A CLINICAL AND RADIOGRAPHIC EVALUATION OF LOW-LEVEL DIODE LASER FULL PULPOTOMY IN VITAL PERMANENT TEETH

Document Type : Original Article

Authors

1 faculty of dental medicine Al-Azhar University ,Assuit Endodontic Department

2 Endodontic Department ,Faculty of Dental Medicine Alazhar university Cairo

Abstract

Background: The aim of the study was to evaluate the outcome of Pulpotomy in vital permanent teeth using low -level diode laser versus traditional method.
Materials and Methods: Forty-six mature permanent molar teeth with carious exposures with symptoms indicative of irreversible pulpitis were randomly allocated equally into two groups according to the pulpotomy technique used Group P1 :( Traditional Pulpotomy procedures). And Group P2 :( Diode laser Pulpotomy procedures). The tooth was anesthetized, isolated using rubber dam, and disinfected with 2% chlorhexidine before caries excavation. In traditional pulpotomy group, the pulp was amputated to the level of the canal orifices. Haemostasias was achieved by placing a sterile cotton pellet moistened with saline in the access cavity for 6 min.. Retro MTA was used as the pulp capping material. In Diode laser pulpotomy group each pulp stamp was lased for 10 seconds at the preset parameters before placing the capping material. Clinical and radiographic evaluation was done at 6 months, 12 months, and 18 months.
Results: When comparing Diode laser pulpotomy and traditional pulpotomy at 6,12 and 18 months, no significant difference was found with the highest success rate was found in the low-level diode laser pulpotomy group at three evaluation times
Conclusion: Under the limitations of this study, low-level diode laser therapy in adult pulpotomy didn’t affect the success rate.

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Al-Azhar Journal of Dental Science
Volume 28, Issue 3 - Serial Number 3
July - Restorative Dentistry Issue (Removable Prosthodontics, Fixed Prosthodontics, Endodontics, Dental Biomaterials, Operative Dentistry)
July 2025
Pages 393-401

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