Success Rate of Direct Pulp Capping with Conventional Procedures Using Ca (OH)2 and Bioactive Tricalcium Silicate Paste vs. Laser-Assisted Procedures (Diode 980 nm, CO2, and Er: YAG)

Mobadder, Marwan El; Namour, Mélanie; Houeis, Saad; Heysselaer, Daniel; Nahas, Paul; Todea, Carmen; Matys, Jacek; Grzech‐Leśniak, Kinga; Olszewska, Aneta; Mobadder, Wassim El; Giovannacci, Ilaria; Laky, Markus; Namour, Amaury; Geerts, S.

doi:10.3390/photonics10070834

Cited by 2 publications

(1 citation statement)

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“…Research has shown that the type of pulp capping material can affect the outcome of VPT. 26,27 While calcium hydroxide (CH) was previously the standard for DPC, it has become less popular due to its lack of sealing ability, degradation over time and inefficient biocompatibility. Recent studies have demonstrated better clinical outcomes with the use of mineral trioxide aggregates (MTA) or Biodentine in VPT.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of photobiomodulation for postoperative discomfort following laser-assisted vital pulp therapy in immature teeth: A preliminary retrospective study

Olszewska,

Matys,

Gedrange

et al. 2023

Adv Clin Exp Med

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Background. Minimally invasive endodontics is recommended for young, immature teeth to preserve healthy pulp and dentin tissue.Objectives. The aim of the study was to examine the cold sensitivity of immature teeth that received photobiomodulation (PBM) after vital pulp therapy (VPT). Materials and methods.The study followed the STROBE guidelines and included 123 healthy patients aged 8-13. The immature teeth (incisors, premolars and molars) that qualified for VPT received the bioceramic material -Biodentine. In this experiment, teeth were treated immediately and at 24 h post-VPT with a 635-nm diode laser using a power of 100 mW, a power density of 200 mW/cm 2 and a total energy of 4 J (PBM group, n = 43), while those not treated were the control group (n = 43). The tooth sensitivity to cold was measured using a visual analogue scale (VAS) before and at 6 h, 1 day, 7, 30, and 90 days after treatment. The predictor variable was PBM skills regarding the ability to decrease cold sensitivity after VPT. The primary endpoint was the time to reverse hypersensitivity to cold, and the secondary endpoint was the occurrence of possible side effects. The Mann-Whitney U test, Friedman test along with Dunn's post hoc test, and the χ 2 test were used to investigate tooth sensitivity.Results. Eighty-six immature permanent teeth of 86 children were included in the study. It was shown that the difference was significant for sensitivity to a cold stimulus between the groups at 6 h, 24 h, 7 days, and 30 days, but no difference was found preoperatively and at 90 days (6 h, 24 h, 7 days, and 30 days, p < 0.001, and 90 days, p = 0.079). However, patients in both groups reported a decrease in discomfort provoked by cold stimuli throughout the follow-up period.Conclusions. Photobiomodulation decreased postoperative sensitivity and was more acceptable for patients. Further randomized clinical studies with placebo-controlled groups are needed.

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Section: Discussionmentioning

confidence: 99%