Skip to main content
Erschienen in: Lasers in Medical Science 4/2015

01.05.2015 | Original Article

Effects of diode laser on direct pulp capping treatment

A pilot study

verfasst von: Iraj Yazdanfar, Norbert Gutknecht, Rene Franzen

Erschienen in: Lasers in Medical Science | Ausgabe 4/2015

Einloggen, um Zugang zu erhalten

Abstract

At the present time, evidence-based, best practices have yet to be established for maintaining the vitality of teeth by managing caries-associated pulp exposure in permanent teeth. In terms of biomechanical and esthetic considerations, pulp capping has proven to be more effective than root-canal therapy. Given the low success rate of conventional methods, new techniques, such as laser-assisted repairs, should be developed. The purpose of this study was to compare the effectiveness of conventional and diode laser-assisted methods in direct pulp capping of carious teeth. Ten patients ranging in age from 12 to 40 were assigned randomly to experimental and control groups in this clinical trial in which the participants’ teeth were treated with different techniques, i.e., conventional treatment and diode 808-nm, laser-assisted treatment. For each of these groups, five cases were chosen for treatment with the same method under rubber dam isolation. The data were analyzed by the runs test using SPSS software. The success rate was significantly different between conventional (60 %) and diode 808-nm, laser-assisted (100 %) groups after one year (P > 0.05). The laser-assisted procedure proved to be more effective than the conventional technique in enhancing the outcomes of pulp-capping therapy in carious exposures.
Literatur
1.
Zurück zum Zitat Ford TR, Torabinejad M, Abedi HR, Bakland LK, Kariyawasarn SP (1996) Using mineral trioxide aggregate as a pulp capping material. J Am Dent Assoc 127:1491–1494, Pubmed PMID: 8908918CrossRefPubMed Ford TR, Torabinejad M, Abedi HR, Bakland LK, Kariyawasarn SP (1996) Using mineral trioxide aggregate as a pulp capping material. J Am Dent Assoc 127:1491–1494, Pubmed PMID: 8908918CrossRefPubMed
2.
Zurück zum Zitat Ingle JI, Bakland LK, Endodontics 5th ed (2002) London: BC Decker Ingle JI, Bakland LK, Endodontics 5th ed (2002) London: BC Decker
3.
Zurück zum Zitat Cohen S, Bums RC (2001) Pathways of the pulp 8’h ed. Mosby, St. Louis Cohen S, Bums RC (2001) Pathways of the pulp 8’h ed. Mosby, St. Louis
5.
Zurück zum Zitat Camp JH, Barrett EJ, Pulver F (2002) Pediatric endodontics: endodontic treatment for the primary and young, permanent dentition. In: Cohen S, Burns RC (eds) Pathways of the Pulp, 8th edn. Mosby, St. Louis, pp 797–844 Camp JH, Barrett EJ, Pulver F (2002) Pediatric endodontics: endodontic treatment for the primary and young, permanent dentition. In: Cohen S, Burns RC (eds) Pathways of the Pulp, 8th edn. Mosby, St. Louis, pp 797–844
6.
Zurück zum Zitat Cvek MA (1987) Clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod 4:232–237, Pubmed PMID: 283188CrossRef Cvek MA (1987) Clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod 4:232–237, Pubmed PMID: 283188CrossRef
7.
Zurück zum Zitat Barthel CR, Rosenkranz B, Leuenberg A, Roulet JF (2000) Pulp capping of carious exposures: treatment outcome after 5 and 10 years: a retrospective study. J Endod 26:525–528, Pubmed PMID: 11199794CrossRefPubMed Barthel CR, Rosenkranz B, Leuenberg A, Roulet JF (2000) Pulp capping of carious exposures: treatment outcome after 5 and 10 years: a retrospective study. J Endod 26:525–528, Pubmed PMID: 11199794CrossRefPubMed
8.
