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

Öz

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.

Anahtar Kelimeler

• 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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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