| 胡静 陈增力 刘继延 王丽英 赵文峰.不同去龋技术在乳牙龋病治疗中的应用疗效分析[J].,2015,15(4):668-671 |
| 不同去龋技术在乳牙龋病治疗中的应用疗效分析 |
| Analysis of Different Techniques Applied in the Dental CariesTreatment of Deciduous Teeth |
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| DOI： |
| 中文关键词: 传统机械去龋 Carisolv 化学去龋 非创伤性充填法 乳牙 龋病治疗 |
| 英文关键词: Conventional mechanical removal treatment Carisolv chemical caries removal treatment Atraumatic restorative treatment deciduous teeth Therapy for dental caries |
| 基金项目:国家自然科学基金项目（31301127） |
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| 中文摘要: |
| 目的：比较传统机械切割法、非创伤性充填法（atraumatic restorative treatment, ART）和Carisolv 化学法在临床乳牙龋病治疗
中的应用效果差异。方法：选取2011 年1 月-2012年6 月来我科就诊的5-8 岁儿牙患者96 名，患牙180 颗，随机分为3个不同的
治疗组：传统机械去龋组、ART 组和Carisolv 化学去龋组进行相应牙体充填治疗，通过去龋效果、去龋时间、术中疼痛发生率和术
后长期疗效等方面比较不同去龋技术之间的差异。结果：常规机械去龋组和Carisolv组的去龋效果明显优于ART 组(P<0.05)，二
者之间无明显差异(P>0.05)；3 种去龋方法的去龋操作时间无明显差异(P>0.05)；Carisolv组和ART 组去龋治疗中患儿术中疼痛发
生例数明显低于常规机械去龋组(P<0.05)，二者之间无明显差异(P>0.05)；治疗1 年后的复诊发现，常规机械去龋组和Carisolv 组
中患牙继发龋发生率明显低于ART 组(P<0.05)，二者之间无明显差异(P>0.05)；三种方法治疗后患牙充填物折断/ 脱落发生率无
明显差异(P>0.05)。结论：Carisolv 化学去龋法能有效减轻术中疼痛和术后复发率，值得在临床乳牙治疗中推广应用；ART 的去龋
效果和远期疗效可能限制其广泛应用。 |
| 英文摘要: |
| Objective:To compare the effect of conventional mechanical caries removal treatment, atraumatic restorative treatment
(ART) and Carisolv chemical caries removal treatment applied in the dental caries treatment of primary teeth.Methods:96 pediatric
patients diagnosed of mild/moderate dental caries in deciduous teeth from January 2011 to June 2012 were randomly divided into conventional
mechanical removal treatment group, atraumatic restorative treatment (ART) group and Carisolv chemical caries removal treatment
group with 60 dentals each. Then operative reaction, operation time and long-term efficacy were recorded and analyzed.Results:The efficacy of dental removal in conventional mechanical caries removal group and Carisolv chemical caries removal treatment group
were significantly better than ART group (P<0.05). There was no significant difference in the operation time spent among all treatment
groups (P>0.05). The number of intraoperative pain occurs in ART group and Carisolv chemical caries removal treatment group were
lower than that on the conventional mechanical caries removal group (P<0.05). In one-year post-treatment, secondary caries incidence in
conventional mechanical caries removal group and Carisolv chemical caries removal treatment group were significantly lower than that in
ART group(P<0.05). However, there was no significant difference in the incidence of break/loss dental filling among all treatment groups
(P>0.05).Conclusion:Carisolv chemical caries removal treatment can effectively relieve intraoperative pain and recurrence rate after
operation, which is worthy of promotion and application in clinical treatment of deciduous teeth. Caries removal effects and long-term efficacy
of ART may limit its widespread application. |
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