Zurück zum Zitat Stanley HR (1998) Criteria for standardizing and increasing credibility of direct pulp capping studies. Am J Dent 11:17–34, Pubmed PMID: 9760878 Stanley HR (1998) Criteria for standardizing and increasing credibility of direct pulp capping studies. Am J Dent 11:17–34, Pubmed PMID: 9760878
9.
Zurück zum Zitat Bender IB (2000) Reversible and irreversible painful pulpitides: diagnosis and treatment. Aust Endod J 26(1):10–14, Pubmed PMID: 11359291CrossRefPubMed Bender IB (2000) Reversible and irreversible painful pulpitides: diagnosis and treatment. Aust Endod J 26(1):10–14, Pubmed PMID: 11359291CrossRefPubMed
10.
Zurück zum Zitat Murray PE, Windsor U, Smyth TW, Hafez AA, Cox CF (2002) Analysis of pulpal reactions to restorative procedures, materials pulp capping, and future therapies. Crit Rev Oral Bioi Med 13(6):509–520, Pubmed PMID: 12499243CrossRef Murray PE, Windsor U, Smyth TW, Hafez AA, Cox CF (2002) Analysis of pulpal reactions to restorative procedures, materials pulp capping, and future therapies. Crit Rev Oral Bioi Med 13(6):509–520, Pubmed PMID: 12499243CrossRef
11.
Zurück zum Zitat Nair PN (2006) On the causes of persistent apical periodontitis: a review. Int Endod J 39(4):249–281, Pubmed PMID: 16584489CrossRefPubMed Nair PN (2006) On the causes of persistent apical periodontitis: a review. Int Endod J 39(4):249–281, Pubmed PMID: 16584489CrossRefPubMed
12.
Zurück zum Zitat Goto Y, Ceyhan J, Chu SJ (2009) Restorations of endodontically treated teeth: new concepts, materials, and aesthetics. Pract Proced Aesthet Dent 21(2):81–89, Pubmed PMID: 19583165PubMed Goto Y, Ceyhan J, Chu SJ (2009) Restorations of endodontically treated teeth: new concepts, materials, and aesthetics. Pract Proced Aesthet Dent 21(2):81–89, Pubmed PMID: 19583165PubMed
13.
Zurück zum Zitat Glickman GN, Koch KA (2000) 21st-century endodontics. J Am Dent Assoc 131(6):39S–46S, Pubmed PMID: 10860344CrossRefPubMed Glickman GN, Koch KA (2000) 21st-century endodontics. J Am Dent Assoc 131(6):39S–46S, Pubmed PMID: 10860344CrossRefPubMed
14.
Zurück zum Zitat Lin LM, Di Fiore PM, Lin J, Rosenberg PA (2006) Histological study of periradicular tissue responses to uninfected and infected devitalized pulps in dogs. J Endod 32(1):34–38, Pubmed PMID: 16410065CrossRefPubMed Lin LM, Di Fiore PM, Lin J, Rosenberg PA (2006) Histological study of periradicular tissue responses to uninfected and infected devitalized pulps in dogs. J Endod 32(1):34–38, Pubmed PMID: 16410065CrossRefPubMed
15.
Zurück zum Zitat Rocha CT, Rossi MA, Leonardo MR, Rocha LB, Nelson-Filho P, Silva LA (2008) Biofilm on the apical region of roots in primary teeth with vital and necrotic pulps with or without radiographically evident apical pathosis. Int Endod J 41(8):664–669, Pubmed PMID: 18479368CrossRefPubMed Rocha CT, Rossi MA, Leonardo MR, Rocha LB, Nelson-Filho P, Silva LA (2008) Biofilm on the apical region of roots in primary teeth with vital and necrotic pulps with or without radiographically evident apical pathosis. Int Endod J 41(8):664–669, Pubmed PMID: 18479368CrossRefPubMed
16.
Zurück zum Zitat Zhang W, Yelick PC (2010) vital pulp therapy current progress of dental pulp regeneration and revascularization. Int J Dent. 1–8. Pubmed PMID: 20454445 Zhang W, Yelick PC (2010) vital pulp therapy current progress of dental pulp regeneration and revascularization. Int J Dent. 1–8. Pubmed PMID: 20454445
17.
Zurück zum Zitat Valderhaug J, Jokstad A, Ambjørnsen E, Norheim PW (1997) Assessment of the periapical and clinical status of crowned teeth over 25 years. J Dent 25(2):97–105, Pubmed PMID: 9105139CrossRefPubMed Valderhaug J, Jokstad A, Ambjørnsen E, Norheim PW (1997) Assessment of the periapical and clinical status of crowned teeth over 25 years. J Dent 25(2):97–105, Pubmed PMID: 9105139CrossRefPubMed
