铒激光治疗乳牙龋齿临床疗效的观察研究

doi:10.13701/j.cnki.kqyxyj.2020.11.015

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (11): 1050-1054.DOI: 10.13701/j.cnki.kqyxyj.2020.11.015

• 龋病与牙体修复学研究 • 上一篇下一篇

铒激光治疗乳牙龋齿临床疗效的观察研究

王军辉¹, 王子瑞¹, 周志斐^1,2, 张百泽¹, 葛鑫¹, 陈宇江¹, 杜样¹, 王小竞^1*

1.军事口腔医学国家重点实验室,国家口腔临床医学研究中心,陕西省口腔疾病临床医学研究中心,第四军医大学口腔医院儿童口腔科陕西西安 710032;
2.中国人民解放军西藏军区总医院口腔科西藏拉萨 850000

收稿日期:2020-04-16 出版日期:2020-11-28 发布日期:2020-11-27
通讯作者: *王小竞,E-mail:wxjing@fmmu.edu.cn
作者简介:王军辉(1988~ ),男,山东威海人,硕士,主治医师,主要从事儿童舒适化诊疗,儿童牙体修复方式的变迁主要为全瓷预成冠的应用。
基金资助:
国家自然科学基金(编号:81670988)陕西省科技计划项目(编号:2020SF-013)

Clinical Evaluation of Er:YAG Laser in Primary Caries Treatment

WANG Junhui¹, WANG Zirui¹, ZHOU Zhifei², ZHANG Baize¹, GE Xin¹, CHEN Yujiang¹, DU Yang¹, WANG Xiaojing^1*

1. State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Disease & Shaanxi Clinical Research Center for Oral Diseases, Stomatology Department of Children, School of Stomatology, The Fourth Military Medical University, Xi'an 710032, China;
2. Department of Stomatology, General Hospital of Tibet Military Region, Chinese People's Liberation Army, Lhasa 850000, China

Received:2020-04-16 Online:2020-11-28 Published:2020-11-27

摘要/Abstract

摘要： 目的:调查Er:YAG激光在儿童乳牙深龋去腐备洞治疗时患儿感受及临床疗效。方法:选取3~6岁于我院儿童口腔科行深龋盖髓治疗的患儿,分别用激光和传统车针去腐备洞后充填,评估患儿感受、家长满意度及临床疗效。结果:临床研究108名患儿,平均年龄(5.16±0.81)岁,共治疗患牙224颗。疼痛程度及家长满意度上,激光组明显优于传统组(P<0.05);去龋时间上,激光组略长于传统组;临床疗效上,治疗6个月内,激光组成功率略高于传统组,随着观察时间延长,两组成功率均有下降,治疗后2年,激光组明显高于传统组(P<0.05)。治疗后失败原因主要为继发龋(35.05%)及充填体脱落(29.90%)。结论:Er:YAG激光治疗乳牙龋齿疗效显著,可有效减轻患儿痛苦,值得临床推广。

关键词: Er:YAG激光, 乳牙, 龋齿, 盖髓治疗, 临床疗效

Abstract: Objective: To investigate the perception and effect of Er: YAG laser in the treatment of deep caries of primary teeth. Methods: Children aged 3-6 years were divided into Er:YAG laser group and traditional group randomly, then removed the decay and filled. The pain feeling of children, satisfaction of parents, and clinical effect were evaluated. Results: The average age of 108 children was 5.16 ± 0.81 years old and 224 teeth were treated. The pain level and parents' satisfaction in Er:YAG laser group was significantly better than traditional group (P<0.05). The time of caries removing was not statistically significant compared with the traditional group. In terms of clinical efficacy, within 6 months, the success rate in the Er:YAG laser group was slightly higher than traditional group. With the extension of observation time, the success rate of both groups decreased. After 2 years, the success rate was significantly higher than that of traditional group (P<0.05). The main reason of failure was secondary caries (35.05%), followed by loss of fillings (29.90%). Conclusion: Er: YAG laser is effective in the treatment of deep caries of primary teeth, which can effectively reduce the pain of children and is worthy of clinical application.

Key words: Er:YAG laser, primary teeth, dental caries, pulp capping, clinical effect

王军辉, 王子瑞, 周志斐, 张百泽, 葛鑫, 陈宇江, 杜样, 王小竞. 铒激光治疗乳牙龋齿临床疗效的观察研究[J]. 口腔医学研究, 2020, 36(11): 1050-1054.

WANG Junhui, WANG Zirui, ZHOU Zhifei, ZHANG Baize, GE Xin, CHEN Yujiang, DU Yang, WANG Xiaojing. Clinical Evaluation of Er:YAG Laser in Primary Caries Treatment[J]. Journal of Oral Science Research, 2020, 36(11): 1050-1054.

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铒激光治疗乳牙龋齿临床疗效的观察研究

Clinical Evaluation of Er:YAG Laser in Primary Caries Treatment

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