乳磨牙龋病非创伤性充填135例疗效观察

THERAPEUTIC EFFECT OF ATRAUMATIC FILLING IN DENTAL CARIES OF DECIDUOUS MOLAR TOOTH:AN OBSERVATION OF 135 CASES

目的观察乳磨牙龋病非创伤性充填技术(ART)治疗1年后的临床疗效。方法观察135例共383个磨牙龋病,采用非创伤性充填技术充填治疗1年后的疗效。结果观察1年复查135例共383个乳磨牙,成功342个牙,成功率为89.2%,其中面洞238个,成功219个,成功率为92.0%;邻颌面洞145个,成功123个,成功率84.8%。结论 ART符合现代预防基本观点,通过最少的洞型预备,保留更多完好牙体组织。ART所采用的玻璃离子充填材料中含有氟化物,在口腔环境中不断释放氟离子,能有效阻止继发龋发生,因此兼有治疗和预防效果。ART技术快捷方便,无痛苦,易被儿童接受,尤适合于有牙科畏惧症的儿童。

Objective To observe the clinical efficacy of milk teeth caries filling of atraumatic restorative technology （ART） after one year of therapy. Methods A total of 383 teeth caries was analyzed in 135 cases,the non-invasive technology was used,and the therapy efficacy after one year filling was observed. Results The one-year review of 135 cases with 383 primary molars was observed,there were 342 success teeth,the success rate was 89.2%. In 238 occlusal holes,219 were successful filled,the success rate was 92.0%; in 145 o-maxillofacial-dong,123 were successful filled,the success rate was 84.8%. Conclusion ART in line with the basic ideas of modern prevention,through the minimal cavity preparation,retain more intact tooth structure. ART used in glass ionomer filling materials containing fluoride in the oral environment,constantly releasing fluoride ions,can effectively prevent the occurrence of secondary caries,so both treatment and preventive effect. ART technology,quick and easy,no pain,children easily,especially suitable for children with dental fear.