18.
Zurück zum Zitat Bergenholtz G, Advances since the paper by Zander and Glass (2005) On the pursuit of healing methods for pulpal exposures: historical perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100(2 Suppl):S102–S108, PubMed: 16037786CrossRefPubMed Bergenholtz G, Advances since the paper by Zander and Glass (2005) On the pursuit of healing methods for pulpal exposures: historical perspectives. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100(2 Suppl):S102–S108, PubMed: 16037786CrossRefPubMed
19.
Zurück zum Zitat Tronstad L, Mjor IA (1972) Capping of the inflamed pulp. Oral Surg Oral Med Oral Pathol 34(3):477–485, PubMed: 4625987CrossRefPubMed Tronstad L, Mjor IA (1972) Capping of the inflamed pulp. Oral Surg Oral Med Oral Pathol 34(3):477–485, PubMed: 4625987CrossRefPubMed
20.
Zurück zum Zitat Al-Hiyasat AS, Barrieshi-Nusair KM, Al-Omari MA (2006) The radiographic outcomes of direct pulp-capping procedures performed by dental students: a retrospective study. J Am Dent Assoc 137(12):1699–1705, PubMed: 17138715CrossRefPubMed Al-Hiyasat AS, Barrieshi-Nusair KM, Al-Omari MA (2006) The radiographic outcomes of direct pulp-capping procedures performed by dental students: a retrospective study. J Am Dent Assoc 137(12):1699–1705, PubMed: 17138715CrossRefPubMed
22.
Zurück zum Zitat Santucci PJ (1999) Dycal versus Nd: YAG laser and Vitrebond for direct pulp capping in permanent teeth. J Clin Laser Med Surg 17(2):69–75, Pubmed PMID: 11189978PubMed Santucci PJ (1999) Dycal versus Nd: YAG laser and Vitrebond for direct pulp capping in permanent teeth. J Clin Laser Med Surg 17(2):69–75, Pubmed PMID: 11189978PubMed
23.
Zurück zum Zitat Jayawardena JA, Kato J, Moriya K, Takagi Y (2001) Pulpal response to exposure with Er:YAG laser. Oral Surg Oral Med Oral Pathos Oral Radiol Endod 91(2):222–229, Pubmed PMID: 11174601CrossRef Jayawardena JA, Kato J, Moriya K, Takagi Y (2001) Pulpal response to exposure with Er:YAG laser. Oral Surg Oral Med Oral Pathos Oral Radiol Endod 91(2):222–229, Pubmed PMID: 11174601CrossRef
24.
Zurück zum Zitat Moritz A, Schoop U, Goharkhay K, Sperr W (1998) Advantages of a pulsed CO2 laser in direct pulp capping: long term in vivo study. Laser Surg Med 22(5):288–293, Pubmed PMID: 9671995CrossRef Moritz A, Schoop U, Goharkhay K, Sperr W (1998) Advantages of a pulsed CO2 laser in direct pulp capping: long term in vivo study. Laser Surg Med 22(5):288–293, Pubmed PMID: 9671995CrossRef
25.
Zurück zum Zitat Moritz A, Schoop U, Goharkhay K, Sperr W (1998) The CO2 laser as an aid in direct pulp capping. J Endod 24(4):248–251, Pubmed PMID: 9641128CrossRefPubMed Moritz A, Schoop U, Goharkhay K, Sperr W (1998) The CO2 laser as an aid in direct pulp capping. J Endod 24(4):248–251, Pubmed PMID: 9641128CrossRefPubMed
26.
Zurück zum Zitat Iaria G, Olivi G, Benedicenti S, Kaitsas V (2005) Il laser Er:YAG e il laser Er,Cr:YSGG in Odontoiatria. II Dentista Moderno Maggio: 25–67 Iaria G, Olivi G, Benedicenti S, Kaitsas V (2005) Il laser Er:YAG e il laser Er,Cr:YSGG in Odontoiatria. II Dentista Moderno Maggio: 25–67
27.
Zurück zum Zitat Olivi G, Genovese MD (2006) Erbium Chromium laser in pulp capping treatments. J Oral Laser Appl 6(4):291–299 Olivi G, Genovese MD (2006) Erbium Chromium laser in pulp capping treatments. J Oral Laser Appl 6(4):291–299
28.
Zurück zum Zitat Gutknecht N, Moritz A, Conrads G, Sievert T, Lambert F (1996) Bactericidal effect of the Nd: YAG laser in in vitro root canals. J Clin Laser Med Surg 14(2):77–80, Pubmed PMID: 9484079PubMed Gutknecht N, Moritz A, Conrads G, Sievert T, Lambert F (1996) Bactericidal effect of the Nd: YAG laser in in vitro root canals. J Clin Laser Med Surg 14(2):77–80, Pubmed PMID: 9484079PubMed
