龋齿治疗中微创去腐技术的临床观察

目的:分析龋齿治疗中微创技术的去腐效果。方法:根据随机原则将本院收治的76例龋齿患者分为研究组和对照组,两组例数均为38例,对照组患者利用传统高速牙钻进行机械去腐备洞,研究组采用伢典微创去腐技术进行去龋,观察和比较两组患者治疗期间疼痛情况和治疗效果。结果:微创去腐组治疗期间疼痛情况和治疗效果均比经典机械去腐组好,两组数据对比具有统计学意义(P＜0.05)。结论:在龋齿治疗中应用微创技术去腐,安全有效,疼痛轻,值得广泛应用于临床。     

Carisolv化学机械法微创技术祛龋的临床应用

在治疗龋齿过程中，传统的祛龋原则是牺牲部分健康牙体组织以保证窝洞的抗力形和固位形，预防性扩展以防止继发龋坏，主要应用低速、高速手机完成。龋坏的不规则性致使过多的健康牙体组织被去除，近髓区易造成穿髓，且手机祛龋所产生的高温及压力等变化可刺激牙髓组织，使患者感到不适甚至疼痛，增加患者对牙齿治疗的恐惧感。化学机械法微创技术的开展为龋齿治疗提供了一种可代替传统祛龋的新技术。笔者于2003年应用此技术治疗龋齿收到满意疗效，现介绍如下。     

Carisolv微创技术治疗龋齿的临床研究

目的 :评价Carisolv微创技术治疗龋齿的临床效果。方法 :对 3 8例中龋用Carisolv工具和Carisolv凝胶微创去腐充填 (微创组 ) ,2 2例中龋行常规去腐充填 (对照组 ) ,并比较两组的治疗效果。结果 :微创组有效率为97.4% ,对照组有效率为 81.8% ,两组间有明显差异 (P <0 .0 5 )。结论 :Carisolv微创技术治疗龋病具有安全、有效、无痛、无害等特点。     

Carisolv化学机械法在龋病治疗中的对比研究

目的评价伢典(Carisolv)化学机械法治疗龋齿的临床效果。方法选取中龋或深龋患者70例,随机分为实验组和对照组。实验组使用Carisolv凝胶及专用工具去龋,消毒后光固化充填。对照组使用牙钻去龋备洞,消毒后光固化充填。同时选取新鲜离体牙10颗(中龋、深龋各5颗),随机分为两组进行离体牙粘合界张力测定。结果两种方法均将腐质去除干净,舒适度比较,实验组较对照组明显舒适(P<0.05);去腐时间比较,实验组(12.4±3.2)min较对照组(6.7±3.5)min长;充填后1年治疗成功率比较,两组差异无显著性;离体牙粘合界张力比较,实验组较对照组粘合张力强(P<0.05)。结论Carisolv化学机械去腐法是一种能准确作用于龋坏牙本质并将其轻柔去除的去龋新方法,相对于传统牙钻,具有安全、温和的优点,能最大限度地保存健康牙体组织,可被大多数患者所接受。     

伢典微创技术在老年根面龋治疗中的临床应用

目的 探讨伢典微创技术在老年根面龋治疗中的临床效果及可行性.方法 筛选有对称根面龋的老年患者120例,采用自身半口对照法,分为实验组及对照组,实验组用伢典凝胶去腐,对照组用传统牙钻去腐,去腐后2组均采用3M玻璃离子水门汀充填,比较2组术中所用的治疗时间、疼痛程度.随访18个月,评价临床疗效.结果 实验组去腐时间长于对照组(P<0.05),但疼痛程度低于对照组(P<0.05).2组随访18个月的临床充填效果比较,差异无统计学意义(P>0.05).结论 伢典凝胶微创技术在老年根面龋的治疗中安全、有效,可降低老年患者对口腔治疗的紧张和恐惧,值得临床推广使用.     

伢典Ⅲ凝胶微创去腐对龋齿儿童咀嚼功能和炎性因子的影响

目的:探讨伢典Ⅲ凝胶微创去腐在5～12岁儿童龋齿患儿中的应用及对咀嚼功能和生活质量的影响.方法:选择2017年3月～2019年8月5～12岁儿童龋齿患儿580例,随机数字表法分为两组,各290例.对照组采用传统涡轮机去龋治疗,观察组采用伢典Ⅲ凝胶微创去腐治疗,12个月后比较两组治疗效果.结果:观察组干预后12个月进食食...     

