117例龋病ART疗效观察

目的探讨非创伤性充填技术（Atraumatic Restorative Treatment，ART）治疗龋病的临床疗效。方法选取没有牙髓问题的117例（214颗患牙）患者，随机分为ART组与传统充填组，比较随访半年及1年的成功率和继发龋率。结果ART组与传统充填组随访半年及1年成功率均无差异（P〉0．05），1年继发龋率ART组较传统充填明显低（P〈0．05）。结论应用ART技术治疗龋洞是一个简便、可行、有效的方法，而且继发龋率低。

Therapeutic Effects of Atraumatic Restorative Treatment (ART) in Management of 117 Patients with Caries

Objective To explore the therapeutic effects of atraumatic restorative treatment (ART) in management of caries. Methods One hundred and seventeen patients with 214 caries were entered the trial. They were assigned to a ART group and a traditional group. One hundred and twenty-four teeth were managed by ART, and the other 90 teeth were managed with traditional measure. The therapeutic efficacy was evaluated after 1/2 and 1 year. Results The 1/2 and 1 year satisfactory rates of ART were 91.9% and 87.9 %, and the traditional measures were 92.2 % and 88.9 % respectively, no statistical significant difference was existed between them (P>0.05). However, the 1-year recurrent rates of (secondary) caries after ART (6.45%) were significantly lower than that after traditional measure (16.67%) (P < 0.05). Conclusions ART is a simple, appropriate and effective method for the management of primary caries and the incidence of secondary caries is less common.