Çocuk hastalarda Er:YAG lazer ile çürük uzaklaştırılmasında ağrı algısının değerlendirilmesi: bölünmüş-ağız çalışması

Year 2018, , 81 - 86, 14.08.2018

Emre Korkut , Onur Gezgin , Hazal Özer , Yağmur Şener

https://doi.org/10.17214/gaziaot.296473

Abstract

Amaç: Çocuk hastaların dental tedavilerinde korku ve anksiyete önemli bir
problem olarak karşımıza çıkmaktadır. Çürük temizleme aletlerinin kullanımı
esnasında oluşan ağrı, çoğu çocuk ve yetişkinde dental korku ve anksiyeteyi
tetikleyebilmektedir. Bu çalışmanın amacı; Er:YAG lazer ve geleneksel döner
aletler kullanılarak çürük temizleme işlemi uygulanan çocuklardaki ağrı
algılarını değerlendirmek ve karşılaştırmaktır.

Gereç ve Yöntem: Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi
Pedodonti Kliniğine başvuran 120 çocuk hastanın daimi molar dişlerindeki
okluzal çürükler, Er:YAG lazer ve konvansiyonel çürük temizleme yöntemi olan
yüksek ve düşük hızlı döner aletler kullanılarak uzaklaştırıldı. Tüm restoratif
işlemler tek klinisyen tarafından gerçekleştirildi. Tedavi sonrası tüm
çocuklardan Wong-Baker skalasındaki değer veya görsellerden bir tanesini
seçmeleri istendi. Elde edilen verilerin değerlendirilmesinde Wilcoxon testi
kullanıldı (α=0.05).

Bulgular: Çalışma grupları arasında istatistiksel fark gözlendi
(p<0.05). Er:YAG lazer grubunda ‘canım acımıyor’ seçeneği %20.83 oranında
seçilirken; konvansiyonel yöntem grubunda %6.66 bulundu. ‘Canım çok fazla
acıyor’ seçeneği hiçbir grupta seçilmedi.

Sonuç: Çalışmadan elde edilen sonuçlara göre; Er:YAG
lazerlerin çürük temizleme amacıyla kullanılmasının geleneksel döner aletlere
kıyasla daha az ağrıya sebep olduğu ve çocuk hastalar için daha konforlu ve
kabul edilebilir bir yöntem olduğu düşünülebilir.

Keywords

Ağrı algısı, diş çürükleri, Er-YAG lazerleri, pedodonti

Evaluation of Er:YAG lasers on pain perception in pediatric patients during caries removal: a split-mouth study

Abstract

Objective: Fear and anxiety is a major problem in the
treatment of pediatric patients. The pain that occurs during the use of caries
removal instruments has a strong potential of triggering dental anxiety and
fear in most children and adults. This study aimed to evaluate and compare the
pain perceptions of children who underwent caries removal via an Er:YAG laser
and traditional rotary instruments.

Materials and Method: Occlusal caries was removed from the permanent
molar teeth of 120 pediatric patients who referred to the Department of
Pediatric Dentistry, Faculty of Dentistry, Necmettin Erbakan
University, using an
Er:YAG laser and high- and low-speed rotary instruments. All restorative
procedures were performed by one clinician. The participant children were asked
to choose a value or figure from the Wong-Baker FACES Pain Rating Scale, and
the data were analyzed using the Wilcoxon test (α=0.05).

Results: A statistically significant difference was found
between the groups (p<0.05). In the Er:YAG laser group, 20.83% of the
participants, and in the conventional group, 6.66% of the participants selected
the option ‘no hurt’. The option ‘hurts worst’ was selected in neither of the
groups.

Conclusion: The use of Er:YAG laser for caries removal causes
less or no pain during the operations, compared to traditional rotary
instruments. Therefore, it can be argued that Er:YAG laser is a more comfortable
and acceptable alternative for pediatric patients.

Keywords

pain perception, pedodontics, Dental caries, Er-YAG lasers, pedodontics

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