Journal of Oral Science Research ›› 2020, Vol. 36 ›› Issue (10): 942-947.DOI: 10.13701/j.cnki.kqyxyj.2020.10.013

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Effect of Pulsed Nd:YAG Laser on Pregnancy-associated Pericoronitis and Dental Anxiety in Pregnant Women

GONG Tianyuan1, SHEN Yafeng1, ZHANG Chaojie1, Reisha·Abdukim2, XU Jiang1*   

  1. 1. Department of Stomatology, the First Affiliated Hospital of Shihezi University Medical College, Shihezi 832000, China;
    2. Department of Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830001, China
  • Received:2020-03-23 Online:2020-10-28 Published:2020-10-19

Abstract: Objective: To analyze the short-term efficacy of pulsed Nd:YAG laser-assisted treatment on pericoronitis during pregnancy and its effect on dental anxiety in pregnant women. Methods: 68 patients with mild pregnancy-associated pericoronitis during the alveolar surgery from September 2017 to May 2019 were collected and randomly divided into two groups (n=34) according to the order of treatment. The treatment period was one week. The non-laser group was given conventional pericoronal irrigation and the laser group was given adjuvant therapy with pulsed Nd:YAG laser. The pain degree (NRS), mouth opening, gingival index (GI), bleeding index (BI), MDAS score, total effective rate, recurrence rate, and pregnancy outcome were compared between two groups. Results: The mouth opening degree, NRS, GI, and BI of the laser group were improved compared with the control group on the 2nd-5th days (P<0.05), however, no difference on the 1st and 7th days (P>0.05). The number of DA in the laser group was lower than that in the non-laser group on the first time of treatment (P<0.01). After 1 week, the total effective rate of the laser group was greater than that of the non-laser group (P<0.05). After 6 months, the recurrence rate in the laser group was lower than that in the non-laser group (P<0.05). None of the 68 patients had adverse pregnancy outcome. Conclusion: Pulsed Nd:YAG laser-assisted treatment has significant short-term efficacy on mild pregnancy-associated pericoronitis. It is safety and can alleviate dental anxiety in pregnant women.

Key words: pulsed Nd:YAG laser, pregnant women, pericoronitis of wisdom teeth, dental anxiety, clinical effect