[1]闻 雯,王 芳.氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋的效果[J].医学信息,2022,35(22):124-126.[doi:10.3969/j.issn.1006-1959.2022.22.028]
　WEN Wen,WANG Fang.Effect of Fluoride Protector, Glass Ionomer and Resin Sealant on Prevention of Pit and Fissure Caries in Young Children[J].Journal of Medical Information,2022,35(22):124-126.[doi:10.3969/j.issn.1006-1959.2022.22.028]
点击复制

氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋的效果()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
124-126
栏目:
临床研究
出版日期:
2022-11-15

文章信息/Info

Title:
Effect of Fluoride Protector, Glass Ionomer and Resin Sealant on Prevention of Pit and Fissure Caries in Young Children
文章编号:
1006-1959（2022）22-0124-03
作者:
闻 雯; 王 芳
（1.天津市中医药研究院附属医院口腔科，天津 300120；2.天津市儿童医院口腔科，天津 300134）
Author(s):
WEN Wen; WANG Fang
(1.Department of Stomatology,Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine,Tianjin 300120,China;2.Department of Stomatology,Tianjin Children’s Hospital,Tianjin 300134,China)
关键词:
氟保护漆; 玻璃离子; 窝沟封闭剂; 低龄儿童; 窝沟龋
Keywords:
Fluoride protector; Glass Ionomer; Pit and fissure sealant; Young children; pit and fissure caries
分类号:
R788.1
DOI:
10.3969/j.issn.1006-1959.2022.22.028
文献标志码:
A
摘要:
目的 观察氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋的效果。方法 选取2019年1月-2020年1月我院接诊的93例低龄儿童为研究对象，采用随机数字表法分为对照组、观察A组及观察B组，各31例。对照组采用氟保护漆窝沟封闭剂，观察A组采用玻璃离子窝沟封闭剂，观察B组采用树脂类窝沟封闭剂，比较三组材料保留率、儿童患龋率、疼痛评分、操作时间及治疗满意度评分。结果 三组材料保留率治疗6、12个月材料保留率比较，差异无统计学意义（P＞0.05），治疗24个月观察A组、观察B组材料保留率高于对照组（P＜0.05），观察A组与观察B组比较，差异无统计学意义（P＞0.05）； 治疗6个月三组儿童患龋率比较，差异无统计学意义（P＞0.05），观察A组和观察B组治疗12、24个月儿童患龋率低于对照组（P＜0.05），观察A组与观察B组比较，差异无统计学意义（P＞0.05）；观察B组疼痛评分大于对照组、观察A组（P＜0.05）；观察A组、观察B组操作时间长于对照组（P＜0.05），观察B组操作时间长于观察A组（P＜0.05）；三组整体轮廓、表面形态、颜色满意评分比较，差异无统计学意义（P＞0.05）。结论 氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋均具有一定的效果，与氟保护漆比较，玻璃离子类和树脂类窝沟封闭剂保留率较高，可有效降低儿童患龋率，治疗满意度良好。另外，树脂类窝沟封闭剂疼痛度大，玻璃离子窝沟封闭剂操作简单，疼痛轻，可缩短窝沟封闭操作时间，更适用于配合欠佳的低龄幼儿。
Abstract:
Objective To observe the effect of fluoride protector, glass ionomer and resin sealant on prevention of pit and fissure caries in young children.Methods A total of 93 young children admitted to our hospital from January 2019 to January 2020 were selected as the research objects. They were divided into control group, observation group A and observation group B by random number table method, with 31 cases in each group. The control group was treated with fluoride protector pit and fissure sealant, the observation group A was treated with glass ionomer pit and fissure sealant, and the observation group B was treated with resin pit and fissure sealant. The material retention rate, children’s caries rate, pain score, operation time and treatment satisfaction score of the three groups were compared.Results There was no significant difference in the retention rate of materials among the three groups at 6 and 12 months after treatment (P>0.05). The retention rate of materials in observation group A and observation group B was higher than that in control group at 24 months after treatment (P<0.05), there was no significant difference between observation group A and observation group B (P>0.05). There was no significant difference in caries rate among the three groups at 6 months after treatment (P>0.05), the caries rate of children in observation group A and observation group B was lower than that in control group at 12 and 24 months after treatment (P<0.05), there was no significant difference between observation group A and observation group B (P>0.05). The pain score of observation group B was higher than that of control group and observation group A (P<0.05). The operation time of observation group A and observation group B was longer than that of control group (P<0.05), and the operation time of observation group B was longer than that of observation group A (P<0.05). There was no significant difference in overall contour, surface morphology and color satisfaction scores among the three groups (P>0.05).Conclusion Fluoride Protector, glass ionomer cement and resin sealant are effective in preventing pit and fissure caries in young children. Compared with fluoride protector, glass ionomer cement and resin sealant have higher retention rate, it can effectively reduce the incidence of dental caries in children and obtain good treatment satisfaction. In addition, the resin sealant has a high degree of pain, the glass ionomer cement is simple to operate and has light pain, it can shorten the operation time of pit and fissure sealing and is more suitable for young children with poor cooperation.

