中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
87-89
,共3页
复合树脂%牙体缺损%充填%乳磨牙%继发龋
複閤樹脂%牙體缺損%充填%乳磨牙%繼髮齲
복합수지%아체결손%충전%유마아%계발우
Composite resin%Teeth defect%Filling%Primary molar teeth%Secondary caries
目的：评估复合树脂充填治疗后牙牙体缺损的远期效果。方法选取2009年1月~2012年1月于本院接受治疗110例乳磨牙大面积缺损患儿作为研究对象，将患者按照分层随机抽样法分为对照组与观察组，各55例(55颗患牙)。对照组采用玻璃离子水门汀填充治疗，观察组应用复合树脂修复填充方案，评估两组的牙体修复效果，对患者实施为期2年的随访调查，评估其远期疗效。结果观察组50例获得随访，成功41例，占82.0%，缺陷5例，占10.0%，失败4例，占8.0%，对照组49例获得随访，成功29例，占59.2%，缺陷9例，占18.4%，观察组的远期疗效明显优于对照组(P<0.05)；观察组继发龋4例，并发症发生率为8.0%，对照组继发龋11例，牙本质过敏1例，修复体折裂2例，牙髓病变1例，整体并发症发生率为30.6%，明显高于观察组的8.0%，且对照组的继发龋发生率明显高于观察组(P<0.05)。结论复合树脂充填治疗乳磨牙缺损较玻璃离子水门汀填充法的远期效果更优，填充成功率更高，且患者口腔并发症发生率低。
目的：評估複閤樹脂充填治療後牙牙體缺損的遠期效果。方法選取2009年1月~2012年1月于本院接受治療110例乳磨牙大麵積缺損患兒作為研究對象，將患者按照分層隨機抽樣法分為對照組與觀察組，各55例(55顆患牙)。對照組採用玻璃離子水門汀填充治療，觀察組應用複閤樹脂脩複填充方案，評估兩組的牙體脩複效果，對患者實施為期2年的隨訪調查，評估其遠期療效。結果觀察組50例穫得隨訪，成功41例，佔82.0%，缺陷5例，佔10.0%，失敗4例，佔8.0%，對照組49例穫得隨訪，成功29例，佔59.2%，缺陷9例，佔18.4%，觀察組的遠期療效明顯優于對照組(P<0.05)；觀察組繼髮齲4例，併髮癥髮生率為8.0%，對照組繼髮齲11例，牙本質過敏1例，脩複體摺裂2例，牙髓病變1例，整體併髮癥髮生率為30.6%，明顯高于觀察組的8.0%，且對照組的繼髮齲髮生率明顯高于觀察組(P<0.05)。結論複閤樹脂充填治療乳磨牙缺損較玻璃離子水門汀填充法的遠期效果更優，填充成功率更高，且患者口腔併髮癥髮生率低。
목적：평고복합수지충전치료후아아체결손적원기효과。방법선취2009년1월~2012년1월우본원접수치료110례유마아대면적결손환인작위연구대상，장환자안조분층수궤추양법분위대조조여관찰조，각55례(55과환아)。대조조채용파리리자수문정전충치료，관찰조응용복합수지수복전충방안，평고량조적아체수복효과，대환자실시위기2년적수방조사，평고기원기료효。결과관찰조50례획득수방，성공41례，점82.0%，결함5례，점10.0%，실패4례，점8.0%，대조조49례획득수방，성공29례，점59.2%，결함9례，점18.4%，관찰조적원기료효명현우우대조조(P<0.05)；관찰조계발우4례，병발증발생솔위8.0%，대조조계발우11례，아본질과민1례，수복체절렬2례，아수병변1례，정체병발증발생솔위30.6%，명현고우관찰조적8.0%，차대조조적계발우발생솔명현고우관찰조(P<0.05)。결론복합수지충전치료유마아결손교파리리자수문정전충법적원기효과경우，전충성공솔경고，차환자구강병발증발생솔저。
Objective To evaluate the long-term effect of composite resin filling in the treatment of posterior teeth de-fect. Methods From January 2009 to January 2012,110 children with extensive-defect of primary molar teeth treated in our hospital were selected as research objects.By a stratified random sampling,they were evenly divided into control group and observation group,and there were 55 defected teeth in each group.In control group,glass ionomer cement (GIC) filling was used, while in observation group,composite resin filling for restoration was applied.The restoration ef-fect of molar teeth was evaluated in both groups as well as long-term effect after 2-years follow-up survey. Results There were 50 cases accepting follow-up in observation group.The number of cases in success,defect,and failure was 41 (82.0%),5 (10.0%),and 4 (8.0%) respectively.In control group,49 patients agreed on follow-up.They were successful in 29 cases accounting for 59.2%and defect in 9 cases for 18.4%.Long-term effect in observation group was greatly supe-rior to that in control group (P<0.05).4 cases occurred with secondary caries in observation group and the incidence rate of complications was 8.0%.There were secondary caries in 11 cases,dentin hypersensitivity in 1 case,repair body fracture in 2 cases,and endodontic lesion in 1 case.The incidence rate of overall complication (30.6%) was significantly higher than that of 8.0% in observation group.The incidence rate of secondary caries in control group was obviously higher than that of observation group (P<0.05). Conclusion In the treatment of primary molar defect,composite resin filling obtains a better long-term effect,a higher success rate of filling,and lower incidence rate of complication in oral cavity in comparison with that in the GIC filling.
