氟化泡沫对石家庄地区儿童第一恒磨牙龋病的预防效果观察
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摘要
目的观察氟化泡沫对石家庄地区5～7岁儿童第一恒磨牙龋病的预防效果。方法随机抽样选取石家庄地区儿童共计1 518例,其中761例儿童作为试验组,给予氟化泡沫及日常护牙处理,另757例儿童作为对照组,给予日常护牙处理,通过检查第一恒磨牙患龋情况,比较追踪其后2年2组龋齿发生率、每年新增龋齿发生率及再矿化率,评价防龋效果。结果试验组龋齿发生率显著低于对照组(P<0.01)。护齿1年后,试验组新增龋齿发生率显著低于对照组(P<0.01);护齿2年后,试验组新增龋齿发生率仍然显著低于对照组(P<0.01)。试验组再矿化率显著高于对照组(P<0.01)。结论氟化泡沫可显著降低儿童第一恒磨牙龋齿发生率,明显减少儿童新增龋齿发生率,促进牙齿再矿化,其预防儿童龋齿效果显著,值得临床推广。
Objective To explore the preventive effect of fluoridated foam on dental caries in six-year old children with permanent teeth in Shijiazhuang.Methods The 1 518 children from the Shijiazhuang area were selected with the random sampling method,including 761 children as the experimental group,given fluoride foam treatment,the other 757 children as a control group,given routine dental treatment,followed by tracking 2 years sample of anticaries effect.ResultsThe caries prevalence rate in the experimental group was significantly lower than that in the control group(P<0.01).After 1 year of observation,the caries incidence rate in experimental group was significantly lower than the control group(P<0.01).After 2 years of observation,the caries incidence rate in the experimental group was significantly lower than the control group(P<0.01).The dental remineralizative rate in experimental group was significantly higher than the control group(P<0.01).Conclusion The method of caries prevention with fluoridated foam has remarkable curative effect in Shijiazhuang area.It can effectively reduce the incidence of children's dental caries and reduce the prevalence of new dental caries in children,which is worthy of clinical promotion.
Objective To explore the preventive effect of fluoridated foam on dental caries in six-year old children with permanent teeth in Shijiazhuang.Methods The 1 518 children from the Shijiazhuang area were selected with the random sampling method,including 761 children as the experimental group,given fluoride foam treatment,the other 757 children as a control group,given routine dental treatment,followed by tracking 2 years sample of anticaries effect.ResultsThe caries prevalence rate in the experimental group was significantly lower than that in the control group(P<0.01).After 1 year of observation,the caries incidence rate in experimental group was significantly lower than the control group(P<0.01).After 2 years of observation,the caries incidence rate in the experimental group was significantly lower than the control group(P<0.01).The dental remineralizative rate in experimental group was significantly higher than the control group(P<0.01).Conclusion The method of caries prevention with fluoridated foam has remarkable curative effect in Shijiazhuang area.It can effectively reduce the incidence of children's dental caries and reduce the prevalence of new dental caries in children,which is worthy of clinical promotion.
引文
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[16]肖亦芳,唐黎黎,王小杰,等.氟保护漆与氟化泡沫预防学龄前儿童龋病的效果对比[J].广西医学,2016,38(6):854-855.
[17]刘艳,陈晖,陆蓓,等.儿童窝沟封闭联合氟保护漆防龋的效果观察[J].现代生物医学进展,2012,12(31):6135-6137,6141.
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[19]许岩,刘乐华.含氟泡沫对儿童龋齿的预防保健效果观察[J].当代医学,2017,23(19):140-141.
[20]杨彬,陈曦,冯希平.含氟涂料与含氟泡沫对儿童龋病预防效果的对比研究[J].口腔医学,2016,36(7):637-640.
[21]纪晓霞,韩正贵,李华,等.观察与分析牙周炎患者应用中西联合治疗临床效果[J].湖南师范大学学报:医学版,2015,12(6):56-58.
[22]吕辰翼,童熹.牙周-牙髓联合病变患者应用中药汤剂联合西医治疗的效果分析[J].中华中医药学刊,2015,33(12):3013-3015.
[23]Tseng WJ,Lin PT.Effect of solids concentration on TiO2/Ni composite foams prepared by aqueous gelcasting of particlestabilized emulsions[J].ECRS,2017,37(16):5265-5272.
[24]孙素霞.对使用氟化泡沫预防龋齿的儿童进行综合护理的效果观察[J].当代医药论丛,2015,13(24):80-81.
[25]曲飞,刘忠建,高正国,等.烟台市牟平区4所小学学生龋齿综合防治效果调查[J].中国校医,2011,25(4):292.
[26]张绍英,张进国,唐术玲,等.3~6岁儿童氟化泡沫预防龋齿的临床观察[J].中国美容医学,2012,21(16):254.
[27]司新芹,黄瑞哲,田建刚,等.两种浓度氟化泡沫预防固定矫治患者牙釉质白斑的临床对比研究[J].陕西医学杂志,2015,44(10):1333-1334.
