3种不同方法预防儿童恒牙龋的临床效果评价

发布时间：2018-03-17 04:31

本文选题：龋齿　切入点：氟化物　出处：《上海口腔医学》2014年06期 　论文类型：期刊论文

【摘要】：目的 :对氟保护漆、氟化泡沫和含氟窝沟封闭剂预防儿童恒牙龋的临床效果进行比较,寻找适合在学校开展的龋病预防适宜技术。方法:应用随机对照试验方法,将来自4个学校、33个班级的1016名7~8岁儿童随机分为4组。第1组应用氟保护漆,半年应用1次;第2组应用氟化泡沫,半年应用1次;第3组应用含氟窝沟封闭剂,一次性使用;第4组为对照组,仅做口腔卫生宣教。比较2年后4组儿童第一恒磨牙的防龋效果。采用SPSS18.0软件包对数据进行统计学分析。结果:2年后,977名儿童(随访率为96.2%)接受龋病复查。多因素协方差分析结果显示,氟保护漆组和含氟窝沟封闭组与对照组相比,新增龋面均显著减少(P0.05)。氟化泡沫组与对照组相比,新增龋均和龋面均无显著差异(P0.05)。结论:氟保护漆(半年使用1次)和含氟窝沟封闭剂对儿童恒牙有良好的防龋效果。
[Abstract]:Objective: to compare the clinical effects of fluorine protective lacquer, fluorinated foam and fluorine socket sealant on the prevention of dental caries in children, and to find suitable techniques for the prevention of dental caries in schools. Methods: a randomized controlled trial was used to prevent dental caries in children. 1016 children aged 7 to 8 years old from 33 classes and 4 schools were randomly divided into 4 groups. Group 1 was treated with fluorine protective paint once a year, group 2 was treated with fluorinated foam once a year, and group 3 was treated with fluorine-containing fossa sealant. Group 4 was the control group. Oral hygiene education was performed only. The effects of first molars in 4 groups were compared two years later. The data were analyzed statistically by SPSS18.0 software package. Results: two years later, 977 children (the follow-up rate was 96.2%) received caries reexamination. The results of the analysis of covariance show that, Compared with the control group, the newly added caries in the fluorine protective paint group and the fluorine-containing pit and groove sealing group decreased significantly (P 0.05), and the fluorinated foam group was significantly lower than that in the control group. There was no significant difference between new caries and caries surface. Conclusion: fluorine protective paint (once a half year) and fluorine-containing pit and groove sealant have good effect on the prevention of caries in children's permanent teeth.
【作者单位】：上海市静安区牙病防治所预防科;上海交通大学医学院附属第九人民医院·口腔医学院口腔预防科;
【分类号】：R788.1

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