3种不同龋病治疗方法对儿童牙科畏惧症的影响

摘要

目的：比较3种不同龋病治疗方法对儿童牙科畏惧症的影响。方法选择乳磨牙患Ⅱ度龋的90例患儿，随机分为不同龋病治疗组：传统车针去龋组、非创伤性修复（atraumatic restorative treatment，ART）组、化学-机械去龋组。运用面部表情分级法（Facial Image Scale，FIS）比较3组患儿的畏惧程度。采用SPSS19．0软件包进行卡方检验统计学处理。结果3组畏惧程度有显著性差异（P＜0．05），传统去龋组的畏惧程度高于其他两组，其与 ART组之间的差异具有统计学意义（P＜0．05）。结论非创伤性修复法和化学-机械去龋法可较为有效地缓解儿童牙科畏惧。%Objective To compare the influence of three different caries treatments,including traditional application of rotary instru-ments,atraumatic restorative treatment(ART)and chemo-mechanical method,on children′s dental fear and anxiety.Methods Ninety pediatric patients aged 5-1 2 years who suffered from dental caries were randomly divided into different treatment groups:conventional bur caries group,ART group and chemo-mechanical caries removal group.Dental fear during the treatments was assessed using Facial Image Scale (FIS).Chi square test was performed with SPSS1 9.0 statistical software.Results The degrees of fear among three groups were significantly different.The group using traditional method had higher rate of fear than other two groups.Conclusions The Atrau-matic restorative treatment and the chemo-mechanical technique are more effective in easing children′s dental fear and anxiety and a-chieving better physical and psychological health of children.