金属预成冠修复用于重度低龄儿童龋的临床效果研究

Clinical efficacy of preformed metal crown in the treatment of severe early childhood caries

目的探究金属预成冠(preformed metalcrown,PMC)修复对重度低龄儿童龋(sever eearly childhood caries,SECC)患者的治疗效果。方法选取重度低龄儿童龋患者208例,按照完全随机法分为常规充填组、PMC修复组各104例,常规充填组患儿进行传统充填治疗,PMC修复组患儿行PMC修复治疗。对两组患儿修复效果进行评价,统计两组患儿治疗配合情况及治疗时间长短,并进行组间比较。对比两组患儿治疗前后生活质量、治疗效果及家属满意情况。结果 PMC修复组重度低龄儿童龋患牙治疗有效率显著高于常规充填组(P<0.05);PMC修复组积极配合治疗的重度低龄儿童龋比例显著高于常规充填组(P<0.05);PMC修复组重度低龄儿童龋治疗时间显著短于常规充填组(P<0.05);治疗后PMC修复组重度低龄儿童龋生活质量评分高于常规充填组(P<0.05);PMC修复组重度低龄儿童龋家属对治疗情况的总满意率显著高于常规充填组(P<0.05)。结论 PMC修复对重度低龄儿童龋进行治疗,修复效果较好,治疗过程中患儿配合度较高,治疗效果显著,患儿家属更加满意。

Objective To investigate the clinical efficacy of preformed metal crown(PMC)in treating severe early childhood caries(SECC). Methods A total of 208 children with SECC treated in our hospital were enrolled and randomly divided into two groups: the control group(n =104) was treated with traditional filling treatment,while the PMC group(n=104) was treated with PMC. Comparative analyses were carried out regarding effective rate, treatment cooperation, treatment time, pre-treatment and post-treatment quality of life, and family satisfaction.Results The PMC group exhibited better clinical efficacy and treatment cooperation compared with the control group(P <0.05), while the treatment time of the PMC group was significantly shorter than that of the control group(P<0.05). In the meanwhile, the post-treatment quality of life and the family satisfaction rate of the PMC group were also higher than those of the control group(P<0.05). Conclusion In the treatment of SECC, PMC has better clinical efficacy compared with traditional filling treatment. And PMC can significantly enhance the cooperation of children in the process of treatment, improve the quality of life after treatment.