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Lasers in Medical Science

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25.01.2022 | Original Article

Clinical and radiographic effectiveness of mineral trioxide aggregate (MTA) partial pulpotomy with low power or high power diode laser irradiation in deciduous molars: a randomized clinical trial

verfasst von: Masoumeh Ebrahimi, Sima Changiz, Abbas Makarem, Farzaneh Ahrari

Erschienen in: Lasers in Medical Science | Ausgabe 4/2022

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Abstract

This study investigated the clinical and radiographic effectiveness of MTA partial pulpotomy with low power or high power diode laser irradiation in primary molars. In this randomized single-blind clinical trial, 63 mandibular second molars were assigned into three groups (n = 21). After pulp amputation and achieving hemostasis, MTA was placed over pulp stumps in group 1 (MTA). The patients in groups 2 (LLLT-MTA) and 3 (DL-MTA) underwent low level (660 nm, 200 mW) and high power (810 nm, 1 W) diode laser radiation prior to MTA placement, respectively. The occurrence of clinical failure (spontaneous pain, tenderness upon percussion, swelling, fistula, mobility) and radiographic failure (periodontal ligament widening, external or internal root resorption, periapical or furcal radiolucency) was recorded up to 18 months after therapy. MTA and LLLT-MTA groups showed clinical success rate of 100% throughout the experiment. The clinical success rate of DL-MTA group was 95.2%, 95.2%, and 87.5% after 6, 9, and 18 months. The radiographic success rates were 90.5%, 90.5%, and 87.5% in the MTA group; 100%, 95.2%, and 88.2% in the LLLT-MTA group, and 85.7%, 76.2%, and 68.7% in the DL-MTA group, at 6-, 9-, and 18-month follow-ups, respectively. No significant differences were found in the frequency of clinical or radiographic failure among the groups at any interval (p > 0.05). MTA partial pulpotomy was a suitable technique for vital pulp therapy in deciduous teeth. The addition of low power or high power diode laser radiation to the procedure did not cause a significant difference in success rate values.

Shirazi AS, Rezaifar M, Talebi M, Mortazavi A, Malekabadi KS (2009) Application of bonding system as a sub-base material following electrosurgical pulpotomy treatment in primary teeth: a novel technique. Iran J Med Hypotheses Ideas 3:12

Fuks AB (2008) Vital pulp therapy with new materials for primary teeth: new directions and Treatment perspectives. Pediatr Dent 30(3):211–219PubMed

Nematollahi H, Noorollahian H, Bagherian A, Yarbakht M, Nematollahi S (2018) Mineral trioxide aggregate partial pulpotomy versus formocresol pulpotomy: a randomized, split-mouth, controlled clinical trial with 24 months follow-up. Pediatr Dent 40(3):184–189. https://doi.org/10.1016/j.joen.2018.07.013CrossRefPubMed

Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L (2017) Primary tooth vital pulp therapy: a systematic review and meta-analysis. Pediatr Dent 39(1):16–123PubMed

Fuks AB (2008) Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. J Endod 34(7 Suppl):S18-24. https://doi.org/10.1016/j.joen.2008.02.031CrossRefPubMed

Asgary S, Ahmadyar M (2012) Can miniature pulpotomy procedure improve treatment outcomes of direct pulp capping? Med Hypotheses 78(2):283–285. https://doi.org/10.1016/j.mehy.2011.11.002CrossRefPubMed

Cvek M (1978) A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod 4(8):232–237. https://doi.org/10.1016/s0099-2399(78)80153-8CrossRefPubMed

Mejàre I, Cvek M (1993) Partial pulpotomy in young permanent teeth with deep carious lesions. Endod Dent Traumatol 9(6):238–242. https://doi.org/10.1111/j.1600-9657.1993.tb00279.xCrossRefPubMed

Trairatvorakul C, Koothiratrakarn A (2012) Calcium hydroxide partial pulpotomy is an alternative to formocresol pulpotomy based on a 3-year randomized trial. Int J Pediatr Dent 22(5):382–389. https://doi.org/10.1111/j.1365-263X.2011.01211.xCrossRef

10.

Fallahinejad Ghajari M, Asgharian Jeddi T, Iri S, Asgary S (2013) Treatment outcomes of primary molars direct pulp capping after 20 months: a randomized controlled trial. Iran Endod J 8(4):149–152PubMedPubMedCentral

11.

Saltzman B, Sigal M, Clokie C, Rukavina J, Titley K, Kulkarni GV (2005) 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 Pediatr Dent 15(6):437–447. https://doi.org/10.1111/j.1365-263X.2005.00670.xCrossRef

12.

