ER-YAG激光联合Gluma脱敏剂在前牙深龋缺损修复脱敏治疗中的应用

Application of ER-YAG laser combined with Gluma desensitizer in the treatment of desensitization in the repair of anterior deep dental caries

目的探究ER-YAG激光联合Gluma脱敏剂在前牙深龋缺损修复脱敏治疗中的应用价值。方法将本院169例前牙深龋缺损患者根据随机数字表法分为联合组(n=85例)和对照组(n=84例)。对照组采用格鲁玛(Gluma)脱敏剂治疗,联合组采用ER-YAG激光联合Gluma脱敏剂治疗。治疗后随访,比较2组临床疗效、牙髓刺激症状、粘接效果、不同时间段疼痛程度及修复满意度。结果联合组总有效率高于对照组(P<0.05);联合组牙髓刺激症状轻于对照组(P<0.05);联合组患者的粘连总有效率与对照组差异有统计学意义(P<0.05);联合组治疗时、治疗1个月后及治疗半年后VAS评分均较对照组低,差异具有统计学意义(P<0.05)。结论 ER-YAG激光联合Gluma脱敏剂在前牙深龋缺损修复中脱敏处理治疗中效果确切,可有效减轻牙髓刺激症状,提高粘连效果,减轻患者治疗后疼痛程度。

Objective To investigate the value of ER-YAG laser combined with Gluma de- sensitizer in the treatment of desensitization in the repair of anterior deep dental caries. Methods A total of 169 patients with anterior deep dental caries treated in our hospital were divided into combined group （n = 85） and control group （n --84） according to random number table method. The patients in the control group were treated with Gluma desensitizer, and the patients in the combined group were treated with ER-YAG laser combined with Gluma desensitizer. After treatment, the clinical effi- cacy, dental pulp stimulation, adhesive effect, pain degree of different time points and repair satisfac- tion were compared between the two groups. Results The combined group had higher total effective rate （ P 〈 0.05 ）, lighter dental pulp stimulation than the control group （ P 〈 0.05 ）. The total effec- tive rate of adhesion in two groups showed a significant differences in two groups （ P 〈 0.05 ）. VAS scores in the combined group when treated, at 1 month and 6 months after treatment were lower than that in the control group （P 〈 0.05 ）. Conclusion ER-YAG laser combined with Gluma desensitizer is effective in the repair of anterior teeth deep carious caries, which can effectively alleviate the symp- toms of dental pulp, improve the adhesion effect and reduce the degree of post-treatment pain, so it is worthy of promotion and application.