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

作　　者：王军辉 王子瑞 周志斐 张百泽[1] 葛鑫 陈宇江 杜样 王小竞 WANG Junhui;WANG Zirui;ZHOU Zhifei;ZHANG Baize;GE Xin;CHEN Yujiang;DU Yang;WANG Xiaojing(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;Department of Stomatology, General Hospital of Tibet Military Region, Chinese People's Liberation Army, Lhasa 850000, China.)

机构地区：[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

出　　处：《口腔医学研究》2020年第11期1050-1054,共5页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:81670988);陕西省科技计划项目(编号:2020SF-013)。

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。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.

关 键 词：ErYAG激光 乳牙 龋齿 盖髓治疗 临床疗效 

分 类 号：R78[医药卫生—口腔医学]