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Laser Applications for Vital Pulp Therapy

  • Chapter
Lasers in Restorative Dentistry

Abstract

The conservation of pulp vitality is one of the objectives of restorative dentistry.

The maintenance of pulp vitality depends on a correct diagnosis of normal pulp or reversible pulpitis and on a correct therapeutic approach. The therapy varies depending on the degree of contamination of the pulp tissue. The interventions include the therapy of dentin hypersensitivity, the treatment of deep dentin caries, the direct pulp capping, the partial pulpotomy, and the apexogenesis (root formation). The erbium lasers greatly improve the decontamination of deep caries and are very useful for dental excavation due to the selectivity of action on carious tissue. Also all the laser wavelengths are used for coagulation of the exposed pulp, so creating the biological bases for the formation of tertiary dentin. Studies from literature are shown and operative protocols are presented by the author.

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Notes

  1. 1.

    Defocus mode is a term that indicates a working distance where the laser spot is not at focus; consequently, the fluence decreases as a function of the distance. For pulp coagulation, the author suggests to use the lowest energy available and to start the irradiation from 1 cm far from the surface, slowly focusing toward the surface and the fiber/tip until the wanted effect is visible; stop when the correct working distance is found.

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Authors and Affiliations

  1. InLaser Rome Advanced Center for Esthetic and Laser Dentistry, Rome, Italy

    Giovanni Olivi MD, DDS

  2. InLaser Rome Advanced Center for Esthetic and Laser Dentistry, Piazza F. Cucchi, 3, Rome, 00152, Italy

    Maria Daniela Genovese MD, DDS

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  1. Giovanni Olivi MD, DDS
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Correspondence to Giovanni Olivi MD, DDS .

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    Giovanni Olivi

  2. Rome, Roma, Italy

    Matteo Olivi

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Olivi, G., Genovese, M.D. (2015). Laser Applications for Vital Pulp Therapy. In: Olivi, G., Olivi, M. (eds) Lasers in Restorative Dentistry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47317-7_8

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