Gupta G, Rana V, Srivastava N, Chandna P (2015) Laser pulpotomy-an effective alternative to conventional techniques: a 12 months clinicoradiographic study. Int J Clin Pediatr Dent 8(1):18–21. https://doi.org/10.5005/jp-journals-10005-1277CrossRefPubMedPubMedCentral

13.

Selvaganesh S, Gajendran PL, Nesappan T, Prabhu AR (2021) Comparison of clinical efficacy of diode laser and erbium, chromium: Yttrium, scandium, gallium, and garnet for implant stage 2 recovery procedure - a randomized control clinical study. J Indian Soc Periodontol 25(4):335–340. https://doi.org/10.4103/jisp.jisp_448_20CrossRefPubMedPubMedCentral

14.

Fernandes AP, Lourenço Neto N, Teixeira Marques NC, Silveira Moretti AB, Sakai VT, Cruvinel Silva T, Andrade Moreira Machado MA, Marchini Oliveira T (2015) Clinical and radiographic outcomes of the use of low-level laser therapy in vital pulp of primary teeth. Int J Pediatr Dent 25(2):144–150. https://doi.org/10.1111/ipd.12115CrossRef

15.

Marques NC, Neto NL, Rodini Cde O, Fernandes AP, Sakai VT, Machado MA, Oliveira TM (2015) Low-level laser therapy as an alternative for pulpotomy in human primary teeth. Lasers Med Sci 30(7):1815–1822. https://doi.org/10.1007/s10103-014-1656-7CrossRefPubMed

16.

Lin PY, Chen HS, Wang YH, Tu YK (2014) Primary molar pulpotomy: a systematic review and network meta-analysis. J Dent 42(9):1060–1077. https://doi.org/10.1016/j.jdent.2014.02.001CrossRefPubMed

17.

De Coster P, Rajasekharan S, Martens L (2013) Laser-assisted pulpotomy in primary teeth: a systematic review. Int J Pediatr Dent 23(6):389–399. https://doi.org/10.1111/ipd.12014CrossRef

18.

Cardoso-Silva C, Barbería E, Maroto M, García-Godoy F (2011) Clinical study of mineral trioxide aggregate in primary molars. Comparison between Grey and White MTA--a long term follow-up (84 months). J Dent 39(2):187–193. https://doi.org/10.1016/j.jdent.2010.11.010CrossRefPubMed

19.

Eidelman E, Holan G, Fuks AB (2001) Mineral trioxide aggregate vs. formocresol in pulpotomized primary molars: a preliminary report. Pediatr Dent 23(1):15–18PubMed

20.

Tziafas D, Pantelidou O, Alvanou A, Belibasakis G, Papadimitriou S (2002) The dentinogenic effect of mineral trioxide aggregate (MTA) in short-term capping experiments. Int Endod J 35(3):245–254. https://doi.org/10.1046/j.1365-2591.2002.00471.xCrossRefPubMed

21.

Kang CM, Seong S, Song JS (2021) The role of hydraulic silicate cements on long-term properties and biocompatibility of partial pulpotomy in permanent teeth. Materials (Basel) 14(2):305. https://doi.org/10.3390/ma14020305CrossRef

22.

Schröder U, Szpringer-Nodzak M, Janicha J, Wacińska M, Budny J, Mlosek K (1987) A one-year follow-up of partial pulpotomy and calcium hydroxide capping in primary molars. Endod Dent Traumatol 3(6):304–306. https://doi.org/10.1111/j.1600-9657.1987.tb00639.xCrossRefPubMed

23.

Moosavi H, Arjmand N, Ahrari F, Zakeri M, Maleknejad F (2016) Effect of low-level laser therapy on tooth sensitivity induced by in-office bleaching. Lasers Med Sci 31(4):713–719. https://doi.org/10.1007/s10103-016-1913-zCrossRefPubMed

24.

Moosavi H, Maleknejad F, Sharifi M, Ahrari F (2015) A randomized clinical trial of the effect of low-level laser therapy before composite placement on postoperative sensitivity in class V restorations. Lasers Med Sci 30(4):1245–1249. https://doi.org/10.1007/s10103-014-1565-9CrossRefPubMed

25.

Sardari F, Ahrari F (2016) The effect of low-level helium-neon laser on oral wound healing. Dent Res J (Isfahan) 13(1):24–29. https://doi.org/10.4103/1735-3327.174693CrossRef

26.

Ahrari F, Madani AS, Ghafouri ZS, Tunér J (2014) The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci 29(2):551–557. https://doi.org/10.1007/s10103-012-1253-6CrossRefPubMed

27.

