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目的探讨伢典凝胶去龋技术在年轻恒牙龋病治疗过程中的临床效果。方法选取某院2013年10月~2015年10月门诊龋齿患儿200例,年龄6~12岁,每例患儿选择1颗第一恒磨牙窝沟牙本质龋进行研究,将患儿随机分为观察组(100颗牙)和对照组(100颗牙)。观察组采用伢典凝胶去龋治疗,对照组采用传统牙钻切割去龋治疗,治疗过程中分别记录操作时间(min)、患儿的疼痛程度、意外露髓情况以及患儿接受情况,并随访两年评价其远期疗效。结果观察组去腐时间略长于对照组,但差异无统计学意义(12.3±2.5 VS 11.2±2.1,t=1.73,P>0.05),患儿疼痛程度和意外露髓率观察组均明显低于对照组(2%VS 50%,2%VS 26%,P<0.05),而患儿治疗接受率和2年临床成功率观察组明显优于对照组(96%VS 60%,97%VS 73%,P<0.05)。结论伢典凝胶治疗年轻恒牙龋齿是一种有效、创伤小、不良反应少的新型龋齿治疗技术,患儿痛苦少、配合度高,能有效减少继发龋的发生,值得临床推广应用。
Objective To investigate the clinical effect of 伢 dian gel de-caries technique in the treatment of young permanent tooth caries. Methods A total of 200 children with dental caries in our hospital from October 2013 to October 2015 were selected, aged from 6 to 12 years. One dentinal caries in the first molars was selected for each child. The children were randomly divided The observation group (100 teeth) and the control group (100 teeth). The observation group was treated with 伢 dian gel to caries treatment, while the control group was treated with traditional dental drill cutting and caries treatment. The operation time (min), the degree of pain in children, the accidental demyelination and the acceptance of children were recorded respectively Follow-up two years to evaluate its long-term efficacy. Results The decay time in the observation group was slightly longer than that in the control group, but the difference was not statistically significant (12.3 ± 2.5 VS 11.2 ± 2.1, t = 1.73, P> 0.05) The control group (2% VS 50%, 2% VS 26%, P <0.05), while the treatment acceptance rate and 2-year clinical success rate in the observation group were significantly better than those in the control group (96% VS 60%, 97% VS 73 %, P <0.05). Conclusions The treatment of young permanent tooth caries with Jiedian gel is an effective and less invasive treatment method with less adverse reactions. Children with less pain and high degree of cooperation can effectively reduce the occurrence of secondary caries, which is worthy of clinical application.