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低强度激光疗法对儿童牙体龋洞预备过程中疼痛的影响。

The effect of low level laser therapy on pain during dental tooth-cavity preparation in children.

作者信息

Tanboga I, Eren F, Altinok B, Peker S, Ertugral F

机构信息

Marmara Üniversitesi Diş Hekimliği Fak. Pedodonti AD, İstanbul 34365, Turkey.

出版信息

Eur Arch Paediatr Dent. 2011 Apr;12(2):93-5. doi: 10.1007/BF03262786.

Abstract

AIM

To evaluate the effect of low level laser therapy on pain during cavity preparation with laser in paediatric dental patients.

STUDY DESIGN AND METHODS

The study was carried out on 10 children aged 6 to 9 years old for a total of 20 primary molar teeth. For laser preparation an Er: YAG laser was used. Half of the preparations were treated by low level laser therapy (LLLT) before laser preparation and the remaining half without LLLT (non-LLLT) before laser preparation. All cavities were prepared by ER:YAG laser, restored with light-cured composite resin following the application of acid etching and bonding agent. Children were instructed to rate their pain on the visual analogue scale (VAS) from 0 to 5 points. Statistical analyses were performed using Mann Whitney U test.

RESULTS

VAS Median (min-max) scores were 1(0-2) for LLLT and 3(1-4) for the non-LLT treated children. Between LLLT and non- LLLT groups results were statistically significant (p<0.01).

CONCLUSIONS

The use of LLLT before cavity preparation with laser decreased pain in paediatric dental patients.

摘要

目的

评估低强度激光疗法对儿童牙科患者激光制备窝洞过程中疼痛的影响。

研究设计与方法

该研究对10名6至9岁的儿童进行,共涉及20颗乳磨牙。激光制备使用铒钇铝石榴石(Er:YAG)激光。一半的窝洞在激光制备前接受低强度激光疗法(LLLT)治疗,另一半在激光制备前不接受LLLT(非LLLT)治疗。所有窝洞均采用Er:YAG激光制备,在酸蚀和应用粘结剂后用光固化复合树脂修复。指导儿童在视觉模拟量表(VAS)上从0至5分对疼痛进行评分。采用曼-惠特尼U检验进行统计分析。

结果

接受LLLT治疗的儿童VAS中位数(最小值-最大值)评分为1(0-2),未接受LLT治疗的儿童为3(1-4)。LLLT组和非LLLT组之间的结果具有统计学意义(p<0.01)。

结论

在激光制备窝洞前使用LLLT可减轻儿童牙科患者的疼痛。

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