非创伤性修复技术在儿童乳牙龋齿治疗中的价值

宫旭光

[摘 要]目的 探究对乳牙龋齿患儿应用非创伤性修复技术（ART）的效果。方法 选取2022年6月-2023年6月我院收治的乳牙龋齿患儿84例作为研究对象，应用随机数字表法分为对照组和观察组，各42例。对照组行传统修复技术治疗，观察组行ART治疗，比较两组临床效果、炎症因子水平、修复治疗时间、治疗后即刻VAS评分、填充物脱落状况、患儿家属满意情况。结果 观察组总有效率为92.86%，高于对照组的73.81%（P<0.05）；觀察组治疗3 d后TNF-α、hs-CRP、IL-6水平低于对照组（P<0.05）；观察组修复治疗时间短于对照组，治疗后即刻VAS评分低于对照组（P<0.05）；观察组治疗后6个月完整保留率高于对照组，部分脱落、完全脱落率低于对照组（P<0.05）；观察组患儿家属治疗满意度高于对照组（P<0.05）。结论 在儿童乳牙龋齿治疗中，ART可提升临床疗效，有助于减轻患儿痛感，抑制炎症反应，防止填充物脱落，且患儿家属满意度较高。

[关键词] 非创伤性修复技术；乳牙龋齿；炎症因子

[中图分类号] R788.1 [文献标识码] A [文章编号] 1004-4949（2024）05-0130-04

Value of Atraumatic Restorative Treatment for Deciduous Tooth Caries in Children

GONG Xu-guang

（Department of Stomatology， Laixi Economic Development Zone Hospital， Laixi 266600， Shandong， China）

[Abstract]Objective To explore the effect of atraumatic restorative treatment （ART） for deciduous tooth caries in children. Methods A total of 84 children with deciduous tooth caries admitted to our hospital from June 2022 to June 2023 were selected as the research objects. They were divided into control group and observation group by random number table method， with 42 children in each group. The control group was treated with traditional repair techniques， and the observation group was treated with ART. The clinical effects， inflammatory factor levels， repair treatment time， immediate VAS score after treatment， filler shedding status， and parents satisfaction were compared between the two groups. Results The total effective rate of the observation group was 92.86%， which was higher than 73.81% of the control group （P<0.05）. The levels of TNF-α， hs-CRP and IL-6 in the observation group were lower than those in the control group after 3 days of treatment （P<0.05）. The repair treatment time of the observation group was shorter than that of the control group， and the VAS score immediately after treatment was lower than that of the control group （P<0.05）. The complete retention rate of the observation group was higher than that of the control group， and the partial shedding and complete shedding rates were lower than those of the control group at 6 months after treatment （P<0.05）. The parents satisfaction rate in the observation group was higher than that in the control group （P<0.05）. Conclusion For deciduous tooth caries in children， ART can improve the clinical efficacy， help to reduce the pain level， inhibit the inflammatory response， prevent the fillings from falling off， and the parents satisfaction is high.

[Key words] Atraumatic restorative treatment； Deciduous tooth caries； Inflammatory factors

乳牙龋病（deciduous tooth caries）为儿科常见病，可促使患儿口腔环境恶化，增加根尖周炎、牙髓炎等发生风险，致使患儿牙体产生明显痛感，对患儿身心健康影响较为严重[1]。当前，对于乳牙龋病患儿，临床多以控制病变进展、恢复牙齿形态及固有功能作为主要治疗原则，既往修复治疗需开阔洞口，将腐质去除，存在一定的创伤性，且操作期间会使患儿疼痛加重，从而使得治疗过程中部分患儿产生挣扎、哭闹等现象，对修复治疗效果产生一定的负面影响[2]。非创伤性修复治疗（ART）技术属于新式修复技术，其操作期间无需运用电动牙科设备，仅利用手动器械即可实现龋坏牙体组织的清除，操作便捷，且安全性较高，易被患儿所接受[3]。本研究旨在探讨ART用于儿童乳牙龋齿修复治疗中的价值，现报道如下。

1 资料与方法

1.1 一般资料 选取2022年6月-2023年6月莱西市经济开发区卫生院收治的乳牙龋齿患儿84例作为研究对象，应用随机数字表法分为对照组和观察组，各42例。……