Abdrabuh Raghdah E, Meligy Omar Abd El Sadek El, Felemban Osama M, Farsi Najat Ma
Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia; Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Int J Clin Pediatr Dent. 2023 Aug;16(Suppl 1):S39-S44. doi: 10.5005/jp-journals-10005-2634.
AIM AND OBJECTIVE: To assess and compare children's anxiety level and pain perception during cavity preparation using an erbium-doped yttrium aluminum garnet (Er:YAG) laser vs traditional rotational treatment. MATERIALS AND METHODS: A randomized, controlled, split-mouth clinical trial was carried out in 35 healthy children with 70 carious primary molars. Teeth were divided equally into two groups according to the method of treatment. A bur was used to prepare the cavity in one quadrant, while an Er:YAG laser was used to prepare the cavity in the other quadrant. Anxiety was assessed using Venham's dental anxiety scale and a fingertip pulse oximeter. The pain was assessed using the Wong-Baker Face Pain Rating Scale, and the number of local anesthesia (LA) needed during both procedures was also considered. RESULTS: The mean age was 9.4 ± 1.29. Males accounted for 51.4% of the participants. There were no statistically significant variations in pulse rate at the baseline between Er:YAG laser and the conventional treatments. The mean pulse rate was higher during the conventional intervention than during the laser intervention; this difference was statistically significant vs the baseline pulse rate. The mean pulse rate with the conventional method was significantly higher during and after cavity formation than with the laser method. The Er:YAG laser and the conventional groups showed statistically significant differences in the Venham's and Wong-Baker scores. The scores of both scales were much higher in the conventional group. The number of participants who requested LA during the conventional technique was significantly higher than during the laser procedure. CONCLUSION: Using Er:YAG lasers to remove caries produces minimal pain and anxiety and reduces the requirement for LA. CLINICAL SIGNIFICANCE: During cavity preparation, the Er:YAG laser helps children stay calm. HOW TO CITE THIS ARTICLE: Abdrabuh RE, El Meligy OAES, Felemban OM, Evaluation of the Erbium-doped Yttrium Aluminum Garnet Laser and the Conventional Method on Pain Perception and Anxiety Level in Children during Caries Removal: A Randomized Split-mouth Study. Int J Clin Pediatr Dent 2023;16(S-1):S39-S44.
目的：评估和比较使用掺铒钇铝石榴石（Er:YAG）激光与传统旋转治疗方法在制备龋洞过程中儿童的焦虑水平和疼痛感知。 材料与方法：对35名患有70颗龋坏乳牙的健康儿童进行了一项随机、对照、双侧对照临床试验。根据治疗方法将牙齿平均分为两组。在一个象限使用牙钻制备龋洞，而在另一个象限使用Er:YAG激光制备龋洞。使用韦纳姆牙科焦虑量表和指尖脉搏血氧仪评估焦虑。使用面部表情疼痛评分量表评估疼痛，并记录两种操作过程中所需局部麻醉（LA）的次数。 结果：平均年龄为9.4±1.29岁。男性占参与者的51.4%。Er:YAG激光治疗组和传统治疗组在基线时的脉搏率无统计学显著差异。传统干预期间的平均脉搏率高于激光干预期间；与基线脉搏率相比，这种差异具有统计学显著性。传统方法在龋洞形成期间和之后的平均脉搏率显著高于激光方法。Er:YAG激光组和传统治疗组在韦纳姆量表和面部表情疼痛评分上有统计学显著差异。两个量表的评分在传统治疗组中都高得多。在传统技术操作过程中要求进行局部麻醉的参与者人数显著高于激光治疗过程。 结论：使用Er:YAG激光去除龋齿产生的疼痛和焦虑最小，并减少了对局部麻醉的需求。 临床意义：在制备龋洞过程中，Er:YAG激光有助于儿童保持冷静。 如何引用本文：Abdrabuh RE, El Meligy OAES, Felemban OM, 评估掺铒钇铝石榴石激光和传统方法对儿童龋齿去除过程中疼痛感知和焦虑水平的影响：一项随机双侧对照研究。国际临床儿科牙科学杂志2023；16（S-1）：S39-S44。
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