两种去龋方法对缓解儿童牙科恐惧及龋齿充填短期效果的比较

发布时间：2018-12-08 09:43

【摘要】：[目的]通过比较两种去龋方法对缓解儿童牙科恐惧及龋齿短期充填效果,为乳牙龋的临床治疗寻找一种既能缓解儿童牙科恐惧,又能达到良好去龋、充填效果的方法。[方法]选取30名5-8岁龋病患儿,将其110颗ICDAS指数为5的同颌同名龋坏牙按照自身对照的配对设计方法,配对后随机分为两组,实验组采用Carisolv化学机械去龋,对照组采用涡轮机去龋,去龋后进行常规树脂充填。(1)采用MCDASf改良儿童牙科焦虑面部表情量表中文版评估患儿的恐惧度;(2)采用Venham临床焦虑及合作行为级别评定量表评估患儿的焦虑度;(3)采用USPHS改良修复体临床评价标准评估短期内修复体满意度。采用Mann-Whitney秩和检验及χ2检验对两组间实验数据进行统计分析。[结果](1) MCDASf改良儿童牙科焦虑面部表情量表中文版结果显示:Carisolv去龋组与涡轮机去龋组相比,患儿恐惧率降低(p0.05),差异具有统计学意义。(2) Venham临床焦虑及合作行为级别评定量表结果显示:Carisolv去龋组与涡轮机去龋组相比,患儿不合作率降低(p0.05),差异具有统计学意义。(3) USPHS改良修复体临床评价标准结果对比显示:Carisolv去龋组与涡轮机去龋组相比,6个月后修复体满意率无明显差异(p0.05)。[结论]Carisolv去龋既能缓解儿童牙科恐惧,又能达到良好去龋、短期充填效果,可推荐应用于临床。
[Abstract]:[objective] to compare the effects of two caries removal methods on the relief of dental fear and dental caries short-term filling in children, and to find a method for the clinical treatment of deciduous dental caries, which can not only alleviate the dental fear of children, but also achieve a good effect of caries removal and filling. [methods] Thirty caries aged 5-8 years were selected and 110 caries teeth with the same ICDAS index of 5 were randomly divided into two groups according to the self-control pairing design method. The experimental group was treated with Carisolv chemical-mechanical caries removal. The control group was treated with turbine caries removal and conventional resin filling after caries removal. (1) the Chinese version of MCDASf modified dental anxiety facial expression scale was used to evaluate the fear degree of the children. (2) the anxiety degree of children was evaluated by Venham scale of clinical anxiety and cooperative behavior grade, and (3) short-term satisfaction was evaluated by USPHS modified prosthesis clinical evaluation criteria. Mann-Whitney rank sum test and 蠂 2 test were used to analyze the experimental data between the two groups. [results] (1) the Chinese version of MCDASf modified Children's Dental anxiety facial expression scale showed that the fear rate of Carisolv caries removal group was lower than that of turbine caries removal group (p0.05). The difference was statistically significant. (2) the results of Venham Clinical anxiety and Cooperative behavior rating scale showed that the uncooperative rate of Carisolv caries removal group was lower than that of turbine caries removal group (p0.05). The difference was statistically significant. (3) the results of clinical evaluation of modified USPHS prosthesis showed that there was no significant difference in the satisfaction rate of the restoration after 6 months between the Carisolv caries removal group and the turbine caries removal group (p0.05). [conclusion] Carisolv caries removal can not only relieve dental fear in children, but also achieve good effect of dental caries removal. It can be recommended for clinical use.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R788

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