ART充填治疗儿童恒磨牙龋的临床研究  

Clinical Research of Atraumatic Restorative Treatment for Accessional Teeth Caries in Children

作　　者：张磊[1] 袁杰[1] 张晓丹[1] 李蕾[1] 刘文珠[1] 孙祥云[1] 

机构地区：[1]哈尔滨医科大学附属口腔医院口腔预防保健科,150001

出　　处：《中华全科医学》2011年第2期175-176,共2页Chinese Journal of General Practice

基　　金：黑龙江省卫生厅科研课题(2007-259)

摘　　要：目的比较非创伤性修复治疗(ART)和常规玻璃离子充填方法治疗儿童第一恒磨牙龋的充填体保留情况。方法 82名患儿,浅龋、中龋共104颗,配对分为两组:ART组52颗,手用器械去腐,Ketac molar充填;对照组52颗,机钻去腐,Fu ji II LC充填。随诊6个月、12个月,评价两组充填体保留情况。结果 6个月后复查ART组48颗,对照组51颗,充填体存留率分别为93.75%和96.08%,经统计学检验差异无统计学意义(P>0.05)。12月后复查ART组41颗,对照组46颗,充填体存留率分别为85.37%和86.96%,差异无统计学意义(P>0.05)。12个月时ART组和对照组的累计生存率分别为80.03%和83.55%,差异亦无统计学意义(P>0.05)。结论 6个月、12个月后ART组和对照组的充填体存留率和累计生存率相似,ART和常规玻璃离子充填的效果相似,ART可用作儿童恒磨牙龋的治疗。Objective To compare the retention conditions of accessional teeth restorations of atraumatic restorative treatment （ART） and conventional technique in children. Methods One hundred and four accessional teeth caries in 82 children were diagnosed as enamel caries or superficial caries of dentin. They were pared and divided into two groups： 52 in the ART group, caries were removed by hand instruments, and the cavity filled with Ketac molar;52 in the control group, caries were removed by dental burs, and the cavity filled with Fuji II LC. Retention conditions of restorations in 2 groups were evaluated after followed up for 6 and 12 months. Results After 6 months,48 restorations in ART group and 51 restorations in control group were reviewed, the retention rates were 93.75 % and 96.08 % separately, which showed no statistical differences （P 〉 0.05 ）. After 12 months ,41 restorations in ART group and 46 restorations in control group were reviewed, and the respective retention rates were 85.37% and 86.96% ,showed no statistical difference（P 〉0.05）. The 12-month cumulative survival rates were 80.03% and 83.55% separately with no statistical differences either（P 〉 0.05 ）. Conclusion The retention rates and survival rates of ART group and control group were similar, which displayed similar effectiveness in ART and conventional restorative technique with glass inn. ART is an alternative method in the treatment of accessional teeth caries in children.

关 键 词：恒磨牙 非创伤性修复治疗 ART 玻璃离子 充填体存留率 累计生存率 

分 类 号：R781.1[医药卫生—口腔医学]