A Clinical and Radiographic Evaluation of Low-Level Diode Laser Full Pulpotomy in Vital Permanent Teeth

Al-Azhar University

Status: Completed

Conditions: Endodontic Inflammation; Irreversible Pulpitis

Treatments: Other: traditional pulpotomy; Device: diode laser pulpotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06176378

153/166

Details and patient eligibility

About

In this study, patients with symptoms of irreversible pulpitis in mature permanent molars were treated with two pulpotomies techniques after random allocation in either 2 groups: Diode laser pulpotomy and traditional pulpotomy using bioactive materials (retro mineral trioxide aggregate ) with each group.The null hypothesis of the study was there would be no difference in success rate between Diode laser and traditional methods of adult pulpotomy .

Full description

In this study, 40 patients with symptoms of irreversible pulpitis in mature permanent 1st and 2nd molars were treated with two pulpotomy techniques after random allocation in either 2 groups: traditional pulpotomy and low-level diode laser pulpotomy. The pulp in each group was capped with Retro MTA . In the traditional pulpotomy group, the coronal pulp was removed by the traditional method while in the low-level diode laser pulpotomy group, the radicular pulp was biostimulated using low-level diode laser beam with parameters (970nm, power .5Watt, duty cycle 50%, and frequency 5H) 10 sec for each pulp stump in non-contact mode. After that, the capping material was prepared as manufacturer's instructions and applied over the pulp stamp, the final restoration was then placed in both groups. Patients were followed up after 6, 12, and 18 months to evaluate success and failure.

Enrollment: 40 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• permanent 1st and 2nd molar
• irreversible pulpitis
• restorable

Exclusion criteria

• Non-restorable teeth.
• Teeth with buccal restoration.
• Non-vital teeth that are not responsive to thermal stimuli or electric pulp test.
• Presence of swelling or sinus tracts.
• Teeth which showed sensitivity to percussion.
• Teeth with grade Ⅱ and Ⅲ mobility.
• Teeth with immature apices.
• Teeth with internal or external resorption or teeth with periapical pathosis.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Traditional Pulpotomy procedures

Experimental group

Description:

In the traditional pulpotomy group, the coronal pulp was removed by the traditional method the the capping material applied

Treatment:

Other: traditional pulpotomy

Diode laser Pulpotomy procedures

Experimental group

Description:

in the low-level diode laser pulpotomy group, the radicular pulp was biostimulated using low-level diode laser before application of capping material

Treatment:

Device: diode laser pulpotomy