Skip to main content

Advertisement

SpringerLink
Log in

Laser pulpotomy—an effective alternative to conventional techniques—a systematic review of literature and meta-analysis

  • Review Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The aim of this systematic review and subsequent meta-analysis was to elaborate the efficacy of laser pulpotomy over the formocresol pulpotomy of human primary teeth. Published materials in the MedLine were looked for through “PUBMED” and “PUBMED CENTRAL”. The MESH terms of “Laser”, “Pulpotomy”, “Primary teeth”, and “Children” were used to carry the search from the years 1999 to 2017. Collected data were assessed by four investigators using inclusion and exclusion criteria in order to select those studies with precise method targeted. Only clinical trials on all types of lasers were included for this systematic reviews but only four articles were used for the meta-analysis as the rest did not meet the requirements. Statistical analysis was conducted to see the differences. Seventeen articles completely fulfilled the inclusion criteria of this study. In general, high clinical, radiographic, and histopathological success rates were reported in laser groups in comparison to other assessed methods. Meta-analysis indicated that except at 36 months, in all other time intervals, Laser proved better or close results to formocresol. At 36 months, laser showed better clinical results. Laser may be considered as an adjuvant alternative for vital pulp therapy on human primary teeth but due to the limited number of high-quality clinical research articles on laser-assisted pulpotomy, various types of laser application methods, and different follow-up periods, reaching a net consensus is still challenging.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Fuks A (2008) Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. J Endod. 34(7 Suppl):S18–S24

    Article  Google Scholar 

  2. Oliveira T, Moretti A, Sakai V, Lourenço NN, Santos C, Machado M, et al. Clinical, radiographic and histologic analysis of the effects of pulp capping materials used in pulpotomies of human primary teeth. Eur Arch Paediatr Dent2013;14(2):65–71

    Article  CAS  Google Scholar 

  3. Durmus B, Tanboga I (2014) In vivo evaluation of the treatment outcome of Pulpotomy in primary molars using diode laser, Formocresol, and ferric Sulphate. Photomed Laser Surg 32(5):289–295

    Article  CAS  Google Scholar 

  4. Fernandes A, Lourenço NN, Teixeira MN, Silveira MA, Sakai V, Cruvinel ST, et al. Clinical and radiographic outcomes of the use of low-level laser therapy in vital pulp of primary teeth. Int J Paediatr Dent 2015;25(2):144–150

    Article  Google Scholar 

  5. Huth K, Paschos E, Hajek-Al-Khatar N, Hollweck R, Crispin A, Hickel R, et al. Effectiveness of 4 pulpotomy techniques--randomized controlled trial. J Dent Res 2005;84(12):1144–1148

    Article  CAS  Google Scholar 

  6. Saltzman B, Sigal M, Clokie C, Rukavina J, Titley K, Kulkarni G (2005) Assessment of a novel alternative to conventional formocresol-zinc oxide eugenol pulpotomy for the treatment of pulpally involved human primary teeth: diode laser-mineral trioxide aggregate pulpotomy. Int J Paediatr Dent 15(6):437–447

    Article  CAS  Google Scholar 

  7. Huth K, Hajek-Al-Khatar N, Wolf P, Ilie N, Hickel R, Paschos E (2012) Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial. Clin Oral Investig 16(4):1243–1250

    Article  Google Scholar 

  8. Ghajari MF, Mirkarimi M, Vatanpour M, Fard MJK (2008) Comparison of pulpotomy with formocresol and MTA in primary molars: a systematic review and meta-analysis. Iranian Endod J 3(3):45–49

    Google Scholar 

  9. Elliott R, Roberts M, Burkes J, Phillips C. Evaluation of the carbon dioxide laser on vital human primary pulp tissue. Pediatr Dent. 1999;21(6):327–331

  10. Golpayegani MV, Ansari G, Tadayon N (2018) Clinical and radiographic success of low level laser therapy (LLLT) on primary molars pulpotomyIranian. Endod J 13(1):7–12

    Google Scholar 

  11. De Coster P, Rajasekharan S, Martens L (2013) Laser-assisted pulpotomy in primary teeth: a systematic review. Int J Paediatr Dent 23(6):389–399

    PubMed  Google Scholar 

  12. Kimura Y, Wilder-Smith P, Matsumoto K (2000) Lasers in endodontics: a review. Int Endod J 33(3):173–185

    Article  CAS  Google Scholar 

  13. Gupta G, Rana V, Srivastava N, Chandna P (2015) Laser Pulpotomy–an effective alternative to conventional techniques: a 12 months Clinicoradiographic study. Int J Clin Pediatr Dent 8(1):18–21

