光固化流体树脂治疗儿童乳磨牙窝沟龋临床探析.docVIP

光固化流体树脂治疗儿童乳磨牙窝沟龋临床探析 　　摘要：目的 探讨光固化流体树脂治疗儿童乳磨牙窝沟龋的临床效果。方法 选择在我院治疗的乳磨牙有窝沟龋的患儿50例，共有患牙86颗。所有患儿均采用光固化流体树脂治疗，观察患儿治疗效果。结果 治疗后6个月患者进行复查，结果显示所有患牙指标均达到满意标准，成功率均为100%；治疗后1年进行复查，修复体破损、边缘密合性、边缘变色、色泽协调、继发龋的成功率分别为98.8%、97.7%、97.7%、98.8%和100.0%；治疗后3年后各指标中患牙成功率分别为88.4%、87.2%、89.5%、87.2%、93.0%。结论 光固化流体树脂治疗儿童乳磨牙窝沟龋效果显著，可有效阻止龋齿进一步发展，值得在临床中推广应用 关键词：光固化流体树脂；儿童乳磨牙；窝沟龋 Abstract：Objective To investigate the clinical effect of light cured resin fluid for deciduous molar pit and fissure caries.Methods In our hospital，50 cases of deciduous molar pit and fissure caries in children，a total of 86 teeth.All the patients were treated with light cured resin fluid treatment， observe the curative effect of children.Results The patients were reexamined after 6 months of treatment，the results showed that all the teeth with satisfaction indicators have reached the standard，the success rate was 100%；1 years after treatment for review，prosthesis breakage，edge sealing， marginal discoloration，color coordination，secondary caries success rates were 98.8%，97.7%，97.7%，98.8% and 100% after treatment；3 years after the index in teeth success rates were 88.4%，87.2%，89.5%，87.2%，93.0%.Conclusion Light cured flowable resin for treatment of children with deciduous caries in children has significant effect，can effectively prevent the further development of dental caries，worthy of promotion in clinical application. Key words：Light curing fluid resin；Children’s molars；Pit and fissure caries ?C沟龋主要指磨牙、前磨牙咬合面以及上颌前牙舌面的龋损，窝沟龋的形成需经过一个过程，最初是牙菌斑的形成，之后是致龋菌在牙菌斑环境内代谢糖产酸形成多聚糖，最后一个阶段是酸使牙齿硬组织溶解成洞[1]。窝沟底部一般接近釉牙本质界或者位于牙本质内，当破坏向深部迅速发展时会形成外观小而实际深的龋洞[2]。当前随着牙科材料和技术的发展，更多有效的治疗方法在乳磨牙窝沟龋的治疗中运用，也取得了良好的治疗效果。本次研究采用光固化流体树脂治疗儿童乳磨牙窝沟龋的临床效果，现报道如下 1 资料与方法 1.1一般资料 选择2011年1月～2013年1月在我院就诊的乳磨牙窝沟龋患儿中选择50例，男27例，女23例。患儿年龄为3～6岁，平均年龄（4.5±0.6）岁。50例患儿中患牙共有86颗。所有患牙均为乳磨牙颌面I类洞。窝沟龋深部无潜行性破坏，仅为牙本质浅龋或局限性釉质龋。所有患儿中未有氟牙症、无四环素牙、无釉质发育不全。所有患儿患牙中无其他程度的龋坏，窝沟龋均无填充物 1.2方法 本次研究所选用的材料包括凝胶酸蚀剂、Prime Bond NT粘结剂、美国Densply公司生产的Dyract Flow流体复合体。进行具体操作时对患者进行仔细探查，可先选用