摘要
目的:对比分析非创伤性治疗(atraumatic restorative treatment,ART)和常规充填治疗乳磨牙龋的疗效及治疗时的疼痛程度。方法:选择患乳磨牙龋的200例儿童,309颗乳磨牙龋,随机分为2组,ART充填148颗,CRT组充填161颗。治疗当时评估疼痛程度,治疗后6个月及1年后复查评估疗效。结果:两组充填体保存率均随时间增长而下降,ART组牙合面洞治疗后6个月及1年、邻牙合面洞治疗后6个月保存率与CRT组之间差异无统计学意义(P>0.05),邻牙合面洞1年的保存率两组之间差异有统计学意义(P<0.05)。ART组邻牙合面洞继发龋发生的情况较CRT组高,差异有统计学意义(P<0.05),两组牙合面洞治疗后6个月、1年,邻牙合面洞治疗后6个月继发龋发生情况差异无统计学意义(P>0.05)。接受ART治疗的患儿治疗时疼痛程度较CRT组低,两组差异有统计学意义(P<0.05),患儿更愿意接受ART。结论:ART技术治疗乳牙龋疼痛轻,尤其是更被儿童所接受,可以在乳磨牙合面龋的治疗以及偏远地区可推广应用。
Objective:To evaluate the clinical effects of atraumatic restorative treatment(ART)versus conventinal treatment in primary molars caries and compare the pain levels during the treatment in children.Methods:A total of 200 children with 309 primary molars caries were selected and randamly divided into 2 groups that ART group with 148 primary molars caries and CRT group with 161 primary molars.The pain was assessed at the time of treatment,and the fillings were followed up for six month and one year.Results:The survival rates in both groups was decreased with time.With one year followed-up,there was statistically significant difference in the survival rates of adjacent occlusal cavity and the incidence of secondary caries of adjacent occlusal cavity between the two groups respectively(P<0.05).During the treatment,children treated with ART had no more pain than CRT group and the differences were statistically significant(P<0.05).Conclusion:ART technique has many advantages,especially more acceptable,and can be widely used in the treatment of primary molar occlusal caries and in remote areas.
作者
玛丽亚木古丽·帕塔尔
徐国强
赵今
MALIYAMUGULI Pataer;XU Guo-qiang;ZHAO Jin(Department of Endodontology,the first Affiliated Hospitalof Xinjiang Medical University,The School of Dental Medicine of Xinjiang Medical University,Xinjiang Urimiqi 830054,China;Department of Prosthodontics,the first Affiliated Hospital of Xinjiang Medical University,The School of Dental Medicine of Xinjiang Medical University,Xinjiang Urumqi 830054,China)
出处
《临床口腔医学杂志》
2019年第11期657-659,共3页
Journal of Clinical Stomatology
基金
新疆维吾尔自治区自然科学基金(2016D01C317)
关键词
非创伤性治疗
常规充填治疗
玻璃离子
乳磨牙
Atraumatic restorative treatment(ART)
Conventinal treatment
Glass ionomer
Primary molars