Advanced Laser-Activated Irrigation: PIPSTM Technique and Clinical Protocols
Olivi G, DiVito E.Springer International Publishing; 2016:219-291.
Abstract
PIPSTM is an advanced laser-activated irrigation process by which photons of light are emitted in very low energy levels and with short microsecond pulse duration. PIPSTM utilizes a unique tapered and stripped tip design that allows for lateral dispersion and propagation of the generated shock wave in liquids at subablative levels, via photoacoustic and photomechanical events avoiding the possibility of thermal damage and allowing for effective three-dimensional streaming of fluids when the correct specific parameters and protocols are used. By virtue of lower energy and high peak power, unique tip design, and its positioning far from the apex, PIPSTM provides safe and effective activation for exchange of irrigants. The tip is kept stationary in the coronal aspect of the access preparation only thus offering effective irrigation with a minimally invasive instrumentation optimizing the conservation of the dentin structure and thus avoiding the possibility of laser thermal damage to dentin walls. The use of NaOCl and EDTA along the correct protocol improves the cleaning and decontaminating effect for root canals when compared to conventional methods.
Advanced Laser-Activated Irrigation: PIPSTM Technique and Clinical Protocols