相邻后牙邻面龋损相关性的临床研究  

Clinical evaluation of the carious relationship between two interproximal surfaces of permanent molars

作　　者：马宏[1] 方碧松[1] 侯晓玫[1] 杨东梅[2] 蔡爽[2] 陈薇[3] 

机构地区：[1]首都医科大学口腔医学院牙体牙髓科,100050 [2]首都医科大学口腔医学院儿童口腔科,100050 [3]首都医科大学口腔医学院预防科,100050

出　　处：《北京口腔医学》2011年第2期98-100,共3页Beijing Journal of Stomatology

摘　　要：目的临床研究相邻恒磨牙2个邻面的龋损程度是否具有相关性。方法随机视诊检查临床初次治疗的患牙的邻牙。患牙因邻面龋坏去腐后形成邻洞形,按照龋损程度将该邻窝洞分为3级。邻窝洞修复之前对其相邻牙面进行清洁、视诊,记录结果,并对该相邻牙面的视诊分级与邻窝洞的分级的相关性进行分析。结果临床共收集190例,其中邻窝洞1级71例(37.4%),2级65例(34.2%),3级54例(28.4%);相邻牙面视诊的结果为,视诊0级8例(4.2%),1级12例(6.3%),2级67例(35.3%),3级52(27.4%),4级51例(26.8%)。统计分析显示邻窝洞的相邻牙面的龋坏程度与其牙位、邻窝洞的位置和患者的年龄、性别无相关性,与邻窝洞的分级存在正相关关系,即邻窝洞范围增大,其相邻牙面患龋的几率增大,程度加重。结论恒磨牙相邻两牙邻面龋损程度具有相关性。Objective To evaluate the relationship between the caries in the interproximal surfaces of the permanent molars.Methods The interproximal surfaces adjacent to the approximal-occlusal cavity which were treated at its first time were examined by visual inspection（VI）.Approximal-occlusal cavity was divided into 3 types and VI divided into 5 types.Results A total of 190 cases were included.Approximal-occlusal cavity ： degree 1：71 case（37.4%）,degree 2：65 case（34.2%）,degree 3：54 case（28.4%）.The VI of the interproximal surfaces were type 0,8 case（4.2%）,type 1,12 case（6.3%）,type 2,67case（35.3%）,type 3,52（27.4%）,type 4,51（26.8%）.There was a relationship between the approximal-occlusal cavity and its adjacent surface in the caries development and progression.Conclusion Caries between two interproximal surfaces of permanent molars had an obvious relationship.

关 键 词：邻面龋 邻窝洞 视诊 

分 类 号：R781.1[医药卫生—口腔医学]