- 作者：Esra Cengiz ; DDS ; PhD&lowast ; ; dtesracengiz@yahoo.com" class="auth_mail" title="E-mail the corresponding author ; Hasan Guney Yilmaz ; DDS ; PhD&dagger ;
- 关键词：Calcium hydroxide ; direct pulp capping ; erbium ; chromium-doped ; yttrium ; scandium ; gallium ; and garnet laser ; tricalcium silicate
- 刊名：Journal of Endodontics
- 出版年：2016
- 出版时间：March 2016
- 年：2016
- 卷：42
- 期：3
- 页码：351-355
- 全文大小：118 K
Methods
A total of 60 teeth of 60 patients between the ages of 18 and 41 years were recruited for this study. Sixty permanent vital teeth without symptoms and radiographic changes were randomly assigned to the following 4 groups (n = 15): Gr CH, the exposed area was sealed with calcium hydroxide (CH) paste; Gr laser CH, the treated area was sealed with CH paste after Er,Cr:YSGG laser irradiation at an energy level of 0.5 W without water and with 45% air; Gr TheraCal, TheraCal LC (Bisco, Schaumburg, IL) was applied directly to the exposed pulp; and Gr Laser TheraCal, TheraCal LC was applied after irradiation with an Er,Cr:YSGG laser. At the 1-week and 1-, 3-, and 6-month recall examinations, the loss of vitality, spontaneous pain, reactions to thermal stimuli and percussion, and radiographic changes were considered as failure.
Results
The success rates in the CH and TheraCal groups were 73.3% and 66.6%, respectively. These rates did not reveal any significant difference. In both laser groups, success rates were 100%. The Er,Cr:YSGG laser–irradiated TheraCal and Er,Cr:YSGG laser–irradiated CH groups showed statistically higher success rates than the TheraCal and CH groups, respectively.
Conclusions
Er,Cr:YSGG laser irradiation at 0.5 W without water combined with pulp capping agents can be recommended for direct pulp therapy.