Percorrer por autor "Cerutti, Alexandre"
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- Comparative efficacy of diode lasers and sodium hypochlorite against enterococcus faecalis disinfection: integrative reviewPublication . Cerutti, Alexandre; Martins, AlexandraFailures in endodontic treatment are frequently attributed to persistent microbial infections within the complex anatomy of the root canal system, making effective disinfection essential for successful clinical outcomes. This integrative review aims to study the antibacterial efficacy of a 5.25% sodium hypochlorite solution, with diode laser treatment in continuous mode or their combination (hypochlorite solution/diode laser) in eliminating Enterococcus faecalis from infected root canals. A targeted literature search using PubMed and ScienceDirect identified five relevant in vitro and ex vivo studies that met defined inclusion criteria. The available evidence shows that sodium hypochlorite irrigation alone consistently achieves high levels of bacterial reduction, often outperforming diode laser treatment when the LASER is used alone. Diode laser disinfection demonstrated variable effectiveness, depending on parameters such as wavelength, power, and exposure time. Although two studies have evaluated the combined use of sodium hypochlorite and a diode laser, neither demonstrated a significantly superior antibacterial effect compared to the use of sodium hypochlorite alone. These findings support the potential role of diode laser technology as a complementary adjunct to conventional chemical irrigation. They also underscore the need for further well-controlled studies to evaluate the possible benefits of combining both methods and to refine clinical disinfection protocols in endodontics.