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无创伤修复技术在儿童乳牙龋治疗中的应用

     

摘要

Objective:To investigate the atraumatic restorative treatment application effect on children milk teeth caries. Methods: A total of 120 children with dental caries (227 dental caries) from June 2008 to June 2010 in our hospital were enrolled and randomly divided into observation group (60 cases, 107 dental caries) and the control group (60 cases, 110 dental caries). The observation group were treated with atraumatic restorative treatment (ART), the control group were treated with high-speed turbine drill. Cooperation and repair success rate of children were compared between the two groups. Results: Cooperation rate of the observation group (91. 7%) was significantly higher than the control group(65. 0%), the difference was statistically significant (P<0. 01); after 6 months, success rate of the observation group was 95. 1% (97/102), success rate of the control group was 86.4% (89/103) (P<0. 05) ;after 12 months,success rate of the observation group was 87.6%(85/97) .success rate of the control group was 73. 5%(72/98) (P<0. 05); ART repair success rates were single hole caries (97.1%), two-sided hole caries (90. 9%) and re-surface hole caries (85. 7%), but there was no significant difference among the groups (P>0. 05). Conclusions; ART operate convenient, has little damage to the tooth structure is a safe, effective treatment, worthy of further clinical application.%目的:探讨无创伤修复技术在儿童乳牙龋治疗中的应用效果.方法:选取2008年6月-2010年6月收治的乳牙龋患儿120例(227颗龋齿),按随机数字表法分为观察组(60例,107颗龋齿)和对照组(60例,110颗龋齿).观察组采用无创修复技术(ART),对照组采用高速涡轮钻.比较2组患儿治疗合作情况和修复成功率.结果:观察组合作率(91.7%)显著高于对照组(65.0%),差异有统计学意义(P<0.01);术后6个月时,观察组成功率为95.1%(97/102),对照组成功率为86.4%(89/103),两者差异有统计学意义(P<0.05);术后12个月时,观察组成功率为87.6%(85/97),对照组成功率为73.5%(72/98),两者差异有统计学意义(P<0.05);ART修复成功率:单面洞龋(97.1%)>双面洞龋(90.9%)>复面洞龋(85.7%),但3者并无显著差异(P>0.05).结论:无创伤修复技术操作方便,损伤小,患儿合作率高.

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