MỨC ĐỘ ĐAU VÀ LO LẮNG CỦA TRẺ EM TRONG ĐIỀU TRỊ SÂU RĂNG: SO SÁNH GIỮA LASER ER:YAG VÀ KHOAN CƠ HỌC

Abstract

Introduction: In the management of dental caries in pediatric patients, the Er:YAG laser is a minimally invasive technique, less pain, vibration and noise, thereby enhancing patient cooperation during treatment. This study aimed to compare pain and anxiety between the Er:YAG laser and conventional mechanical drilling in permanent teeth of children aged 9–12 years. Methods: A randomized, split-mouth clinical trial with children and data analyst blinding was conducted on eight children aged 9–12 years, each presenting with two carious permanent teeth, at the Department of Pediatric Dentistry, National Hospital of Odonto-Stomatology, Ho Chi Minh City. The primary outcomes included pain intensity (Wong-Baker FACES Pain Rating Scale) and anxiety level (Venham Anxiety Scale). Results: Pain levels associated with Er:YAG laser treatment were lower than those with mechanical drilling (p = 0.083). Anxiety levels were also lower in the Er:YAG laser group (p = 0.031). Conclusion: The Er:YAG laser demonstrates potential applicability for the treatment of permanent teeth with ICDAS™ codes 2 and 3 occlusal caries in children.