喷砂联合流动树脂与传统窝沟封闭技术预防年轻恒磨牙窝沟龋的效果对比  

Comparison of the Effectiveness of Sandblasting Combined with Flowable Resin and Traditional Fissure Sealing Technique in Preventing Fissure Caries in Young Permanent Molar Teeth

作　　者：周洁 李蓓[1] ZHOU Jie;LI Bei(Department of Periodontology,Stomatology Hospital Affiliated to Suzhou Vocational Health College,Suzhou,Jiangsu Province,215002 China)

机构地区：[1]苏州卫生职业技术学院附属口腔医院牙周病科,江苏苏州215002

出　　处：《中外医疗》2023年第20期14-17,共4页China & Foreign Medical Treatment

基　　金：苏州卫生职业技术学院领雁培育项目(SZWZY202207)。

摘　　要：目的 探究喷砂联合流动树脂与传统窝沟封闭技术预防年轻恒磨牙窝沟龋的效果对比。方法 方便选取2019年7月—2020年7月在苏州卫生职业技术学院附属口腔医院接受窝沟封闭治疗儿童84例共336颗伴深窝沟的第一恒磨牙,根据封闭材料和处理方法不同分为4组,每组21例、84颗牙齿。A组采用小毛刷+3M Clinpro封闭剂;B组采用甘氨酸喷砂+3M Clinpro封闭剂;C组采用小毛刷+3M Z350XT流动树脂;D组采用甘氨酸喷砂+3M Z350XT流动树脂。比较4组治疗后6、12、24个月窝沟封闭剂保留情况及患龋情况。结果 随访12、24个月,4组封闭剂保留率比较,差异有统计学意义(P<0.05)。随访24个月,A组龋齿检出率(23.81%)、B组龋齿检出率为15.48%、C组龋齿检出率为14.29%、D组龋齿检出率为7.14%,4组龋齿检出率比较,差异有统计学意义(P<0.05)。结论 喷砂联合流动树脂相比传统窝沟封闭技术预防年轻恒磨牙窝沟龋效果更好。Objective To investigate the comparison of the effect of sandblasting combined with flowable resin and traditional fossa sealing technology in preventing fissure caries in young permanent molars.Methods 84 children who received pit and fissure sealing treatment at the Stomatological Hospital Affiliated to Suzhou Vocational Health College from July 2019 to July 2020 were conveniently selected,a total of 336 first permanent molars with deep pits and fissures were divided into 4 groups based on different sealing materials and treatment methods,with 21 cases in each group and 84 teeth in each group.Group A was treated with a small brush+3 M Clinpro Sealant;group B was treated with glycine sandblasting and 3M Clinpro sealant;group C used a small brush+3M Z350XT flowing resin;group D used glycine sandblasting+3M Z350XT flowing resin.Compared the retention and caries incidence of pit and fissure sealants among four groups at 6,12,and 24 months after treatment.Results Following up for 12 to 24 months,there was statistically significant difference in the retention rate of the four groups of sealants(P<0.05).After a follow-up of 24 months,the caries detection rate in group A was 23.81%,group B was 15.48%,group C was 14.29%,and group D was 7.14%,compared of caries detection rates among the four groups,ad the difference was statistically significant(P<0.05).Conclusion Sandblasting combined with flowable resin is more effective in preventing fossa caries in young permanent molars compared with traditional fossa sealing technique.

关 键 词：喷砂 流动树脂 传统 窝沟封闭 预防 年轻恒磨牙 窝沟龋 

分 类 号：R788.1[医药卫生—口腔医学]