| Erbium:YAG laser application in caries therapy. Evaluation of patient perception and acceptance. | |
| | |
MedLine Citation:
|
PMID: 9793286 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: In previous studies it has been demonstrated that the Er:YAG laser can be used to prepare cavities efficiently and without thermal damage to the adjacent dental hard and soft tissues. To investigate the patients' response to Er:YAG laser preparation of teeth, a prospective clinical study was performed in five dental hospitals. METHODS: To evaluate patients' perception and response to cavity preparation a direct comparison was made between conventional mechanical preparation and Er:YAG laser preparation of caries in dental hard tissues. Half of the preparations were completed by the laser alone with standardized parameters, with the other half being mechanically prepared. The sequential order of treatment was randomized, and clinical parameters such as depth and location of the cavities were carefully balanced. A three-score evaluation scheme of patient responses was used: comfortable, uncomfortable, very uncomfortable. In addition the patients were asked to decide which was the more uncomfortable form of treatment and the preferred treatment for future caries therapy. RESULTS: The study included 103 patients with 206 preparations distributed amongst 194 teeth. All teeth gave vital responses (ice test) before and after both types of treatment. The laser treatment was found to be more comfortable than the mechanical treatment, with high statistical significance. During treatment, the need for local anaesthesia was 11% for mechanical preparation compared to 6% during laser application. It was found that 80% of the patients rated the conventional preparation as more uncomfortable than the laser treatment and 82% of the patients indicated that they would prefer the Er:YAG laser preparation for further caries treatment. CONCLUSIONS: The application of the Er:YAG laser system is a more comfortable alternative or adjunctive method to conventional mechanical cavity preparation. |
| | |
Authors:
|
U Keller; R Hibst; W Geurtsen; R Schilke; D Heidemann; B Klaiber; W H Raab |
Related Documents
:
|
10204446 - Low power laser therapy and analgesic action. 2566736 - Comparison of endoscopic polidocanol injection and yag laser therapy for bleeding pepti... 17296396 - Minimally invasive treatment of ureteropelvic junction obstruction: long-term experienc... 20619756 - Comparing the effectiveness of q-switched ruby laser treatment with that of q-switched ... 23481356 - Diagnosis and operative intervention for problematic ureteral calculi during pregnancy. 9124756 - Emergency cricothyroidotomy. |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial |
Journal Detail:
|
Title: Journal of dentistry Volume: 26 ISSN: 0300-5712 ISO Abbreviation: J Dent Publication Date: 1998 Nov |
Date Detail:
|
Created Date: 1998-11-09 Completed Date: 1998-11-09 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0354422 Medline TA: J Dent Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 649-56 Citation Subset: D; IM |
Affiliation:
|
Department for Oral Surgery, University of Ulm, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Dental Caries / therapy Dental Cavity Preparation / instrumentation*, psychology Erbium Humans Laser Therapy* Pain Measurement Patient Acceptance of Health Care Patient Satisfaction Time Factors |
| Chemical | |
Reg. No./Substance:
|
7440-52-0/Erbium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Inclination of the occlusal plane and occlusal guidance as contributing factors in mastication.
Next Document: A comparison of fluconazole and itraconazole in the management of denture stomatitis: a pilot study.