J Conserv Dent Endod. 2025 Mar;28(3):269-273. doi: 10.4103/JCDE.JCDE_874_24. Epub 2025 Mar 3.
ABSTRACT
BACKGROUND: Vital pulp therapy has gained significant attention in modern clinical practice. However, direct pulp capping (DPC) success rates remain low due to bacterial contamination.
AIMS AND OBJECTIVES: This study explored novel techniques of preoperative disinfection and photobiomodulation with diode laser to enhance outcomes.
MATERIALS AND METHODS: Forty patients were divided into two groups: Group A: Calcium hydroxide pulp capping, Group B: Preoperative disinfection with sodium hypochlorite (one minute) + photobiomodulation with diode laser + composite restoration.
STATISTICAL ANALYSIS: Cochran’s Q Test compared pain, tooth sensibility, and radiographic changes at 1, 3, and 6 months (p<0.05).
RESULTS: The study yielded success rates of 80% and 90% for groups A and B, respectively. Group B showed increased success rates, although not statistically significant which can be attributed to the laser’s biostimulation properties.
CONCLUSION: This study suggests that combining preoperative disinfection and photobiomodulation with diode laser may improve DPC success rates, offering a promising approach in vital pulp therapy. Further research is warranted to confirm these findings.
PMID:40256696 | PMC:PMC12007735 | DOI:10.4103/JCDE.JCDE_874_24
