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    MIDDLEWARE FOR SMART HETEROGENEOUS CRITICAL INFRASTRUCTURE NETWORKS INTERCOMMUNICATION

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    Svrha je ovog preglednog rada objasniti princip i izložiti rezultate dosadašnjih istraživanja nove SWEEPS tehnike ispiranja korijenskog kanala. Standardna obrada korijenskih kanala tijekom endodontskog liječenja uključuje mehaničku instrumentaciju ručnim ili strojnim instrumentima te kemijsku obradu sredstvima za ispiranje poput NaOCl i EDTA. Tijekom instrumentacije kanala formiraju se debris i zaostatni sloj, koje je potrebno ukloniti. U dezinfekciji endodontskog prostora zuba ključan je raspad bakterijskog biofilma koji se postiže brzim strujanjem sredstva za ispiranje u kanalu. Dinamičan protok sredstva za ispiranje u kanalu potreban je za dosezanje svih dijelova endodontskog prostora, održavanje učinkovite koncentracije sredstva i za stvaranje smičnog stresa na stijekama koji uklanja biofilm. Zbog ograničenja pasivnog ispiranja špricom i iglom (nedovoljna izmjena tekućine u korijenskom kanalu) došlo je do razvoja brojnih tehnika aktivacije sredstva za ispiranje, poput zvučno i ultrazvučno aktiviranog ispiranja. Noviji doprinos poboljšanju učinkovitosti dezinfekcije korijenskih kanala predstavlja laserski aktivirano ispiranje (engl. laser-activated irrigation, LAI) pomoću erbij lasera. Posebna tehnika LAI zove se fotonima inducirano fotoakustično strujanje (engl. photon-induced photoacoustic streaming, PIPS), a temelji se na nastanku kavitacija i šok-valova koji čiste stijenke kanala. Tehnološkim napretkom postavki lasera omogućen je razvoj novih tehnika. Emisija fotoakustičnog strujanja pojačana udarnim valom (engl. Shock Wave Enchanced Emission of Photoacoustic Streaming, SWEEPS) nova je tehnika ispiranja korijenskih kanala koja se temelji na pojačanju šok-valova dodatnim pulsom laserske zrake. U literaturi još nema dovoljno radova na temelju kojih bi se mogao jasno definirati učinak SWEEPS tehnike.The aim of this study is to explain the principles and present the results of past research of the new SWEEPS root canal irrigation technique. Standard procedure during endodontic therapy involves mechanical instrumentation using hand or rotary files and chemical treatment that uses irrigants such as NaOCl and EDTA. During root canal instrumentation, debris and smear layer are formed and they need to be removed. Deattachment of bacterial biofilm plays a key role in endodontic disinfection and is originated by a fast stream of irrigant inside the root canal. Dinamic flow of irrigant inside the root canal is necessary for reaching all parts of endodontic space, maintaining an effective irrigant concentration and producing shear stress on root canal walls, which removes the biofilm. Limitations of passive needle irrigation (insufficient exchange of irrigant in the root canal) induced the development of numerous irrigation activation techniques, such as sonic and ultrasonic activation of irrigation. A new contribution to improving the efficiency of root canal disinfection is laser-activated irrigation (LAI) using erbium lasers. A special technique that LAI uses is photon-induced photoacoustic streaming (PIPS) and it is based on producing cavitations and shockwaves which debride the root canal walls. Technological progress of laser settings enabled the development of new techniques. Shock Wave Enchanced Emission of Photoacoustic Streaming (SWEEPS) is a new irrigation activation technique based on the enchancement of shockwaves by using additional laser pulse. There have not been enough papers published to clearly define the efficacy of SWEEPS technique
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