儿童龋齿采用微创去腐技术治疗的效果分析

Analysis of Effect of Minimally Invasive Caries Removal Technique in Treatment of Dental Caries in Children

目的探讨微创去腐技术治疗儿童龋齿的临床效果,为微创去腐技术治疗儿童龋齿的临床应用提供理论依据。方法选取2014年9月—2016年9月在医院接受治疗的90例龋齿患儿作为该次研究对象,并将其随机分为观察组与对照组,每组患儿45例,两组患儿均为单一患牙,对照组患儿采用传统治疗方法进行治疗,观察组患儿采用微创去腐技术进行治疗,观察两组患儿临床症状变化情况,分析比较两组患儿平均治疗时间、VAS疼痛评分情况、并发症发生情况。结果观察组患儿平均治疗时间、VAS疼痛评分分别为(12.73±2.84)min、(2.13±0.89)分,对照组患儿平均治疗时间、VAS疼痛评分分别为(22.03±3.54)min、(3.85±1.82)分,观察组平均治疗时间、VAS疼痛评分情况明显低于对照组,组间比较差异有统计学意义(P<0.05);观察组患儿填充物脱落1例,占比2.22%,继发龋齿2例,占比4.44%,并发症发生率为6.67%,对照组患儿牙髓炎3例,占比6.67%,填充物脱落4例,占比8.89%,继发龋齿6例,占比13.33%,并发症发生率为28.89%,观察组患儿并发症发生率明显要低于对照组患儿,组间比较差异有统计学意义(P<0.05)。结论微创去腐技术治疗儿童龋齿的临床效果显著,改善了临床症状和预后,缩短了治疗时间,降低了疼痛感,提高了治愈率,临床上值得推广应用。

Objective To study the clinical effect of minimally invasive caries removal technique in treatment of dental caries in children and provide a theoretical basis for the clinical application of it. Methods 90 cases of children with dental caries treated in our hospital from September 2014 to September 2016 were selected and divided into two groups with 45 cases in each, both groups were the single affected tooth, and the control group adopted the traditional treatment method, while the observation group adopted the minimally in- vasive caries removal technique, and the changes of clinical symptoms of the two groups were observed and the average treatment time, VAS pain and occurrence of complications of the two groups were compared. Results The average treatment time and VAS pain score in observation group were obviously lower than those in the control group[（12.73±2.84）min,（2.13±0.89）points vs （22.03±3.54） min, （3.85±1.82）points], and the differences were obvious with statistical significance （P〈0.05）, and in the observation group, filler shedding was in 1 case （2.22%）, secondary dental caries （4.44%）, and the incidence rate of complications was 6.67%, in the control group, odontophlegmon was in 3 cases （6.67%）, filler shedding was in 4 cases （8.89%）, and secondary dental caries was in 6 cases （13.33%）,and the incidence rate of complications was 28.89% in the observation group, which was obviously lower than that in the control group, and the difference was obvious with statistical significance（P〈0.05）. Conclusion The clinical effect of minimally invasive caries removal technique in treatment of dental caries in children is obvious, which can obviously improve the clinical symptoms and prognosis, shorten the treatment time, reduce the pains and improve the cure rate, which is worth clinical promotion.