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低水平半导体激光治疗对恒牙Ⅰ类龋洞机械预备疼痛控制的有效性分析

王婷婷 黄永松 徐丽 田瑞雪

王婷婷, 黄永松, 徐丽, 田瑞雪. 低水平半导体激光治疗对恒牙Ⅰ类龋洞机械预备疼痛控制的有效性分析[J]. 中华全科医学, 2024, 22(2): 222-224. doi: 10.16766/j.cnki.issn.1674-4152.003370
引用本文: 王婷婷, 黄永松, 徐丽, 田瑞雪. 低水平半导体激光治疗对恒牙Ⅰ类龋洞机械预备疼痛控制的有效性分析[J]. 中华全科医学, 2024, 22(2): 222-224. doi: 10.16766/j.cnki.issn.1674-4152.003370
WANG Tingting, HUANG Yongsong, XU Li, TIAN Ruixue. Analysis of the effect of low level semiconductor laser on the pain of permanent tooth caries mechanical preparation of Class Ⅰ cavities[J]. Chinese Journal of General Practice, 2024, 22(2): 222-224. doi: 10.16766/j.cnki.issn.1674-4152.003370
Citation: WANG Tingting, HUANG Yongsong, XU Li, TIAN Ruixue. Analysis of the effect of low level semiconductor laser on the pain of permanent tooth caries mechanical preparation of Class Ⅰ cavities[J]. Chinese Journal of General Practice, 2024, 22(2): 222-224. doi: 10.16766/j.cnki.issn.1674-4152.003370

低水平半导体激光治疗对恒牙Ⅰ类龋洞机械预备疼痛控制的有效性分析

doi: 10.16766/j.cnki.issn.1674-4152.003370
基金项目: 

安徽高校自然科学研究项目 KJ2021A0790

2022年度蚌埠医学院一般新技术项目 2022105

蚌埠医学院自然科学重点项目 2022byzd034

详细信息
    通讯作者:

    田瑞雪,E-mail:helen20040516@163.com

  • 中图分类号: R781.1 R783.3

Analysis of the effect of low level semiconductor laser on the pain of permanent tooth caries mechanical preparation of Class Ⅰ cavities

  • 摘要:   目的  评估对疼痛耐受性低的成年患者,在成人恒牙Ⅰ类洞机械预备之前应用低水平激光治疗(LLLT)的镇痛效果。  方法  选取2022年10月—2023年9月在蚌埠医科大学第一附属医院口腔科就诊的成年恒牙Ⅰ类洞(D2)患者。治疗前患者均使用机械去腐法对疼痛阈值(PTPT)进行初步测试,并使用VAS评分进行疼痛评分后,选取7分≤VAS < 10分的患者20例,40颗牙齿,激光组(20颗)和安慰组(20颗)。激光组在窝洞预备前行LLLT,安慰组激光行同位置模拟照射但激光为未工作模式,窝洞预备后使用VAS评分表对疼痛强度进行评分,并比较组间及治疗前后的VAS评分。  结果  治疗后激光组的VAS评分低于安慰组[4.0(4.0, 4.5)分vs. 6.0(6.0, 6.8)分, P < 0.001];与PTPT测试期间感觉到的疼痛相比,激光组降低42.9%[7.0(7.0, 8.0)分vs. 4.0(4.0, 4.5)分,P < 0.001],安慰组降低14.3%[7.0(7.0, 8.0)分vs. 6.0(6.0, 6.8)分,P < 0.001]。  结论  在恒牙Ⅰ类洞机械预备之前使用LLLT,能大大降低恒牙牙体治疗时的疼痛强度。

     

  • 表  1  PTPT组及激光组和安慰组成年恒牙Ⅰ类洞患者(D2)的VAS评分(分)

    Table  1.   VAS score of adult patients with Class Ⅰ permanent tooth cavities (D2) in the PTPT group, laser group, and placebo group (points)

    编号 初始PTPT测试 激光组(治疗后) 安慰组(治疗后)
    1 7.0 3.0 6.0
    2 7.0 3.5 7.0
    3 7.0 2.0 5.0
    4 8.0 4.0 6.0
    5 7.0 4.0 6.0
    6 9.0 6.5 7.0
    7 7.0 4.0 6.0
    8 7.0 4.5 6.0
    9 7.0 4.0 5.0
    10 8.0 4.0 7.0
    11 7.0 5.0 6.0
    12 7.0 4.0 6.0
    13 7.0 4.0 6.0
    14 8.0 4.5 6.0
    15 9.0 5.0 8.0
    16 7.0 5.0 6.5
    17 8.0 4.0 7.0
    18 7.0 3.5 5.0
    19 7.0 4.0 6.0
    20 8.0 4.0 6.5
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出版历程
  • 收稿日期:  2023-06-19
  • 网络出版日期:  2024-03-27

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