微创凝胶去龋在乳牙龋病树脂修复中的效果评价

doi:10.19439/j.sjos.2026.02.008

摘要/Abstract

摘要： 目的:评估并比较伢典微创凝胶去龋联合渗透树脂和复合树脂在乳牙龋齿治疗中的效果与安全性。方法:选择2019年1月—2024年1月在河北医科大学口腔医院进行乳牙龋病治疗的218例患儿,利用随机数字表法分为对照组（109例）与试验组（109例）。伢典微创凝胶去龋后,对照组采用渗透树脂充填,试验组采用复合树脂充填。统计并比较两组患儿治疗前后龈沟出血指数（sulcus bleeding index,SBI）、牙龈指数（gingival index,GI）、牙菌斑指数（plaque index,PLI）、咀嚼功能和牙周炎症因子水平。结果:试验组治疗时间、口腔功能恢复时间为（4.12±0.58） min、（29.12±3.02） d,显著低于对照组的（6.53±1.02） min、（36.54±3.52） d（P<0.05）。试验组治疗后SBI差值、GI差值和PLI差值均显著高于对照组（P<0.05）。试验组血清TNF-α差值、IL-6差值和Il-8差值显著高于对照组（P<0.05）。试验组静息时咬肌肌电活动差值显著低于对照组,静息时颞肌肌电活动差值、最大力咬合时咬肌肌电活动差值和最大力咬合时颞肌肌电活动差值显著高于对照组（P<0.05）。试验组中、重度疼痛例数显著少于对照组（P<0.05）。试验组总有效率为96.3%,显著高于对照组的83.5%（P<0.05）。试验组不良反应例数显著少于对照组（P<0.05）。结论:伢典微创凝胶去龋联合复合树脂治疗乳牙龋齿可显著缩短治疗及口腔功能恢复时间,提高治疗后的牙周健康指标,减少疼痛及不良反应发生,总体有效率更高。

关键词: 乳牙龋齿, 伢典微创凝胶, 渗透树脂, 复合树脂

Abstract: PURPOSE: To evaluate and compare the efficacy and safety of Carisolv minimally invasive gel caries removal technique combined with penetrating and composite resins in the treatment of caries in deciduous teeth. METHODS: A total of 218 children treated for deciduous tooth caries in Stomatology Hospital of Hebei Medical University from January 2019 to January 2024 were selected and divided into control group (n=109) and experimental group (n=109) by random number table method. After caries removal with Carisolv minimally invasive gel, the control group was filled with osmotic resin, and the experimental group was filled with composite resin. Sulcus bleeding index(SBI), gingival index(GI), plaque index(PLI), chewing function and levels of periodontal inflammatory factors were compared between the two groups before and after treatment. Results: The operation time and oral function recovery time in the experimental group were (4.12±0.58) min and (29.12±3.02) d, respectively, which were significantly shorter than those in the control group (6.53±1.02) min and (36.54±3.52) d (P<0.05). The differences of SBI, GI and PLI in the experimental group were significantly higher than those in the control group (P<0.05). The changes of serum TNF-α, IL-6, and IL-8 levels in the experimental group were significantly higher than those in the control group (P<0.05). The difference in resting masseter muscle electromyographic activity in the experimental group was significantly lower than that in the control group, the differences in resting temporal muscle electromyographic activity, maximal clenching masseter muscle electromyographic activity and maximal clenching temporal muscle electromyographic activity were significantly higher than those in the control group (P<0.05). The numbers of cases with moderate to severe pain were significantly lower in the experimental group (P<0.05). The overall treatment efficacy rate in the experimental group was 96.3%, significantly higher than that in the control group (83.5%, P<0.05). The incidence of adverse reactions was significantly lower in the experimental group (P<0.05). CONCLUSIONS: Carisolv minimally invasive gel combined with composite resin for primary tooth caries can significantly shorten the treatment and oral function recovery time, improve the periodontal health index after treatment, reduce pain and adverse reactions, with a higher overall effective rate.

Key words: Primary dental caries, Carisolv minimally invasive gel, Osmotic resin, Composite resin

中图分类号:

R788.1

张洪月, 刘晓礼, 苏敏, 邢聪聪, 李鑫楠, 吕炳建. 微创凝胶去龋在乳牙龋病树脂修复中的效果评价[J]. 上海口腔医学, 2026, 35(2): 159-164.

Zhang Hongyue, Liu Xiaoli, Su Min, Xing Congcong, Li Xinnan, Lyu Bingjian. Evaluation of minimally invasive gel decaying in resin restoration of deciduous tooth caries[J]. Shanghai Journal of Stomatology, 2026, 35(2): 159-164.

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