Low-level Laser Therapy Versus Formocresol in Primary Molar Pulpotomies
Low-level Laser Therapy Versus Formocresol in Primary Molar Pulpotomies
This study aimed to assess and compare the clinical and radiographic success rates of LLLT
 and FC for pulpotomy in human primary teeth. One hundred and six primary molars from 36
 children aging five to eight years were included and randomly assigned into two equal groups;
 LLLT group and FC group. Teeth were evaluated clinically and radiographically at 3, 6 and 12
 months.
Background: Various agents are available to dress the remaining pulp tissue after pulpotomy
 procedure with the formocresol (FC) being the gold standard for the last 60 years. Nowadays,
 low-level laser therapy (LLLT) becomes a technique of interest, due to its many
 characteristics. However, the literature available on its success in pulpotomy is limited and
 reported conflicting results.

 Aim of the study: To assess and compare the clinical and radiographic success rates of LLLT
 and FC for pulpotomy in human primary teeth.

 Materials and methods: Utilizing split-mouth technique, the sample consisted of 106 primary
 molars from 36 children aging five to eight years. The teeth were selected based on specific
 clinical and radiographic inclusion criteria and randomly assigned into two equal groups;
 LLLT group and FC group. All the 106 primary molars were indicated for pulpotomy, where 53
 teeth were treated using FC and 53 teeth were treated with LLLT. Teeth were evaluated
 clinically and radiographically at 3, 6 and 12 months.
Inclusion Criteria:

 Children inclusion criteria:

 -  Children aged 5-8 years with at least two bilateral deep carious primary molars
 indicated for pulpotomy.

 -  Children who are physically and mentally healthy without any known medical history of
 systemic conditions contraindicating pulp therapy.

 -  Children who had "positive" or "definitely positive" behavioral ratings according to
 the Frankl behavior classification scale (Frankl, 1962).

 -  Children whose parents signed an informed consent for the child's participation in the
 study.

 Teeth inclusion criteria:

 Teeth were selected according to clinical and radiographic criteria.

 Clinically, the study included:

 -  Teeth with restorable crowns

 -  Teeth with pathologic carious exposure of vital pulps

 -  Teeth with no tenderness to percussion, physiologic or pathologic mobility or any
 clinical evidence of pulp inflammation or degeneration such as history of swelling,
 pain or presence of sinus tract.

 Radiographically, the recruited teeth should have:

 -  Normal radiographic appearance with healthy supporting tissues

 -  No pulp calcification

 -  No internal or external root resorption

 -  No periapical or inter-radicular radiolucency

 -  At least two thirds of the root remaining (not more than one third of the root is
 physiologically resorbed)

 Exclusion Criteria:

 -  Any child complained of clinical signs such as pain, swelling, abnormal mobility,
 vertical or lateral tenderness to percussion was excluded from the study.

 -  Radiographically, any child with signs of internal or external root resorption or
 periapical or inter-radicular pathology was omitted from the study.