|本期目录/Table of Contents|

[1]路朋,姚睿,吴双.乳磨牙根管治疗后4种不同修复方式疗效的比较[J].天津医科大学学报,2023,29(02):188-193.
 LU Peng,YAO Rui,WU Shuang.Comparison of four different restorative methods for deciduous molars after root canal therapy[J].Journal of Tianjin Medical University,2023,29(02):188-193.
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
29卷
期数:
2023年02期
页码:
188-193
栏目:
临床医学
出版日期:
2023-03-20

文章信息/Info

Title:
Comparison of four different restorative methods for deciduous molars after root canal therapy
文章编号:
1006-8147(2023)02-0188-06
作者:
路朋1姚睿12吴双2
1.天津医科大学研究生院,天津300070;2.天津市口腔医院儿童口腔科,天津300041
Author(s):
LU Peng1YAO Rui12WU Shuang2
1.Graduate School,Tianjin Medical University,Tianjin 300070,China;2.Department of Pediatric Dentistry,Tianjin Stomatology Hospital,Tianjin 300041,China
关键词:
乳磨牙金属预成冠金属高嵌体玻璃离子复合树脂
Keywords:
deciduous molarspreformed metal crownmetalonlayglassionomercompound resin
分类号:
R781.05
DOI:
-
文献标志码:
A
摘要:
目的:比较4种不同修复方式对根管治疗后(RCT)乳磨牙不同时期的临床疗效。探讨不同修复方式对儿童乳牙牙体缺损修复的治疗效果和安全性。方法:收集2018年12月—2020年3月于天津市口腔医院儿童口腔科就诊的183例患儿共计453颗因龋病继发牙髓炎或者根尖炎而需要做RCT术的乳磨牙。随机分为4组进行修复治疗,即:玻璃离子充填组、光固化树脂充填组、钴铬合金高嵌体组、金属预成冠(PMC)组。患牙修复治疗后进行为期2年的随访,比较4种修复方式不同时间段的治疗效果和不良反应。结果:3个月和6个月时随访结果显示4种修复方式的总体成功率比较无统计学意义(P>0.05)。1年和2年4种修复方式总体成功率有显著统计学差异(P<0.05)。结论:修复后3个月和6个月,乳磨牙RCT后玻璃离子充填组、光固化树脂充填组、钴铬合金高嵌体组、金属预成冠组4种不同修复方式疗效相近。修复后1年和2年,乳磨牙嵌体、乳磨牙金属预成冠修复方式优于光固化树脂和玻璃离子修复方式,其中乳磨牙金属预成冠修复方式最佳。
Abstract:
Objective:To compare the clinical effects of four different restoration methods on deciduous molars after root canal therapy (RCT)in different periods. To explore the therapeutic effect and safety of different restoration methods for children′s deciduous teeth defects. Methods:From December 2018 to March 2020,a total of 453 deciduous molars requiring RCT due to caries secondary pulpitis or apicitis were collected from 183 children in the Department of Pediatric Dentistry of Tianjin Stomatological Hospital. They were randomly divided into four groups for restorative treatment,namely,glass ionomer filling group,compound resin filling group,cobalt-chromium alloy onlay group and preformed metal crown(PMC)group. A 2-year follow-up was conducted after the restoration of the affected teeth,and the therapeutic effects and adverse reactions of the four restoration methods in different time periods were compared. Results:There was no significant difference in overall success rate among the four groups follow-up at 3 and 6 months(P>0.05). The comparison success rates of the four groups inone year and two years have significant statistical differences(P<0.05). Conclusion:Three and six months after restoration,four different restoration methods of primary molars after RCT,including glass ionomer filling group,compound resin filling group,cobalt-chromium alloy onlay group and metal pre-crown group,have similar curative effects. One and two years after restoration,the restoration methods of onlay and metal premolars of primary molars are better than those of compound resin and glass ionomer,among which preformed metal crown is the best.

参考文献/References:

[1] 张佳丽,姚军,仁青措姆,等.西藏昌都市3~5岁儿童龋病及其影响因素调查分析[J].华西口腔医学杂志,2021,39(1):53-57.
[2] 周琼,彭楚芳,秦满.近红外光透照 技术 诊断乳磨牙早期邻面龋[J].北京大学学报(医学版),2019,51(1):59-64.
[3] 陈少丽,郭玉凡,刘学军.根管治疗疗效及其影响因素的回顾性研究[C].//中华口腔医学会第十一次全国牙体牙髓病学学术 大会论文集. 2018:464-465.
[4] 赵志华,姚敏.儿童乳牙根管治疗后3种冠修复方 法的疗效及安全性比较[J].实 用 口腔医学杂志,2019,35(6):895-898.
[5] AKMAN H,TOSUN G. Clinical evaluation of bulk-fill resins and glass ionomer restorative materials:a 1-year follow-up randomized clinical trial in children[J]. Niger J Clin Pract,2020,23(4):489-497.
[6] ELHENNAWY K,FINKE C,PARIS S,et al. Selective vs stepwise removal of deep carious lesions in primary molars:24 months follow-up from a randomized controlled trial[J]. Clin Oral Investig,2021, 25(2):645-652.
[7] HOJJATOLESLAMI S A,AVANAKI MRN,PODOLEANU A G. Im-age quality improvement in optical coherence tomography using Lucy-Richardson deconvolution algorithm [J]. Appl Opt,2013,52 (23):5663-5670.
[8] 黄翠,刘英衡.口腔粘接与粘固的区别和联 系[J].口腔医学研究, 2021,37(5):381-385.
[9] 汪春仙,何爱娥.不同充填修复方 法在乳磨牙邻 面龋损中的应用 比较[J].临床口腔医学杂志,2022,38(2):108-110.
[10]宋旭,李卓骏,孔雪.学龄前儿童乳牙龋齿采用 不同复合 树脂充填修复的临床效果分析[J].吉林医学,2020,41(5):1204-1206.
[11] MANDAL N B,KUMARI A,BALDEV K C,et al. A clinical evalua-tion of onlay and inlay in the posterior ceramic restorations:an origi-nal study[J]. J Pharm Bioallied Sci,2022,14(Suppl 1):S310-S312.
[12] RAJAMANI V K,REYAL S S,GOWDA E M,et al. Comparative prospective clinical evaluation of computer aided design/computer aided manufacturing milled BioHPP PEEK inlays and Zirconia in-lays[J]. J Indian Prosthodont Soc,2021,21(3):240-248.
[13] AYEDUN O S,OREDUGBA F A,SOTE E O. Comparison of the treatment outcomes of the conventional stainless steel crown restora-tions and the hall technique in the treatment of carious primary mo-lars[J]. Niger J Clin Pract,2021,24(4):584-594.
[14] 夏玉婷,郑荣.全麻下乳磨牙金属预成冠修复的治疗效果研究[J].中国全科医学,2020,23(S2):192-194.
[15]郑黎薇,邹静,夏斌,等.儿童乳磨牙金属预成冠的修复治疗[J].国际口腔医学杂志,2017,44(2):125-129.
[16] MACIEL R,SALVADOR D,AZOUBEL K,et al. The opinion of chil-dren and their parents about four different types of dental restora-tions in a public health service in Brazil[J]. Eur Arch Paediatr Dent, 2017,18(1):1-5.

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备注/Memo

备注/Memo:
作者简介:路朋(1991-),男,主治医师,硕士在读,研究方向:口腔临床医学;
通信作者:姚睿,E-mail:yaorui73@163.com。
更新日期/Last Update: 2023-04-30