Roy Sayani, Garg Nishita, Pathivada Lumbini, Choudhary Rishika, Kaur Harsimran, Yeluri Ramakrishna
Department of Pedodontics and Preventive Dentistry, Rajendra Institute of Medical Sciences (RIMS), Ranchi, Jharkhand, India.
Department of Pedodontics & Preventive Dentistry, Teerthanker Mahaveer Dental College and Research Centre (TMDC & RC), Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India.
Int J Clin Pediatr Dent. 2023 Jul-Aug;16(4):612-618. doi: 10.5005/jp-journals-10005-2632.
Considering the advantages of the nonpharmacotherapeutic techniques over the disadvantages of the pharmacotherapeutic agents, there is a need to evaluate clinically as well as radiographically various nonpharmacotherapeutic techniques to fortify them as replacements to the traditional pulpotomy. This study was conducted to evaluate and compare the clinical and radiographic outcomes of low-level diode laser (LLDL) and electrosurgical pulpotomy in primary molars.
Seventy primary molars were allocated to group I ( = 35) and group II ( = 35), which underwent LLDL pulpotomy and electrosurgical pulpotomy, respectively. Clinical and radiographic analysis of all the teeth in the two groups was performed at 1, 3, 6, 9, and 12 months, respectively. Pearson's Chi-squared test was utilized to evaluate the success of both treatment procedures ( < 0.05).
During the 12-month follow-up period, the differences between the groups pertaining to clinical and radiographical evaluation were statistically nonsignificant, although enhanced results were seen in the laser pulpotomy group. There was no significant difference in the success rate observed between the LLDL pulpotomy and electrosurgical pulpotomy group at the end of the 12-month follow-up period.
The two pulpotomy techniques were found to be successful enough in strengthening the concept of a potent and safe nonpharmacotherapeutic approach in the management of pulpally involved primary molars.
This study further establishes nonpharmacological pulpotomy techniques as a favorable alternative to traditional pulpotomy methods.
Roy S, Garg N, Pathivada L, Comparative Evaluation of Low-level Diode Laser and Electrosurgical Pulpotomy in Primary Molars. Int J Clin Pediatr Dent 2023;16(4):612-618.
鉴于非药物治疗技术的优势及药物治疗剂的劣势，有必要在临床及影像学方面评估各种非药物治疗技术，以强化其作为传统活髓切断术替代方法的地位。本研究旨在评估并比较低强度二极管激光（LLDL）和电刀活髓切断术治疗乳磨牙的临床及影像学结果。
70颗乳磨牙被分为I组（n = 35）和II组（n = 35），分别接受LLDL活髓切断术和电刀活髓切断术。两组所有牙齿分别在1、3、6、9和12个月时进行临床及影像学分析。采用Pearson卡方检验评估两种治疗方法的成功率（P < 0.05）。
在12个月的随访期内，尽管激光活髓切断术组的结果有所改善，但两组在临床和影像学评估方面的差异无统计学意义。在12个月随访期结束时，LLDL活髓切断术组和电刀活髓切断术组的成功率无显著差异。
发现这两种活髓切断术技术在强化针对牙髓受累乳磨牙的有效且安全的非药物治疗方法概念方面足够成功。
本研究进一步确立了非药物活髓切断术技术作为传统活髓切断术方法的有利替代方案。
Roy S, Garg N, Pathivada L, 乳磨牙低强度二极管激光与电刀活髓切断术的比较评估。《国际临床儿科牙科学杂志》2023；16(4):612 - 618。
