上海口腔医学

上海口腔医学 ›› 2019, Vol. 28 ›› Issue (4): 384-387.doi: 10.19439/j.sjos.2019.04.009

• 论著 • 上一篇    下一篇

窝沟封闭术联合氟保护漆在预防5~8岁儿童龋齿中的效果评价

林静1,2, 姚华3   

  1. 1.浙江大学 医学院,浙江 杭州 310058;
    2.杭州口腔医院 儿童口腔科,浙江 杭州 310006;
    3.浙江大学医学院附属第一医院 口腔科,浙江 杭州 310003
  • 收稿日期:2019-03-27 修回日期:2019-05-20 出版日期:2019-08-25 发布日期:2019-09-23
  • 通讯作者: 姚华,E-mail:yaohua@zju.edu.cn
  • 作者简介:林静（1986-）,女,本科,主治医师,E-mail：525946830@qq.com
  • 基金资助:
    国家自然科学基金（81101660）

Effects of pit and fissure sealant combined with fluorine protective paint on prevention of children caries aged 5-8 years old

LIN Jing1,2, YAO Hua3   

  1. 1. Zhejiang University School of Medicine. Hangzhou 310058;
    2. Department of Pediatric Dentistry, Hangzhou Dental Hospital. Hangzhou 310006;
    3. Department of Stomatology, the First Affiliated Hospital of Zhejiang University. Hangzhou 310003, Zhejiang Province, China
  • Received:2019-03-27 Revised:2019-05-20 Online:2019-08-25 Published:2019-09-23

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摘要： 目的 探讨窝沟封闭术联合氟保护漆在预防5~8岁儿童龋齿中的临床价值。方法 采用便利抽样法,选取2014年1月—2017年1月浙江大学医学院附属第一医院和杭州口腔医院进行口腔保健的儿童120例。利用随机数字表法分组,对照组（60例、109颗牙）行窝沟封闭术,实验组（60例、112颗牙）行窝沟封闭术联合氟保护漆。随访2年,比较2组的龋病发生情况。采用SPSS 20.0软件包对数据进行统计学分析。结果 实验组龋齿发生率（2.68%）显著低于对照组（10.09%）（P<0.05）;实验组邻面龋发生率（1.79%）显著低于对照组（9.17%）（P<0.05）;术后1、2年,实验组封闭剂脱落率（0.00%、3.33%）均显著低于对照组（10.00%、15.00%）（P<0.05）;实验组龋均值显著低于对照组（P<0.05）。结论 联合应用窝沟封闭术与氟保护漆对5~8岁儿童的防龋效果理想,可降低龋齿、邻面龋发生率,减少龋均值,保持封闭剂完整,值得临床推广。

关键词: 儿童, 龋齿, 窝沟封闭术, 氟保护漆

Abstract: PURPOSE: To investigate the effect of pit and fissure sealant combined with fluorine protective paint on prevention of children caries aged 5-8 years old. METHODS: Convenience sampling method was used to select 120 children who received oral health care in the First Affiliated Hospital of Zhejiang University and Hangzhou Dental Hospital from January 2014 to January 2017. They were grouped by random number table method: the control group (60 cases, 109 teeth) underwent pit and fissure sealant, and the experimental group (60 cases, 112 teeth) underwent pit and fissure sealant combined with fluorine protective paint. The patients were followed up for 2 years to compare the incident of dental caries. SPSS20.0 software package was used to analyze the data. RESULTS: The incidence of dental caries in the experiment group (2.68%) was significantly lower than that in the control group (10.09%) (P<0.05).The incidence of adjacent caries in the experiment group (1.79%) was significantly lower than that in the control group (9.17%) (P<0.05). At 1 and 2 years after sealing, the shedding rate(0.00%, 3.33%) of the sealant in the experiment group was significantly lower than that in the control group (10.00%, 15.00%)(P<0.05).The mean caries of the experiment group was significantly lower than that of the control group(P<0.05). CONCLUSIONS: The effect of combined pit and fissure sealant and fluoride protective paint on the prevention of dental caries in children aged 5-8 years old is ideal, which can reduce the incidence of dental caries and adjacent caries, reduce the mean caries, and keep the sealant intact. It is worthy of clinical promotion.

Key words: Children, Dental Caries, Pit and fissure sealant, Fluorine protective paint

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