单线排龈联合排龈膏在老年前牙龈下根面龋填充治疗中的应用效果分析  

Analysis of the Effect of Single-Line Gingival Removal Combined With Expasyl in the Treatment of Caries in the Subgingival Root Surface of the Elderly

作　　者：曾静 黄文博[1] 曾庆[2] Zeng Jing;Huang Wenbo;Zeng Qing(Department of Stomatology,Nanyang Central Hospital,Nanyang 473000,China;Department of Radiology,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院口腔科,河南南阳473000 [2]南阳市中心医院放射科,河南南阳473000

出　　处：《哈尔滨医药》2021年第2期38-40,共3页Harbin Medical Journal

摘　　要：目的探究单线排龈联合排龈膏在老年前牙龈下根面龋填充治疗中的应用效果。方法选取258例前牙龈下根面龋老年患者,根据采用方案不同分为三组,Ⅰ组(81例,132颗,采用单线排龈方案)、Ⅱ组(87例,143颗,采用排龈膏方案)、Ⅲ组(90例,146颗,采用单线排龈联合排龈膏方案)。对比三组排龈时间、排龈疼痛度、排龈是否出血、排龈优良率及改良美国公共卫生署修复体评价(USPHS)标准等情况。结果治疗后,Ⅱ组排龈时间、排龈疼痛度显著短/低于Ⅰ、Ⅲ两组,排龈出血率显著低于Ⅰ、Ⅲ两组,差异有统计学意义(P<0.05);Ⅲ组排龈优良率97.26%显著高于Ⅰ组的84.84%及Ⅱ组的86.71%;Ⅲ组修复体脱落、边缘着色、牙髓反应、边缘适合性、牙龈反应等情况均显著优于Ⅰ、Ⅱ两组(P<0.05),新发缺损及继发龋情况比较三组无统计学差异(P>0.05)。结论三种排龈方式在老年前牙龈下根面龋填充治疗中均可取得较好排龈效果,排龈膏方案疼痛度低出血少适合不能长时间配合的老年人群,单线排龈联合排龈膏方案修复体脱落率低,牙龈及牙髓反应小,临床效果最佳。Objective To explore the effect of single-line gingival removal combined with Expasyl in the treatment of caries in the subgingival root surface of the elderly.Methods A total of 258 elderly patients with anterior subgingival root caries diagnosed were selected and divided into three groups according to different schemes.Group Ⅰ(81 cases,132 tablets,using the single-line gingival plan),Group Ⅱ(87 cases,143 tablets,using the Expasyl program),Group Ⅲ(90 cases,146 tablets,using the single-linegingival joint Expasyl).Compare the three groups of gingival time,gingival pain degree,whether gingival bleeding,gingival excellent rate and improved USPHS standards and so on.Results After treatment,the gingival drainage time and gingival pain in group Ⅱ were significantly shorter/lower than those in groups Ⅰ and Ⅲ,and the bleeding rate was significantly lower than that in groups Ⅰ and Ⅲ,the difference was statistically significant(P<0.05).The excellent and good rate of gingival removal in group Ⅲ was 97.26%,which was significantly higher than that in group Ⅰ,84.84% and group Ⅱ,86.71%.The complex restoration of group Ⅲ,edge coloring,pulp reaction,edge suitability,gingival reaction,etc.were significantly better than those of groups Ⅰ and Ⅱ(P<0.05).There was no significant difference in the new defects and secondary cariesamong the three groups(P> 0.05).Conclusion The three gingival removal methods can achieve good gingival removal effect in the treatment of anterior subgingival root caries in the elderly.The Expasyl regimen has low pain and less bleeding,and it is suitable for elderly people who cannot cooperate for a long time.The single-line gingival removal combined gingival ointment scheme has a low rate of restoration loss,little gum and pulp reaction,and the best clinical effect.

关 键 词：单线排龈 排龈膏 填充 效果分析 

分 类 号：R781.1[医药卫生—口腔医学]