Modern Trends in Pulp Therapy of Primary Teeth: LASER Pulpotomy and Conservative Techniques
Maintaining the integrity and health of the oral tissues is the primary objective of pulp treatment. Pulpotomy has become the dominating pulp therapy for the primary dentition, because of the complicated anatomy of the root canals in primary teeth, the proximity of the permanent tooth germ and the difficulties in finding a root-canal filling material compatible with physiological root resorption.To date, a range of pulpotomy medicaments have been used. Among them, formocresol (FC), a devitalizing agent with excellent bactericidal and fixative properties, has been the gold standard in pulpotomy for many years. Despite its high success rate and popularity, its cytotoxicity, mutagenicity, and carcinogenicity have raised concerns in the medical community, especially after the International Agency for Research on Cancer classified formaldehyde as carcinogenic for humans in June 2004. Such concerns have prompted researchers to investigate alternative pulpotomy materials and techniques with better clinical efficacy and without secondary effects.
New insight into pulp biology has created new techniques and materials for treating primary teeth with deep caries. Preservation of tooth structure using techniques like indirect pulp capping and partial pulpotomy in primary molars with high success rates has led to lower chair time, avoiding chemicals such as formocresol, and a more conservative dental treatment.
Recently, laser technology got a more and more important role in modern dentistry. The use of laser for pulpotomy has many advantages such as control of haemorrhage, sterilization of the lesion, stimulation of dental pulp cells causing increased healing, dentinogenesis and preservation of vitality of the dental pulp. It has been therefore proposed as an alternative for pulpotomy of primary teeth.
Intended Learning Objectives
- An overview of different types of pulp therapy in primary and permanent teeth.
- Decision making of the appropriate technique of pulp therapy according to each case.
- Recent innovations in vital pulp therapy techniques and materials.
- LASER use in pulp therapy of primary teeth.
- Participants will attend clinical demonstration of Laser pulpotomy using two different Laser devices.
Dr. Mohamed Zayed Radwan
Different types of pulp therapy in primary and permanent teeth.
Conservative pulp therapy techniques and recent materials.
Dr. Dina Hamdy Amin
LASER types used in pediatric dentistry.
LASER pulpotomy techniques.
Dr. Mohamed Zayed Radwan & Dr. Dina Hamdy Amin
Clinical demonstration on LASER pulpotomy using 2 different LASER devices.