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特殊需求患者的铒激光牙科治疗

Er:YAG laser dentistry in special needs patients.

作者信息

Merigo Elisabetta, Fornaini Carlo, Clini Fabio, Fontana Matteo, Cella Luigi, Oppici Aldo

机构信息

Dentistry, Special Needs and Maxillo-Facial Surgery Unit - Hospital "Guglielmo da Saliceto" - Piacenza.

出版信息

Laser Ther. 2015 Oct 2;24(3):189-93. doi: 10.5978/islsm.15-CR-02.

Abstract

OBJECTIVE

Between a quarter and a third of adults with intellectual disability is estimated to have dental anxiety. Unpleasant stimuli, such as the injection of local anaesthesia or the noise and vibration of rotary instruments, may provoke anxiety and subsequent low compliance until the opposition to the treatment. The use of Er:YAG laser in conservative dentistry had a great development in these last years thank to new devices and also to their advantages when compared to the conventional instruments. The aim of this clinical study was to show the advantages of the Er:YAG laser in the conservative treatment of Special Care patients.

METHODS

Four cases are here described to show the Er:YAG laser use in our Unit on special needs patients.

RESULTS AND CONCLUSIONS

Based on the experience gained on conservative laser-assisted treatments performed in a time of 5 years at our Dentistry, Special Needs and Maxillo-Facial Surgery Unit we may affirm that Er:YAG laser may be considered as a good way to improve the cooperation, to reduce anxiety related to rotating instruments and to reach better results with equal or shorter operating times.

摘要

目的

据估计,四分之一至三分之一的成年智障人士患有牙科焦虑症。不愉快的刺激,如局部麻醉注射或旋转器械的噪音和振动,可能会引发焦虑以及随后的低依从性,直至抗拒治疗。近年来,由于新设备的出现以及与传统器械相比具有的优势,铒激光在保守牙科领域有了很大发展。本临床研究的目的是展示铒激光在特殊护理患者保守治疗中的优势。

方法

本文描述了四个病例,以展示我们科室在有特殊需求患者中使用铒激光的情况。

结果与结论

基于我们牙科、特殊需求与颌面外科在5年时间里进行保守激光辅助治疗所获得的经验,我们可以断言,铒激光可被视为一种改善合作、减少与旋转器械相关焦虑并在同等或更短手术时间内取得更好效果的良好方法。

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