Journal of Contemporary Dentistry

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VOLUME 9 , ISSUE 2 ( May-August, 2019 ) > List of Articles

ORIGINAL RESEARCH

Outcome of Pulpotomy in Primary Teeth Using Diode Laser

Maheen N Shaikh, Mihir N Jha, Maryam I Undre, Aliya Ershad, Taufique N Shaikh

Keywords : Formocresol, Laser, Primary teeth, Pulpotomy, Radiography

Citation Information : Shaikh MN, Jha MN, Undre MI, Ershad A, Shaikh TN. Outcome of Pulpotomy in Primary Teeth Using Diode Laser. J Contemp Dent 2019; 9 (2):72-77.

DOI: 10.5005/jp-journals-10031-1258

License: CC BY-NC 4.0

Published Online: 15-07-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: The aim of this study was to compare the clinical and radiographic successes for pulpotomy using formocresol (FC), and diode laser (DL) in primary molars. Materials and methods: Children within the age group of 4–8 years, with a total of 40 teeth, were selected for the study. They were divided into two groups of 20 each in FC and DL, and were restored with prefabricated crowns. Clinical and radiographic evaluations were done at 1, 3, 6, and 9 months using modified Zurn and Seale criteria. Data were statistically analyzed. Results: On comparison of clinical and radiographic scores of all two groups at 1, 3, 6, and 9 months interval, Chi-square value and p value were found to be insignificant. Conclusion: Although the radiographic difference between the two groups is not statistically significant, clinically DL offers higher success rate as compared to others. Further studies need to be carried out with larger sample and a longer follow-up period.


