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Erschienen in: European Archives of Paediatric Dentistry 4/2018

01.08.2018 | Systematic Review

Clinical and radiographic outcomes of laser pulpotomy in vital primary teeth: a systematic review and meta-analysis

verfasst von: H. Nematollahi, A. Sarraf Shirazi, M. Mehrabkhani, S. Sabbagh

Erschienen in: European Archives of Paediatric Dentistry | Ausgabe 4/2018

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Abstract

Aim

This was to compare clinical and radiographic success rates of laser pulpotomy with those of other pulpotomy techniques in primary teeth.

Methods

PubMed, SCOPUS, EMBASE, Cochrane and ISI Web of Knowledge databases were searched electronically without time or language limitations. Clinical trials in which laser pulpotomy was compared with at least one other pulpotomy modality in primary teeth were selected. The bibliographic reference lists of eligible articles were also hand-searched. Odds ratios, risk differences and 95% confidence intervals were calculated with the aid of Comprehensive Meta-Analysis software (Version 2.2.050, Biostat, Englewood, NJ, USA). The methodological quality of articles included in the meta-analysis was determined using the Jadad scale.

Results

Twelve pulpotomy studies were selected for systematic review and underwent data extraction. Of these studies, statistical analysis was conducted on 11. All clinical trials had low to moderate risks of methodological bias. The meta-analysis showed no significant differences in clinical and radiographic pulpotomy outcomes with laser compared with other techniques (p > 0.05). Likewise, no differences were found in the outcomes at 1, 3, 6, 9, 12 or ≥ 18 months (all p > 0.05).

