改良非创伤性充填技术对小儿龋齿的治疗价值
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摘要
目的探讨改良非创伤性充填技术对小儿龋齿的治疗价值。方法方便选取2017年4月—2018年3月小儿龋齿患儿90例数字表法分组为对照组47例和观察组43例。对照组进行创伤性充填技术,观察组进行改良非创伤性充填技术。比较两组疗效和配合度;患儿填充的总时间;手术前后患儿龋齿疼痛评分、牙齿咀嚼功能评分、生活质量;手术并发症率。结果观察组患儿填充的总时间(34.21±3.21)min优于对照组(46.62±11.59)min,差异有统计学意义(t=5.723,P<0.05);手术后观察组龋齿疼痛评分、牙齿咀嚼功能评分、生活质量(1.24±0.23)分、(92.15±5.12)分、(95.67±3.21)分优于对照组(2.45±0.56)分、(81.21±5.021)分、(80.45±2.34)分,差异有统计学意义(t=6.923、7.013、6.931,P<0.05)。观察组手术并发症率4例(9.30%)低于对照组13例(27.66%),差异有统计学意义(χ~2=4.939,P<0.05)。观察组疗效42例(97.67%)高于对照组34例(72.34%)(χ~2=10.972,P<0.05)。结论小儿龋齿患儿行改良非创伤性充填技术疗效明显,可更好改善龋齿疼痛评分、牙齿咀嚼功能评分、生活质量,加速康复。
Objective To study the value of modified araumatic restorative treatment of children with dental caries.Methods 90 cases of children with dental caries admitted and treated in our hospital from April 2017 to March 2018 were conveniently selected and divided into two groups including 47 cases in the control group and 43 cases in the observation group,the control group used the traumatic filling technique,while the observation group used the modified nontraumatic filling technique,and the curative effect and cooperation degree,total time of filling of patients,dental caries pains score before and after surgery,dental chewing function score,quality of life and operative complications were compared between the two groups.Results The total filling time in the observation group was better than that in the control group[(34.21±3.21)min vs(46.62 ±11.59)min],the different was statistically significant(t =5.723,P<0.05),and the dental caries pains score,dental chewing function score and quality of life in the observation group after surgery were better than those in the control group[(1.24 ±0.23)points,(92.15 ±5.12)points,(95.67 ±3.21)points vs(2.45 ±0.56)points,(81.21 ±5.021)points,(80.45 ±2.34)points],the different was statistically significant(t=6.923,7.013,6.931,P<0.05),and the operative complication rate in the observation group was lower than that in the control group[4 cases(9.30%) vs 13 cases(27.66%),the different was statistically significant(χ~2=4.939,P<0.05),and the curative effect and treatment cooperation degree in the observation group were higher than those in the control group[42 cases(97.67%) vs 34 cases(72.34%),the different was statistically significant(χ~2=10.972,P<0.05).Conclusion The curative effect of modified araumatic restorative treatment of children with dental caries is obvious,which can better improve the dental caries pain score,teeth chewing function score and quality of life,and it can accelerate the recovery.
Objective To study the value of modified araumatic restorative treatment of children with dental caries.Methods 90 cases of children with dental caries admitted and treated in our hospital from April 2017 to March 2018 were conveniently selected and divided into two groups including 47 cases in the control group and 43 cases in the observation group,the control group used the traumatic filling technique,while the observation group used the modified nontraumatic filling technique,and the curative effect and cooperation degree,total time of filling of patients,dental caries pains score before and after surgery,dental chewing function score,quality of life and operative complications were compared between the two groups.Results The total filling time in the observation group was better than that in the control group[(34.21±3.21)min vs(46.62 ±11.59)min],the different was statistically significant(t =5.723,P<0.05),and the dental caries pains score,dental chewing function score and quality of life in the observation group after surgery were better than those in the control group[(1.24 ±0.23)points,(92.15 ±5.12)points,(95.67 ±3.21)points vs(2.45 ±0.56)points,(81.21 ±5.021)points,(80.45 ±2.34)points],the different was statistically significant(t=6.923,7.013,6.931,P<0.05),and the operative complication rate in the observation group was lower than that in the control group[4 cases(9.30%) vs 13 cases(27.66%),the different was statistically significant(χ~2=4.939,P<0.05),and the curative effect and treatment cooperation degree in the observation group were higher than those in the control group[42 cases(97.67%) vs 34 cases(72.34%),the different was statistically significant(χ~2=10.972,P<0.05).Conclusion The curative effect of modified araumatic restorative treatment of children with dental caries is obvious,which can better improve the dental caries pain score,teeth chewing function score and quality of life,and it can accelerate the recovery.