[2]Simon-Soro A,Mira A.Solving the etiology of dental caries[J].Trends Microbiol,2015,23(2):76-82.
[3]Sheiham A,James WPT.Diet and dental caries:the pivotal role of free sugars reemphasized[J].J Dent Res,2015,94(10):1341-1347.
[4]孔宇,杨青岭,赵玥,等.多乐氟氟化钠护齿剂联合窝沟封闭剂预防龋病的效果研究[J].黑龙江医药科学,2014,37(4):62-64.
[5]于爱敏,王晓雪.窝沟封闭和涂氟同时应用对第一恒磨牙龋病干预的效果研究[J].全科口腔医学,2016,3(9):122-123.
[6]芮丹,姚宁,吴燕平,等.两种窝沟封闭术防龋效果的临床观察[J].南通大学学报:医学版,2014,23(2):99-100,101.
[7]Weyant RJ,Tracy SL,Anselmo T,et al.Topical fluoride for caries prevention:Excutive summary of the updated clinical recommendation and supporting systematic review[J].J Am Dent Assoc,2013,144(11):1279-1291.
[8]高海泉.氟化泡沫对儿童龋齿的预防效果分析[J].现代中西医结合杂志,2015,24(27):3029-3031.
[9]Marinho VC,Worthington HV,Walsh T,et al.Fluoride gels for preventing dental caries in children and adolescents[J].Cochrane Database Syst Rev,2015,15(6):CD002280.
[10]Wong A,Subar PE,Young DA.Dental Caries:An Update on Dental Trends and Therapy[J].Adv Pediatr,2017,64(1):307-330.
[11]Nobrega DF,Fernandez CE,CuryA ADB,et al.Frequency of fluoride dentifrice use and caries lesions inhibition and repair[J].Caries Res,2016,50(2):133-140.
[12]Velusamy SK,Markowitz K,Fine DH,et al.Human lactoferrin protects against Streptococcus mutans-induced caries in mice[J].Oral Dis,2016,22(2):148-154.
[13]Ricucci D,Siqueira JF,Loghin S,et al.Pulp and apical tissue response to deep caries in immature teeth:a histologic and histobacteriologic study[J].J Dent,2017,56:19-32.
[14]叶小明,杨凯,钟奇帜.儿童乳牙龋应用含氟涂料联合泡沫治疗的效果研究[J].现代诊断与治疗,2017,28(15):2872-2874.
[15]Borelli B,Sorrentino R,Goracci C,et al.Evaluating residual dentin thickness following various mandibular anterior tooth preparations for zirconia full-coverage single crowns:an in vitro analysis[J].Int J Periodontics Restorative Dent,2015,35(1):41-47.
[16]肖亦芳,唐黎黎,王小杰,等.氟保护漆与氟化泡沫预防学龄前儿童龋病的效果对比[J].广西医学,2016,38(6):854-855.
[17]刘艳,陈晖,陆蓓,等.儿童窝沟封闭联合氟保护漆防龋的效果观察[J].现代生物医学进展,2012,12(31):6135-6137,6141.
[18]许志亮,周荣娥.应用氟制剂预防3~6岁儿童龋齿发生的临床疗效评价[J].中华全科医学,2014,12(9):1482-1483.
[19]许岩,刘乐华.含氟泡沫对儿童龋齿的预防保健效果观察[J].当代医学,2017,23(19):140-141.
[20]杨彬,陈曦,冯希平.含氟涂料与含氟泡沫对儿童龋病预防效果的对比研究[J].口腔医学,2016,36(7):637-640.
[21]纪晓霞,韩正贵,李华,等.观察与分析牙周炎患者应用中西联合治疗临床效果[J].湖南师范大学学报:医学版,2015,12(6):56-58.
[22]吕辰翼,童熹.牙周-牙髓联合病变患者应用中药汤剂联合西医治疗的效果分析[J].中华中医药学刊,2015,33(12):3013-3015.
[23]Tseng WJ,Lin PT.Effect of solids concentration on TiO2/Ni composite foams prepared by aqueous gelcasting of particlestabilized emulsions[J].ECRS,2017,37(16):5265-5272.
[24]孙素霞.对使用氟化泡沫预防龋齿的儿童进行综合护理的效果观察[J].当代医药论丛,2015,13(24):80-81.
[25]曲飞,刘忠建,高正国,等.烟台市牟平区4所小学学生龋齿综合防治效果调查[J].中国校医,2011,25(4):292.
[26]张绍英,张进国,唐术玲,等.3~6岁儿童氟化泡沫预防龋齿的临床观察[J].中国美容医学,2012,21(16):254.
[27]司新芹,黄瑞哲,田建刚,等.两种浓度氟化泡沫预防固定矫治患者牙釉质白斑的临床对比研究[J].陕西医学杂志,2015,44(10):1333-1334.