Madani AS, Ahrari F, Nasiri F, Abtahi M, Tunér J (2014) Low-level laser therapy for management of TMJ osteoarthritis. Cranio 32(1):38–44. https://doi.org/10.1179/0886963413z.0000000004CrossRefPubMed

28.

Kreisler M, Christoffers AB, Al-Haj H, Willershausen B, d’Hoedt B (2002) Low level 809-nm diode laser-induced in vitro stimulation of the proliferation of human gingival fibroblasts. Lasers Surg Med 30(5):365–369. https://doi.org/10.1002/lsm.10060CrossRefPubMed

29.

AlGhamdi KM, Kumar A, Moussa NA (2012) Low-level laser therapy: a useful technique for enhancing the proliferation of various cultured cells. Lasers Med Sci 27(1):237–249. https://doi.org/10.1007/s10103-011-0885-2CrossRefPubMed

30.

Jahanbin A, Ramazanzadeh B, Ahrari F, Forouzanfar A, Beidokhti M (2014) Effectiveness of Er:YAG laser-aided fiberotomy and low-level laser therapy in alleviating relapse of rotated incisors. Am J Orthod Dentofacial Orthop 146(5):565–572. https://doi.org/10.1016/j.ajodo.2014.07.006CrossRefPubMed

31.

Cronshaw M, Parker S, Arany P (2019) Feeling the heat: evolutionary and microbial basis for the analgesic mechanisms of photobiomodulation therapy. Photobiomodul Photomed Laser Surg 37(9):517–526. https://doi.org/10.1089/photob.2019.4684CrossRefPubMed

32.

Ahrari F, Akbari M, Mohammadpour S, Forghani M (2015) The efficacy of laser-assisted in-office bleaching and home bleaching on sound and demineralized enamel. Laser therapy 24(4):257–264. https://doi.org/10.5978/islsm.15-OR-15CrossRefPubMedPubMedCentral

33.

Ansari G, Safi Aghdam H, Taheri P, Ghazizadeh Ahsaie M (2018) Laser pulpotomy-an effective alternative to conventional techniques-a systematic review of literature and meta-analysis. Lasers Med Sci 33(8):1621–1629. https://doi.org/10.1007/s10103-018-2588-4CrossRefPubMed

34.

Uloopi KS, Vinay C, Ratnaditya A, Gopal AS, Mrudula KJ, Rao RC (2016) Clinical evaluation of low level diode laser application for primary teeth pulpotomy. J Clin Diagn Res 10(1):Zc67-70. https://doi.org/10.7860/jcdr/2016/13218.7140CrossRefPubMedPubMedCentral

35.

Durmus B, Tanboga I (2014) In vivo evaluation of the treatment outcome of pulpotomy in primary molars using diode laser, formocresol, and ferric sulphate. Photomed Laser Surg 32(5):289–295. https://doi.org/10.1089/pho.2013.3628CrossRefPubMedPubMedCentral

36.

Odabaş ME, Bodur H, Bariş E, Demir C (2007) Clinical, radiographic, and histopathologic evaluation of Nd:YAG laser pulpotomy on human primary teeth. J Endod 33(4):415–421. https://doi.org/10.1016/j.joen.2006.12.013CrossRefPubMed

37.

Liu JF (2006) Effects of Nd:YAG laser pulpotomy on human primary molars. J Endod 32(5):404–407. https://doi.org/10.1016/j.joen.2006.01.005CrossRefPubMed

38.

Yadav P, Indushekar K, Saraf B, Sheoran N, Sardana D (2014) Comparative evaluation of ferric sulfate, electrosurgical and diode laser on human primary molars pulpotomy: an “in-vivo” study. Laser therapy 23(1):41–47. https://doi.org/10.5978/islsm.14-OR-05CrossRefPubMedPubMedCentral

39.

Yazdanfar I, Gutknecht N, Franzen R (2015) Effects of diode laser on direct pulp capping treatment : a pilot study. Lasers Med Sci 30(4):1237–1243. https://doi.org/10.1007/s10103-014-1574-8CrossRefPubMed

Titel: Clinical and radiographic effectiveness of mineral trioxide aggregate (MTA) partial pulpotomy with low power or high power diode laser irradiation in deciduous molars: a randomized clinical trial
verfasst von: Masoumeh Ebrahimi
Sima Changiz
Abbas Makarem
Farzaneh Ahrari
Publikationsdatum: 25.01.2022
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 4/2022
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-022-03503-5

Springer Medizin

Abstract

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