LASER-PLATELET RICH FIBRIN AS A NOVEL REGENERATIVE PULPOTOMY TECHNIQUE FOR TREATMENT OF IRREVERSIBLE PULPITIS IN PERMANENT MOLARS: A CASE SERIES STUDY

Document Type : Original Article

Authors

1 Endodontic Division, Conservative Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt Assistant Lecturer , Endodontic Department, faculty of Dentistry, Fayoum University

2 Lecturer of Endodontics, Conservative Department, Faculty of Dentistry, Alexandria University, Egypt

3 Assistant Professor of Endodontics, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Egypt

4 Professor of Endodontics, Conservative Department, Faculty of Dentistry, Alexandria University, Egypt.

Abstract

INTRODUCTION: The main objective of pulp therapy is to maintain the integrity and health of the treated teeth and their surrounding supporting structures. Recently laser has been applied in various dental procedures, among which were the vital pulp therapy procedures.
OBJECTIVE: Evaluation of the clinical and radiographic success of novel regenerative pulpotomy technique using Diode Laser and Platelet Rich Fibrin (PRF).
MATERIALS AND METHODS: Three lower permanent mature molars with irreversibly inflamed pulp were treated by regenerative coronal pulpotomy technique. After access opening, inflamed coronal pulp tissues were removed to the canal orifices level. Hemostasis in all teeth was achieved using diode laser 970nm application. Radicular pulp was then capped using PRF then covered with Biodentine and the cavities were permanently restored immediately. Patients were scheduled for clinical and radiographic follow-up after three, six and 12 months.
RESULTS: All the three cases showed clinical and radiographic success throughout the follow up period with resolution of the pretreatment clinical signs and/or symptoms.
CONCLUSION: Laser pulpotomy together with PRF and Biodentine showed favorable clinical and radiographic outcomes when used for regenerative treatment of irreversible pulpitis in mature permanent molars.

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Alexandria Dental Journal
Volume 48, Issue 2
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
August 2023
Pages 165-172

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