伢典三代凝胶微创治疗乳磨牙深龋的疗效观察

›› 2018, Vol. 38 ›› Issue (8): 720-723.

伢典三代凝胶微创治疗乳磨牙深龋的疗效观察

葛风华¹,唐世洁²,钟婉金³,张国明²,刘春子²,赖晓洁²

1. 深圳市宝安中医院(集团)
2. 深圳市宝安中医院(集团)口腔科
3. 深圳市宝安区妇幼保健院口腔科

收稿日期:2017-04-27 修回日期:2017-05-12 出版日期:2018-08-28 发布日期:2018-08-20
通讯作者: 葛风华 E-mail:red423@163.com

Efficacy observation of Carisolv minimally invasive treatment of deep caries in primary deciduous molars

Received:2017-04-27 Revised:2017-05-12 Online:2018-08-28 Published:2018-08-20

摘要/Abstract

摘要： 摘要：目的对比分析伢典凝胶微创去腐与传统牙钻去腐方案对乳磨牙深龋的治疗效果，以指导临床治疗疾病。方法纳入2015年4月至2016年4月于我院接受治疗的乳磨牙深龋患儿132例（218颗）为对象，采用随机数字表法将患儿均分为2组。观察组66例（110颗）接受伢典凝胶微创治疗；对照组66例（108）颗接受传统牙钻去腐。对比每颗牙处理时间、处理期间患儿疼痛情况，术后2周监测牙髓活力，术后1年复查监测牙髓活力及治疗相关并发症情况。结果观察组患牙处理时间（11.3±5.2）min，明显长于对照组（9.8±3.2）min，期间患儿疼痛感觉明显轻于对照组，随访1年时观察组继发龋、充填物松动、牙髓炎发生率分别为2.7%、1.8%、0.0%，均明显低于对照组16.7%、9.3%、6.5%，上述差异均有统计学意义（P＜0.05）。结论伢典凝胶微创治疗乳磨牙深龋，虽会明显增加患牙处理时间，但可明显减轻术中疼痛、降低术后并发症，优势明显。

关键词: 化学-机械去腐, 伢典三代, 微创, 乳磨牙, 深龋

Abstract: Abstract: Objective To compare the Carisolv minimally invasive treatment and conventional excavation in deep caries in primary deciduous molars, in order to guide the clinical treatment of the disease. Methods From April 2015 to April 2016, 132 children (218 teeth) with deep caries in primary deciduous molars were divided into 2 groups by random number table. 66 cases (110 teeth) in the observation group were treated with Carisolv minimally invasive treatment, while 66 cases (108 teeth) in the control group were treated with conventional excavation. Pain due to caries removal, dental treatment time, pulp vitality at 2 weeks after operation, and treatment related complications after 1 year were compared. Results The treatment time of each teeth in the observation group was (11.3±5.2)min, it is much longer than in the control group [(9.8±3.2)min, P＜0.05]. The pain during caries removal in the observation group was much lighter than in the control group (P＜0.05). After 1 year, the ratio of secondary caries, filler loosening and pulpitis in the observation group were 2.7%, 1.8% and 0%, these were much less than in the control group [16.7%, 9.3% and 6.5%, P＜0.05]. Conclusion Carisolv minimally invasive treatment of deep caries in primary deciduous molars may increase dental treatment time, but can significantly reduce intraoperative pain, reduce postoperative complications.

Key words: Chemo-mechanic caries removal, Carisolv, Minimally invasive, Primary molars, Deep caries

中图分类号:

R788.1

葛风华唐世洁钟婉金张国明刘春子赖晓洁. 伢典三代凝胶微创治疗乳磨牙深龋的疗效观察[J]. , 2018, 38(8): 720-723.

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