3种不同方法预防儿童恒牙龋的临床效果评价

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (6): 736-739.

3种不同方法预防儿童恒牙龋的临床效果评价

唐莉红¹, 施乐¹, 袁爽¹, 吕进¹, 陆海霞²

1.上海市静安区牙病防治所预防科,上海 200042; 2.上海交通大学医学院附属第九人民医院·口腔医学院口腔预防科,上海 200011

收稿日期:2014-01-10 修回日期:2014-05-05 出版日期:2014-12-20 发布日期:2015-01-08
作者简介:唐莉红（1975-）,女,主治医师,

Effectiveness of 3 different methods in prevention of dental caries in permanent teeth among children

TANG Li-hong, SHI Le, YUAN Shuang, LV Jin, LU Hai-xia

1.Department of Preventive Dentistry, Shanghai Jing’an Dental Clinic. Shanghai 200042;
2.Department of Preventive Dentistry, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2014-01-10 Revised:2014-05-05 Online:2014-12-20 Published:2015-01-08

摘要/Abstract

摘要： 目的：对氟保护漆、氟化泡沫和含氟窝沟封闭剂预防儿童恒牙龋的临床效果进行比较,寻找适合在学校开展的龋病预防适宜技术。方法：应用随机对照试验方法,将来自4个学校、33个班级的1016名 7~8岁儿童随机分为4组。第1组应用氟保护漆,半年应用1次;第2组应用氟化泡沫,半年应用1次;第3组应用含氟窝沟封闭剂,一次性使用;第4组为对照组,仅做口腔卫生宣教。比较2年后4组儿童第一恒磨牙的防龋效果。采用SPSS18.0软件包对数据进行统计学分析。结果：2年后, 977名儿童（随访率为96.2%）接受龋病复查。多因素协方差分析结果显示,氟保护漆组和含氟窝沟封闭组与对照组相比,新增龋面均显著减少（P<0.05）。氟化泡沫组与对照组相比,新增龋均和龋面均无显著差异（P>0.05）。结论：氟保护漆（半年使用1次）和含氟窝沟封闭剂对儿童恒牙有良好的防龋效果。

关键词: 龋齿, 氟化物, 氟保护漆

Abstract: PURPOSE: To compare the effectiveness of fluoride vanish, fluoride foam, pit and fissure sealant with fluoride in prevention of dental caries, and investigate appropriate approach to prevent dental caries at schools. METHODS: A randomized controlled clinical trial with 4 parallel groups was conducted. Totally 1016 children from 4 schools and 33 classes with a mean age of 7 to 8 years were included. They were randomly allocated into 4 groups: ① fluoride vanish, semi-annual application; ② fluoride foam, semi-annual application; ③ resin sealant, single placement; and ④ placebo control with oral hygiene instruction. Follow-up examinations were conducted after 2 years to monitor dental caries increment of first molars among these children. Data analysis was performed using SPSS 18.0 software package. RESULTS: Two years later, 977 children (96.2%) were examined. The results of multiple factor ANCOVA showed that fluoride vanish and resin sealant had significantly lower mean dental caries increment on tooth surface compared with control group (P<0.05). No significant difference of mean dental caries increment on tooth surface was found between fluoride foam and control group (P>0.05). CONCLUSIONS: The placement of resin sealant with fluoride and annual application of fluoride protector are effective in prevention of dental caries in permanent teeth of children.

Key words: Dental caries, Fluoride, Flouride vanish

中图分类号:

780.1

唐莉红, 施乐, 袁爽, 吕进, 陆海霞. 3种不同方法预防儿童恒牙龋的临床效果评价[J]. 上海口腔医学, 2014, 23(6): 736-739.

TANG Li-hong¹, SHI Le¹, YUAN Shuang¹, LV Jin¹, LU Hai-xia². Effectiveness of 3 different methods in prevention of dental caries in permanent teeth among children[J]. Shanghai Journal of Stomatology, 2014, 23(6): 736-739.

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