Indexing
CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học
Abstract
Background: Direct pulp capping has been proven to be an effective method for treating teeth with reversible pulpitis. Laser technology offers notable advantages such as hemostasis, disinfection, and biostimulation, which can result in a better prognosis compared to traditional direct pulp capping methods.
Aims: To evaluate the results of using a diode laser to assist in the process of direct pulp capping with Tricalcium silicate.
Materials and methods: This is a prospective, randomized controlled trial involving 60 teeth indicated for direct pulp capping in 56 patients. Patients’ clinical characteristics were recorded, and direct pulp capping using Tricalcium silicate, with or without the aid of a diode laser, was performed. The treatment was finished with composite restoration, followed by immediate X-ray imaging post-treatment. Pain symptoms (spontaneous pain, percussion pain, and cold sensitivity) and X-ray indicators (e.g., ligament dilation, apical radiolucency) were assessed at 1 month, 3 months, and 6 months post-treatment. The thickness of dentin bridges was also measured during these follow-ups.
Results: There was no statistically significant difference in the rates of spontaneous pain, percussion pain, or cold sensitivity between the laser-assisted and non-laser groups (p > 0.05). Similarly, there were no significant differences in the rates of radiographic complications between the two groups (p > 0.05). The laser-assisted group showed a statistically significant greater dentin bridge thickness compared to the non-laser group (p < 0.05) at all follow-up points.
Conclusion: There was no statistically significant difference in the success rate between the laser-assisted and non-laser diode 808nm groups after 6 months of follow-up. However, the laser had a supportive effect in increasing the thickness of the secondary dentin formed after direct pulp capping.
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