{"title":"Effectiveness of Diode Lasers as an Adjunct in Pulpotomy Procedures Involving Primary Teeth: A Systematic Review.","authors":"Komal S Surve, Dimple Padawe, Vilas Takate","doi":"10.5005/jp-journals-10005-3147","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aims to evaluate the effectiveness of diode lasers as an adjunct in pulpotomy procedures involving primary teeth.</p><p><strong>Background: </strong>Pulpotomy is a common procedure in pediatric dentistry to manage carious lesions affecting the pulp of primary teeth. Diode lasers are increasingly being considered due to their potential advantages, such as enhanced precision, reduced bleeding, and improved patient comfort. However, their effectiveness specifically in pulpotomy procedures requires a thorough assessment.</p><p><strong>Methods: </strong>A systematic search was performed across several databases, including PubMed, Cochrane Library, and Scopus, up to March 2024. Studies included in this review were randomized controlled trials (RCTs), cohort studies, and clinical trials that assessed the use of diode lasers in pulpotomy procedures for primary teeth. Data extraction included study characteristics (e.g., author, year, study design), participant demographics, details of diode laser intervention, comparison groups, outcomes assessed, and results.</p><p><strong>Results: </strong>A total of 25 studies met the inclusion criteria. The review found that diode lasers were effective in performing pulpotomies, with several studies showing potential in promoting pulp healing and reducing the need for pharmacological interventions. While lasers and alternative materials such as mineral trioxide aggregate (MTA) and Biodentine show promise in maintaining or even enhancing clinical outcomes compared to traditional agents, considerations such as cost-effectiveness, long-term efficacy, and radiographic success rates remain pivotal.</p><p><strong>Conclusion: </strong>Diode lasers show promise as an adjunct in pulpotomy procedures for primary teeth, offering potential benefits such as enhanced precision, reduced bleeding, and improved patient comfort.</p><p><strong>How to cite this article: </strong>Surve KS, Padawe D, Takate V. Effectiveness of Diode Lasers as an Adjunct in Pulpotomy Procedures Involving Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2025;18(6):745-752.</p>","PeriodicalId":36045,"journal":{"name":"International Journal of Clinical Pediatric Dentistry","volume":"18 6","pages":"745-752"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486474/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical Pediatric Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10005-3147","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
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Abstract
Objective: This systematic review aims to evaluate the effectiveness of diode lasers as an adjunct in pulpotomy procedures involving primary teeth.
Background: Pulpotomy is a common procedure in pediatric dentistry to manage carious lesions affecting the pulp of primary teeth. Diode lasers are increasingly being considered due to their potential advantages, such as enhanced precision, reduced bleeding, and improved patient comfort. However, their effectiveness specifically in pulpotomy procedures requires a thorough assessment.
Methods: A systematic search was performed across several databases, including PubMed, Cochrane Library, and Scopus, up to March 2024. Studies included in this review were randomized controlled trials (RCTs), cohort studies, and clinical trials that assessed the use of diode lasers in pulpotomy procedures for primary teeth. Data extraction included study characteristics (e.g., author, year, study design), participant demographics, details of diode laser intervention, comparison groups, outcomes assessed, and results.
Results: A total of 25 studies met the inclusion criteria. The review found that diode lasers were effective in performing pulpotomies, with several studies showing potential in promoting pulp healing and reducing the need for pharmacological interventions. While lasers and alternative materials such as mineral trioxide aggregate (MTA) and Biodentine show promise in maintaining or even enhancing clinical outcomes compared to traditional agents, considerations such as cost-effectiveness, long-term efficacy, and radiographic success rates remain pivotal.
Conclusion: Diode lasers show promise as an adjunct in pulpotomy procedures for primary teeth, offering potential benefits such as enhanced precision, reduced bleeding, and improved patient comfort.
How to cite this article: Surve KS, Padawe D, Takate V. Effectiveness of Diode Lasers as an Adjunct in Pulpotomy Procedures Involving Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2025;18(6):745-752.
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