29.
Zurück zum Zitat Schoop U, Kluger W, Moritz A, Nedjelik N, Georgopoulos A, Sperr W (2004) Bactericidal effect of different laser systems in deep layers of dentin. Laser Surg Med 35(2):111–116, Pubmed PMID: 15334613CrossRef Schoop U, Kluger W, Moritz A, Nedjelik N, Georgopoulos A, Sperr W (2004) Bactericidal effect of different laser systems in deep layers of dentin. Laser Surg Med 35(2):111–116, Pubmed PMID: 15334613CrossRef
30.
Zurück zum Zitat Moritz A, Schoop U, Goharkhay K, Jakolitsch S, Kluger W, Wernisch J, Sperr W (1999) The bactericidal effect of Nd: YAG, Ho: YAG and Er: YAG laser irradiation in the root canal: an in vitro comparison. J Clin Laser Med Surg 17:161–164, Pubmed PMID: 11199839PubMed Moritz A, Schoop U, Goharkhay K, Jakolitsch S, Kluger W, Wernisch J, Sperr W (1999) The bactericidal effect of Nd: YAG, Ho: YAG and Er: YAG laser irradiation in the root canal: an in vitro comparison. J Clin Laser Med Surg 17:161–164, Pubmed PMID: 11199839PubMed
31.
Zurück zum Zitat Tsuneda Y, Hayakawa T, Yamamoto H, Ikemi T, Nemoto K (1995) Histopathological study of direct pulp capping with adhesive resins. Oper Dent 20(6):223–229, Pubmed PMID: 8710703PubMed Tsuneda Y, Hayakawa T, Yamamoto H, Ikemi T, Nemoto K (1995) Histopathological study of direct pulp capping with adhesive resins. Oper Dent 20(6):223–229, Pubmed PMID: 8710703PubMed
32.
Zurück zum Zitat Kitasako Y, Inokoshi S, Tagami J (1999) Effects of direct resin pulp capping techniques on short-term response of mechanically exposed pulps. J Dent 27:257–263, Pubmed PMID: 10193102CrossRefPubMed Kitasako Y, Inokoshi S, Tagami J (1999) Effects of direct resin pulp capping techniques on short-term response of mechanically exposed pulps. J Dent 27:257–263, Pubmed PMID: 10193102CrossRefPubMed
33.
Zurück zum Zitat Cox CF, Tarim B, Kopel H, Gürel G, Hafez A (2001) Technique sensitivity: biological factors contributing to clinical success with various restorative materials. Adv Dent Res 15:85–90, Pubmed PMID: 12640749CrossRefPubMed Cox CF, Tarim B, Kopel H, Gürel G, Hafez A (2001) Technique sensitivity: biological factors contributing to clinical success with various restorative materials. Adv Dent Res 15:85–90, Pubmed PMID: 12640749CrossRefPubMed
34.
Zurück zum Zitat Hafez AA, Cox CF, Tarim B, Otsuki M, Akimoto N (2002) An in vivo evaluation of hemorrhage control using sodium hypochlorite and direct capping with a one- or two-component adhesive system in exposed nonhuman primate pulps. Quintessence Int 33:261–272, Pubmed PMID: 11989375PubMed Hafez AA, Cox CF, Tarim B, Otsuki M, Akimoto N (2002) An in vivo evaluation of hemorrhage control using sodium hypochlorite and direct capping with a one- or two-component adhesive system in exposed nonhuman primate pulps. Quintessence Int 33:261–272, Pubmed PMID: 11989375PubMed
35.
Zurück zum Zitat Katoh Y (2002) Hybridized capping effect of two step bonding system and Ca (OH) 2 to exposed pulp. In: Ishikawa T, Takahashi K, Maeda T, Suda H, Shimono M, Inoue T (eds) Proceedings of the international conference on dentin/pulp complex. Quintessence Publishing, Tokyo, pp 95–101 Katoh Y (2002) Hybridized capping effect of two step bonding system and Ca (OH) 2 to exposed pulp. In: Ishikawa T, Takahashi K, Maeda T, Suda H, Shimono M, Inoue T (eds) Proceedings of the international conference on dentin/pulp complex. Quintessence Publishing, Tokyo, pp 95–101
36.
37.
Zurück zum Zitat Utsunomiya T (1998) 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 24:187–193, Pubmed PMID: 9558585CrossRefPubMed Utsunomiya T (1998) 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 24:187–193, Pubmed PMID: 9558585CrossRefPubMed
