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超声振荡车针与传统高速车针对6-8岁儿童龋齿去除的总体疗效及疼痛感知的临床评估

Clinical Evaluation of Overall Efficacy and Pain Perception of Ultrasonic Oscillating Tips and Conventional High-speed Burs for Removal of Dental Caries in Children in Age-group of 6-8 Years.

作者信息

Kenjale Manasi A, Shah Preetam, Desai Sneha, Shah Rohan, Chaudhary Shweta, Lakade Laxmi

机构信息

Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and Hospital, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):251-258. doi: 10.5005/jp-journals-10005-2592.

DOI:10.5005/jp-journals-10005-2592
PMID:37519970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10373767/
Abstract

AIM

To clinically evaluate the overall efficacy and pain perception of ultrasonic oscillating tips and conventional high-speed burs to remove enamel and dentinal caries in children of ages 6-8 years.

MATERIALS AND METHODS

Bilateral deciduous canines with caries involving enamel or enamel and dentin were excavated by using a high-speed airrotor on one tooth and ultrasonic oscillating tips on another tooth in the same appointment. The overall response of the patient, both ultrasonic oscillating tips and airrotor along was recorded by Wong-Baker's Facial Pain Rating Scale (WBFPS) along with time taken to make each cavity and noise level generated by high-speed and ultrasonic system.

RESULTS

Evaluation of WBFPS after every method of caries excavation showed that 84% of subjects in the ultrasonic group reported score of 0 as compared to only 24% of subjects in the airrotor group. Score 2 was reported by 16% of the subjects in the ultrasonic group and 32% of the subjects in the airrotor group. Score 4 was reported by 44% of the subjects in the airrotor group. Ultrasonic groups reported more time to remove caries as compared to the airrotor group. The ultrasonic group reported less noise as compared to the airrotor group and the difference between the two was significant.

CONCLUSION

Patients preferred the ultrasonic method for caries excavation because of less pain and noise. The use of ultrasonic oscillating tips is as effective in caries excavation, less painful, and more time-consuming than the conventional airrotor.

SIGNIFICANCE

Ultrasonic oscillating tips can be successfully used in pediatric dentistry to aid patient cooperation and reduce pain during caries excavation.

HOW TO CITE THIS ARTICLE

Kenjale MA, Shah P, Desai S, Clinical Evaluation of Overall Efficacy and Pain Perception of Ultrasonic Oscillating Tips and Conventional High-speed Burs for Removal of Dental Caries in Children in Age-group of 6-8 Years. Int J Clin Pediatr Dent 2023;16(2):251-258.

摘要

目的

临床评估超声振荡车针与传统高速牙钻去除6 - 8岁儿童釉质龋和牙本质龋的总体疗效及疼痛感受。

材料与方法

在同一次就诊中，对双侧患有累及釉质或釉质和牙本质的龋齿的乳牙，一颗牙使用高速气涡轮机，另一颗牙使用超声振荡车针进行龋洞预备。采用 Wong - Baker面部疼痛评分量表（WBFPS）记录患者对超声振荡车针和高速气涡轮机的总体反应，以及制备每个龋洞所需的时间和高速及超声系统产生的噪音水平。

结果

对每种龋洞预备方法后的WBFPS评估显示，超声组84%的受试者报告评分为0，而高速气涡轮机组仅24%的受试者报告评分为0。超声组16%的受试者和高速气涡轮机组32%的受试者报告评分为2。高速气涡轮机组44%的受试者报告评分为4。与高速气涡轮机组相比，超声组报告去除龋齿所需时间更长。与高速气涡轮机组相比，超声组报告的噪音更小，且两组之间的差异具有统计学意义。

结论

由于疼痛和噪音较小，患者更喜欢用超声方法进行龋洞预备。超声振荡车针在龋洞预备中同样有效，疼痛较轻，但比传统高速气涡轮机耗时更长。

意义

超声振荡车针可成功应用于儿童牙科，有助于患者配合并减少龋洞预备过程中的疼痛。

如何引用本文

Kenjale MA, Shah P, Desai S, 6 - 8岁儿童超声振荡车针与传统高速牙钻去除龋齿的总体疗效及疼痛感受的临床评估。《国际临床儿科牙科学杂志》2023；16(2):251 - 258。

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