口腔医学 ›› 2025, Vol. 45 ›› Issue (5): 367-370.doi: 10.13591/j.cnki.kqyx.2025.05.008

• 基础与临床研究 • 上一篇    下一篇

3种方法修复乳磨牙龋坏的临床分析

陶楠楠1, 李文磊1, 陈星2, 宋卫健1(), 周红艳3,4,5()   

  1. 1 南京医科大学附属苏州医院口腔医学中心,江苏苏州(215000)
    2 南京医科大学附属苏州医院儿童保健科,江苏苏州(215000)
    3 南京医科大学附属口腔医院儿童口腔预防科,江苏南京(210029)
    4 口腔疾病研究与防治国家级重点实验室培育建设点,江苏南京(210029)
    5 江苏省口腔转化医学工程研究中心,江苏南京(210029)
  • 收稿日期:2024-10-28 出版日期:2025-05-28 发布日期:2025-05-21
  • 通讯作者: 宋卫健 E-mail:50567323@qq.com; 周红艳 E-mail:sitoeping@163.com
  • 基金资助:
    江苏省自然科学基金(BK20230223);江苏省科教能力提升工程——江苏省研究型医院(YJXYYJSDW4);江苏省医学创新中心(CXZX202227)

A clinical analysis of three methods for repairing deciduous molars

TAO Nannan1, LI Wenlei1, CHEN Xing2, SONG Weijian1(), ZHOU Hongyan3,4,5()   

  1. Department of Stomatology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215000, China
  • Received:2024-10-28 Online:2025-05-28 Published:2025-05-21

摘要:

目的 讨论直接树脂充填修复、改良ART技术、Hall技术治疗儿童乳磨牙龋坏的疗效。方法 选择2023年1月—2023年8月因乳磨牙龋坏来我院口腔科就诊的120例患儿,共180颗患牙,随机分为直接树脂充填修复组40例60颗,改良ART组40例62颗,Hall技术组40例58颗。比较3组治疗过程中患儿行为表现分类、焦虑程度及治疗时间,比较3组治疗后3、6、12个月的临床疗效并分析失败的原因。结果 Hall技术组的治疗时间明显低于改良ART组及直接充填组,3种治疗方法的治疗时间差异具有统计学意义(P<0.05)。Hall技术及改良ART技术更易被患儿接受,3组焦虑程度及行为表现分类差异具有统计学意义(P<0.05)。12个月随访时,直接充填修复组与改良ART组及Hall技术组的成功率差异均有统计学意义(P<0.05),但改良ART组与Hall技术组的成功率差异不具有统计学意义(P>0.05)。结论 改良ART组与Hall技术组比直接充填修复组成功率更高,更易被患儿所接受,疼痛程度及焦虑程度更轻,Hall技术时间更短,更有利于龋齿的修复。

关键词: 乳磨牙, 树脂充填, 非创伤性修复, Hall技术

Abstract:

Objective To discuss the efficacy of direct resin filling restoration, improved atraumatic restorative treatment (ART), and Hall technique in treating deciduous molars in children. Methods A total of 120 children with 180 deciduous molars who came to the Department of Oral Surgery of our hospital from January 2023 to August 2023 were selected and randomly divided into three groups: direct resin filling restoration group(40 people, 60 teeth), improved ataumatic restorative treatment group(40 people, 62 teeth), and Hall technique group(40 people, 58 teeth). The behavioral performance classification and degree of anxiety of the children during the treatment process and the treatment time were compared among the three groups. The clinical efficacy after 3 months, 6 months, and 12 months of treatment was compared and the reasons for failure were analyzed. Results The treatment time of the Hall technique group was significantly shorter than that of the improved ART group and direct filling group, and the differences in treatment time of the three groups had statistical significance(P<0.05). The Hall technique and improved ART technique were more easily accepted by the children, and the degree of anxiety and behavioral performance classification of the three groups had statistically significant differences(P<0.05). At the 12-month follow-up, the success rate of the direct filling restoration group was significantly different from that of the improved ART technique group and the Hall technique group, and the difference was statistically significant(P<0.05). However, the success rate of the improved ART technique group was not significantly different from that of the Hall technique group(P>0.05). Conclusion The success rate of the improved ART technique group and the Hall technique group is higher than that of the direct filling restoration group, and is more easily accepted by children. The pain level and degree of anxiety are lighter, and the treatment time of the Hall technique is shorter, which is more conducive to the repair of tooth decay.

Key words: deciduous molars, resin filling, atraumatic restorative treatment, Hall technique

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