氟化物涂膜与窝沟封闭术或预防性树脂充填联合使用预防第一恒磨牙龋的临床效果评价  

Evaluation of the clinical effect of fluoride coating combined with pit and fissure sealing or preventive resin filling on prevention of first permanent molars caries

作　　者：徐燕 邬庆菊 罗莉萍 金时清 XU Yan;WU Qing-ju;LUO Li-ping;JIN Shi-qing.(Department of Dentistry, No.2 People ＇s Hospital of Jingdezhen. Jingdezhen 333000, Jiangxi Province, Chin)

机构地区：[1]景德镇市第二人民医院口腔科,江西景德镇333000

出　　处：《上海口腔医学》2018年第3期298-301,共4页Shanghai Journal of Stomatology

基　　金：江西省卫生厅医学科研课题(20187176)

摘　　要：目的:探讨氟化物涂膜与窝沟封闭术或预防性树脂充填联合使用预防年轻第一恒磨牙龋病的临床效果。方法:选取2015年2月—2016年1月在景德镇市第二人民医院进行口腔健康检查的90例儿童(6~8岁)300颗未成洞可疑龋的第一恒磨牙作为研究对象,随机分为A、B、C、D和E组。A组行窝沟封闭术;B组行预防性树脂充填术;C组行0.5%氟化物涂膜联合窝沟封闭术;D组行0.5%氟化物涂膜联合预防性树脂充填术;E组为对照组,单纯行日常刷牙护理。治疗后6、12、18个月复诊,观察各组儿童患龋比例及A、B、C、D组儿童窝沟封闭剂或树脂充填材料保留情况,采用SPSS21.0软件包对数据进行统计学分析。结果:各组儿童在术后6、12个月时,A、B、C、D组儿童窝沟封闭剂或树脂充填材料保留率和患龋比例差异均无统计学意义(P>0.05)。术后18个月时,E组儿童患龋比例显著高于A、B、C、D组;A组与C组、B组与D组比较,差异有统计学意义(P<0.01);A、B组儿童龋齿发生率较高,窝沟封闭剂或树脂充填材料保留率显著低于C、D组,差异均有统计学意义(P<0.05)。结论:对年轻恒磨牙未成洞可疑龋采用氟化物涂膜联合窝沟封闭术或单独窝沟封闭术预防龋病有一定效果,但氟化物涂膜联合预防性树脂充填防龋效果更优。PURPOSE：To explore the clinical effect of fluoride coating combined with pit and fissure sealing or preventive resin filling on prevention of young first permanent molars caries.METHODS：Three hundred suspicious first permanent molars caries in 90 children（6-8 years old） who received oral health examination in our hospital from February2015 to January 2016 were included as the study subject,and randomly divided into group A,B,C,D and E.Group A received pit and fissure sealing,group B received preventive resin filling,group C received 0.5% fluoride coating combined with pit and fissure sealing,group D received 0.5% fluoride combined with preventive resin filling,group E as control group with nursing daily brushing.6,12 and 18 months after treatment,caries rate in each group was evaluated and preservation of pit and fissure sealing or resin filling in group A,B,C,D was examined.The data were analyzed using SPSS 21.0 software package.RESULTS：Six and 12 months after treatment,there was no significant difference（P〉0.05） in the preservation rate of pit and fissure sealing or resin filling and caries rate in group A,B,C,D.Eighteen months after treatment,caries rate in group E was significantly higher than that of group A,B,C,D;there was significant difference between group A and group C,group B and group D（P〈0.01）;caries rate of group A,B was relatively high,the preservation rate was lower than that of group C and D,the differences were statistically significant（P〈0.05）.CONCLUSIONS：For suspected young permanent molars caries,fluoride coating combined with pit and fissure sealing or separate pit and fissure sealing has a certain effect on prevent dental caries,but the fluoride coating combined with preventive resin filling is better.

关 键 词：氟化物涂膜 窝沟封闭术 预防性树脂充填 年轻恒磨牙 龋病预防 

分 类 号：R788.1[医药卫生—口腔医学]