改良高强度玻璃离子ART技术治疗儿童乳牙龋齿疗效分析

Analysis of the effect of improved ART with high-intensity glass ionomer cement in the treatment of primary caries in children

目的:探讨改良高强度玻璃离子非创伤性修复治疗技术(atraumatic restorative treatment,ART)在儿童乳牙龋齿治疗中的作用,并分析其疗效。方法:前瞻性选择2018年8月-2019年5月于南京医科大学附属儿童医院接受治疗的262例2~5岁乳牙患龋儿童作为对象,以随机数原则对所有儿童编号,分为改良ART组(131例,177颗患牙)和对照组(131例,178颗患牙),对照组以常规备洞及复合树脂充填治疗,ART组以改良高强度玻璃离子做ART治疗。比较2组患儿的治疗效果和治疗后家长满意度。采用SPSS 19.0软件包对数据进行统计学分析。结果:ART组的总体疗效优于对照组,ART组2~4岁的患儿合作程度显著优于对照组(P<0.05),5岁患儿的合作程度稍好于对照组,但无显著差异(P>0.05)。治疗后3个月,ART组患牙继发龋率低于对照组,但无统计学意义(P>0.05)。治疗后6个月和12个月,ART组的继发龋率显著低于对照组(P<0.05),ART组家长满意度显著高于对照组(P<0.05)。结论:改良高强度玻璃离子ART更容易获得儿童和家长认可,治疗配合度高,操作简单,疗效可靠。

PURPOSE: To investigate the effect of improved atraumatic restorative treatment(ART) with high-strength glass ionomer cement in the treatment of primary caries in children. METHODS: From August 2018 to May 2019, 262 children with primary tooth caries who were treated in Children’s Hospital of Nanjing Medical University were selected in-to our study, prospectively. The children were divided into two groups, randomly: ART group(131 cases, 177 teeth) and control group(131 cases, 178 teeth). Children in the control group were treated with conventional cavity preparation and composite resin filling, while those in the ART group were treated with improved high-intensity glass ionomer. The cura-tive effect and satisfaction degree were compared between the two groups. SPSS 19.0 software package was used for data analysis. RESULTS: The overall curative effect in the ART group was better than that of the control group. The coopera-tion degree of the 2~4 years old children in the ART group was significantly higher than that of the control group( P<0.05).The cooperation degree of the 5 years old children between the two groups had no significant differences( P>0.05). Both groups of children accepted 12 months of follow-up. Three months after treatment, the rate of secondary caries in the ART group was significantly lower than that in the control group, but it was not statistically significant(P >0.05). Six and 12 months after treatment, the rate of secondary caries in the ART group were significantly lower than that in the control group(P<0.05), and the satisfaction of parents in the ART group was significantly higher than that in the control group( P<0.05). CONCLUSIONS: Improved ART with high-intensity glass ionomer cement is more likely accepted by children and their parents, with more willing to accept and cooperate with the treatment. Not only is it easy to operate, but also has a reliable curative effect in children.