微创翻瓣术辅助树脂充填龈下Ⅴ类洞的临床研究  

The effectiveness of minimal flap surgery in the treatment of sub-gingival class V cavities

作　　者：郭涛[1] 梁秋娟[1] 吾斯曼江.艾尔肯 陈冲[1] 李婷[1] 古力巴哈.买买提力 

机构地区：[1]新疆医科大学第五附属医院口腔科,乌鲁木齐830011

出　　处：《实用口腔医学杂志》2016年第6期823-826,共4页Journal of Practical Stomatology

摘　　要：目的:观察微创翻瓣术辅助树脂充填龈下ⅴ类洞的临床疗效。方法:选择唇(颊)颈部龋至龈下的患牙57颗(43例患者),其中切牙4颗,尖牙13颗,前磨牙38颗,磨牙2颗。进行微创翻瓣手术暴露龈下龋损,充分去龋后,用流动树脂进行充填。分别于充填治疗后即刻、6、12个月复查充填效果。记录微创翻瓣术前、术后6、12个月探诊深度(PD)、龈沟出血指数(SBI)和牙龈退缩进行比较。结果:充填成功率98.25%,术前、术后6、12个月探诊深度(PD)、龈沟出血指数(SBI)和牙龈退缩无显著差异。结论:微创翻瓣术辅助树脂充填龈下Ⅴ类洞效果优良。Objective： To evaluate the effectiveness of minimal flap surgery in the treatment sub-gingival caries （class V cavities）. Methods ：57 teeth（4 incisors, 13 canines, 38 premolars and 2 molars） with sub-gingival caries in 42 patients were treated by com- bined gingival flap surgery. Sub-gingival caries was fully exposed and the lesion was fully removed, then the deflects were filled with flowing resin. Before operation, 6 and 12 months after treatment, PD, SBI and gingival recession were examined. Results：Success rate of the treatment was 98.25%. No statistically significant difference of the indexes was found during 12-month-follow up. Conclu- sion： Minimal flap surgery is effective for the treatment of sub- gingival caries （ class V cavities）.

关 键 词：微创翻瓣术 树脂充填 龈下ⅴ类洞 

分 类 号：R781.05[医药卫生—口腔医学]