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.

The impact of chemomechanical caries removal on children's dental anxiety

Objective To compare the influence of chemomechanical agent(Carisolv)and traditional bur removal of caries on the incidence of children's dental fear(DF).Methods A total of 302 patients aged 3-14 were choosen randomly.Their caries were removed by Carisolv and traditional bur respectively.The doctors judged DF grades according to children's reaction during treatment.After treatment pain level and method inclination were investigated by means of questionnaire.Results The DF incidence of Carisolv group(22.96%)was lower than that of the traditional bur group(37.72%).There was a significant difference between the two groups,especially in the patients aged 3-9 who had higher DF incidence.Carisolv caused less pain than traditional bur during carise removal.Conclusion The chemomechanical(Carisolv)removal of caries can effectively reduce DF incidence in children and improve the compliance of patients and the treatment efficiency of DF patients.