CAJ | 학술논문

目的：探讨氟保护漆Duraphat对前牙初期龋损白垩色斑块的治疗效果。方法共纳入并分析120例患者146个前牙唇侧白垩斑病损，分为三组：A组（涂氟保护漆Duraphat＋口腔健康教育组，n＝52），B组（口腔健康教育组，n＝47）和C组（对照组，n＝47）。由同一位已经过培训的医生采用牙周探针对白垩斑的直径及龋活动性进行评估，同时对研究对象的口腔卫生采用改良菌斑指数进行评估。结果 A组在接受2年的涂氟治疗后其白垩斑直径明显缩小，与另外两组差异有统计学意义（χ2=29.1，P＜0.001），初期龋损白垩色斑块活动性龋的比例明显下降（χ2=42.5，P＜0.001）。结论氟保护漆Duraphat能有效治疗光滑面的初期龋损。
목적：탐토불보호칠Duraphat대전아초기우손백성색반괴적치료효과。방법공납입병분석120례환자146개전아진측백성반병손，분위삼조：A조（도불보호칠Duraphat＋구강건강교육조，n＝52），B조（구강건강교육조，n＝47）화C조（대조조，n＝47）。유동일위이경과배훈적의생채용아주탐침대백성반적직경급우활동성진행평고，동시대연구대상적구강위생채용개량균반지수진행평고。결과 A조재접수2년적도불치료후기백성반직경명현축소，여령외량조차이유통계학의의（χ2=29.1，P＜0.001），초기우손백성색반괴활동성우적비례명현하강（χ2=42.5，P＜0.001）。결론불보호칠Duraphat능유효치료광활면적초기우손。
Objective To assess the therapeutic effect of fluoride varnish Duraphat on the performance of incipient carious lesions white spot lesions (WSL) in anterior teeth in vivo. Methods The sample included 120 children aged 7 to 13 years old , with a total of 146 active WSL in permanent anterior teeth. The children were randomly divided into 3 groups, according to the treatment received:Group A (fluoride varnish Duraphat+oral health instrument, n=52), Group B (oral health instrument, n=47) and Group C (control, n=47). Maximum WSL dimensions (mesiodistal and incisogingival) were measured in millimeters by a previously calibrated single examiner using a periodontal probe . The oral hygiene was assessed by the plaque index . Results Wilcoxon test revealed a statistically significant difference (χ2=29.1,P<0.001) between the initial size and final size in A group (1.53 vs. 0.88) and B group (1.56 vs. 1.47). Pearson′s chi-square test revealed statistically significant differences (χ2=42.5, P<0.001) in the caries activity of the WSL among three groups. Conclusions The fluoride varnish Duraphat is effective to the incipient carious lesions in permanent anterior teeth .