Filtek Z350流动纳米树脂与FUji IX玻璃离子应用于磨牙窝沟浅龋的效果比较  

The effect comparison between Filtek Z350 flowable nano-composite resin and FUji IX glass-ionomer cement in the application of early pit and fissure caries in molars

作　　者：申玲[1] 黄碧杰 朱燕梅 安立民[3] 刘玲[1] 

机构地区：[1]中央民族大学医院口腔科,北京100081 [2]北京市社会福利医院口腔科,北京100085 [3]北京市昌平区中医院口腔科,北京102200

出　　处：《北京生物医学工程》2013年第3期286-290,271,共6页Beijing Biomedical Engineering

摘　　要：目的比较3M ESPE Filtek Z350 Flowable纳米流动树脂(Filtek Z350流动纳米树脂)与而至富士IX GP玻璃离子水门汀(Fuji IX玻璃离子)应用于磨牙窝沟浅龋的临床效果,探讨更适合于预防和治疗磨牙窝沟浅龋的方法。方法选择201例患者的356颗窝沟浅龋的患牙作为研究对象,随机分为两组,实验组101例患者178颗患牙,对照组100例患者178颗患牙,在彻底去除龋坏组织后,实验组用Filtek Z350流动纳米树脂充填龋坏部位并对未龋损的窝沟区域进行预防性充填封闭,对照组采用FUjiIX玻璃离子材料进行充填及封闭,观察两种材料4年中的保留情况和继发龋发生率。结果术后第2～4年Filtek Z350流动纳米树脂的涂膜保留率高于对照组(P<0.05),两组的继发龋发生率在第1、第2年均为0,在第3、第4年两组间无统计学差异(P>0.05)。结论 Filtek Z350流动纳米树脂是一种能有效预防和治疗磨牙窝沟龋的新方法,建议临床推广使用。Objective To compare the effects between Filtek Z350 fiowable nano-composite resin and FUji IX glass-ionomer cement in the application of early pit and fissure caries in molars in order to explore a more suitable method for prevention and treatment in early pit and fissure caries in molars. Methods Three hundred and fifty-six molars with early pit and fissures caries in 201 patients were selected as the research object and randomly divided into 2 groups, 178 molars of 101 patients as the experimental group and 178 molars of 100 patients as the control group. After caries removal,the experimental group with the Filtek Z350 flowable nano-composite resin was restored in caries damage position and preventive resin restoration was sealed in undamaged fissured area. The control group was restored and sealed with FUji IX glass-ionomer cement. The two groups were observed the retention rate and the secondary caries incidence in 4 years. Results The coating retention rate of the experimental group was higher than that of the control group in the second, third and fourth year （P 〈 0. 05）. The secondary caries incidences of the two groups were zero in the first 2 years and the differences between the two groups in the third and fourth year were not significant （ P 〉 0.05 ）. Conclusions Filtek Z350 flowable nano-composite resin is a new method for the prevention and treatment of molar pit and fissure caries effectively and is recommended for clinical use.

关 键 词：流动纳米树脂 玻璃离子 窝沟龋 预防性充填 临床效果 

分 类 号：R318.08[医药卫生—生物医学工程]