Research shows that PIPS™ is one of the most important endodontic breakthroughs in many years.
"We found that PIPS led to more negative samples, a tendency of greater reduction in bacterial contamination, and less bacterial mass contained in apical canal cross sections compared with ultrasonic activation and syringe irrigation."
Peters O, Bardsley S, Fong J, Pandher G, DiVito E. Disinfection of Root Canals with Photon-initiated Photoacoustic Streaming, JOE — Volume 37, Number 7, July 2011
"This SEM study demonstrated the effective ability of an Er:YAG laser…. to clean and debride the root canal system. This laser system and the technique used appeared to have no thermal effects on the dentinal walls….. The dentin surface and its collagen and hydroxyapatite matrices were essentially undisturbed and clean. The use of the laser utilized in this study appeared to enhance the removal of the smear layer from dentin tubules when used with EDTA for both 20 and 40 seconds."
DiVito E, Colonna M, G. Olivi, The Photoacoustic Efficacy of an Er:YAG Laser with Radial and Stripped Tips on Root Canal Dentin Walls: An SEM Evaluation, J Laser Dent 2011;19(1):156-161;
"Laser technology used in endodontics in the last 20 years has undergone important developments…. Research in recent years has been directed towards producing technologies (impulses of reduced length, "radial firing and stripped" tips) and techniques (LAI and PIPS) that are able to simplify the use of laser in endodontics and minimize the undesirable thermal effects on the dentinal walls, using lower power in the presence of chemical irrigants. EDTA has proved to be the best solution for the LAI technique that activates the liquid and increments its chelating capacity and cleaning of the smear layer. The use of NaClO increases its decontamination activity. Finally, the PIPS technique reduces the thermal effects and exerts a potent cleaning and bactericidal action thanks to its streaming of fluids initiated by the photonic energy of the laser."
G. Olivi, Crippa R, Iaria G, Kaitsas V, DiVito E, Benedicenti S. Laser in endodontics (Part II), roots, 2_2011
G. Olivi, R. Crippa, G. Iaria, V. Kaitsas, S. Benedicenti, E. DiVito, Laser in endodontics (Part I), roots, Jan 2011
G. Olivi, R. Crippa, E. DiVito, G. Iaria, V. Kaitsas, Laser in Endodontics: a review and outlook, Endo Tribune, Italian Edition, Anno IV n. 2 - Novembre 2010
K. Newman, Open Wide: Phontonics Lights Up Endodontics, Biophotonics, Jan 2012
E. DiVito, O. A. Peters, G. Olivi, Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation, Lasers in Medical Science, Volume 27, Issue 2, pp 273-280, 2012-03-01
"We found that PIPS led to more negative samples, a tendency of greater reduction in bacterial contamination, and less bacterial mass contained in apical canal cross sections compared with ultrasonic activation and syringe irrigation."
Peters O, Bardsley S, Fong J, Pandher G, DiVito E. Disinfection of Root Canals with Photon-initiated Photoacoustic Streaming, JOE — Volume 37, Number 7, July 2011
"This SEM study demonstrated the effective ability of an Er:YAG laser…. to clean and debride the root canal system. This laser system and the technique used appeared to have no thermal effects on the dentinal walls….. The dentin surface and its collagen and hydroxyapatite matrices were essentially undisturbed and clean. The use of the laser utilized in this study appeared to enhance the removal of the smear layer from dentin tubules when used with EDTA for both 20 and 40 seconds."
DiVito E, Colonna M, G. Olivi, The Photoacoustic Efficacy of an Er:YAG Laser with Radial and Stripped Tips on Root Canal Dentin Walls: An SEM Evaluation, J Laser Dent 2011;19(1):156-161;
"Laser technology used in endodontics in the last 20 years has undergone important developments…. Research in recent years has been directed towards producing technologies (impulses of reduced length, "radial firing and stripped" tips) and techniques (LAI and PIPS) that are able to simplify the use of laser in endodontics and minimize the undesirable thermal effects on the dentinal walls, using lower power in the presence of chemical irrigants. EDTA has proved to be the best solution for the LAI technique that activates the liquid and increments its chelating capacity and cleaning of the smear layer. The use of NaClO increases its decontamination activity. Finally, the PIPS technique reduces the thermal effects and exerts a potent cleaning and bactericidal action thanks to its streaming of fluids initiated by the photonic energy of the laser."
G. Olivi, Crippa R, Iaria G, Kaitsas V, DiVito E, Benedicenti S. Laser in endodontics (Part II), roots, 2_2011
G. Olivi, R. Crippa, G. Iaria, V. Kaitsas, S. Benedicenti, E. DiVito, Laser in endodontics (Part I), roots, Jan 2011
G. Olivi, R. Crippa, E. DiVito, G. Iaria, V. Kaitsas, Laser in Endodontics: a review and outlook, Endo Tribune, Italian Edition, Anno IV n. 2 - Novembre 2010
K. Newman, Open Wide: Phontonics Lights Up Endodontics, Biophotonics, Jan 2012
E. DiVito, O. A. Peters, G. Olivi, Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation, Lasers in Medical Science, Volume 27, Issue 2, pp 273-280, 2012-03-01