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  1. McDonald RE, Avery DR, Dean JA, et al. Treatment of deep caries, vital pulp exposure, and pulpless teeth. In: McDonald RE, Avery DR, ed. Dentistry for the Child and Adolescent, 9th ed., Maryland Heights, Mo: CV Mosby Co; 2011. pp. 343–365.
  2. Fuks AB. Current concepts in vital primary pulp therapy. Eur J Paediatr Dent 2002;3(3):115–120.
  3. American Academy of Pediatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth. Reference manual 2010–2011. Pediatr Dent 2010;32(special issue):194–201.
  4. Ingle JI, Bakland LK, Baumgartner JC. Ingle's Endodontics, 6th ed., New York: BC Decker; 2008.
  5. Liu JF. Effects of Nd:YAG laser pulpotomy on human primary molars. J Endod 2006;32(5):404–407. DOI: 10.1016/j.joen.2006.01.005.
  6. Fuks AB, Holán G, Davis JM, et al. Ferric sulfate versus dilute formocresol in pulpotomized primary molars: long-term follow up. Pediatr Dent 1997;19(5):327–330.
  7. Zurn D, Seale NS. Light-cured calcium hydroxide vs formocresol in human primary molar pulpotomies: a randomized controlled trial. Pediatr Dent 2008;30(1):34–41.
  8. Huth KC, Paschos E, Hajek-Al-Khatar N, et al. Effectiveness of 4 pulpotomy techniques—randomized controlled trial. J Dent Res 2005;84(12):1144–1148. DOI: 10.1177/154405910508401210.
  9. Garcia-Godoy FR, Novakovic DP, Carvajal IN. Pulpal response to different application times of formocresol. J Pedod 1982;6(2): 176–193.
  10. Musale P, Soni A. Clinical pulpotomy trial of Copaifera Langsdorfii oil resin versus Formocresol and white Mineral Trioxide aggregate in primary teeth. Pediatr Dent 2016;38(2):5–12.
  11. Kurji ZA, Sigal MJ, Andrews P, et al. A retrospective study of a modified 1-minute formocresol pulpotomy technique part 1: clinical and radiographic findings. Pediatr Dent 2011;33(2):131–138.
  12. Durmus B, Tanboga I. In vivo evaluation of the treatment outcome of pulpotomy in primary molars using diode laser, formocresol, and ferric sulphate. Phytomed Laser Surg 2014;32(5):289–295. DOI: 10.1089/pho.2013.3628.
  13. Erdem AP, Guven Y, Balli B, et al. Success rates of mineral trioxide aggregate, ferric sulfate, and formocresol pulpotomies: a 24-month study. Pediatr Dent 2011;33(2):165–170.
  14. Partovi F, Izatt JA, Cothren RM, et al. A model for thermal ablation of biological tissue using laser radiation. Lasers Surg Med 1987;7(2): 141–154. DOI: 10.1002/lsm.1900070202.
  15. Miller M, Truhe T. Lasers in dentistry: an overview. J Am Dent Assoc 1993;124(2):32–35. DOI: 10.14219/jada.archive.1993.0034.
  16. Nazemisalman B, Farsadeghi M, Sokhansanj M. Types of lasers and their applications in pediatric dentistry. J Lasers Med Sci 2015;6(3): 96–101. DOI: 10.15171/jlms.2015.01.
  17. Lerner EJ. Diode lasers offer efficiency and reliability. Laser Focus World 1998;34(3):93–98.
  18. Miserendino LJ, Neiburger EJ, Walia H, et al. Thermal effects of continuous wave CO2 laser exposure on human teeth: an in vitro study. J Endod 1989;15(7):302–305. DOI: 10.1016/S0099-2399(89)80051-2.
  19. Jeffrey IW, Lawrenson B, Saunders EM, et al. Dentinal temperature transients caused by exposure to CO2 laser irradiation and possible pulpal damage. J Dent 1990;18(1):31–36. DOI: 10.1016/0300-5712(90)90248-D.
  20. McNally KM, Gillings BR, Dawes JM. Dye-assisted diode laser ablation of carious enamel and dentine. Aust Dent J 1999;44(3):169–175. DOI: 10.1111/j.1834-7819.1999.tb00218.x.
  21. Utsunomiya T. A histopathological study of the effects of low-power laser irradiation on wound healing of exposed dental pulp tissues in dogs, with special reference to lectins and collagens. J Endod 1998;24(3):187–193. DOI: 10.1016/S0099-2399(98)80181-7.
  22. Saltzman B, Sigal M, Clokie C, et al. Assessment of a novel alternative to conventional formocresol, zinc oxide eugenol pulpotomy for the treatment of pulpally involved human primary teeth: diode laser, mineral trioxide aggregate pulpotomy. Int J Paediatr Dent 2005;15(6):437–447. DOI: 10.1111/j.1365-263X.2005.00670.x.
  23. Uloopi KS, Vinay C, Ratnaditya A, et al. Clinical evaluation of low level diode laser application for primary teeth pulpotomy. J Clin Diagn Res 2016;10(1):ZC67–ZC70. DOI: 10.7860/JCDR/2016/13218.7140.
  24. Krothapalli N, Prasad MG, Vasa A, et al. Clinical evaluation of outcome of primary teeth pulpotomy using mineral trioxide aggregate, laser and biodentine - an in vivo study. J Clin Diagn Res 2015;9(4): ZC35–ZC37. DOI: 10.7860/JCDR/2015/13153.5823.
  25. Yadav P, Indushekar K, Saraf B, et al. Comparative evaluation of ferric sulfate, electrosurgical and diode laser on human primary molars pulpotomy: an “in-vivo” study. Laser Ther 2014;23(1):41–47. DOI: 10.5978/islsm.14-OR-05.
  26. Golpayegani MV, Ansari G, Tadayon N. Clinical and radiographic success of low level laser therapy (LLLT) on primary molars pulpotomy. Res J Biol Sci 2010;5(1):51–55. DOI: 10.3923/rjbsci.2010. 51.55.
  27. Kuo HY, Lin JR, Huang WH, et al. Clinical outcomes for primary molars treated by different types of pulpotomy: a retrospective cohort study. J Formos Med Assoc 2018;117(1):24–33. DOI: 10.1016/j.jfma.2017.02.010.
  28. Gupta G, Rana V, Srivastava N, et al. Laser pulpotomy-an effective alternative to conventional techniques: a 12 months clinicoradiographic study. Int J Clin Pediatr Dent 2015;8(1):18–21. DOI: 10.5005/jp-journals-10005-1277.
  29. Hui-Derksen EK, Chen CF, Majewski R, et al. Retrospective record review: reinforced zinc oxide-eugenol pulpotomy: a retrospective study. Pediatr Dent 2013;35(1):43–46.
  30. Randall RC. Preformed metal crowns for primary and permanent molar teeth: review of the literature. Pediatr Dent 2002;24(5): 489–500.
  31. Roberts JF, Sherriff M. The fate and survival of amalgam and preformed crown molar restorations placed in a specialist paediatric dental practice. Br Dent J 1990;169(8):237–244. DOI: 10.1038/sj.bdj.4807333.
  32. Chacko V, Kurikose S. Human pulpal response to mineral trioxide aggregate (MTA): a histologic study. J Clin Pediatr Dent 2006;30(3):203–209. DOI: 10.17796/jcpd.30.3.38h13g5p84651652.
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