参考文献/References:

[1]黄少宏,刘伟佳.窝沟封闭项目效果效益评价的回顾与建议[J].口腔疾病防治,2019,27(1):27. [2]Fuhrmann D,Murchison D,Whipple S,et al.Properties of newglassionomer restorative systems marketed for stress?bearing areas[J].Oper Dent,2020,45(1):104-110.[3]中华口腔医学会牙体牙髓病学专业委员会.复合树脂直接粘接修复中光固化灯使用及操作规范的专家共识[J].中华口腔医学杂志,2019,13(1):1-6.[4]刘怡杰,常青,荣文笙,等.两种封闭剂防龋效果的五年观察[J].中华口腔医学杂志,2018,53(7):437-442.[5]高宇,米磊,刘怀勤,等.窝沟封闭术联合氟保护漆在龋齿患儿中的预防效果分析[J].广西医科大学学报,2016,33(3):440-442.[6]张文静,金艳红.玻璃离子预防恒牙窝沟龋的临床观察[J].广东牙病防治,2016,23(3):163-165.[7]胡轶,苏丽萍,王胜朝.国际龋病检测与评估系统(ICDAS)的介绍[J].牙体牙髓牙周病学杂志,2016,26(9):554-558.[8]潘央央,周海燕,梅丽琴,等.两种不同窝沟封闭剂对部分萌出恒磨牙的临床封闭效果比较[J].温州医科大学学报,2016,46(2):122-125.[9]Soares-Yoshikawa AL,Varanda T,Iwamoto AS,et al.Fluoride release and remineralizing potential of varnishes in early caries lesions in primary teeth[J].Microsc Res Tech,2021,84(5):1012-1021.[10]刘晓娟,张博宇,王永生,等.纳米复合树脂材料在前牙美容修复中的应用效果及对患者牙周状况的影响[J].中国美容医学,2020,29(12):147-149.[11]桑卓,刘英志,古育娣,等.不同口腔修复材料临床效果评价分析[J].泰山医学院学报,2016,37(8):907-909.[12]孙菲,王晓玲.玻璃离子窝沟封闭剂预防部分萌出第一恒磨牙窝沟龋效果观察[J].浙江创伤外科,2021,26(1):37-38.[13]钟婷,邓雅兰,邵美瑛,等.成都市7～9岁儿童第一恒磨牙牙体情况及窝沟封闭的效果分析[J].国际口腔医学杂志,2020,47(4):391-396.[14]Mekky AI,Dowidar KM,Talaat DM.Casein phosphopeptide amorphous calcium phosphate fluoride varnish in remineralization ofearly carious lesions in primary dentition: randomized clinical trial[J].Pediatr Dent,2021,43(1):17-23.[15]陈爽,薛欣,金星爱,等.牙本质表面处理对树脂改性玻璃离子水门汀粘接强度的影响[J].口腔疾病防治,2021,29(2):130-134.[16]马国燕,齐鲁,吴佩玲.3种树脂充填材料在牙体冠方效果的试验研究[J].新疆医科大学学报,2017,40(12):1540-1543.[17]赵远,杨曼,商英楠,等.三种材料对儿童下颌第一磨牙窝沟龋的美学修复效果比较[J].山东医药,2020,60(36):70-73.[18]刘清华,林琪,魏华.3种树脂充填材料在修复牙体窝洞后其边缘微渗漏的差异[J].医学理论与实践,2020,33(14):2335-2336.[19]刘乐华,李娜.新型大块树脂修复乳磨牙邻合面龋的临床疗效观察[J].新疆医科大学学报,2017,40(3):305-307.[20]柳磊,黄丽霞,狄丽莎,等.氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋效果观察[J].口腔疾病防治,2022,30(2):117-119.

相似文献/References:

[1]吴学文.氟保护漆与氟化泡沫在正畸治疗中的防龋效果和对釉质抗酸性的影响[J].医学信息,2022,35(19):85.[doi:10.3969/j.issn.1006-1959.2022.19.023]
　WU Xue-wen.Effect of Fluor Protector and Fluoridated Foam On Caries Prevention and Acid Resistance of Enamel in Orthodontic Treatment[J].Journal of Medical Information,2022,35(22):85.[doi:10.3969/j.issn.1006-1959.2022.19.023]

更新日期/Last Update: 1900-01-01