非创伤性充填龋坏乳牙效果观察

华西口腔医学杂志

非创伤性充填龋坏乳牙效果观察

李雪,胡德渝,万呼春,许晓燕

610041 四川大学华西口腔医学院

收稿日期:2002-04-25 修回日期:2002-04-25 出版日期:2002-04-20 发布日期:2002-04-20

A Two-year Clinical Trial of Atraumatic Restorative Treatment in Primary Teeth

Li Xue, Hu Deyu, Wan Huchun, et al

College of Stomatology,West China University of MedicalSciences

Received:2002-04-25 Revised:2002-04-25 Online:2002-04-20 Published:2002-04-20

摘要/Abstract

摘要：

目的:探讨非创伤性充填技术(ART)修复乳牙龋的效果及儿童对ART的接受程度。方法:选取患牙本质龋的乳牙共305颗,试验组采用强度较高的玻璃离子(dentsply)完成ART充填154颗牙;对照组采用汞合金充填151颗牙。治疗后半年、1年、2年各复查1次。结果:¹试验组大部分患儿治疗中无不适感,93102%的患儿表示如果有龋坏牙愿意使用同样的方法治疗。º试验组两年的成功率(8417%、6911%)与对照组(7712%、6613%)相比无显著性差异。»试验组两年的继发龋发生率(6185%、912%)低于对照组(1619%、2115%),差异有显著性(P<0105)。结论:ART技术简单易学,对乳牙龋是一种有效的治疗方法。

关键词: ART, 乳牙龋, 继发龋, 汞合金充填

Abstract:

Objective:The purpose of this clinical trialwas to investigate the effects of atraumatic restorative treatment(ART) underfield conditions, compare it to another treatmentwith amalgam, and survey the acceptability of this approach by patients.Methods:154 teeth were treated using ART, while other 151 teeth were treated using amalgam, and the therapeutic effects of each patient was evaluated after half of year, 1 year and 2 years.Results:Most of the children did not report discomfort during treatment, and 9312% would like to selectARTrather than other treatments. The one-year and two-year success rates of ARTwere 8417% and 6911%. Comparing with those of amalgam restorations (7712% and 6712%), there was no statistical difference (P>0105). However, the two-year recurrent rate of secondary caries treated with ART approach (912%) was obviously lower than that with amalgam treatment (2115%)(P<0105).Conclusion:ARTmay be an appropriate and effective method for the treatment of pri- mary teeth.

Key words: atraumatic restorative treatment, primary teeth, secondary caries

李雪,胡德渝,万呼春,许晓燕. 非创伤性充填龋坏乳牙效果观察[J]. 华西口腔医学杂志.

Li Xue, Hu Deyu, Wan Huchun, et al. A Two-year Clinical Trial of Atraumatic Restorative Treatment in Primary Teeth[J]. West China Journal of Stomatology.

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