Treatment of deciduous teeth in children using the Er:YAG laser compared to the traditional method: A randomized clinical trial.

IF 2.7 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Agnieszka Milc, Jacek Kotuła, Jan Kiryk, Paweł Popecki, Zuzanna Grzech-Leśniak, Krzysztof Kotuła, Marzena Dominiak, Jacek Matys, Kinga Grzech-Leśniak
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Abstract

Background: Erbium family lasers have been used as an alternative method for the treatment of dental caries in deciduous teeth, in comparison to traditional methods.

Objectives: The study aimed to determine the most optimal erbium-doped yttrium-aluminum-garnet (Er:YAG) laser settings for carious lesions in deciduous teeth on different surfaces with the evaluation of treatment time and pain level on a visual analog scale (VAS).

Material and methods: The randomized clinical trial involved 66 teeth with deep caries in 33 children aged 3-8 years, divided into 2 study groups: Er:YAG laser (test group); and conventional treatment with a dental turbine (control group). The time required for caries removal and cavity preparation using both methods was recorded. The inclusion criteria encompassed generally healthy pediatric patients, pain-free subjects, first-time dental appointment, and unicuspid primary teeth with caries. Dental caries treatment was performed without the administration of local anesthesia.

Results: The cavity preparation time was on average 2.5 times longer when the Er:YAG laser was used compared to the conventional method. The study demonstrated the effectiveness of the Er:YAG laser in hard tissue preparation of deciduous teeth with a pulse energy of 230 mJ for enamel preparation, mainly on occlusal and proximal surfaces, and with a pulse energy of 120 mJ and 150 mJ for dentin preparation. Optimum operating frequencies were 10 Hz and 20 Hz with corresponding water consumption. The level of discomfort among the laser-treated patients indicated 0 based on VAS, meaning no pain. Among patients treated with the traditional method, the pain level averaged 5.27.

Conclusions: The use of the Er:YAG laser offers substantial advancements in comparison to traditional treatment with dental turbines by enhancing the overall comfort during caries therapy in children. It fosters better patient cooperation and reduces the need for intraoperative anesthetics due to its minimally invasive nature and the fact that it is a relatively quiet operation. This approach minimizes anxiety and discomfort often associated with dental procedures, making them more amenable to children.

Er:YAG激光治疗儿童乳牙与传统方法的比较:一项随机临床试验。
背景:与传统方法相比,铒族激光已被用作治疗乳牙龋齿的替代方法。目的:通过视觉模拟评分(VAS)评估治疗时间和疼痛程度,确定不同表面乳牙龋齿的最佳掺铒钇铝石榴石(Er:YAG)激光设置。材料与方法:随机临床试验纳入33例3 ~ 8岁儿童66颗深龋牙,分为2个研究组:Er:YAG激光组(试验组);常规治疗用牙科涡轮(对照组)。记录两种方法除龋及预备龋腔所需时间。纳入标准包括一般健康的儿童患者、无痛受试者、首次牙科预约和患有龋齿的单尖乳牙。龋齿治疗无需局部麻醉。结果:Er:YAG激光制备腔体的时间比常规方法平均延长2.5倍。本研究证实了Er:YAG激光在乳牙硬组织制备中的有效性,其脉冲能量为230 mJ用于牙釉质制备,主要用于咬合面和近端面,脉冲能量为120 mJ和150 mJ用于牙本质制备。最佳工作频率为10 Hz和20 Hz,耗水量相应。激光治疗患者的不适程度根据VAS评分为0,即无疼痛。采用传统方法治疗的患者疼痛水平平均为5.27。结论:Er:YAG激光在儿童龋齿治疗过程中提高了整体舒适度,与传统的牙轮治疗相比,有了实质性的进步。由于其微创性和相对安静的操作,它促进了更好的患者合作,减少了术中麻醉的需要。这种方法最大限度地减少了通常与牙科手术相关的焦虑和不适,使它们更适合儿童。
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来源期刊
CiteScore
4.00
自引率
3.80%
发文量
58
审稿时长
53 weeks
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