella de Camargo ; Rafael Verardino de Camargo ; Luciano Tavares Angelo Cintra; Flávio Duarte Faria ; Alberto Consolaro ; Densen Cao; Renato de Toledo Leonardo
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