微创祛腐技术治疗孕妇深龋的效果及对疼痛、焦虑的影响

目的:评价微创祛腐技术在孕期深龋治疗中的效果,以及对孕妇龋病治疗时疼痛、焦虑的影响。方法:选择2017年1月-2017年11月在合肥市口腔医院就诊的后牙颌面Ⅰ类洞深部龋齿孕妇患者60例,随机分为实验组和对照组,每组各30例。实验组使用第3代化学祛腐技术和传统龋齿祛除方法,对照组使用传统祛腐治疗。操作过程中检测患者脉搏、血压,单牙治疗时间以及在治疗结束后随访治疗结果及并发症。应用综合性医院焦虑/抑郁量表(HAD)对孕期患者焦虑进行评估,采用SPSS22.0软件包对数据进行χ^2检验。结果:在微渗漏、继发龋和脱落率方面,2组无显著差异;但在治疗时间、菌斑抑制、患者恐惧度、疼痛感、保留健康组织等各方面,实验组均优于对照组,微创祛腐技术能有效缓解孕妇治疗期间的焦虑情绪。结论:微创祛腐技术在孕妇深龋治疗中优于传统的龋齿治疗方法,值得推广。

Comparative study of minimally invasive technique and traditional decaying method for dental caries and the impact of dental treatment on pain and anxiety during pregnancy

PURPOSE: To evaluate the effect of minimally invasive technique in the treatment of deep caries during pregnancy, and to assess the impact of dental treatment on pain and anxiety among pregnant women. Methods: From January 2017 to November 2017, 60 pregnant women with class I deep caries of the posterior teeth were recruited and divided into experimental group and control group randomly. The third generation chemical decaying technique plus traditional decaying method were used in the experimental group, and traditional decaying method alone was performed in the control group. Pulse and blood pressure during operation, duration of treatment for one tooth, and treatment results and complications at the end of follow-up were measured and recorded. Anxiety was assessed using the general hospital anxiety/depression scale (HAD) during treatment. The data were analyzed with SPSS 22.0 software package for Chi-square test. Results: There was no significant difference in microleakage, secondary caries and shedding rate between the experimental group and control group. However, the experimental group was superior to the control group in terms of treatment time, inhibition of plaque, patients' fear degree, pain sensation and retention of healthy dental tissue. Minimally invasive scavenging technique can effectively relieve pain and anxiety of pregnant women during treatment. Conclusions: Minimally invasive decaying technique is superior to traditional decaying method in the treatment of deep caries in pregnant women and is worth wide application.