Carisolv系统修复治疗儿童乳磨牙龋的疗效及合作程度评价

Evaluation of cooperation and efficacy of treatment with Carisolv system for deciduous molar tooth caries

目的评价Carisolv系统(伢典)修复治疗儿童乳磨牙龋的临床疗效及儿童就诊时的合作程度。方法将268例356颗儿童乳磨牙龋随机分成3组,A组用伢典备洞,B组用非创伤性修复技术(ART)备洞,对照组用常规法高速涡轮牙钻备洞,3组均用FX玻璃离子水门汀充填。记录儿童就诊时的行为及合作程度,并于治疗后6个月、1年随访复查。结果治疗后6个月、1年成功率A组与B组和对照组相比差异无显著性(P>0.05);治疗后6个月、1年继发龋发生率A组明显低于B组和对照组(P<0.05);治疗时儿童的合作程度A组明显高于B组和对照组(P<0.05)。结论伢典治疗儿童乳磨牙龋可大大减少牙科恐惧症的产生。

Objective To evaluate cooperativity and efficacy of Carisolv system for treatment of children with deciduous molar tooth caries. Methods Twenty hundred and sixty-eight children （356 deciduous molar tooth caries） were randomly divided into three groups. Group A （89 cases） were prepared with holes by Carisolv, Group B（91 eases） were prepared with holes using atraumatic restorative treatment （ART）. Control group（88 cases） were prepared with holes using routine high-speed dental turbine unit. Three groups were filled with FX glass ionomer cement. Behaviour and cooperation of children were reoorded in out - patient and follow-up reexamination were performed after 6 months and one year. Results Achievement ratio after 6 months and one year in group A and B were no significant difference compared with that in control group（P〉0.05）. Incidence of recurrent caries after 6 months and one year in group A was obviously lower than that in group B（P〈0.05）. Degree of cooperation in children of group A was obviously higher than that in children of group B（P〈0.05）. Conclusion Treatment of Carisolv on eciduous molar tooth caries in children can obviously decrease occurrence of dental fear.