流动性材料用于低龄儿童乳磨牙窝沟龋预防性树脂充填治疗的临床效果观察  

Clinical Efficacy of Preventive Resin Filling in Treatment of Pit and Fissure Caries of Deciduous Molars in Young Children with Flowable Materials

作　　者：李芊 LI Qian(Department of Dentistry,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,China)

机构地区：[1]中山市中医院口腔科,广东中山528400

出　　处：《中国医药指南》2023年第32期47-50,共4页Guide of China Medicine

摘　　要：目的评估不同流动性材料在低龄儿童乳磨牙窝沟龋预防性树脂充填治疗中的临床效果,并比较其在充填完全保存率、边缘染色率和继发龋齿率方面的差异。方法本研究选取2020年1月1日至2021年12月31日中山市中医院口腔科就诊的乳牙完全萌出且乳磨牙已出现窝沟龋的儿童共80例。按随机数表法分为五组,每组16例,A组常规基础治疗,B组Kerr流体树脂治疗,C组ShofuF10流体树脂治疗,D组3M流体树脂治疗,E组窝沟封闭剂治疗。对五组患儿进行治疗后3、6、12个月的随访,分析充填完全保存率、边缘染色率和继发龋齿率等指标差异。结果C组、D组平均操作时间长于A组、B组、E组,B组操作时间最短。①在充填完全保存率上:随访3、6和12个月,C组显示出最佳的充填完全保存率;A组最差。②在边缘染色率上:随访3个月,所有组别的边缘染色率均为0;随访6个月,B组、C组和D组的边缘染色率均为1.28%,E组为2.53%,A组为2.65%;随访12个月,B组、C组和D组的边缘染色率分别为3.86%、3.84%和3.92%,而E组则为5.59%、A组为6.02%。③在继发龋齿率上:随访3个月,B组、C组和D组的继发龋齿率相似且较低,分别为1.28%、1.28%和1.27%。A组、E组稍高,分别为2.55%、2.53%;随访6个月,C组最低为2.56%,D组最高为6.33%;随访12个月,C组最低为5.12%,A组、E组最高,分别为12.76%、12.66%,其次为D组10.13%。结论在低龄儿童乳磨牙窝沟龋的预防性树脂充填治疗中,不同流动性材料的临床效果存在差异。B组操作时间最短,综合充填完全保存率、边缘染色率和继发龋齿率各指标,C组的表现最佳。Objective To evaluate the clinical efficacy of different flowable materials in the preventive resin filling treatment of pit and fissure caries of primary molars in young children,and to compare the differences in the complete preservation rate,marginal staining rate and secondary caries rate.Methods From January 1,2020 to December 31,2021,80 children who met the inclusion criteria were selected from the Department of Stomatology,Zhongshan Hospital of Traditional Chinese Medicine,and randomly divided into five groups,group A received routine basic treatment,group B received Kerr fluid resin treatment,group C received ShofuF10 fluid resin treatment,group D received 3M fluid resin treatment,and group E received pit and fissure sealant treatment.Five groups of children were followed up for 3,6 and 12 months after treatment,and the indexes such as complete filling preservation rate,marginal staining rate and secondary caries rate were evaluated and analyzed.Results The average operation time of group C and D were longer than that of group A,B and E,and the operation time of group B was the shortest.①For the filling complete preservation rate,during the 3-month,or 6-month or 12-month follow-up,group C showed the best,while group A showed the worst.②For the marginal staining rate,during 3-month follow-up,that of all groups was 0.;during the 6-month follow-up,that of group B,C and D were all 1.28%,while that of group E and A were 2.53%and 2.65%,respectively;during the 12-month follow-up,that of group B,group C and group D were 3.86%,3.84%and 3.92%respectively,while that of group E and A were 5.59%and 6.02%,respectively.③For the secondary caries rate,during the 3-month follow-up,all groups were similar and low,during the 6-month and 12-month follow-up,group C both had the lowest secondary caries rate.Conclusions In the preventive resin filling treatment of deciduous molars in young children,the clinical efficacy of different fluidity materials is different.Group B had the shortest operation time,and group C had the

关 键 词：低龄儿童 乳磨牙 窝沟龋 预防性树脂充填 流动性材料 

分 类 号：R788[医药卫生—口腔医学]