玻璃离子水门汀在后牙邻面龋齿治疗中的效果研究  

Effect of Glass Ionomer Cement in the Treatment of Interproximal Caries of Posterior Teeth

作　　者：朱丽丽 王芳玉 ZHU Lili;WANG Fangyu(Ganzhou Maternal and Child Health Hospital,Jiangxi Province,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市妇幼保健院,江西赣州341000 [2]江西省信丰县人民医院

出　　处：《中国医学创新》2022年第25期35-39,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202212351)。

摘　　要：目的:探究玻璃离子水门汀在后牙邻面龋齿治疗中的效果。方法:选取2021年1-12月赣州市妇幼保健院口腔科收治的70例后牙邻面龋齿患者,按照随机数字表法将患者分为水门汀组和银汞合金组。银汞合金组35例采用银汞合金充填龋洞,水门汀组35例采用玻璃离子水门汀充填龋洞。比较两组修复效果、治疗前后牙周状况[牙菌斑指数(PLI)、探诊深度(PD)、牙龈指数(GI)、出血指数(BI)]、相关功能评分(固定功能、咀嚼功能、美观舒适度)、龈沟液因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C反应蛋白(CRP)]水平与并发症发生率。结果:水门汀组修复总有效率为94.29%,高于银汞合金组的74.29%,差异有统计学意义(P<0.05)。治疗后,两组PLI、PD、GI、BI水平均低于治疗前,且水门汀组均低于银汞合金组,差异均有统计学意义(P<0.05)。治疗后,两组固定、咀嚼功能及美观舒适度评分均高于治疗前,且水门汀组均高于银汞合金组,差异均有统计学意义(P<0.05)。治疗后,两组TNF-α、IL-6、CRP水平均低于治疗前,水门汀组均低于银汞合金组,差异均有统计学意义(P<0.05)。治疗后水门汀组未出现继发龋齿、牙本质再矿化、食物嵌塞等并发症,银汞合金组出现1例继发龋齿,1例牙本质再矿化,但两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:采用玻璃离子水门汀修复牙邻面龋齿能有效改善患者的牙功能及牙周指标,减轻炎症反应,并具有减少并发症发生的趋势。Objective:To investigate the effect of glass ionomer cement in the treatment of interproximal caries of posterior teeth.Method:A total of 70 patients with interproximal caries of posterior teeth admitted to the Department of Stomatology of Ganzhou Maternal and Child Health Hospital From January 2021 to December 2021 were selected,they were divided into the cement group and the silver amalgam group according to the random number table method.35 cases in the silver amalgam group were filled with silver amalgam,and 35 cases in the cement group were filled with glass ionomer cement.The restoration effect,periodontal status[plaque index(PLI),probing depth(PD),gingival index(GI),bleeding index(BI)],related function scores(fixation function,chewing function,aesthetic comfort),gingival crevicular fluid factor[tumor necrosis factor-α(TNF-α),Interleukin-6(IL-6),C reactive protein(CRP)]levels and complication rates were compared between two groups.Result:The total effective rate of the cement group was 94.29%,which was higher than 74.29%of the silver amalgam group,the difference was statistically significant(P<0.05).After treatment,the levels of PLI,PD,GI and BI of both groups were lower than those before treatment,and the cement group were lower than those of the silver amalgam group,the differences were statistically significant(P<0.05).After treatment,the scores of fixation function,chewing function and aesthetic comfort of both groups were higher than those before treatment,and those of the cement group were higher than those of the silver amalgam group,and the differences were statistically significant(P<0.05).After treatment,the levels of TNF-α,IL-6 and CRP of both groups were lower than those before treatment,but those of the cement group were lower than those of the silver amalgam group,the differences were statistically significant(P<0.05).After treatment,there was no secondary dental caries,dentin remineralization,food impaction and other complications in the cement group,while there was 1 case of secondary den

关 键 词：玻璃离子水门汀 后牙邻面龋齿 充填材料 牙龈 

分 类 号：R781.1[医药卫生—口腔医学]