Influence of sodium hypochlorite concentration on cavitation effect and fluid dynamics induced by photon-induced photoacoustic streaming (PIPS): A visualization study

Cai, C., Wen, C., Guan, L., Huang, Y. & Jiang, Q.
Lasers in medical science, 2022;37(5), pp.2537–2544.

Purpose: The aim of the present study was to visualize and compare the cavitation effect and fluid dynamics induced by photon-induced photoacoustic streaming (PIPS) using sodium hypochlorite (NaOCl) with different concentrations as irrigant. Methods: Forty artificial root canals were prepared using MTWO Niti file up to size #25/.06. The canals were randomly divided into four groups (n = 10/group). High-speed camera was used to visualize and compare the cavitation effect induced by PIPS in the artificial root canals containing saline or NaOCl. Fluid velocity and Reynolds number of saline, 1%-, 2.5%- and 5.25% NaOCl irrigants induced by PIPS in the apical region were calculated using TEMA 2D software while the fluid motions were recorded. Results: Visualization profile revealed that NaOCl presented a stronger cavitation effect and fluid dynamics than saline during PIPS activation. In the apical region, 1% NaOCl group presented the highest average velocity of 3.868 m/s, followed by 2.5% NaOCl group (3.685 m/s), 5.25% NaOCl group (2.353 m/s) and saline group (1.268 m/s), corresponding to Reynolds number of 1653.173, 1572.196, 995.503 and 477.692. Statistically higher fluid velocity was calculated in 1% and 2.5% NaOCl groups compared to saline group, respectively (p < 0.05). Conclusions: The application of NaOCl and its concentration significantly influence the cavitation effect and fluid dynamics during PIPS activation. 1% and 2.5% NaOCl groups presented a more violent fluid motion in the apical region when activated by PIPS. Keywords: Cavitation Effect; Fluid Velocity; Photon-Induced Photoacoustic Streaming; Sodium Hypochlorite.

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