Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Çocuk Hastalarda Diş Çürüğü Temizlemek İçin Kullanılan Döner Aletlerle Karşılaştırıldığında Lazerlerin Kabul Edilebilirliği: Bir Olgu Kontrol Çalışması
Acceptance of Laser Therapy Compared to Rotary Instruments for Cavity Preparation in Pediatric Patients: A Case Control Study
Volkan ÇİFTÇİa, Emir KOCAARSLANa
aÇukurova Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Adana, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(3):582-90
doi: 10.5336/dentalsci.2021-87669
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, çocuk diş hekimliğinde çürük temizleme işlemlerinde kullanılan döner aletler ile karşılaştırıldığında Er,Cr:YSGG lazerin çocuk hastalarda kabul edilebilirliğinin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya, yaşları 9-12 arasında değişen 20 çocuk hastadan, 40 adet alt daimi 1. azı diş dâhil edildi. Dişler, uygulanan çürük temizleme yöntemlerine göre 2 gruba ayrıldı: Döner aletler (rotary grup) ve Er,Cr:YSGG lazer (lazer grup) grubu. Tedavi sırasında oluşan ağrı ve kaygının değerlendirilmesi için Çocuk Korku Değerlendirme Skalası-Dental Alt Ölçeği [Children Fear Survey Schedule Dental Subscale (CFSS-DS)] ve Görsel Analog Skala [Visual Analogue Scale (VAS)] kullanıldı. Ayrıca ağrı ve konfor, Yüz, Bacaklar, Hareket, Ağlama, Avutabilme Davranışsal Skalası [Faces, Legs, Activity, Cry, and Consolability (FLACC)] ile değerlendirildi. Kavite preperasyon süreleri kaydedildi. Tedavilerin sonrasında hastaların lazer veya döner aletlerden ne kadar rahatsız olduklarını belirlemek için titreşim, koku, tat, ses ve görme gibi subjektif parametreleri değerlendiren bir anket uygulandı. Bulgular: Lazer ve rotary grubu karşılaştırıldığında; çürük temizleme işlem süresinin lazer grubuna kıyasla rotary grubunda daha kısa olduğu bulundu. CFSS-DS, VAS ve FLACC skorları, rotary grubunda lazer grubundan daha yüksekti. Lazer grubunda hastala¬rın %40'ı koku parametresi için 'çok rahatsız etti' cevabını verirken, tat parametresi için %40'ı 'rahatsız etti' cevabını verdi. Görüntü parametresi için lazer grubunda hastaların %80'i, rotary grubunda ise hastaların %90'ı 'hiç rahatsız etmedi' cevabını verdi. Sonuç: Bu çalışmanın sınırlılıkları dâhilinde; dental lazer anksiyete seviyesi yüksek çocuk hastalarda çürük temizleme işlemlerinde bir tedavi alternatifi olabilir. Döner aletlerle karşılaştırıldığında, lazerle kavite temizlenmesinin objektif parametreler kullanarak kabul edilebilirliğini değerlendirmek için büyük örneklem sayısına sahip ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler: Çocuk diş hekimliği; lazer tedavileri; çürük temizleme; subjektif kabul edilebilirlik
ABSTRACT
 Objective: The aim of the study was to evaluate the acceptance of Er, Cr: YSGG laser compared with rotary instruments used for caries removal procedures in pediatric patients. Material and Methods: 40 first permanent lower molars from 20 pediatric patients between ages of 9-12 were included in the study. The teeth were separated into 2 group according to cavity preparation type; rotary instruments (rotary group) and Er,Cr:YSGG laser (laser group). Children Fear Survey Schedule Dental Subscale (CFSS-DS) and Visual Analogue Scale (VAS) were used to evaluate pain and anxiety during the cavity preparation. The pain and comfort were also evaluated with Faces, Legs, Activity, Cry, and Consolability (FLACC) scale. The cavity preparations time were recorded. After the caries removal, the patients asked a questionnaire to determine subjective parameters such as vibration, smell, taste, sound, and sight how comfortable they were with laser or rotary instruments. Results: When the laser and rotary groups are compared; it was found that the treatment time was shorter in the rotary group than laser group. CFSS-DS, VAS and FLACC scores were higher in rotary group. While 40% of the patients answered 'very uncomfortable' for the smell parameter; 40% of patients answered 'uncomfortable' for the taste parameter in laser group. For the sight parameter, 80% answered 'very comfortable' in laser group and 90% answered 'very comfortable' in the rotary group. Conclusion: Within the limitations of this study, dental laser could be a treatment alternative for caries removal in anxious pediatric patients. Further studies with large sample size are needed to determine the acceptability using objective parameters for cavity preparation with laser compared to rotary instruments.

Keywords: Pediatric dentistry; laser therapy; caries removal; subjective acceptance
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