氟化泡沫联合伢典凝胶去龋治疗乳牙龋齿的效果及影响因素  

Effect and influencing factors of fluoride foam combined with Carisolv gel in caries removal of primary teeth

作　　者：殷沛 陈颖 徐建林 YIN Pei;CHEN Ying;XU Jian-lin(Department of Stomatology,Zhengzhou Erqi District Peoples Hospital,Zhengzhou 450000,China;Department of Dentistry and Pulp,the First Affliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Stomatology,Zhengzhou Traditional Chinese Medicine Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市二七区人民医院口腔科,郑州450000 [2]郑州大学第一附属医院牙体牙髓科,郑州450000 [3]郑州市中医院口腔科,郑州450000

出　　处：《医药论坛杂志》2023年第17期89-93,共5页Journal of Medical Forum

摘　　要：目的分析氟化泡沫联合伢典凝胶去龋治疗乳牙龋齿的效果,并探讨乳牙龋齿的影响因素。方法选取2019年5月—2022年5月郑州市二七区人民医院收治的儿童乳牙龋齿病例79例,以数表法将其分成对照组(氟化泡沫治疗,n=39)和观察组(氟化泡沫联合伢典凝胶去龋治疗,n=40);比较两组患儿口腔健康[幼儿口腔健康影响量表(ECOHIS)评定]和疗效指数,分析氟化泡沫联合伢典凝胶去龋治疗效果。另选口腔检查健康无龋齿的儿童80例作为无龋齿组,比较龋齿组和无龋齿组临床资料,分析乳牙龋齿的影响因素。结果治疗前,两组ECOHIS各项评分(口腔症状、口腔功能、儿童心理、社会关系)均无显著差异(P均>0.05),治疗后均有所下降,其中以观察组下降程度更显著(P均<0.05)。观察组疗效指数97.50%,高于对照组的82.05%(P<0.05)。单因素分析显示:龋齿组断奶年龄、刷牙开始年龄、甜食食用频率、夜间进食频率均高于无龋齿组,而每日刷牙次数、使用含氟牙膏比例、家长查看刷牙效果比例、家长口腔卫生知识知晓程度则低于无龋齿组(P均<0.05)。logistic回归分析显示:断奶年龄、刷牙开始年龄、甜食食用频率、夜间进食频率高和家长口腔卫生知识知晓程度低均是乳牙龋齿危险因素,而每日刷牙次数≥2次、使用含氟牙膏、家长查看刷牙效果则是乳牙龋齿保护因素(P均<0.05)。结论氟化泡沫联合伢典凝胶去龋用于乳牙龋齿中,可有效提高治疗效果和患儿口腔健康。患儿刷牙及饮食习惯以及家长关注程度与乳牙龋齿相关密切,应加强儿童及家长饮食、刷牙等健康知识宣传。Objective To analyze the effect of fluoride foam combined with Carisolv gel in the treatment of primary caries,and to explore the influencing factors of primary caries.Methods A total of 79 cases of dental caries admitted from May 2019 to May 2022 were selected and divided into the control group(fluorinated foam treatment,n=39)and the observation group(fluorinated foam combined with Carisolv gel for caries removal,n=40)by numerical table method;To compare the oral health of the two groups of children(Evaluation of ECOHIS)and efficacy index,and analyze the effect of fluoride foam combined with Carisolv gel in caries removal.80 healthy children without caries were selected as the non caries group for oral examination,and the clinical data of the caries group and the non caries group were compared to analyze the influencing factors of deciduous tooth caries.Results Before treatment,there was no significant difference in various ECOHIS scores(oral symptoms,oral function,child psychology,and social relationships)between the two groups(P>0.05).After treatment,both groups showed a decrease,with the observation group showing a more significant decrease(P<0.05).The efficacy index of the observation group was 97.50%,which was higher than 82.05%of the control group(P<0.05).Univariate analysis showed that the weaning age,starting age of brushing teeth,frequency of sweet food consumption,and frequency of nighttime consumption in the caries group were higher than those of the non caries group,while the daily brushing frequency,proportion of using fluoride toothpaste,proportion of parents checking the brushing effect,and level of awareness of oral hygiene knowledge among parents were lower than those of the non caries group(P<0.05).logistic regression analysis showed that age at weaning,age at the beginning of brushing,frequency of sweet food consumption,high frequency of nighttime eating,and low awareness of oral hygiene knowledge among parents are all risk factors for deciduous tooth caries,while brushing more than or equal t

关 键 词：乳牙龋齿 氟化泡沫 伢典凝胶 去龋 疗效 影响因素 

分 类 号：R788[医药卫生—口腔医学]