| 丁 钰,张 莹,付建军,惠宏斌,祁海龙.不同修复方式对儿童乳牙牙体缺损的疗效和安全性比较[J].,2017,17(26):5134-5137 |
| 不同修复方式对儿童乳牙牙体缺损的疗效和安全性比较 |
| Comparison of the Clinical Efficacy and Safety of Different Restorations for Deciduous Teeth Defect |
| 投稿时间：2016-10-23 修订日期：2016-11-16 |
| DOI：10.13241/j.cnki.pmb.2017.26.030 |
| 中文关键词: 乳牙缺损 金属预成冠修复 铸瓷嵌体修复 安全性 |
| 英文关键词: Deciduous teeth defect Metal crown restoration Ceramic inlay restoration Adverse reaction |
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| 中文摘要: |
| 摘要 目的：探讨不同修复方式对儿童乳牙牙体缺损修复的治疗效果和安全性。方法：选择2011年1月至2015年1月在我院因牙体缺损严重无法填充修复的乳牙牙体缺损患儿67例。将所有患者随机分为三组，记为A组(22例)、B组(22例)和C组(23例)。A组患儿进行金属预成冠修复，B组患儿进行铸瓷嵌体修复，C组患儿进行银汞合金充填修复。随访18个月，比较3组患儿的治疗效果和不良反应的发生情况。结果：C组患儿随访期间发生牙痛6例，食物嵌塞、修复体和牙体之间出现裂缝的患儿各5例，牙龈充血3例，继发龋2例；B组患儿发生牙痛3例，食物嵌塞、牙龈充血、修复体和牙体之间出现裂缝以及继发龋等各1例；A组患儿发生疼痛和食物嵌塞各2例，牙龈充血1例。A组和B组患儿以上不良事件的发生率明显低于C组(P<0.05)，A组发生不良事件的发生率低于B组，但是差异无统计学意义(P>0.05)。结论：应用金属预成冠修复和铸瓷嵌体修复儿童乳牙牙体缺损较银汞合金充填修复具有更好的临床效果，且安全性更高。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the curative effect of different restorations for deciduous teeth defect of children. Methods: 67 children with teeth defecting seriously and being unable to fill restore were enrolled from January 2011 to January 2015 and randomly divided into three groups, one group of patients accepted metal crown restoration (Group A, n=22), one group adopted ceramic inlay restoration (Group B, n=22), and the last one accepted silver amalgam filling (Group C, n=23), the curative effect and incidence of adverse reactions among three groups in the period follow-up were compared. Results: In the period of 18-month follow-up, 6 patients of toothache, 5 patients of food impaction and crevices between restorations and teeth, 3 cases of gingival congestion, 2 cases of secondary caries were observed in group C; 3 cases of toothache, 1 case of food impaction, gingival congestion, crevices between restorations and teeth and secondary caries were observed in group B; 2 cases of toothache and food impaction, 1 case of gingival congestion were observed in group A. The incidence of adverse reactions in group A and group B was lower than those in group C (P<0.05), which was lower in group A than that in group B, but no significant difference was found between group A and group B(P>0.05). Conclusion: The restoration of metal crown and ceramic inlay deserved popularization had better curative effect and safety for deciduous teeth defect of children than silver amalgam filling. |
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