Carisolv微创技术治疗乳牙龋病的临床研究

Clinical evaluation of carisolv for the chemomechanical removal of dental caries in primary teeth

目的:评价Carisolv微创技术用于乳牙龋病治疗的临床疗效。方法:选择年龄4～10岁、有对称的乳牙中龋或深龋的64例患儿,采用自身半口对照,分别用Carisolv微创去腐和常规球钻去腐并玻璃离子充填,比较临床治疗效果。结果:Carisolv去腐时疼痛明显轻于球钻去腐(P<0.01),97%的患儿认为Carisolv凝胶的味道可接受,多数患儿倾向于Carisolv去腐。半年后的复查表明Carisolv去腐和球钻去腐后的充填体在微隙、继发龋率及脱落率方面差异无显著性(P>0.05)。结论:Carisolv微创技术用于乳牙龋病治疗时,疼痛程度明显减轻,与球钻去腐相比,患儿多倾向于Carisolv去腐。Carisolv去腐不增加充填体的微隙和继发龋率。

Objective：To evaluate the clinical efficacy of carisolv for chemomechanical caries in primary teeth.Methods：64 children,aged from 4 to 10 years,with symmetric coronal medium or deep caries in primary teeth were involved in the chinical study, According to a split-mouth design,in each patient,caries tissue was removed by using a round bur on one side,and carisolv on the other side.Ater caries removal,the teeth were restored with glass ionomer cement,the clinical efficacy was compared.Results：The patients felt more painful in the operation by drilling than by Carisolv （P〈0.01） ,97% of patients accepted the taste of Carisolv gel.The majority of patients preferred Carisolv to bur. After half year follow-up,there was no significant difference in the incidence of marginal microleakage, secondary caries and restoration lost between Carisolv and drilling treament （P〉0.05）. Conclusion：Carisolv is a technique of less pain,the majority of patients accepte it.Carisolv may have no effect on the incidence of marginal microleakage and secondary caries.