Şahin Necibe Damla, Arikan Volkan, Tulga Öz Firdevs
Faculty of Dentistry, Department of Pediatric Dentistry, Tokat Gaziosmanpaşa University, Tokat, Turkey.
Faculty of Dentistry, Department of Pediatric Dentistry, University of Kırıkkale, Kırıkkale, Turkey.
Eur J Oral Sci. 2025 Aug;133(4):e70022. doi: 10.1111/eos.70022. Epub 2025 Jun 5.
The objective of this study was to evaluate the clinical and radiographic success of the use of the Er,Cr:YSGG laser, ferric sulfate, or a herbal hemostatic agent for hemostasis in primary molar pulpotomy. Sixty-five children aged 5-9 years with a total of 81 primary mandibular second molars indicated for pulpotomy were included in the study. The teeth were randomly divided into the following three groups according to the pulpotomy agents used: ferric sulfate, herbal hemostatic agent, or Er,Cr:YSGG laser. Following pulpotomy treatments, the patients were followed up for 12 months. Pearson Chi-square and Fisher's exact tests were used for statistical analysis. At the end of the follow-up period, the clinical success rates for ferric sulfate, the herbal hemostatic agent, and the Er,Cr:YSGG laser were 96, 100, and 100%, respectively, while the radiographic success rates were 76, 73, and 96%, respectively. There was a statistically significant difference between treatments with respect to radiographic success rates, with the Er,Cr:YSGG laser showing a higher success rate compared with the other groups. Based on the results of the present study, it can be concluded that the Er,Cr:YSGG laser can be used as a hemostatic agent in the pulpotomy of primary teeth and is considered a suitable alternative to ferric sulfate and the herbal hemostatic agent.
钇-钪-镓石榴石（Er,Cr:YSGG）激光、硫酸铁或一种草药止血剂在乳牙牙髓切断术中止血的临床和影像学成功率。本研究纳入了65名年龄在5至9岁、共81颗需要进行牙髓切断术的下颌乳第二磨牙的儿童。根据所使用的牙髓切断术药剂，将牙齿随机分为以下三组：硫酸铁组、草药止血剂组或Er,Cr:YSGG激光组。牙髓切断术治疗后，对患者进行了12个月的随访。采用Pearson卡方检验和Fisher精确检验进行统计分析。在随访期结束时，硫酸铁组、草药止血剂组和Er,Cr:YSGG激光组的临床成功率分别为96%、100%和100%，而影像学成功率分别为76%、73%和96%。在影像学成功率方面，不同治疗方法之间存在统计学显著差异，Er,Cr:YSGG激光组的成功率高于其他组。根据本研究结果，可以得出结论，Er,Cr:YSGG激光可作为乳牙牙髓切断术中的止血剂，被认为是硫酸铁和草药止血剂的合适替代品。
