SUBJECTIVE ACCEPTANCE OF PEDIATRIC PATIENTS DURING CAVITY PREPARATION WITH Er:YAG LASER AND CONVENTIONAL ROTARY INSTRUMENTS.
Journal Title: Journal of IMAB - Annual Proceeding (Scientific Papers) - Year 2014, Vol 20, Issue 5
Abstract
Aim: The aim of the present study is to evaluate and compare the subjective acceptance in children during hard dental tissue therapy using Er:YAG laser 2940nm and conventional rotary instruments. Methods and materials: The study included ninety 6-12-years-old children with matched carious lesions (D3 threshold, WHO system), divided into two equal treatment groups. In the intervention group the cavities were prepared with Erbium:YAG laser 2940nm and in the control group with conventional rotary instruments, without anaesthesia. After cavity preparation patient’s subjective acceptance was assessed by a questionnaire concerning primary stress triggers. Results: The annoyance factor (vibration) was found as a stress trigger in the majority of control children (86.7%), while in the intervention group it was found in 2.2% of cases. The most anxiety provoking items in the intervention group were smell (67.7%) and taste (42.2%). The sound was found to be a stress trigger in more than half of control children (62.2%) and less than one-fifth of the children in the intervention group (15.6%). The study results showed significant difference in these items between two groups (p< 0.001). Conclusions: The Erbium:YAG lasers reduce three of four stress triggers in `4S` principle - vibration, sight and sound. They are a good treatment option for fearful children since they have acceptable efficiency in treatment of pediatric anxiety disorders compared to the mechanical preparation.
Authors and Affiliations
Ani Belcheva, Maria Shindova
Keywords
Related Articles
- EP ID EP163225
- DOI 10.5272/jimab.2014205.631
- Views 79
- Downloads 0
PERIAPICAL RESORPTIVE PROCESSES IN CHRONIC APICAL PERIODONTITIS: AN OVERVIEW AND DISCUSSION OF THE LITERATURE.
Introduction: Root resorption is a biological phenomenon, characterized by processes of cement and/or dentine depletion, resulting from the physiological or pathological activity of resorptive cells. Purpose: The...
DEPIGMENTATION OF GINGIVA
Hyperactivity of melanocytes is the reason for dark colour of gingiva, which is absolutely benign condition with only esthetic disadvantage, for people with gummy smilemostly. Depigmentation is a procedure of removing or...
LITHIUM TOXICITY IN ELDERLY-A CASE REPORT AND DISCUSSION
Background: The therapeutic effect of Lithium as a mono therapy or as an augmenting agent in a variety of medical and psychiatric disorders is under doubt. However, lithium is associated with a number of adverse ef...
POST-STROKE COGNITIVE IMPAIRMENT – PHENOMENOLOGY AND PROGNOSTIC FACTORS
Stroke patients are at higher risk of developing cognitive impairment. Cognitive dysfunctions, especially progressive ones, worsen stroke prognosis and outcome. A longitudinal follow-up of cognitive disorders, however, i...
CORRELATION BETWEEN JAK2V617F MUTATIONAL BURDEN AND THE DEGREE OF ANGIOGENESIS IN THE BONE MARROW OF BCR-ABL NEGATIVE MYELOPROLIFERATIVE NEOPLASMS
JAK2V617F mutation is a well-recognized feature in most Ph-negative myeloproliferative neoplasms (MPNs). An activated bone marrow (BM) angiogenesis has been established in these disorders as well. Consequently, the...