窝沟封闭术预防龋病的的疗效观察.docVIP

窝沟封闭术预防龋病的的疗效观察 　　【中图分类号】R788.1【文献标识码】A【文章编号】1672-6383-（2010）12-0023-02 　　【摘要】目的：评价窝沟封闭剂预防龋病的临床疗效。方法：选择140例6～8岁儿童，左侧下颌第一恒磨牙进行窝沟封闭，右侧下颌第一恒磨牙不进行窝沟封闭，对比两侧的患龋率。结果：半年后随诊，试验组无龋坏，对照组患龋率15.71%；一年后随诊，试验组患龋率1.43%，对照组患龋率25.71%；两年后随诊，试验组患龋率4.3%，对照组患龋率36.43%。讨论：窝沟封闭剂可严密封闭牙冠表面的窝沟，防止窝沟内食物残屑堆集和细菌生长，有效地预防龋病的发生。 　　【关键词】窝沟封闭；防龋；第一恒磨牙 　　 Nest ditch seal technique prevention decayed tooth sickness curative effect observation 　　Jia Yunfei Xing PingLiu Qingmin 　　【Abstract】Goal： The appraisal nest ditch inclusion reagent prevention decayed tooth gets sick clinical curative effect. Method： Chooses 140 example 6～8 year-old child， left side the lower jaw first does a lot of talking permanently carries on the nest ditch seal， right flank the lower jaw first does a lot of talking permanently does not carry on the nest ditch seal， the contrast both sides trouble decayed tooth rate. Finally： A half year later along with examines， the experimental group does not have the decayed tooth to be bad， control group trouble decayed tooth rate 15.71%； One year later along with examines， experimental group trouble decayed tooth rate 1.43%， control group trouble decayed tooth rate 25.71%； Two years later along with examines， experimental group trouble decayed tooth rate 4.3%， control group trouble decayed tooth rate 36.43%. Discussion： The nest ditch inclusion reagent may seal up the crown surface strictly the nest ditch， prevents in the nest ditch food remnant pile and the bacterium grows， prevents the occurrence which effectively the decayed tooth gets sick. 　　【Keywords】 The nest ditch seal， against decayed tooth， first does a lot of talking permanently 龋病是在以细菌为主的多种因素影响下，牙体硬组织发生慢性进行性破坏的一种疾病。病变向深部牙体组织发展后，可引起牙髓病、根尖周病、颌骨炎症等一系列并发症，严重影响全身健康，在童年时期可影响牙颌系统的生长发育，使健康素质下降，因此，积极预防龋病的发生有重大意义。 　　第一恒磨牙约于6岁左右萌出，是最早萌出的恒牙，龋病发生率极高。儿童不能保持良好的口腔卫生习惯，饮食多为软质食物，含糖量高，易发酵产酸。年轻恒牙较成熟恒牙牙体硬组织薄，矿化度低，溶解度高渗透性强，咬合面沟嵴明显，裂沟较深，难以自洁，这些因素均可导致儿童好发龋病，尤其下颌第一磨牙多发，好发牙面为咬合面，窝沟封闭术对儿童龋病的预防起到了一定的作用。窝沟封闭就是用一种高分子材料涂布在牙冠表面，形成一层保护层，将窝沟封闭起来，材料硬固后，可长