牙科畏惧症儿童全身麻醉下口腔治疗效果的临床研究  

Clinical study on the effect of oral treatment under general anesthesia in children with dental fear

作　　者：孔佳新 赵严礼 孙汉堂 陈佳鸿 桑小雪 张铁成 KONG Jia-xin;ZHAO Yan-li;SUN Han-tang;CHEN Jia-hong;SANG Xiao-xue;ZHANG Tie-cheng(Department of Pediatric Dentistry,Nantong 226000,China;不详)

机构地区：[1]南通市口腔医院儿童口腔科,江苏南通226000 [2]南通市口腔医院口腔颌面外科,江苏南通226000 [3]南通市口腔医院牙体牙髓黏膜病科,江苏南通226000 [4]南通市口腔医院麻醉科,江苏南通226000

出　　处：《牙体牙髓牙周病学杂志》2024年第6期337-340,共4页Chinese Journal of Conservative Dentistry

基　　金：南通市基础科学研究和社会民生科技计划项目(JCZ2022125);南通市崇川区科技局社会民生科技计划-面上项目(MS22022079);南通市基础科学研究计划-青年科技人才创新专项项目(JC12022072)。

摘　　要：目的:观察比较儿童口腔门诊牙科畏惧症患儿在全身麻醉下或保护性固定下进行口腔龋病系统化治疗的临床效果。方法:通过儿童畏惧调查表评估门诊就诊患儿(2022年07月至2022年12月)的牙科焦虑症分数,评分大于50分者纳入本研究总样本,根据患儿家属意愿分为全麻组(在全麻下进行口腔治疗)和束缚组(保护性固定下进行口腔治疗)各40例,比较两组患儿DMFT及术中根管治疗个数,术后3、6、12个月复诊依从率,充填体(包括预成冠)脱落率及龋(继发龋及新发龋)发生率情况。结果:全麻组患儿DMFT及术中根管治疗个数高于束缚组,差异具有统计学意义(P<0.001);3、6、12个月复查时依从率高于束缚组,差异具有统计学意义(P<0.05),且龋发生率及充填物脱落率均低于束缚组,差异具有统计学意义(P<0.05)。结论:牙科畏惧症患儿更适合全麻下行龋病系统化治疗,其耗时短、临床疗效佳、诊疗过程舒适,能够提升患儿就诊的依从性,且远期龋复发率低。AIM:To compare the clinical outcomes of systemic treatment of oral caries under general anaesthesia or protective fixation in children with dental agoraphobia in paediatric dental outpatient clinics.METHODS:Dental anxiety scores of children attending the outpatient clinic(from July 2022 to December 2022)were assessed by the Children's Awe Questionnaire,and those with scores greater than 50 were included in the total sample of this study,and were divided into a general anaesthesia group(oral treatments under general anaesthesia)and a restraint group(oral treatments under protective fixation)with 40 cases each according to the wishes of their families.The number of decayed filled and missing teeth(DMFT)and root canal treatment,the compliance rate at 3,6 and 12 months after surgery,the loss rate of filling body(including precoronation)and the incidence of caries(secondary caries and new caries)were compared between the two groups.RESULTS:The number of DMFT and root canal treatment in the general anesthesia group was higher than that in the restraint group(P<0.001),the difference was statistically significant(P<0.001),The review compliance rate of children in the general anaesthesia group was higher than that of the bound group,and the incidence of secondary caries and the rate of filling loss were lower than that of the bound group at the review at the 3th,6th,12th month after the end of treatment,and the difference was statistically significant(P<0.05).CONCLUSION:Children with dental anxiety are better suited for systematic caries treatment under general anesthesia,which offers a brief duration,favorable clinical outcomes,a comfortable diagnostic and therapeutic process,enhanced compliance with medical procedures among children,and reduced long-term caries recurrence rates.

关 键 词：儿童牙科畏惧症 龋病 全身麻醉 保护性固定 

分 类 号：R78[医药卫生—口腔医学]