Evaluation of Different Histologic Reactions in Dentin-Pulp Organs after Stimulation with Laser, MTA, and TheraCal as Pulp Capping Therapies

Abstract

Aims: to assess the different histologic reactions in dentin-pulp organs in the pulp of mongrel dogs after stimulation with Low-Level Laser (LLL), mineral trioxide aggregate (MTA), and TheraCal light-cured (LC) as capping therapies and compare it with the conventional calcium hydroxide (Ca(OH)) cement material . Subjects and Methods: Eight male mongrel dogs weighing 10-15 kg and 12-18 months old were chosen for this study. The pulp exposure was done via the preparation of a class V cavity on the buccal surface of the premolar teeth. In each doge, the premolar teeth were involved and assigned to four different groups based on the treatment procedure (group 1: LLL; group 2: MTA; group 3: TheraCal LC; and group 4; Ca(OH). The histological reactions at the site of exposure and the mid-region (including odontogenic zones, pulp cores, and supposed tertiary dentin formation) were recorded at 3 different follow-up periods (7, 14, and 42 days). Results: The histological finding showed different histological reactions in the dentin-pulp organs at the site of exposure and the mid-region in response to the different capping materials at different follow-up periods with a higher positive effect with Laser, and MTA followed by TheraCal LC, and Ca(OH) at different follow-up periods. Conclusion: The use of Laser, and MTA as pulp-capping therapies has a considerable positive histological reaction on the dentin-Pulp organs when compared with TheraCal and Ca(OH). of proper healing of exposed dental pulp comprise restructuring of the injured pulp tissues, differentiation of newly odon-toblastic-like cells (ODLCs) from the sub-odontoblastic cells, and con-sequently healing of the dentin tissues via formation of what is called “reparative dentin”. (2,3)