    Article  Google Scholar 

  14. Kimura Y, Yonaga K, Yokoyama K, Watanabe H, Wang X, Matsumoto K (2003) Histopathological changes in dental pulp irradiated by Er: YAG laser: a preliminary report on laser pulpotomy. J Clin Laser Med Surg 21(6):345–350

    Article  Google Scholar 

  15. Liu J (2006) Effects of Nd: YAG laser pulpotomy on human primary molars. J Endod 32(5):404–407

    Article  Google Scholar 

  16. Liu J (ed) (2003) Nd: YAG laser pulpotomy of human primary teeth. International Congress Series, Elsevier

    Google Scholar 

  17. Odabaş M, Bodur H, Bariş E, Demir C (2007) Clinical, radiographic, and histopathologic evaluation of Nd: YAG laser pulpotomy on human primary teeth. J Endod. 33(4):415–421

    Article  Google Scholar 

  18. Uloopi K, Vinay C, Ratnaditya A, Gopal AS, Mrudula K, Rao RC (2016) Clinical Evaluation of Low Level Diode Laser Application For Primary Teeth Pulpotomy. J Clin Diagn Res 10(1):ZC67–ZC70

    Article  CAS  Google Scholar 

  19. Marques N, Neto N, Rodini CO, Fernandes A, Sakai V, Machado M, et al. Low-level laser therapy as an alternative for pulpotomy in human primary teeth. Lasers Med Sci 2015;30(7):1815–1822

    Article  Google Scholar 

  20. Furze HA, Furze ME (2006) Pulpotomy with laser in primary and young permanent teeth. J Oral Laser Appl 6(1):389–399

    Google Scholar 

  21. Pescheck A, Pescheck B, Moritz A (2002) Pulpotomy of primary molars with the use of a carbon dioxide laser: results of a long-term in vivo study. J Oral Laser Applications. 2(3):61–67

    Google Scholar 

  22. Liu J, Chen L, Chao S (1999) Laser pulpotomy of primary teeth. Pediatr Dent 21(2):128–129

    PubMed  Google Scholar 

  23. Niranjani K, Prasad M, Vasa A, Divya G, Thakur M, Saujanya K (2015) Clinical evaluation of success of primary teeth Pulpotomy using mineral trioxide aggregate (®), laser and biodentine (TM)-an in vivo study. J Clin Diagn Res: JCDR 9(4):ZC35–ZC37

    PubMed  Google Scholar 

  24. Yadav P, Indushekar K, Saraf B, Sheoran N, Sardana D (2014) Comparative evaluation of ferric sulfate, electrosurgical and diode laser on human primary molars pulpotomy: an “in-vivo” study. Laser Ther 23(1):41–47

    Article  CAS  Google Scholar 

  25. Jukić S, Anić I, Koba K, Najzar-Fleger D, Matsumoto K (1997) The effect of pulpotomy using CO2 and Nd: YAG lasers on dental pulp tissue. Int Endod J 30(3):175–180

    Article  Google Scholar 

  26. AlGhamdi K, Kumar A, Moussa N (2012) Low-level laser therapy: a useful technique for enhancing the proliferation of various cultured cells. Lasers Med Sci 27(1):237–249

    Article  Google Scholar 

  27. Huguet A, Stinson JN, McGrath PJ (2010) Measurement of self-reported pain intensity in children and adolescents. J Psychosom Res 68(4):329–336

    Article  Google Scholar 

  28. von Baeyer CL (2009) Children’s self-report of pain intensity: what we know, where we are headed. Pain Res Manag 14(1):39–45

    Article  Google Scholar 

  29. Fernandes K, Ribeiro D, Rodrigues N, Tim C, Santos A, Parizotto N, et al. Effects of low-level laser therapy on the expression of osteogenic genes related in the initial stages of bone defects in rats. J Biomed Opt 2013;18(3):038002

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to express their sincere gratitude for help and support of Dr. Mahshid Namdari for valuable statistical advices.

Author information

Authors and Affiliations

  1. Department of Pediatric Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ghassem Ansari

  2. Dentistry school, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Hanane Safi Aghdam

  3. Alborz University of Medical Sciences, Karaj, Iran

    Pardis Taheri

  4. Department of Oral and Maxillofacial Radiology, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Mitra Ghazizadeh Ahsaie

Authors
  1. Ghassem Ansari
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hanane Safi Aghdam
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Pardis Taheri
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mitra Ghazizadeh Ahsaie
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mitra Ghazizadeh Ahsaie.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

No ethical approval was needed in this study.

Informed consent

No informed consent was needed in this review article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ansari, G., Safi Aghdam, H., Taheri, P. et al. Laser pulpotomy—an effective alternative to conventional techniques—a systematic review of literature and meta-analysis. Lasers Med Sci 33, 1621–1629 (2018). https://doi.org/10.1007/s10103-018-2588-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-018-2588-4

Keywords

Search

Navigation