窝沟封闭术+氟保护在预防儿童龋齿中的应用效果

欧阳梅南

[摘要]目的 探讨窝沟封闭术+氟保护在预防儿童龋齿中的效果。方法 选取我院2014年1月～2016年5月收治的龋齿60例患儿，采用随机数字表法将其分成观察组和对照组，每组各30例。对照组给予窝沟封闭术进行治疗，观察组给予窝沟封闭术+氟保护进行治疗，随访2年，对两组的龋齿及封闭剂脱落发生率进行比较。结果 防龋前，两组的龋齿发病率、龋面均值及龋均值性比较，差异无统计学意义（P>0.05）；防龋后，观察组的龋齿发病率明显低于对照组，其龋面均值及龋均值明显低于对照组，差异均有统计学意义（P<0.05）；随访2年，观察组脱落率明显低于对照组，差异有统计学意义（P<0.05）。结论 将窝沟封闭术和氟保护漆用于临床预防儿童龋齿中，其治疗效果确切，可以明显降低患儿龋齿的发生率，能有效保护儿童牙齿。

[关键词]窝沟封闭术；氟保护漆；儿童龋齿；预防；封闭剂脱落

[中图分类号] R788.1 [文献标识码] A [文章编号] 1674-4721（2018）11（b）-0113-03

[Abstract] Objective To explore the effect of fissure sealing and fluorine protection in prevention of dental caries in children. Methods 60 children with dental caries admitted in our hospital from January 2014 to May 2016 rondomly divided into observation group （n=30） and control group （n=30）. The patients were followed up for 2 years， the incidence of dental caries and sealant loss in the two groups were compared. Results Pre caries prevention， there was no significant difference in caries incidence， mean and mean caries between the two groups （P>0.05）， After caries prevention， the incidence of caries in the observation group was significantly lower than that in the control group （P<0.05）. The mean of caries surface and caries in the observation group were significantly lesser than those in the control group （P<0.05）， and the abscission rate in the observation group was significantly lower than that in the control group for 2 years （P<0.05）. Conclusion The application of pit and groove sealing and fluorine protective paint in clinical prevention of children′s dental caries is effective， which can obviously reduce the incidence of dental caries in children and protect children′s teeth effectively.

[Key words] Fissure sealing； Fluorine protective paint； Dental caries in children； Prevention； Sealant exfoliation

儿童龋齿为临床上较为常见的口腔科疾病，龋齿严重会导致患牙疼痛，其发病原因和患儿牙齿不洁有很大联系，由于患儿多喜爱零食，造成糖分在牙齿上的堆积，牙齿细菌在该环境下得到生长和繁殖，最终导致龋齿的发生[1]，对患儿的正常饮食带来严重的影响，临床上儿童龋齿的积极防治对患儿的成长有重要意义。以往临床上对龋齿的预防和治疗较常用窝沟封闭术，尽管该方法具有一定的治疗效果，但是其远期疗效欠佳[2]，窝沟封闭剂较为容易脱落而导致龋齿的发生。窝沟封闭术+含氟保护漆是近年来用于预防龋齿的方法，本研究探究窝沟封闭术+含氟保护漆在预防儿童龋齿中的效果，现报道如下。

1资料与方法

1.1一般资料

选取我院2014年1月～2016年5月收治的龋齿60例患儿，采用随机数字表法将其分成观察组和对照组，每组各30例。观……