臭氧辅助微创去龋法治疗老年人根面龋的临床研究

目的：评价臭氧辅助微创去龋法治疗老年人根面龋的有效性和安全性.方法：门诊老年龋齿患者59例,同一病人不同龋齿随机分为臭氧组、微创治疗组和对照组例,分别采用臭氧辅助微创法、微创和传统去龋法,比较病人的感受和治疗效果.结果：臭氧辅助微创组病人痛苦小,安全,治疗效果与传统法无统计学差异.结论：臭氧辅助微创法治疗老年人根面龋安全、无痛、有效.     

乳牙化学机械去龋的临床应用研究

目的评价化学机械去龋技术在临床治疗中对患儿就诊行为的影响及临床应用价值。方法按临床就诊顺序及家长意愿选择6至10岁患有乳磨牙龋坏的100名儿童随机分为实验组(50颗)和对照组(50颗)进行操作。实验组采用化学机械去龋技术去龋;对照组采用传统机械去龋法去腐备洞。去龋后均进行常规树脂充填。采用独立样本t检验方法评价治疗过程中的操作时间、采用患儿视觉模拟法(visual analogue scale,VAS)和Wong-Baker脸来记录患儿的疼痛程度、焦虑程度、接受程度以及12个月后复诊脱落、继发龋、牙髓炎及尖周炎情况。结果与对照组相比,实验组在治疗过程中虽耗时较长,但对患儿造成的疼痛程度及焦虑程度较低,患儿的接受程度较高,与对照组相比均有显著性差异(P<0.05);12个月后复诊,实验组失访率6%,对照组失访率12%,并且实验组患牙充填物脱落、继发龋、牙髓炎及根尖周炎情况与对照组相比无明显差异。结论化学机械去龋技术是治疗儿童龋病的一种有效方法。该方法虽然操作时间长,但操作步骤简单,无噪音,产生的疼痛及焦虑较轻,对于儿童龋病患者,接受度高,有明显的临床应用价值。     

化学机械祛腐与传统祛腐对乳牙龋齿治疗效果的meta分析

目的:通过对化学机械祛腐与传统祛腐对乳牙龋齿治疗效果的meta分析,为临床提供证据支持及指导意见。方法:检索Pubmed、EMBASE、JBI、Cochrane library、CNKI、万方、VIP等医学数据库,时间范围为建库至2021年12月。由2名评价员独立筛选、评价文献和提取数据。对无异质性的文献进行meta分析。结果:共纳入文献10篇(合计684例病例)。化学机械祛腐较传统车针祛腐能够提高乳牙龋齿治疗的有效性(MD=-1.00,95%CI=-1.01～-0.99,P<0.001)、降低患者的疼痛评分(MD=-0.86,95%CI=-1.06～-0.66,P<0.001),延长祛腐时间(MD=211.05,95%CI=198.72～223.38,P<0.001)。结论:化学机械祛腐能够减轻患儿疼痛程度,提高乳牙龋齿治疗的有效性并更易被患儿接受,是一种适用于儿童乳牙龋病治疗的技术。     

Carisolv(伢典)微创去龋法在康复疗养患者治疗中的应用

目的:评价临床应用伢典微创去龋法治疗康复疗养病人深龋的临床疗效。方法:康复疗养患者44例122颗牙,随机分为治疗组和对照组,分别采用伢典凝胶去龋和常规磨牙去龋,氢氧化钙垫底后,光固化树脂充填。1年后观察治疗效果。结果:伢典治疗组患者痛苦小,但操作时间长于对照组。结论:伢典微创去龋法治疗康复疗养患者龋齿安全,有效、无痛、操作便利,病人易于接受,为康复疗养患者带来极大的方便。     

牙科焦虑症对孕妇口腔健康状况的影响

目的：探讨牙科焦虑症对孕妇口腔健康状况的影响。方法：采用改良的牙科焦虑量表（MDAS）对安徽医科大学第一附属医院产科住院生产的542名孕妇进行调查,分析牙科焦虑症对其口腔健康状况的影响。结果：542名孕妇中,牙科焦虑程度较高者（MDAS≥15分）168例,牙科焦虑程度较低者（MDAS＜15分）374例,两组间患龋率差异无统计学意义（P＞0．05）;但牙科焦虑程度较高组的龋失补牙数（DMFT）和社区牙周指数（CPI）均高于牙科焦虑程度较低组,组间差异均有统计学意义（P＜0．01）。结论：牙科焦虑症可能对孕妇的口腔健康产生有害影响。     