Conclusions

For primary molar pulpotomy, the laser technique showed comparable clinical and radiographic results to other conventional pulpotomy medicaments, including formocresol and mineral trioxide aggregate.
Literatur
Zurück zum Zitat American Academy of Paediatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2016;38(6):280–8. American Academy of Paediatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2016;38(6):280–8.
Zurück zum Zitat Celik B, Atac AS, Cehreli ZC, Uysal S. A randomized trial of mineral trioxide aggregate cements in primary tooth pulpotomies. J Dent Child (Chic). 2013;80(3):126–32. Celik B, Atac AS, Cehreli ZC, Uysal S. A randomized trial of mineral trioxide aggregate cements in primary tooth pulpotomies. J Dent Child (Chic). 2013;80(3):126–32.
Zurück zum Zitat Elliott RD, Roberts MW, Burkes J, Phillips C. Evaluation of the carbon dioxide laser on vital human primary pulp tissue. Pediatr Dent. 1999;21(6):327–31.PubMed Elliott RD, Roberts MW, Burkes J, Phillips C. Evaluation of the carbon dioxide laser on vital human primary pulp tissue. Pediatr Dent. 1999;21(6):327–31.PubMed
Zurück zum Zitat Fuks AB. Current concepts in vital primary pulp therapy. Eur J Paediatr Dent. 2002;3(3):115–20.PubMed Fuks AB. Current concepts in vital primary pulp therapy. Eur J Paediatr Dent. 2002;3(3):115–20.PubMed
Zurück zum Zitat Fuks AB, Papagiannoulis L. Pulpotomy in primary teeth: review of the literature according to standardized criteria. Eur Arch Paediatr Dent. 2006;7(2):64–71.CrossRefPubMed Fuks AB, Papagiannoulis L. Pulpotomy in primary teeth: review of the literature according to standardized criteria. Eur Arch Paediatr Dent. 2006;7(2):64–71.CrossRefPubMed
Zurück zum Zitat Furze HA, Furze ME. Pulpotomy with laser in primary and young permanent teeth. J Oral Laser Appl. 2006;6(1):53–8. Furze HA, Furze ME. Pulpotomy with laser in primary and young permanent teeth. J Oral Laser Appl. 2006;6(1):53–8.
Zurück zum Zitat Golpayegani MV, Ansari G, Tadayon N, Shams S, Mir M. Low-level laser therapy for pulpotomy treatment of primary molars. J Dent Tehran Univ Med Sci. 2009;6(4):168–74. Golpayegani MV, Ansari G, Tadayon N, Shams S, Mir M. Low-level laser therapy for pulpotomy treatment of primary molars. J Dent Tehran Univ Med Sci. 2009;6(4):168–74.
Zurück zum Zitat Havale R, Anegundi RT, Indushekar K, Sudha P. Clinical and radiographic evaluation of pulpotomies in primary molars with formocresol, glutaraldehyde and ferric sulphate. Oral Health Dent Manag. 2013;12(1):24–31.PubMed Havale R, Anegundi RT, Indushekar K, Sudha P. Clinical and radiographic evaluation of pulpotomies in primary molars with formocresol, glutaraldehyde and ferric sulphate. Oral Health Dent Manag. 2013;12(1):24–31.PubMed
Zurück zum Zitat Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1–12.CrossRefPubMed Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1–12.CrossRefPubMed
Zurück zum Zitat Jukic S, Anic I, Koba K, Najzar-Fleger D, Matsumoto K. The effect of pulpotomy using CO2 and Nd:YAG lasers on dental pulp tissue. Int Endod J. 1997;30(3):175–80.CrossRefPubMed Jukic S, Anic I, Koba K, Najzar-Fleger D, Matsumoto K. The effect of pulpotomy using CO2 and Nd:YAG lasers on dental pulp tissue. Int Endod J. 1997;30(3):175–80.CrossRefPubMed
Zurück zum Zitat Malekafzali B, Shekarchi F, Asgary S. Treatment outcomes of pulpotomy in primary molars using two endodontic biomaterials. A 2-year randomised clinical trial. Eur J Paediatr Dent. 2011;12(3):189–93.PubMed Malekafzali B, Shekarchi F, Asgary S. Treatment outcomes of pulpotomy in primary molars using two endodontic biomaterials. A 2-year randomised clinical trial. Eur J Paediatr Dent. 2011;12(3):189–93.PubMed
Zurück zum Zitat Mareddy A, Mallikarjun SB, Shetty PV, Rao V, Chandru T. Histological evaluation of diode laser pulpotomy in dogs. J Oral Laser Appl. 2010;10(1):7–16. Mareddy A, Mallikarjun SB, Shetty PV, Rao V, Chandru T. Histological evaluation of diode laser pulpotomy in dogs. J Oral Laser Appl. 2010;10(1):7–16.
Zurück zum Zitat Nematollahi H, Sahebnasagh M, Parisay I. Comparison of electrosurgical pulpotomy with zinc oxide eugenol or zinc polycarboxylate cements sub-base. J Clin Pediatr Dent. 2011;36(2):133–7.CrossRefPubMed Nematollahi H, Sahebnasagh M, Parisay I. Comparison of electrosurgical pulpotomy with zinc oxide eugenol or zinc polycarboxylate cements sub-base. J Clin Pediatr Dent. 2011;36(2):133–7.CrossRefPubMed
Zurück zum Zitat Parisay I, Ghoddusi J, Forghani M. A review on vital pulp therapy in primary teeth. Iran Endod J. 2015;10(1):6–15.PubMed Parisay I, Ghoddusi J, Forghani M. A review on vital pulp therapy in primary teeth. Iran Endod J. 2015;10(1):6–15.PubMed
Zurück zum Zitat Ranly DM. Pulpotomy therapy in primary teeth: new modalities for old rationales. Pediatr Dent. 1994;16(6):403–9.PubMed Ranly DM. Pulpotomy therapy in primary teeth: new modalities for old rationales. Pediatr Dent. 1994;16(6):403–9.PubMed
Zurück zum Zitat Rivera N, Reyes E, Mazzaoui S, Moron A. Pulpal therapy for primary teeth: formocresol vs electrosurgery: a clinical study. J Dent Child (Chic). 2003;70(1):71–3. Rivera N, Reyes E, Mazzaoui S, Moron A. Pulpal therapy for primary teeth: formocresol vs electrosurgery: a clinical study. J Dent Child (Chic). 2003;70(1):71–3.
Zurück zum Zitat Shabzendedar M, Mazhari F, Alami M, Talebi M. Sodium hypochlorite vs formocresol as pulpotomy medicaments in primary molars: 1-year follow-up. Pediatr Dent. 2013;35(4):329–32.PubMed Shabzendedar M, Mazhari F, Alami M, Talebi M. Sodium hypochlorite vs formocresol as pulpotomy medicaments in primary molars: 1-year follow-up. Pediatr Dent. 2013;35(4):329–32.PubMed
Zurück zum Zitat Simancas-Pallares MA, Diaz-Caballero AJ, Luna-Ricardo LM. Mineral trioxide aggregate in primary teeth pulpotomy. A systematic literature review. Med Oral Patol Oral Cir Bucal. 2010;15(6):e942–6.CrossRefPubMed Simancas-Pallares MA, Diaz-Caballero AJ, Luna-Ricardo LM. Mineral trioxide aggregate in primary teeth pulpotomy. A systematic literature review. Med Oral Patol Oral Cir Bucal. 2010;15(6):e942–6.CrossRefPubMed
Zurück zum Zitat Togaru H, Muppa R, Srinivas N, et al. Clinical and radiographic evaluation of success of two commercially available pulpotomy agents in primary teeth: an in vivo study. J Contemp Dent Pract. 2016;17(7):557–63.PubMed Togaru H, Muppa R, Srinivas N, et al. Clinical and radiographic evaluation of success of two commercially available pulpotomy agents in primary teeth: an in vivo study. J Contemp Dent Pract. 2016;17(7):557–63.PubMed
Zurück zum Zitat Waterhouse PJ. Formocresol and alternative primary molar pulpotomy medicaments: a review. Endod Dent Traumatol. 1995;11(4):157–62.CrossRefPubMed Waterhouse PJ. Formocresol and alternative primary molar pulpotomy medicaments: a review. Endod Dent Traumatol. 1995;11(4):157–62.CrossRefPubMed
Metadaten
Titel
Clinical and radiographic outcomes of laser pulpotomy in vital primary teeth: a systematic review and meta-analysis
verfasst von
H. Nematollahi
A. Sarraf Shirazi
M. Mehrabkhani
S. Sabbagh
Publikationsdatum
01.08.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Paediatric Dentistry / Ausgabe 4/2018
Print ISSN: 1818-6300
Elektronische ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-018-0358-4

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