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光敏树脂、加强型玻璃离子、银汞合金填充治疗乳牙龋齿病的效果比较

Comparison of the effects of photosensitive resin,reinforced glass ionomer and sliver amalgam in the treatment of primary tooth caries
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摘要 目的:比较光敏树脂、加强型玻璃离子、银汞合金填充治疗乳牙龋齿病的效果。方法:选择乳牙龋齿病病人125例作为研究对象,依据填充治疗方法的不同分成A、B、C 3组。A组43例(106颗龋齿)采用光敏树脂进行填充治疗,B组42例(102颗龋齿)采用加强型玻璃离子进行填充治疗,C组40例(98颗龋齿)采用银汞合金进行填充治疗。比较各组每颗患牙填充时间、牙本质过敏反应发生率、填充材料存留情况及龋齿复发情况。结果:A组每颗患牙填充时间短于B组和C组(P<0.05),B组每颗患牙填充时间短于C组(P<0.05)。A组填充治疗后1周牙本质过敏反应发生率低于B组和C组(P<0.05),C组填充治疗后1周牙本质过敏反应发生率低于B组(P<0.05)。A组随访1年填充材料完整存留率高于B组和C组(P<0.05),B组与C组随访1年填充材料完整存留率差异无统计学意义(P>0.05)。A组与C组随访6个月、随访1年龋齿复发率均低于B组(P<0.05),A组与C组随访6个月、随访1年龋齿复发率差异无统计学意义(P>0.05)。结论:与加强型玻璃离子、银汞合金填充治疗相较,光敏树脂填充治疗乳牙龋齿病,具有较短的填充用时、更低的牙本质过敏反应发生率、更高的充填材料存留率、较低的龋齿复发率。 Objective:To compare the effects of photosensitive resin,reinforced glass ionomer and sliver amalgam filling in the treatment of primary tooth caries.Methods:A total of 125 patients with primary tooth caries were selected as the study subject,and were divided into group A(n=43,106 caries),group B(n=42,102 caries)and group C(n=40,98 caries)according to the different filling treatment methods.The group A was filled with photosensitive resin,group B was filled with reinforced glass ionomer,and group C was filled with sliver amalgam.The filling time of each tooth,incidence of dentin hypersensitivity reaction,retention of filling materials and caries recurrence in the three groups were compared.Results:The filling time of each tooth in group A was shorter than that in group B and group C(P<0.05),and which in group B was shorter than that in group C(P<0.05).The incidence of dentin hypersensitivity reaction at one week after filling treatment in group A was lower than that in group B and group C(P<0.05),and which in group C was lower than that in group B(P<0.05).The complete retention rate of filling materials at one week after filling treatment in group A was higher than that in group B and group C(P<0.05),and the difference of which between group B and group C was not statistically significant(P>0.05).The caries recurrence rate at 6 months and 1 year follow-up in group A and group C was lower than that in group B(P<0.05),and the difference of which between group A and group C was not statistically significant(P>0.05).Conclusions:Compared with reinforced glass ionomer and sliver amalgam,photosensitive resin filling in treatment of primary tooth caries has shorter filling time,lower incidence rate of dentin hypersensitivity,higher retention rate of filling materials,and lower caries recurrence rate.
作者 范佳敏 范宇航 沈婧 FAN Jiamin;FAN Yuhang;SHEN Jing(Baoshan College of Traditional Chinese Medicine,Baoshan Yunnan 678000;Department of Stomatology,Yuxi People′s Hospital,Yuxi Yunnan 653100,China)
出处 《蚌埠医学院学报》 CAS 2024年第1期68-71,共4页 Journal of Bengbu Medical College
基金 云南省教育厅科学研究基金项目(2018JS644)。
关键词 乳牙龋齿病 光敏树脂 加强型玻璃离子 银汞合金 primary tooth caries photosensitive resin reinforced glass ionomer sliver amalgam
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