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Evaluation of the Efficacy of Erbium, Chromium-doped Yttrium, Scandium, Gallium, and Garnet Laser in Partial Pulpotomy in Permanent Immature Molars: A Randomized Controlled Trial

DOI:10.1016/j.joen.2020.02.003 期刊:Journal of Endodontics 出版年份:2020 更新时间:2025-09-23 15:21:01
摘要: Introduction: The use of the erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser in vital pulp therapy contributes to the formation of dentin bridges and a sterile zone as well as the maintenance of the vitality of the pulp. However, no prior studies have used the Er,Cr:YSGG laser in partial pulpotomy of immature permanent teeth. The aim of this study was to compare the ef?cacy of partial pulpotomy treatment using mineral trioxide aggregate (MTA) alone and MTA with the Er,Cr:YSGG laser in permanent immature molars. Methods: A total of 90 caries-exposed permanent immature molar teeth were included and randomly divided into 2 groups: the MTA group (n 5 45) and the laser 1 MTA group (n 5 45). In the MTA group, MTA was applied to the exposed area on the pulp after bleeding control. In the same session, the tooth was restored with a composite resin. In the laser 1 MTA group, before MTA condensation, the Er,Cr:YSGG laser was applied to the exposure area. Patients were recalled at 1, 3, 6, and 12 months after treatment. The Mann-Whitney U and chi-Square tests were used for statistical analysis. Results: The success rate (95.5%) of the laser 1 MTA group was similar to that of the MTA group (88.8%). There was no signi?cant difference between groups in terms of the frequency of at least 1 pathologic clinical or radiographic failure at 12 months (P . .05). Conclusions: Partial pulpotomy treatment showed a high success rate in immature permanent molars; however, the use of the laser did not contribute to the success rate compared with MTA alone.
作者: Kamile Nur Tozar,Merve Erkmen Almaz
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To compare the efficacy of partial pulpotomy treatment using mineral trioxide aggregate (MTA) alone and MTA with the Er,Cr:YSGG laser in permanent immature molars.

The use of the laser, which was used for biostimulation on exposed pulpal surface, did not contribute to the success rate compared with MTA alone. The success rate (95.5%) of the laser group was similar with that of the MTA group (88.8%), with no significant difference between groups. After the 12-month follow-up, the overall success rate of partial pulpotomy treatment in immature permanent teeth was found to be 92.2%.

The vitality of the teeth treated was not evaluated, which can be considered as a limitation of the present study. The response of the teeth with incomplete root development to the electric pulp test and thermal tests is limited because of the changes in the root length. Another limitation is the weakness of randomization sequence and concealment.

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