The effect of pulpotomy using CO2 and Nd:YAG lasers on dental pulp tissue

Summary The histological response of the dental pulp after laser irradiation was studied. After pulpotomy was performed in the premolar and molar teeth of dogs, the exposed pulp tissue at the root canal opening was lased using either a CO2 or Nd:YAG laser. The laser parameters were 2 W, 10 ms, 5 times per second for 1, 2 and 3 s for CO2 laser and 2W, 20 pulses per second for 1, 2 and 3 s for the Nd:YAG laser. Observations were made 30 and 45 days after treatment. The results revealed that laser irradiation caused carbonization, necrosis, infiltration of inflammation cells, oedema and haemorrhage in the pulp tissue. Under the conditions of this experiment, there was little histological evidence of repair to the treated pulp with a newly formed dentine barrier, which was in contrast to the control samples treated with a calcium hydroxide-containing cement(Dycal).