38.
Zurück zum Zitat Ohbayashi E, Matsushima K, Hosoya S, Abiko Y, Yamazaki M (1999) Stimulatory effect of laser irradiation on calcified nodule formation in human dental pulp fibroblasts. J Endod 25:30–33, Pubmed PMID: 10196840CrossRefPubMed Ohbayashi E, Matsushima K, Hosoya S, Abiko Y, Yamazaki M (1999) Stimulatory effect of laser irradiation on calcified nodule formation in human dental pulp fibroblasts. J Endod 25:30–33, Pubmed PMID: 10196840CrossRefPubMed
39.
Zurück zum Zitat Benedicenti A (2005) The use of laser therapy 3rd edition Team work media srl, Villa Cascina (Brescia), Italy Benedicenti A (2005) The use of laser therapy 3rd edition Team work media srl, Villa Cascina (Brescia), Italy
40.
Zurück zum Zitat Eduardo Fde P, Bueno DF, de Freitas PM, Marques MM, Passos- Bueno MR, Eduardo Cde P, Zatz M (2008) Stem cell proliferation under low intensity laser irradiation: a preliminary study. Lasers Surg Med 40:433–438, Pubmed PMID: 18649378CrossRefPubMed Eduardo Fde P, Bueno DF, de Freitas PM, Marques MM, Passos- Bueno MR, Eduardo Cde P, Zatz M (2008) Stem cell proliferation under low intensity laser irradiation: a preliminary study. Lasers Surg Med 40:433–438, Pubmed PMID: 18649378CrossRefPubMed
41.
Zurück zum Zitat Paterson RC, Watts A (1987) Toxicity to the pulp of a glass ionomer cements. Br Dent J 162:110–112, Pubmed PMID: 3468974CrossRefPubMed Paterson RC, Watts A (1987) Toxicity to the pulp of a glass ionomer cements. Br Dent J 162:110–112, Pubmed PMID: 3468974CrossRefPubMed
42.
Zurück zum Zitat Tziafas D, Molyvadas I (1988) The tissue reaction after capping of dog teeth with calcium hydroxide experimentally crammed into the pulp space. Oral Surg Oral Med Oral Pathol 65(5):604–608, Pubmed PMID: 3163788CrossRefPubMed Tziafas D, Molyvadas I (1988) The tissue reaction after capping of dog teeth with calcium hydroxide experimentally crammed into the pulp space. Oral Surg Oral Med Oral Pathol 65(5):604–608, Pubmed PMID: 3163788CrossRefPubMed
43.
Zurück zum Zitat Schrader U (1985) Effects of calcium hydroxide containing pulp-capping agents on pulp cell migration, proliferation and differentiation. J Dent Res 64(Special issue):541–548, Pubmed PMID: 3857254 Schrader U (1985) Effects of calcium hydroxide containing pulp-capping agents on pulp cell migration, proliferation and differentiation. J Dent Res 64(Special issue):541–548, Pubmed PMID: 3857254
44.
Zurück zum Zitat Stanley HR (1989) Pulp capping conserving the dental pulp can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol 68(5):628–639, Pubmed PMID: 2682429CrossRefPubMed Stanley HR (1989) Pulp capping conserving the dental pulp can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol 68(5):628–639, Pubmed PMID: 2682429CrossRefPubMed
45.
Zurück zum Zitat Schuurs AHB, Gruythuysen RJM, Wesselink PR (2000) Pulp capping with adhesive resin-based composite vs. calcium hydroxide: a review. Endod Dent Traumat 16(6):240–250, Pubmed PMID: 11202889CrossRef Schuurs AHB, Gruythuysen RJM, Wesselink PR (2000) Pulp capping with adhesive resin-based composite vs. calcium hydroxide: a review. Endod Dent Traumat 16(6):240–250, Pubmed PMID: 11202889CrossRef
Metadaten
Titel
Effects of diode laser on direct pulp capping treatment
A pilot study
verfasst von
Iraj Yazdanfar
Norbert Gutknecht
Rene Franzen
Publikationsdatum
01.05.2015
Verlag
Springer London
Erschienen in
Lasers in Medical Science / Ausgabe 4/2015
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-014-1574-8

Weitere Artikel der Ausgabe 4/2015

Lasers in Medical Science 4/2015 Zur Ausgabe