自酸蚀黏结剂联合复合树脂修复乳牙龋齿的临床效果

Clinical Effect of Self Etching Adhesive Combined with Composite Resin for Repair of Deciduous Teeth Caries

目的探讨自酸蚀黏结剂联合复合树脂修复乳牙龋齿的临床效果。方法将2021年1月-2022年12月在本院口腔科治疗的320例乳牙龋齿患儿随机分为两组,观察组使用自酸蚀黏结剂联合复合树脂修复治疗,对照组使用全酸蚀黏结剂联合复合树脂修复治疗,对比两组的各项修复效果评分、各项治疗指标、治疗成功率、并发症。结果观察组治疗6个月、12个月的修复体固位、边缘密合性、牙髓活力等评分均高于对照组,组间差异有统计学意义(P<0.05);观察组操作时间短于对照组,治疗后1周的牙髓敏感度评分低于对照组,组间差异有统计学意义(P<0.05);观察组治疗3个月、6个月、12个月的治疗成功率高于对照组,组间差异有统计学意义(P<0.05);观察组口腔感染、牙周炎、修复体松动、牙周渗血等并发症发生率低于对照组,组间差异有统计学意义(P<0.05)。结论自酸蚀黏结剂联合复合树脂修复乳牙龋齿的临床效果显著,操作时间短,并发症发生率低,修复效果好,有效保护牙体及牙髓,具有积极的临床意义。

Objective To explore clinical effect of self etching adhesive combined with composite resin for repair of deciduous teeth caries.Methods The paper chose 320 children with primary dental caries treated in stomatology department of our hospital from January 2021 to December 2022,and divided them into two groups randomly.Observation group was treated with self etching adhesive combined with composite resin repair,while control group with total etching adhesive combined with composite resin repair.Repair effect scores,treatment indicators,treatment success rates,and complications between two groups were compared.Results Scores of restoration fixation,marginal fit,and pulp vitality in observation group after 6 and 12 months of treatment were higher than control group(P<0.05).Operation time of observation group was shorter than control group,pulp sensitivity scores were lower than control group one week after treatment(P<0.05).Success rate of treatment in observation group after 3 months,6 months,and 12 months was higher than control group(P<0.05).Incidence of complications including oral infection,periodontitis,loosening of restorations,and periodontal bleeding in observation group was lower than control group(P<0.05).Conclusion Self etching adhesive combined with composite resin can achieve significant clinical effect in repairing deciduous teeth caries,with short operation time,low incidence of complications,good repair effect,and effective protection of teeth and pulp,which has positive clinical significance.