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VOLUME 15 , ISSUE 10 ( October, 2024 ) > List of Articles

ORIGINAL RESEARCH

Evaluation of Diode Laser-assisted Pulpotomy Using Biodentine with or without Platelet-rich Fibrin in Irreversible Pulpitis: An In Vivo Study

Prajakta S Vetal, Parthasarathi Mondal, Kallol K Saha, Lugu B Murmu, Snigdho Das, Joydeep Das

Keywords : Biodentine, Diode laser, Irreversible pulpitis, Platelet-rich fibrin, Pulpotomy, Vital pulp therapy

Citation Information : Vetal PS, Mondal P, Saha KK, Murmu LB, Das S, Das J. Evaluation of Diode Laser-assisted Pulpotomy Using Biodentine with or without Platelet-rich Fibrin in Irreversible Pulpitis: An In Vivo Study. World J Dent 2024; 15 (10):853-861.

DOI: 10.5005/jp-journals-10015-2529

License: CC BY-NC 4.0

Published Online: 27-01-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: This study evaluates the clinical and radiographic outcomes of pulpotomy using a diode laser with Biodentine and platelet-rich fibrin (PRF) in permanent teeth with symptoms of irreversible pulpitis, determining the most effective pulpotomy agent and quantifying dentinal bridge formation over 12 months. Materials and methods: Patients with symptomatic irreversible pulpitis were randomly assigned to four groups: Biodentine only, Biodentine with laser, Biodentine with PRF, and Biodentine with PRF and laser. Clinical and radiographic evaluations were conducted at 3, 6, 9, and 12 months. Data were analyzed using Friedman's analysis of variance (ANOVA) and the Kruskal–Wallis test at an alpha level of 5%. Results: Significant differences in dentinal bridge thickness were observed among groups over time (p < 0.001). Group IV showed the highest dentinal bridge formation at 12 months. Age and gender did not significantly influence outcomes. Conclusion: Diode laser-assisted pulpotomy with Biodentine, with or without PRF, shows promise for managing irreversible pulpitis in permanent teeth, promoting dentinogenesis and pulp healing. Further studies should explore long-term efficacy and compare outcomes with other treatments. Clinical significance: This study demonstrates that diode laser-assisted pulpotomy with Biodentine and PRF significantly improves dentinal bridge formation and treatment success in irreversible pulpitis. Combining diode lasers and PRF enhances pulp repair compared to Biodentine alone, highlighting their effectiveness in modern endodontics.

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