大块瓷化纳米树脂充填与微创去腐联合治疗龋齿的效果及对充填体磨损率的影响  

Effects of bulk porcelain nano-resin combined with minimally invasive caries removal treating dental caries and its influence on wear rate of filling materials

作　　者：杨平 宋宏杰[1] YANG Ping;SONG Hongjie(Department of Stomatology,Chengdu Second People's Hospital,Chengdu 610017,Sichuan,China)

机构地区：[1]成都市第二人民医院口腔科,四川成都610017

出　　处：《贵州医科大学学报》2022年第8期978-982,共5页Journal of Guizhou Medical University

基　　金：2018年四川省医学会科研课题(S18012)。

摘　　要：目的 探讨大块瓷化纳米树脂充填与微创去腐联合治疗龋齿的效果及对充填体磨损率影响。方法 将112例龋齿(140颗)患者随机分为观察组(56例,71颗)和对照组(56例,69颗),两组均给予微创去腐治疗,观察组实施大块瓷化纳米树脂充填治疗、对照组给予传统树脂充填;于充填6个月、1年时复诊评价充填效果,记录两组患者治疗治疗前、治疗完成时、术后6个月及术后1年时的疼痛情况,6个月内的并发症发生病例;记录两组填充龋齿患者术后6个月及1年的填充磨损耗深度及磨损程度;于治疗前和治疗1周及4周时应用消化功能不良量表评估两组患者消化功能不良情况。结果 观察组充填6个月及1年的材料充填总成功率显著高于对照组(P<0.05),并发症总发生率显著低于对照组(P<0.05);两组患者NRS评分随着时间延长显著降低,不同时间点对比差异具有统计学意义(P<0.05),且观察组治疗完成时NRS评分显著低于对照组(P<0.05);两组患者术后1年龋齿磨损耗深度较术后6个月显著增加(P<0.05),且观察组术后6个月及1年的磨损耗深度及磨损严重程度均显著低于对照组,差异有统计学意义(P<0.05);观察组治疗1周及4周后的消化功能不良量表评分显著低于对照组(P<0.05)。结论 大块瓷化纳米树脂充填联合微创去腐后治疗龋齿的远期疗效确切、充填成功率高、并发症少、磨损减少,能有效改善消化功能不良症状。Objective To investigate the effects of bulk porcelain nano-resin filling and minimally invasive caries removal in the treatment of dental caries and its influence on the wear rate of filling materials.Method One hundred and twelve patients with dental caries(140 teeth) were randomly divided into observation group(56 cases, 71 teeth) and control group(56 cases, 69 teeth).All patients received minimally invasive caries removal treatment;observation group received bulk porcelain nano-resin treatment, and control group was given traditional resin filling.Six months and 1year after treatment review was adopted to evaluate the efficacy: pain status before treatment,completion of treatment, 6 months and 1 year after treatment of both groups were recorded;complications within 6 months after treatment was recorded;wearing depth and severity of 6 months and 1 year after treatment were recorded;digestive dysfunction scale was adopted to evaluate status of both groups concerning their status before treatment, 1 week and 4 weeks after treatment.Results The total success rate of material filling in the observation group after 6 months and 1 year was significantly higher than that of control group(P< 0.05).The total incidence rate of complications was significantly lower in the observation group than that of control group(P< 0.05);NRS score of both groups decreased in accordance with the progressing of time, and the difference was statistically significant at different time points(P< 0.05), and the NRS score in the observation group after treatment was significantly lower than that of control group(P< 0.05).The wearing depth of caries of both groups 1 year after surgery was significantly increased compared to 6 months after surgery(P< 0.05), and the depth and severity of wearing in the observation group 6 months and 1 year after surgery were significantly lower than those of control group, differences were statistically significant(P< 0.05).The digestive dysfunction scale score of observation group 1 week and 4 weeks after tre

关 键 词：大块充填树脂 微创去腐 龋齿 疼痛程度 

分 类 号：R783[医药卫生—口腔医学]