窝沟封闭术治疗儿童早期牙合面龋的效果及对生活质量的影响(1)
摘 要 目的：探討窝沟封闭术治疗儿童早期牙合面龋的效果及对生活质量(QOL)评分的影响。方法：选取2017年3月至2018年3月在上海市松江区岳阳街道社区卫生服务中心接受预防性治疗早期牙合面龋的90例患儿作为本研究对象，采用随机抽样法将入选患儿随机分为对照组和研究组。对照组有患儿45例，其中男性28例，女性17例；年龄6～9岁，平均年龄(7.6±1.3)岁；研究组有患儿45例，其中男性25例，女性20例；年龄5～10岁，平均年龄(7.9±1.6)岁。对照组儿童采用氟保护漆进行预防性治疗，研究组儿童采用窝沟封闭术联合氟保护漆进行预防性治疗。比较两组儿童龋齿与邻面龋的发生率、不良反应率以及QOL评分。结果：研究组儿童的龋齿与邻面龋发生率和龋均值均低于对照组(4.4%比11.1%和6.7%比17.8%，P均<0.05)；QOL各项评分高于对照组(P<0.05)；不良反应发生率低于对照组(P<0.05)。结论：窝沟封闭术联合氟保护漆能够减低儿童龋齿的发生率，对儿童龋齿具有很好的防治效果。
关键词 窝沟封闭术；早期牙合面龋；效果；生活质量评分
中图分类号：R788+.1 文献标志码：A 文章编号：1006-1533(2019)06-0055-04
Effect of pit and fissure closure in the treatment of early occlusal caries in children and its influence on quality of life
LI Guoguang， WANG Li， YAO Chunxia(Department of Stomatology of Yueyang Community Health Service Center of Songjiang District， Shanghai 201699， China)
ABSTRACT Objective： To investigate the effect of pit and fissure closure in the treatment of early occlusal caries in children and its effect on quality of life(QOL) score. Methods： Ninety children with early occlusal caries who received preventive treatment from March 2017 to March 2018 in Yueyang Community Health Service Center of Songjiang District， Shanghai were selected as the subjects of this study， and the selected children were randomly divided into a control group and a study group by random sampling. There were 45 children in the control group， including 28 males and 17 females； the age ranged from 6 to 9 years， with an average age of (7.6 ± 1.3) years； there were 45 children in the study group， including 25 males and 20 females； the age ranged from 5 to 10 years， with an average age of (7.9 ± 1.6) years. Children in the control group received preventive treatment of fluorine protective paint， children in the study group received preventive treatment of pit and fissure closure combined with fluorine protective paint. The incidence of dental caries and adjacent caries， adverse reactions and QOL scores were compared between the two groups. Results： The incidence of dental caries and adjacent sputum and mean value of caries in the study group were lower than those in the control group(4.4% vs 11.1% and 6.7% vs 17.8%， P<0.05)； the QOL scores were higher in the study group than those in the control group(P<0.05)， and the incidence of adverse reactions was lower in the study group than that in the control group(P<0.05). Conclusion： Pit and fissure closure combined with fluoride protective paint can reduce the incidence of dental caries in children， and has a good control effect on children’s dental caries., http://www.100md.com(李国光 王丽 姚春霞)
关键词 窝沟封闭术；早期牙合面龋；效果；生活质量评分
中图分类号：R788+.1 文献标志码：A 文章编号：1006-1533(2019)06-0055-04
Effect of pit and fissure closure in the treatment of early occlusal caries in children and its influence on quality of life
LI Guoguang， WANG Li， YAO Chunxia(Department of Stomatology of Yueyang Community Health Service Center of Songjiang District， Shanghai 201699， China)
ABSTRACT Objective： To investigate the effect of pit and fissure closure in the treatment of early occlusal caries in children and its effect on quality of life(QOL) score. Methods： Ninety children with early occlusal caries who received preventive treatment from March 2017 to March 2018 in Yueyang Community Health Service Center of Songjiang District， Shanghai were selected as the subjects of this study， and the selected children were randomly divided into a control group and a study group by random sampling. There were 45 children in the control group， including 28 males and 17 females； the age ranged from 6 to 9 years， with an average age of (7.6 ± 1.3) years； there were 45 children in the study group， including 25 males and 20 females； the age ranged from 5 to 10 years， with an average age of (7.9 ± 1.6) years. Children in the control group received preventive treatment of fluorine protective paint， children in the study group received preventive treatment of pit and fissure closure combined with fluorine protective paint. The incidence of dental caries and adjacent caries， adverse reactions and QOL scores were compared between the two groups. Results： The incidence of dental caries and adjacent sputum and mean value of caries in the study group were lower than those in the control group(4.4% vs 11.1% and 6.7% vs 17.8%， P<0.05)； the QOL scores were higher in the study group than those in the control group(P<0.05)， and the incidence of adverse reactions was lower in the study group than that in the control group(P<0.05). Conclusion： Pit and fissure closure combined with fluoride protective paint can reduce the incidence of dental caries in children， and has a good control effect on children’s dental caries., http://www.100md.com(李国光 王丽 姚春霞)