伢典三代凝胶微创治疗乳磨牙深龋的疗效观察

摘要：目的 对比分析伢典凝胶微创去腐与传统牙钻去腐方案对乳磨牙深龋的治疗效果,以指导临床治疗疾病。方法 纳入2015年4月至2016年4月于我院接受治疗的乳磨牙深龋患儿132例（218颗）为对象,采用随机数字表法将患儿均分为2组。观察组66例（110颗）接受伢典凝胶微创治疗;对照组66例（108）颗接受传统牙钻去腐。对比每颗牙处理时间、处理期间患儿疼痛情况,术后2周监测牙髓活力,术后1年复查监测牙髓活力及治疗相关并发症情况。结果 观察组患牙处理时间（11.3±5.2）min,明显长于对照组（9.8±3.2）min,期间患儿疼痛感觉明显轻于对照组,随访1年时观察组继发龋、充填物松动、牙髓炎发生率分别为2.7%、1.8%、0.0%,均明显低于对照组16.7%、9.3%、6.5%,上述差异均有统计学意义（P＜0.05）。结论 伢典凝胶微创治疗乳磨牙深龋,虽会明显增加患牙处理时间,但可明显减轻术中疼痛、降低术后并发症,优势明显。     

心理干预对更年期妇女种植术前及术中牙科焦虑的影响

目的研究种植术前心理干预对更年期妇女在种植前及种植中牙科焦虑的影响。方法选取更年期妇女72例,随机分组,实验组36例,对照组36例,术前进行心理干预,于种植术前5分钟进行牙科焦虑量表测评焦虑程度,术后5分钟记录患者术中焦虑状态及疼痛程度。结果实验组及对照组在术前及术中的牙科焦虑程度均有显著性差异（P〈0.05）,术中疼痛程度无显著性差异（P〉0.05）。结论针对更年期妇女的心理特性,在口腔种植术前进行心理干预,可以有效的减小其牙科焦虑程度,提高患者的配合性及对种植修复的满意度。     

口腔卫生健康指导对孕期妇女口腔健康的促进作用

目的:观察口腔卫生健康指导对孕期妇女口腔健康的促进作用。方法:从2010—2011年在海珠区妇幼保健院进行产前检查的初孕妇进行初筛后,从中选择780名,经基线检查并对相关口腔疾病治疗后,分为实验组(350名)和对照组(430名),实验组由口腔医师定期进行口腔卫生指导,对照组不进行口腔卫生指导。6个月后口腔检查,评价口腔卫生健康指导对孕期妇女口腔健康的作用。结果:经过口腔卫生健康指导后,实验组口腔卫生状况优于对照组(P<0.05),牙龈炎、龋病发病率均低于对照组(P<0.05)。结论:孕妇口腔卫生健康指导对其口腔健康具有促进作用,建议纳入社区卫生服务范围。     

Dental caries, age and anxiety: factors influencing sedation choice for children attending for emergency dental care

OBJECTIVES: The aim of the study was to examine how physical (dental caries) and psychosocial (age, dental anxiety and dental health behaviour) factors, associated with child and parent, influenced dentists' sedation choice when a child presents in pain. METHODS: 600 parents whose children were aged between 5 and 11 years took part: 200 attended for routine dental care (RDC); the remaining 400 attended as emergency patients and were offered either dental general anaesthesia (DGA) or relative analgesia (RA). The subjects were approached and invited to take part. The researcher was blind as to the child's pattern of dental attendance and the type of sedation offered. All parents and children completed self-reported ratings of dental anxiety. The children's teeth were examined to determine past and present dental caries experience. RESULTS: The results showed that children who were offered DGA had greater experience of dentinal caries, were younger and dentally anxious. The children offered RA were older, had a higher frequency of brushing their teeth with fluoride toothpaste and were also dentally anxious. Discriminant analysis showed that 2 canonical functions provided clear categorisation of the three treatment groups. Function 1 was a physical (dental caries) factor, which was related to the child's experience of dentinal caries. Function 2 was a psychosocial factor, which was related to the child's age, dental anxiety and frequency of tooth brushing. A greater proportion of the variance in the treatment offered was explained by Function 1, suggesting that the most important factor in the decision to offer DGA was dentinal caries. Function 2 was of lesser importance. CONCLUSIONS: The findings have implications for the type of sedation offered to children presenting for emergency care. These children may not otherwise receive treatment and the need to provide less anxiety provoking forms of sedation must be promoted. By doing so, parents who have only brought their children when in pain may take advantage of RDC and the treatments offered to prevent and control dental caries and anxiety in their children.     

Relationship of children's anxiety to their potential dental health behaviour

In this study of 200 New Zealand schoolchildren aged 7-13 years, a questionnaire interview was used to gain information related to estimating dental anxiety and general illness anxiety. Information related to sociodemographic differences, belief differences, and an estimate of potential health behaviour was also collected. Oral examinations were performed and the number of dental restorations present recorded. Dental anxiety was associated with memory of pain during a dental visit. The number of restorations present, and a history of pain during a dental visit, were important predictors of illness anxiety. Neither dental anxiety nor illness anxiety operating alone provided an estimate of future dental health behaviour. Dental anxiety and illness anxiety operated through a complex interplay of variables. A stepwise multiple regression technique was used to determine the possible pathways to potential dental health behaviour. Perceived vulnerability to dental caries and perceived severity of dental disease were important in the prediction of potential denture wearing; school attended and ethnic background were useful predictors of potential extraction seeking; and school grade and level of perceived internal control were predictors of potential preventive visitation.     

