Efficacy of Er:YAG laser-assisted direct pulp capping in permanent teeth with cariously exposed pulp: A pilot study

被引:10
|
作者
Wang, Mengchen [1 ,2 ]
Ma, Lin [1 ,2 ]
Li, Qian [1 ,2 ]
Yang, Wendong [1 ,2 ]
机构
[1] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Stomatol, 1 Shuaifuyuan, Beijing 100730, Peoples R China
[2] Peking Union Med Coll, 1 Shuaifuyuan, Beijing 100730, Peoples R China
关键词
calcium hydroxide; dental pulp capping; dental pulp exposure; lasers; pilot projects; MINERAL TRIOXIDE AGGREGATE; CALCIUM HYDROXIDE; IRRADIATION; EXPOSURES; SILICATE;
D O I
10.1111/aej.12404
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Direct pulp capping is a minimally invasive method to preserve pulp integrity. We evaluated the treatment efficacy of Er:YAG laser irradiation combined with direct pulp capping for pulp exposure due to caries. A total of 21 patients with 22 teeth were enrolled in the conventional group (calcium hydroxide), and 24 patients with 25 teeth were enrolled in the laser-assisted group (Er:YAG laser irradiation at settings of 10 Hz, 50 mJ; combined with calcium hydroxide). The cumulative success rate of the conventional group and the laser-assisted group was 68.2% and 91.7% at 12 months, respectively. Results showed that the laser-assisted procedure increased the survival time (beta = 0.04, OR = 0.07), while proximal-occlusal cavities in molars decreased the survival time (beta = 0.03, OR = 12.5). Er:YAG lasers improve the effectiveness of conventional direct pulp capping (using Dycal) with limited side-effects and can be applied clinically.
引用
收藏
页码:351 / 357
页数:7
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