引文
[1]李文娟,王风.改良非创伤性充填技术对儿童龋齿的疗效及应用价值的临床研究[J].世界最新医学信息文摘,2018,18(29):53-55.
[2]刘曼.改良非创伤性充填技术对小儿龋齿的治疗效果观察[J].当代医学,2018,24(10):78-80.
[3]Lino,Jose R,Ramos-Jorge,et al.Association and comparison between visual inspection and bitewing radiography for the detection of recurrent dental caries under restorations[J].International dental journal,2015,65(4):178-181.
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[6]蔡欣如.改良非创伤性充填技术治疗小儿龋齿的效果研究[C]//国际数字医学会.2017国际数字医学会数字中医药分会论文集.国际数字医学会:湖南中医药大学期刊杂志社,2017:2.
[7]裴蓉.改良非创伤性充填技术治疗小儿龋齿的效果观察[J].河南医学研究,2017,26(18):3320-3321.
[8]Cheng J,Chaffee B W,Cheng N F,et al.Understanding Trea tment Effect Mechanisms of the CAMBRA Randomized Trial in Reducing Caries Increment[J].Journal of Dental Research:Official Publication of the International Association for Dental Research,2015,94(1):44-51.
[9]李淑梅.评析改良非创伤性充填技术对小儿龋齿的治疗价值[J].中国继续医学教育,2017,9(21):101-103.
[10]岳薇.改良非创伤性充填技术对小儿龋齿的治疗价值评析[J].中国医药指南,2016,14(5):119-120.
[11]Domejean,Sophie,Leger,et al.Changes in Occlusal Caries Lesion Management in France from 2002 to 2012:A Persistent Gap between Evidence and Clinical Practice[J].Caries research,2015,49(4):408-416.
[12]Vacharaksa,Anjalee,Suvansopee,et al.PCR detection of Scardovia wiggsiae in combination with Streptococcus mutans for early childhood caries-risk prediction[J].European journal of oral sciences,2015,123(5):312-318.
[13]陈丰.小儿龋齿应用改良非创伤性充填技术的治疗效果探讨[J].中外医疗,2014,33(19):77-78.
[2]刘曼.改良非创伤性充填技术对小儿龋齿的治疗效果观察[J].当代医学,2018,24(10):78-80.
[3]Lino,Jose R,Ramos-Jorge,et al.Association and comparison between visual inspection and bitewing radiography for the detection of recurrent dental caries under restorations[J].International dental journal,2015,65(4):178-181.
[4]吴林.小儿龋齿应用改良非创伤性充填技术的治疗效果探讨[J].中国医药指南,2018,16(6):98.
[5]Berdouses,Elias D,Koutsouri,et al.A computer-aided automated methodology for the detection and classification of occlusal caries from photographic color images[J].Computers in Biology and Medicine,2015(62):119-135.
[6]蔡欣如.改良非创伤性充填技术治疗小儿龋齿的效果研究[C]//国际数字医学会.2017国际数字医学会数字中医药分会论文集.国际数字医学会:湖南中医药大学期刊杂志社,2017:2.
[7]裴蓉.改良非创伤性充填技术治疗小儿龋齿的效果观察[J].河南医学研究,2017,26(18):3320-3321.
[8]Cheng J,Chaffee B W,Cheng N F,et al.Understanding Trea tment Effect Mechanisms of the CAMBRA Randomized Trial in Reducing Caries Increment[J].Journal of Dental Research:Official Publication of the International Association for Dental Research,2015,94(1):44-51.
[9]李淑梅.评析改良非创伤性充填技术对小儿龋齿的治疗价值[J].中国继续医学教育,2017,9(21):101-103.
[10]岳薇.改良非创伤性充填技术对小儿龋齿的治疗价值评析[J].中国医药指南,2016,14(5):119-120.
[11]Domejean,Sophie,Leger,et al.Changes in Occlusal Caries Lesion Management in France from 2002 to 2012:A Persistent Gap between Evidence and Clinical Practice[J].Caries research,2015,49(4):408-416.
[12]Vacharaksa,Anjalee,Suvansopee,et al.PCR detection of Scardovia wiggsiae in combination with Streptococcus mutans for early childhood caries-risk prediction[J].European journal of oral sciences,2015,123(5):312-318.
[13]陈丰.小儿龋齿应用改良非创伤性充填技术的治疗效果探讨[J].中外医疗,2014,33(19):77-78.