Caries removal by Er,Cr:YSGG laser and Air-rotor handpiece comparison in primary teeth treatment: an in vivo study.

Aim The aim of this study was to evaluate and compare caries removal by Er,Cr:YSGG Laser and conventional method using Air-rotor handpiece in primary teeth. Materials and Methods 25 children with at least two class I carious lesions on primary teeth with Diagnodent readings not differing more than ± 10 for both teeth were included in the study. All 50 teeth in the study received treatment by the same operator. Time taken for caries removal was recorded using a timer. Pain assessment was done using Wong Baker Modified Faces Pain Rating Scale and Visual Analog Scale before and after the procedure. After caries removal, caries detection dye was applied to the prepared cavity to check the efficacy of the procedure. In addition, after completion of treatment, each child was asked to indicate which method of caries removal, Er,Cr:YSGG Laser or Air-rotor handpiece, was more comfortable. Results The difference between the mean values for post-procedural Wong Baker Faces Pain Rating Scale scores and Visual Analog Scale scores in Group A and Group B were compared, which showed that children experienced less pain during the caries removal procedure with Er,Cr:YSGG Laser than with Air-rotor handpiece. Time taken for caries removal procedure was more in Group A than in Group B. It was seen that in both the groups caries detection dye was completely removed and both the procedures were equally efficacious for caries removal. Children indicated caries removal procedure with Laser to be more comfortable. Conclusion Within the parameters and limitations of the present study, it is suggested that Er,Cr:YSGG Laser seems to be an acceptable tool for caries removal in primary teeth. Children found caries removal with Er,Cr:YSGG Laser to be more comfortable even though time taken was more than the conventional method using Air-rotor handpiece.

[1]  I. Tanboga,et al.  The effect of erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser therapy on pain during cavity preparation in paediatric dental patients: a pilot study. , 2013, Oral health and dental management.

[2]  M. Bågesund,et al.  Er:YAG laser or high-speed bur for cavity preparation in adolescents , 2013, Acta odontologica Scandinavica.

[3]  E. Mohammadi,et al.  Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence , 2017, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[4]  L. Lupi-Pégurier,et al.  Patient responses to Er:YAG laser when used for conservative dentistry , 2012, Lasers in Medical Science.

[5]  G. Olivi,et al.  Laser restorative dentistry in children and adolescents , 2011, European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry.

[6]  M. Braga,et al.  Comparing the reliability of a new fluorescence camera with conventional laser fluorescence devices in detecting caries lesions in occlusal and smooth surfaces of primary teeth , 2011, Lasers in Medical Science.

[7]  A. Rathnam,et al.  The language of pain: A short study , 2010, Contemporary clinical dentistry.

[8]  J. Campos,et al.  In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions , 2009, Lasers in Medical Science.

[9]  F. Tay,et al.  Evaluation of a new caries detecting dye for primary and permanent carious dentin. , 2007, Journal of dentistry.

[10]  Y. Lai,et al.  Acceptance and efficiency of Er:YAG laser for cavity preparation in children. , 2006, Photomedicine and laser surgery.

[11]  Luciano Bachmann,et al.  Lasers effects on enamel for caries prevention , 2006 .

[12]  F. Mendes,et al.  Influence of examiner's clinical experience in detecting occlusal caries lesions in primary teeth. , 2005, Pediatric dentistry.

[13]  C. Newman,et al.  A comparison of pain scales in Thai children , 2005, Archives of Disease in Childhood.

[14]  J. Boj,et al.  Pain Perception in Pediatric Patients Undergoing Laser Treatments , 2005 .

[15]  James D Bader,et al.  A systematic review of the performance of a laser fluorescence device for detecting caries. , 2004, Journal of the American Dental Association.

[16]  V. Anttonen,et al.  Clinical Study of the Use of the Laser Fluorescence Device DIAGNOdent for Detection of Occlusal Caries in Children , 2003, Caries Research.

[17]  J. Hedges,et al.  Patient satisfaction in the emergency department--a survey of pediatric patients and their parents. , 2002, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[18]  Mozammal Hossain,et al.  Clinical assessment of Er,Cr:YSGG laser application for cavity preparation. , 2002, Journal of clinical laser medicine & surgery.

[19]  T F Watson,et al.  Conservative dentistry: Dentine caries excavation: a review of current clinical techniques , 2000, British Dental Journal.

[20]  J. Walsh,et al.  Erbium laser ablation of dental hard tissue: Effect of water cooling , 1996, Lasers in surgery and medicine.

[21]  O. Yassin.  In vitro studies of the effect of a dental explorer on the formation of an artificial carious lesion. , 1995, ASDC journal of dentistry for children.

[22]  R. Melzack.  Pain perception. , 1970, Research publications - Association for Research in Nervous and Mental Disease.