IADR Abstract Archives
Direct Pulp Capping Clinical Results After Er:YAG Laser Preparation
Objectives: To make an objective assessment by using laser-doppler flowmetry of the clinical outcomes after direct pulp capping treatment and preparation done with dental Er: YAG laser.
Methods: The clinical study was conducted on 31 teeth. Cases were selected according to the criteria for carrying out direct vital pulp treatment. The preparation was carried out with the aid of rotary instruments-14 teeth or with an Er: YAG dental laser (LiteTouch, Syneron, Israel)-17 teeth. Biodentine (Septodont, France) was prepared and applied according to the manufacturer's recommendations. Follow up done on day 14, 30, 90, 180. Six months after the direct pulp capping, a laser-doppler flowmetry measurement of pulp blood perfusion was made of all treated teeth. Data were statistically analyzed.
Results: The mean values of blood pulp perfusion measured at the teeth in the sixth month after the vital direct pulp capping treatment were 22.39±2.83 PU and 21.42±2.68 PU for the control group, respectively (p>0.05). For the group prepared with rotary instruments the mean values were 19.16±2.63 PU and for the group with Er: YAG dental laser preparation they were 26.30±2.66 PU. The choice of preparation method was not associated with the measured average laser-doppler flowmetry values in direct vital pulp capping treatment (p>0.05).
Conclusions: The results obtained from the clinical research conducted by us give us the reason to claim that the application of high-tech devices such as lasers for the preparation of hard dental tissue and follow up, along with new pulp capping biomaterials are reliable for application in vital pulp capping treatment of the dental pulp and the success thereof does not yield to the classic.
Methods: The clinical study was conducted on 31 teeth. Cases were selected according to the criteria for carrying out direct vital pulp treatment. The preparation was carried out with the aid of rotary instruments-14 teeth or with an Er: YAG dental laser (LiteTouch, Syneron, Israel)-17 teeth. Biodentine (Septodont, France) was prepared and applied according to the manufacturer's recommendations. Follow up done on day 14, 30, 90, 180. Six months after the direct pulp capping, a laser-doppler flowmetry measurement of pulp blood perfusion was made of all treated teeth. Data were statistically analyzed.
Results: The mean values of blood pulp perfusion measured at the teeth in the sixth month after the vital direct pulp capping treatment were 22.39±2.83 PU and 21.42±2.68 PU for the control group, respectively (p>0.05). For the group prepared with rotary instruments the mean values were 19.16±2.63 PU and for the group with Er: YAG dental laser preparation they were 26.30±2.66 PU. The choice of preparation method was not associated with the measured average laser-doppler flowmetry values in direct vital pulp capping treatment (p>0.05).
Conclusions: The results obtained from the clinical research conducted by us give us the reason to claim that the application of high-tech devices such as lasers for the preparation of hard dental tissue and follow up, along with new pulp capping biomaterials are reliable for application in vital pulp capping treatment of the dental pulp and the success thereof does not yield to the classic.