高速牙钻机械去腐技术和微创去腐技术治疗龋齿的临床效果比较

Comparison of Clinical Effect of High-speed Dental Drill Mechanical Derotation Technology and Minimally Derotation Technique in the Treatment of Dental Caries

目的:研究分析高速牙钻机械去腐技术和微创去腐技术治疗龋齿的效果。方法:选择2019年1月至2020年1月河南大学赛思口腔医院收治龋齿患者的80例,按照随机数字表法分为甲组和乙组,各40例。甲组患者采用高速牙钻机械去腐术,乙组患者采用微创去腐术,两组患者均完成3个月治疗干预,观察并比较两组患者临床效果、疼痛程度、咀嚼功能和并发症发生情况。结果:乙组患者治疗3个月后总有效率为97.50%,高于甲组的82.50%,差异具有统计学意义(P<0.05)。治疗3个月后乙组患者视觉模拟评分法(VAS)评分低于甲组,差异具有统计学意义(P<0.05)。治疗3个月后乙组患者的各项咀嚼效率评分均高于甲组,差异具有统计学意义(P<0.05)。乙组患者并发症发生率为2.50%,低于甲组的15.00%,差异具有统计学意义(P<0.05)。结论:在龋齿患者的治疗中,高速牙钻机械去腐技术和微创去腐技术均具有一定效果,但微创去腐技术疗效更为显著,可有效缓解患者疼痛程度,且并发症发生率更低,有助于改善患者咀嚼功能。

Objective To study and analyze the effect of high-speed dental drill mechanical derotation technology and minimally invasive derotation technology in the treatment of dental caries.Methods 80 caries patients admitted to Henan University Saesi Dental Hospital from January 2019 to January 2020 were selected and divided into group A and group B according to random number table method,with 40 cases in each group.Patients in group A were treated with high-speed dental drill mechanical decomposing,and patients in group B were treated with minimally invasive decomposing.Patients in the two groups completed 3-month treatment intervention,and the clinical effect,pain degree,masticatory function and complications of patients in the two groups were observed and compared.Results After 3 months of treatment,the total effective rate of group B was 97.50%,higher than 82.50% of the group A,the difference was statistically significant(P<0.05).After 3 months of treatment,visual analogue scale(VAS)score in the group B was lower than that in the group A,and the difference was statistically significant(P<0.05).After 3 months of treatment,scores of chewing efficiency in the group B were higher than those in the group A,with statistical significances(P<0.05).The incidence of complications in group B was 2.50%,lower than 15.00% in the group A,and the difference was statistically significant(P<0.05).Conclusion In the treatment of patients with dental caries,both the high-speed dental drill mechanical decomposing technology and the minimally invasive decomposing technology have certain effects,but the minimally invasive decomposing technology has a more significant effect,which can effectively relieve the pain degree of patients,and the complication rate is lower,help to improve the masticatory function of patients.