上海口腔医学 ›› 2019, Vol. 28 ›› Issue (5): 553-556.doi: 10.19439/j.sjos.2019.05.021

• 论著 • 上一篇    下一篇

氟化钠护齿剂与窝沟封闭剂用于防治学龄前儿童龋齿的效果评价

张爱华, 李婧   

  1. 西宁市口腔医院 儿童牙病科,青海 西宁 810016
  • 收稿日期:2019-03-01 出版日期:2019-10-25 发布日期:2019-12-11
  • 通讯作者: 李婧,E-mail:weijunnanjin@163.com
  • 作者简介:张爱华(1982-),女,本科,主治医师, E-mail:yuki0935@yeah.net

Evaluation of the efficacy of sodium fluoride dental protective agent combined with pit and fissure sealant in prevention of dental caries in preschool children

ZHANG Ai-hua, LI Jing   

  1. Department of Pediatric Dentistry, Xining Stomatological Hospital.Xining 810016, Qinghai Province, China
  • Received:2019-03-01 Online:2019-10-25 Published:2019-12-11

摘要: 目的 探讨氟化钠护齿剂联合窝沟封闭预防学龄前儿童龋病的效果。方法 选取2014年1月—2014年9月西宁市口腔医院口腔中心实施窝沟封闭干预的200例学龄前儿童作为研究对象,采用随机数字表法分为联合组和对照组(各100例),对照组采用窝沟封闭剂进行龋病预防,联合组采用氟化钠护齿剂联合窝沟封闭剂进行龋病预防。比较2组随访1年、2年的龋齿发生率,邻面龋发生率、龋均值、封闭剂的脱落情况。采用SPSS 16.0软件包进行t检验和χ2检验。结果 随访1年时,联合组和对照组的龋齿发生率、邻面龋发生率、龋均值均无显著差异(P>0.05);随访2年时联合组的龋齿发生率、龋均值显著低于对照组(P<0.05);联合组的邻面龋发生率与对照组相比,无显著差异(P>0.05);联合组的窝沟封闭剂保留完好率显著高于对照组(P<0.05);联合组和对照组的窝沟封闭剂部分脱落率、完全脱落率无显著差异(P>0.05)。结论 氟化钠护齿剂联合窝沟封闭预防学龄前儿童龋病较单纯使用窝沟封闭剂具有更好的防龋病效果。

关键词: 氟化钠护齿剂, 窝沟封闭剂, 学龄前儿童, 龋病

Abstract: PURPOSE: To explore the effect of sodium fluoride tooth protector combined with pit and fissure sealing to prevent caries in preschool children. METHODS: Two hundred preschool children who were treated with pit and fissure closure from January 2014 to September 2014 were selected as subjects. According to random number table method, 100 cases were divided into the combined group and the control group. Children in the control group were treated with pit and fissure sealant for prevention of caries, while children in the combined group were treated with sodium fluoride tooth protector combined with pit and fissure sealant for caries prevention. The incidence of dental caries, proximal caries, mean DMFT, and expulsion rate of the sealants were compared between the two groups at 1 year and 2 years. Data analysis was performed using SPSS 16.0 software package for t test and χ2 test. RESULTS: At 1 year of follow-up, there was no significant difference in the incidence of dental caries, proximal caries, and mean DMFT between the two groups (P>0.05). The incidence of caries and mean DMFT in the combined group were significantly lower than those in the control group at 2 years of follow-up (P<0.05). The incidence of proximal caries in the combined group was not significantly different from that in the control group (P>0.05). The retension rate of the pit and fissure sealant in the combined group was significantly higher than that in the control group (P<0.05). There was no significant difference in the partial shedding rate and complete expulsion rate between the two groups (P>0.05). CONCLUSIONS: Sodium fluoride tooth protector combined with pit and fissure sealing has better anti-caries effect than the use of pit and fissure sealant alone in preschool children.

Key words: Sodium fluoride tooth protector, Pit and fissure sealant, Preschool children, Dental caries

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