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Laser-assisted pulpotomy in primary teeth: a systematic review
Peter De Coster1, Sivaprakash Rajasekharan, Luc Martens
1Oral Biology, Dental School, Ghent University, Ghent, Belgium.
International Journal of Paediatric Dentistry
|November 23, 2012
Summary
This systematic review found limited evidence on laser pulpotomy. Current data suggests conventional methods may be more successful than laser treatments for primary teeth.
Area of Science:
- Dentistry
- Biomedical Engineering
Background:
- Pulpotomy is a crucial dental procedure for primary teeth.
- Laser technology has been explored as an alternative to conventional methods.
Purpose of the Study:
- To systematically review and assess the quality of studies comparing laser and conventional pulpotomy.
- To determine if laser pulpotomy offers significant advantages over traditional techniques.
Main Methods:
- A comprehensive literature search was conducted across major databases (MEDLINE, Web of Science, CENTRAL) from 1980-2012.
- Methodological quality of included studies was independently assessed by two reviewers.
Main Results:
- Seven studies (five RCTs, two CS) met the inclusion criteria, utilizing various lasers (Nd:YAG, Er:YAG, CO₂, diode).
- Despite study heterogeneity, results indicated lower success rates for laser pulpotomy compared to conventional methods (Odds Ratios < 1).
Conclusions:
- The current body of high-quality evidence is insufficient to recommend laser pulpotomy for primary teeth.
- Further high-quality research is needed to establish the efficacy and safety of laser applications in pediatric dentistry.
