Clinical Trial of an Air-Abrasion/Chemomechanical Operative Procedure for the Restorative Treatment of Dental Patients

Clinical Trial of an Air-Abrasion/Chemomechanical Operative Procedure for the Restorative Treatment of Dental Patients
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空气研磨/化学机械手术治疗牙科患者的临床试验

DOI:
10.1159/000072168
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发表时间:
2003
期刊:
影响因子:
4.2
通讯作者:
Avijit Banerjee
Avijit Banerjee
中科院分区:
医学2区
文献类型:
--
作者:
Sobia Rafique;Janice Fiske;Avijit Banerjee

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本研究的目的是探讨空气磨蚀/Carisolv™凝胶去除龋是否是一种可接受和可行的替代治疗牙科患者。22例患者采用常规治疗方法(局部麻醉注射/钻孔),随后采用替代治疗方法(空气磨损和Carisolv凝胶),由同一操作人员在一般情况下进行。采用改良牙科焦虑量表测量受试者术前焦虑水平。术后患者对常规治疗和替代治疗的焦虑/厌恶程度采用视觉模拟量表进行评估。对两种治疗方法的焦虑/厌恶程度进行比较和统计分析。结果显示,100%的受试者关注常规治疗的几个方面,包括注射时的疼痛/不适、麻醉剂的味道、组织保持麻木的时间、钻头的噪音、感觉振动和水冷却剂。然而,75%的研究对象对空气磨损技术的各个方面都很满意,包括灰尘、疼痛/不适和产生的振动。总的来说,研究人群发现Carisolv凝胶在时间、疼痛/不适和味道方面是一种可接受的除龋替代方法。患者对两种治疗方法各方面的认知差异有统计学意义。所有参与者都发现,与传统治疗相比,替代治疗无痛,更快,总体上更容易接受。研究结果表明,空气磨损/卡瑞索夫凝胶治疗是替代传统的局部麻醉注射和钻孔治疗的一种可行的治疗方法。
The aim of this study was to investigate whether caries removal with air-abrasion/Carisolv™ gel is an acceptable and viable alternative in the treatment of dental patients. Twenty-two patients were treated with conventional methods (local anaesthetic injection/drill) followed by alternative treatment (air-abrasion and Carisolv gel) in a general practice setting, by the same operator. The participants’ pre-operative anxiety levels were measured using the Modified Dental Anxiety Scale. Their postoperative levels of anxiety/dislike for aspects of both conventional and alternative treatments were assessed using a visual analogue scale. Levels of anxiety/dislike for both treatments were compared and statistically analysed. Results showed 100% of subjects were concerned about several aspects of conventional treatment including pain/discomfort on injection, taste of anaesthetic, length of time tissues remained numb, noise of the drill, its sensory vibrations and water coolant. However, 75% of the study population were happy with all aspects of the air-abrasion technique including dust, pain/discomfort and vibrations produced. Overall, the study population found Carisolv gel to be an acceptable alternative method of caries removal in terms of time taken, pain/discomfort and taste. There were statistically significant differences between patients’ perceptions of various aspects of the two treatment methods. All participants found the alternative treatment to be pain-free, quicker and overall more acceptable compared with conventional treatment. The conclusion drawn from the study was that air-abrasion/Carisolv gel treatment was a well-accepted and viable alternative to conventional local anaesthetic injection and drill for dental patients.
负面的牙科经历及其与牙科焦虑的关系。
DOI: --
发表时间: 1996
影响因子: 1.7
作者:
Locker,D;Shapiro,D;Liddell,A
通讯作者: Liddell,A