Uppalapati Vishwaja

Abstract

A novel SWEEPS® Er:YAG laser modality was recently introduced with the purpose of improving the disinfecting and activating efficacy of SSP laser assisted endodontic procedures by permitting the generation of primary and secondary shock waves throughout the complicated root canal system. The SWEEPS method greatly improves the efficacy of removing debris and medications from the root canal system. In the most current Er:YAG dental laser devices, the complimentary combination of SSP and SWEEPS® technology constitutes a distinct solution for modern endodontics. The aim of this review is to: (i) Offer the most relevant data on a novel SWEEPS (shock wave enhanced emission photoacoustic streaming) technology, its relative advantages, with an emphasis on single-pulse SSP laser-assisted irrigation and dual pulse SWEEPS technology; (ii) Provide recommendations for the use of SWEEPS technology in Endodontics based on current evidence; (iii) Highlight the areas in which more research is required. Keywords: Dual pulse, Er:YAG laser, Laser-assisted irrigation, Photon-induced photoacoustic streaming, SSP/SWEEPS® endodontics.

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Abstract

The main objective of this case study is to present an unusual maxillary first molar root canal configuration with seven root canals; three mesiobuccal, two distobuccal and two palatal canals diagnosed during treatment procedure confirmed by Cone Beam Computed Tomography. A 26-year-old man with the chief complaint of spontaneous pain in his left posterior maxilla was referred to by his general dentist. From the clinical and radiographic results, a diagnosis of apical periodontitis was made and the patient was recommended for endodontic care. The CBCT axial images of the patient showed that the palatal and distobuccal roots have a type IV and type II canal pattern of Vertucci, respectively, while the mesiobuccal root showed a type XV canal configuration of Sert and Bayirli. Canals have been successfully treated with rotary files and filled using a single-cone technique. In endodontically difficult situations, the use of CBCT imaging will promote a deeper understanding of the intricate root canal anatomy, which essentially helps the clinician to more effectively explore the root canal system and clean, shape, and obturate it. Keywords: Cone Beam Computed Tomography, Maxillary first molar, Root canal anatomy, Seven root canals.

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