微创去腐技术在龋齿治疗中对其充填物脱落率和继发性龋齿率的影响  

The Effect of Minimally Invasive Derotation Technique on the Rate of Filling Loss and the Rate of Secondary Caries in the Treatment of Dental Caries

作　　者：陈晓芸[1] 蔡巧玲[1] 杨飞 CHEN Xiaoyun;CAI Qiaoling;Yang Fei(Department of Stomatology,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)

机构地区：[1]厦门大学附属第一医院口腔科,福建厦门361003

出　　处：《中外医疗》2022年第28期43-46,51,共5页China & Foreign Medical Treatment

摘　　要：目的研究微创去腐技术治疗龋齿的临床效果,并分析其充填物脱落率和继发性龋齿率。方法方便选择厦门大学附属第一医院2017年8月—2019年8月收治的156例患者作为研究对象,以计算机表法对患者分为研究组和对照组,各78例,对照组行常规高速牙钻治疗,研究组实施微创去腐技术治疗,比较两组患者的临床效果,不良反应发生情况,平均治疗时间以及NRS评分和治疗12个月后的复发情况、治疗前后SF-36评分。结果研究组临床治疗有效率为(97.44%)明显高于对照组有效率(85.90%),差异有统计学意义(χ^(2)=6.797,P=0.009);研究组患者发生不良反应发生率为(1.28%)明显低于对照组不良反应发生率(12.82%),复发率(3.85%)低于对照组(12.82%),研究组NRS评分、平均治疗时间低于对照组,治疗后研究组SF-36评分改善效果明显高于对照组,差异有统计学意义(P<0.05)。结论临床治疗龋齿时采用微创去腐技术治疗效果显著。Objective To study the clinical effect of minimally invasive derotation technology in the treatment of dental caries,and to analyze the rate of loss of fillings and the rate of secondary caries.Methods A total of 156 patients admitted to the First Affiliated Hospital of Xiamen University from August 2017 to August 2019 were conveniently selected as the cases of this study.The patients were divided into groups by computer table method,with 78 cases in the study group and 78 cases in the control group.The control group was treated with conventional high-speed dental drilling,and the study group was treated with minimally invasive derotation technology.The clinical effect,occurrence of adverse reactions,average treatment time,NRS score,recurrence after 12 months of treatment,and SF-36 score before and after treatment were compared between the two groups.Results The clinical treatment effective rate of the patients in the study group was(97.44%),which was significantly higher than that in the control group(85.90%),the difference was statistically significant(χ^(2)=6.797,P=0.009);the incidence of adverse reactions in the study group(1.28%)was significantly lower than that in the control group(12.82%),and the recurrence rate(3.85%)was lower than that in the control group(12.82%).The NRS score,the average treatment time of the study group was lower than that of the control group,and the improvement effect of the SF-36 score of the study group after treatment was significantly higher than that of the patients in the control group,the difference was statistically significant(P<0.05).Conclusion The minimally invasive derotation technique used in the clinical treatment of dental caries has a significant therapeutic effect.

关 键 词：龋齿 微创去腐技术 伢点凝胶 疼痛程度 填充物脱落 继发龋 

分 类 号：R4[医药卫生—临床医学]