三种脱敏药物治疗基牙预备后牙本质过敏的临床效果观察.docVIP

三种脱敏药物治疗基牙预备后牙本质过敏的临床效果观察 朱山成 【摘要】 目的：比较三种脱敏药物对于基牙预备后牙本质过敏的脱敏疗效。方法：将30例136颗患牙随机分为3组，分别用Gluma脱敏剂，Recolite抗敏剂，舒适达速效抗敏牙膏进行处理并观察即刻疗效，1个月后及2个月后的效果。结果：三种脱敏药物的即刻有效率分别是93.4%、91.3%、68.2%；1个月后观察为89.1%、86.9%、86.4%；2个月后为69.6%、82.6%、84.1%，经分析，差异具有统计学意义。结论：三种脱敏药物中即刻脱敏效果Gluma脱敏剂组最高，但远期效果不佳；Recolite抗敏剂组与舒适达速效抗敏牙膏组长期疗效效果较好，适合临床操作选择与日常生活长期应用。 【关键词】：牙本质过敏；脱敏剂；基牙 【中图分类号】：R783.6 【文献标识码】：A Three kinds of desensitization of abutment after prepared dentin hypersensitivity drug treatment clinical effect observation Zhu Shan Cheng 【abstract】 objective: to compare three kinds of desensitization medication for abutment prepared dentin hypersensitivity after desensitization curative effect. Methods: 30 cases of 136 teeth were randomly divided into 3 groups, respectively with Gluma desensitizer, Recolite anti-allergic agents, comfortable of quick-acting anti-allergic toothpaste and observation with immediate effect, after 1 month and 2 months after the effect. Results: the three kinds of desensitization drug immediate effectiveness respectively is 93.4%, 91.3%, 68.2%; After one month observation was 89.1%, 86.9%, 86.4%; After 2 months was 69.6%, 82.6%, 84.1%, through the analysis, the difference is statistically significant. Conclusion: the three kinds of desensitization drug desensitization effect during Gluma desensitizer group is highest, but the long-term effect is not good; Recolite anti-allergic agent and comfort of available anti-allergic toothpaste group long-term efficacy effect is good, suitable for clinical operation selection and long-term application of daily life. 【Key words】：dentin hypersensitivity；desensitizer；abutment 临床上进行可摘局部义齿的合支托、隙卡位预备时，需要磨去部分牙体组织，使牙本质暴露，致使牙本质过敏，而治疗多采用药物脱敏。本文选取三种脱敏药物对基牙制备后牙本质过敏患者进行治疗，并分别观察其即刻、1个月后、2个月后脱敏效果，以期为牙本质过敏患者治疗选择合适的脱敏药物提供依据。 1.资料和方法 1.1病例选择与分组:选择2013-2014年来我科就诊，因局部可摘义齿牙体预备后，致使牙本质过敏的患者30例，共136颗患牙，其中男性18例，90颗，女性12例，46颗，年龄40-70岁。随机分为Gluma脱敏剂组10例，46颗；Recolite抗敏剂组10例，46颗；舒适达速效抗敏牙膏组10例，44颗。 1.2材料：Gluma脱敏剂（上海贺利氏古莎齿科有限公司），Recolit