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作 者:任志明 郭春岚[2] REN Zhiming GUO Chunlan(Dept. of Stomatology, Beijing Shunyi District Maternal and Child Health Hospital, Beijing Shunyi Children's Hospital, Beijing 101300, China Dept. of Oral Medicine, Peking Union Medical College Hospital, Beijing 100730, China)
机构地区:[1]北京市顺义区妇幼保健院/北京儿童医院顺义妇儿医院口腔科,北京101300 [2]北京协和医院口腔内科,北京100730
出 处:《中国医院用药评价与分析》2017年第4期477-478,481,共3页Evaluation and Analysis of Drug-use in Hospitals of China
摘 要:目的:探讨极固宁联合玻璃离子治疗楔状缺损所致的牙本质过敏的临床疗效。方法:将109例(368颗患牙)因楔状缺损所致牙本质过敏患者采用双盲法随机抽样,按单双日就诊顺序分为观察组和对照组。观察组患者57例(195颗患牙)给予极固宁联合玻璃离子衬洞后行复合树脂充填;对照组患者52例(173颗患牙)采用玻璃离子垫底后行复合树脂充填治疗。观察两组患者治疗后即刻与1、6及12个月的疗效。结果:楔状缺损充填修复术后,两组患者牙本质敏感症状均有不同程度缓解。治疗后即刻及1、6、12个月,观察组患者有效率均明显高于对照组,差异均有统计学意义(P<0.05)。治疗6、12个月后复查结果显示,观察组患者的成功率[95.90%(187/193)、93.33%(182/193)]与对照组[95.37%(165/173)、93.64%(162/173)]的差异无统计学意义(P>0.05)。结论:极固宁联合玻璃离子治疗楔状缺损导致的牙本质过敏效果较好。OBJECTIVE:To probe into the clinical efficacy of green or desensitizer combined with glass ionomer in treatment of dentine hypersensitivity induced by wedge shaped defects. METHODS: 209 patients (368 teeth ) with dentine hypersensitivity induced by wedge shaped defects were randomly selected to be divided into observation group and control group via the visiting sequence, observation group (57 cases, 195 teech) were given green or desensitizer combined with glass ionomer lining and composite resin filling treatment, while control group (52 cases, 173 teech) received glass ionomer lining and composite resin filling treatment. The immediate efficacy, efficacy of 1 month, 6 months and 12 months after treatment was observed. RESULTS: After the surgery, the symptoms of dentine hypersensitivity of two groups had been improved to some extent. After the immediate treatment, and 1 month, 6 months and 12 months after treatment, the effective rate of observation group was significantly higher than that of control group, with statistically significant difference(P 〈 0. 05 ). After treatment of 6, 12 months, there was no statistically significant difference between the observation group [ 95.90% ( 187/193 ), 93.33% ( 282/193 ) ] and control group [ 95.37% (165/173) ,93.64% (162/173) ] in the success rate ( P 〉 0. 05 ). CONCLUSIONS : The effect of green or desensitizer combined with glass ionomer in treatment of dentine hypersensitivity induced by wedge shaped defects is significant.
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