Behavior of human periodontal ligament cells on CO<sub>2</sub> laser irradiated dentinal root surfaces: an <i>in vitro</i> study

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<jats:p><jats:bold>Objective: </jats:bold> The aim of this study was to investigate the <jats:italic>in vitro</jats:italic> attachment behavior of human periodontal ligament fibroblasts on periodontally involved root surface after conditioning with CO<jats:sub>2</jats:sub> laser and to compare its efficacy with chemical conditioning agents, namely tetracycline hydrochloride, citric acid, hydrogen peroxide (H<jats:sub>2</jats:sub>O<jats:sub>2</jats:sub>) and EDTA, using scanning electron microscopy.</jats:p><jats:p><jats:bold>Methods: </jats:bold> A total of 84 scaled and root‐planed specimens from periodontally involved single‐rooted human teeth showing hopeless prognosis were selected and assigned to two groups. One group was lased with a CO<jats:sub>2</jats:sub> laser (from 5 cm at 3 W for 0.8, 1.0 and 1.2 s), and the other group was treated with either tetracycline hydrochloride (2.5%), citric acid (saturated solution, pH 1), H<jats:sub>2</jats:sub>O<jats:sub>2</jats:sub> (6%) or EDTA (5%; pH 7.4) for 3 min. The specimens were then seeded with human periodontal ligament fibroblasts, incubated for either 12 h or 24 h, and then the cell attachment behavior was observed.</jats:p><jats:p><jats:bold>Results: </jats:bold> CO<jats:sub>2</jats:sub> laser irradiation for 1.0 s was found to be the most efficient, showing consistently good cell attachment with the highest mean value (15.00 ± 3.41 cells/10,000 µm<jats:sup>2</jats:sup> after incubation for 12 h and 29.17 ± 2.04 cells/10,000 µm<jats:sup>2</jats:sup> after 24 h), followed by irradiation for 0.8 s (13.11 ± 3.04 cells/10,000 µm<jats:sup>2</jats:sup> after incubation for 12 h and 22.91 ± 7.10 cells/10,000 µm<jats:sup>2</jats:sup> after 24 h). Charring was observed following irradiation for 1.2 s. Amongst chemical conditioning agents, citric acid was found to be the most efficient, with a mean cell attachment of 17.82 ± 2.16 cells/10,000 µm<jats:sup>2</jats:sup> after incubation for 12 h and 23.62 ± 1.94 cells/10,000 µm<jats:sup>2</jats:sup> after 24 h. EDTA and H<jats:sub>2</jats:sub>O<jats:sub>2</jats:sub> did not do well in the study.</jats:p><jats:p><jats:bold>Conclusion: </jats:bold> The results suggest that CO<jats:sub>2</jats:sub> laser irradiation for 1.0 s may promote comparatively better attachment of periodontal ligament fibroblast on dentinal root surfaces than the conventional chemical conditioning agents used in the study.</jats:p>

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