非创伤性修复治疗技术在儿童乳牙龋齿治疗中的应用(1)
[摘要]目的：探讨分析非创伤性修复治疗技术在儿童乳牙龋齿治疗中的应用效果。方法：回顾性分析2014年6月-2016年11月在笔者医院接受治疗的92例乳牙龋病患儿的临床病例资料，随机分为两组。治疗组：46例，应用非创伤性修复治疗技术；对照组：46例，应用传统的修复技术。治疗后，比较两组疗效以及患儿的疼痛感、治疗时间、配合度等观察指标，并比较两组家属对治疗效果的满意程度，观察不良反应情况。结果：治疗组总有效率为90.63%，VAS评分为(2.92±1.04)分，治疗时间为(23.84±5.66)min，患儿配合度为91.30%，家属总满意率为95.65%，均优于对照组的78.72%、(6.63±2.15)分、(39.07±9.53)min、15.22%及80.43%，差异均具统计学意义(P<0.05)；两组均未出现腹泻等不良反应。结论：非创伤性修复治疗技术在儿童乳牙龋齿治疗中的应用效果显著，可推广应用。
[关键词]非创伤性修复；乳牙龋齿；龋病；腹泻；儿童
[中图分类号]R788+.1 [文献标志码]A [文章编号]1008-6455(2018)11-0090-03
, 百拇医药
Abstract： Objective To explore the application of non-invasive repair and treatment in the treatment of caries in children. Methods We retrospectively analyzed the clinical records of 92 children with deciduous dental caries treated in our hospital from June 2014 to November 2016， and randomly divided them into two groups. 46 patients in the treatment group were treated with non-invasive restorative therapy； 46 patients in the control group were treated with traditional repair techniques. After treatment， the efficacy of the two groups was compared with observation indexes such as pain sensation， treatment time， and fit of the children， and the degree of satisfaction of the treatment effect between the two families was compared， and the adverse reactions were observed. Results The total effective rate of the treatment group was 90.63%， the VAS score was (2.92±1.04) points， the treatment time was (23.84±5.66) minutes， the matching degree of the children was 91.30%， and the total satisfaction rate of the family members was 95.65%. 78.72%， (6.63±2.15) points， (39.07±9.53) minutes， 15.22%， 80.43% of the control group were statistically significant (P<0.05). No adverse reactions such as diarrhea occurred in both groups. Conclusion Non-invasive repair and treatment techniques have significant effects in the treatment of children's deciduous dental caries. It has the value of popularization and application.
, 百拇医药
Key words： non-invasive repair； deciduous teeth； rickets； diarrhea； children
乳牙龋病是一种高发于5岁以下儿童的口腔疾病，在该群体中的发病率约67%，并随着儿童不良饮食、卫生习惯的增多而逐年上升。该病不仅具有发病时间早、龋蚀迅速、自觉症状不明显等特点，还会影响咀嚼功能，导致恒牙龋坏，损害口腔软组织等，不利于患儿的面部发育和健康成长。传统修复治疗技术会引起剧烈疼痛，因患儿心理恐惧干扰手术而使治疗效果欠佳[1]。2014年6月-2016年11月，笔者医院应用非创伤性修复治疗(ART)技术治疗乳牙龋病患儿，现将结果报道如下。
1 资料和方法
1.1 一般资料：选择在笔者医院治疗的92例乳牙龋病患儿为研究对象。纳入标准：①至少1颗牙牙本质或牙釉质龋，龋洞允许挖器进入；②未暴露牙髓，未形成瘘管；③无牙痛史；④根尖周或牙髓未发生病变；⑤龋洞位于颊牙合面、牙合面、颊面，龋坏范围应少于牙面的65%。将其随机分为两组，治疗组：46例(96颗患牙)，男21例，女25例，年齡3～7岁，平均(4.09±1.85)岁，单面龋洞60颗，双面龋洞30颗，复合面龋洞6颗；对照组：46例(94颗患牙)，男24例，女22例，年龄1～6岁，平均(4.38±0.97)岁，单面龋洞57颗，双面龋洞29颗，复合面龋洞8颗。两组患者一般资料比较无统计学差异，具有可比性(P>0.05)。, 百拇医药(张欣 石雨 王雪玲)
[关键词]非创伤性修复；乳牙龋齿；龋病；腹泻；儿童
[中图分类号]R788+.1 [文献标志码]A [文章编号]1008-6455(2018)11-0090-03
, 百拇医药
Abstract： Objective To explore the application of non-invasive repair and treatment in the treatment of caries in children. Methods We retrospectively analyzed the clinical records of 92 children with deciduous dental caries treated in our hospital from June 2014 to November 2016， and randomly divided them into two groups. 46 patients in the treatment group were treated with non-invasive restorative therapy； 46 patients in the control group were treated with traditional repair techniques. After treatment， the efficacy of the two groups was compared with observation indexes such as pain sensation， treatment time， and fit of the children， and the degree of satisfaction of the treatment effect between the two families was compared， and the adverse reactions were observed. Results The total effective rate of the treatment group was 90.63%， the VAS score was (2.92±1.04) points， the treatment time was (23.84±5.66) minutes， the matching degree of the children was 91.30%， and the total satisfaction rate of the family members was 95.65%. 78.72%， (6.63±2.15) points， (39.07±9.53) minutes， 15.22%， 80.43% of the control group were statistically significant (P<0.05). No adverse reactions such as diarrhea occurred in both groups. Conclusion Non-invasive repair and treatment techniques have significant effects in the treatment of children's deciduous dental caries. It has the value of popularization and application.
, 百拇医药
Key words： non-invasive repair； deciduous teeth； rickets； diarrhea； children
乳牙龋病是一种高发于5岁以下儿童的口腔疾病，在该群体中的发病率约67%，并随着儿童不良饮食、卫生习惯的增多而逐年上升。该病不仅具有发病时间早、龋蚀迅速、自觉症状不明显等特点，还会影响咀嚼功能，导致恒牙龋坏，损害口腔软组织等，不利于患儿的面部发育和健康成长。传统修复治疗技术会引起剧烈疼痛，因患儿心理恐惧干扰手术而使治疗效果欠佳[1]。2014年6月-2016年11月，笔者医院应用非创伤性修复治疗(ART)技术治疗乳牙龋病患儿，现将结果报道如下。
1 资料和方法
1.1 一般资料：选择在笔者医院治疗的92例乳牙龋病患儿为研究对象。纳入标准：①至少1颗牙牙本质或牙釉质龋，龋洞允许挖器进入；②未暴露牙髓，未形成瘘管；③无牙痛史；④根尖周或牙髓未发生病变；⑤龋洞位于颊牙合面、牙合面、颊面，龋坏范围应少于牙面的65%。将其随机分为两组，治疗组：46例(96颗患牙)，男21例，女25例，年齡3～7岁，平均(4.09±1.85)岁，单面龋洞60颗，双面龋洞30颗，复合面龋洞6颗；对照组：46例(94颗患牙)，男24例，女22例，年龄1～6岁，平均(4.38±0.97)岁，单面龋洞57颗，双面龋洞29颗，复合面龋洞8颗。两组患者一般资料比较无统计学差异，具有可比性(P>0.05)。, 百拇医药(张欣 石雨 王雪玲)
参见：首页 > 医疗版 > 疾病专题 > 口腔科 > 牙体病 > 龋病(龋齿、虫牙)