口腔正畸种植体支抗患者牙科焦虑症220例的调查分析与治疗对策

目的 研究种植体支抗患者牙科焦虑症的流行情况和焦虑程度,探讨综合行为方法 对降低种植体支抗患者焦虑状态及疼痛的作用。方法 220例正畸种植体支抗患者,采用改良的牙科焦虑量表及临床表现观察记录法,对牙科焦虑状况进行调查,将患者随机分为对照组及试验组,对照组植入术前常规交谈,试验组给予综合的行为方法,手术完成时记录术中的焦虑状态、疼痛程度和观察记录。结果 220例正畸种植体支抗患者牙科焦虑量表的平均分值为13.2,属较高畏惧,试验组术中焦虑状态指数及疼痛指数与对照组相比明显降低(P<0.05)。结论 综合行为法治疗正畸种植体支抗患者牙科焦虑症非常有效,其中心理治疗是关键。?     

Child coping strategies, dental anxiety and dental treatment: the influence of age, gender and childhood caries prevalence.

AIM: This was to investigate what coping strategies are used by children, the efficacy of these strategies and the influences of age, gender, dental anxiety, pain experience and childhood caries prevalence (place of residence) upon the efficacy of the coping strategies used by Dutch (NL) children in The Netherlands and Northern Ireland (NI). METHODS: Convenience samples of Dutch and NI children were taken and asked to fill out a coping questionnaire (Dental Cope Questionnaire) and an anxiety schedule (CFSS-DS). Data were entered onto a SPSS database and subjected to frequency distributions, Chi-square analysis, t-tests and analysis of variance. RESULTS: The children used a wide variety of coping strategies in dealing with pain in dentistry. The most frequently used and those reported to have the greatest efficacy by the children in this investigation were cognitively based strategies. Different strategies were used in relation to place of residence, age and level of dental anxiety. The variance in the number of strategies used was significantly explained by the experienced pain during dental treatment. The efficacy of the coping strategies used was significantly explained by level of dental anxiety. CONCLUSIONS: Dental coping strategies used by children seem to vary with age, dental anxiety and pain experience. This information can help dental practitioners to adjust his or her treatment to the child's emotional needs.     

化学机械去腐技术对儿童牙科畏惧症的影响

目的 比较Carisolv化学机械去腐和传统车针去腐2种方法治疗龋齿儿童牙科畏惧症发病率的情况.方法 随机选择我院儿科就诊患者302人年龄3-14岁,分别采用Carisolv化学机械去腐和传统车针去腐2种方法治疗龋齿,由经治医生根据儿童在治疗过程中的反应进行牙科畏惧症分级判定,治疗后以问卷形式调查治疗中疼痛程度,方法倾向.结果 Carisolv化学机械去腐组牙科畏惧症发病率(22.96%)低于车针组(37.72%),特别是在牙科畏惧症高发的3-9岁患儿中发病率与车针去腐组相比较具有显著性差异(P＜0.01).Carisolv化学机械去腐与车针去腐比较疼痛更轻微具有显著性差异(P＜0.01).结论 Carisolv化学机械去腐法能减少低龄儿童牙科畏惧症发病率,提高患儿的依从性,从而获得良好的临床治疗效果.     

下颌双侧低位近中阻生第三磨牙微创与传统拔除的对照研究

目的 :通过同体对照方法 ,比较微创法与传统凿骨劈冠法拔除下颌低位近中阻生第三磨牙的临床效果。方法:2012—2015年,在浦东新区人民医院口腔科就诊,需拔除双侧下颌低位近中阻生智齿的患者120例。随机分为2组,第1组一侧第三磨牙首先采用微创拔牙技术拔除(研究组),另一侧采用凿骨劈冠法拔除(对照组),两次操作间隔3个月。第2组拔牙方法的顺序相反,先用凿骨劈冠法拔除一侧第三磨牙(对照组),3月后采用微创拔牙法拔除另一侧(研究组)。对两种拔牙方法患者的拔牙时间、术中并发症、术后并发症、患者满意度、牙科畏惧率等进行比较观测和统计学分析。结果:研究组的拔牙时间、术中并发症、术后并发症、畏惧率明显较对照组低,两组间差距有统计学意义;且研究组患者满意度高,两组间差距有统计学意义。结论:运用微创拔牙技术拔除下颌低位阻生智齿,临床效果优于传统的凿骨劈冠法。