【摘要】：[目的]通過比較兩種去齲方法對(duì)緩解兒童牙科恐懼及齲齒短期充填效果,為乳牙齲的臨床治療尋找一種既能緩解兒童牙科恐懼,又能達(dá)到良好去齲、充填效果的方法。[方法]選取30名5-8歲齲病患兒,將其110顆ICDAS指數(shù)為5的同頜同名齲壞牙按照自身對(duì)照的配對(duì)設(shè)計(jì)方法,配對(duì)后隨機(jī)分為兩組,實(shí)驗(yàn)組采用Carisolv化學(xué)機(jī)械去齲,對(duì)照組采用渦輪機(jī)去齲,去齲后進(jìn)行常規(guī)樹脂充填。(1)采用MCDASf改良兒童牙科焦慮面部表情量表中文版評(píng)估患兒的恐懼度;(2)采用Venham臨床焦慮及合作行為級(jí)別評(píng)定量表評(píng)估患兒的焦慮度;(3)采用USPHS改良修復(fù)體臨床評(píng)價(jià)標(biāo)準(zhǔn)評(píng)估短期內(nèi)修復(fù)體滿意度。采用Mann-Whitney秩和檢驗(yàn)及χ2檢驗(yàn)對(duì)兩組間實(shí)驗(yàn)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。[結(jié)果](1) MCDASf改良兒童牙科焦慮面部表情量表中文版結(jié)果顯示:Carisolv去齲組與渦輪機(jī)去齲組相比,患兒恐懼率降低(p0.05),差異具有統(tǒng)計(jì)學(xué)意義。(2) Venham臨床焦慮及合作行為級(jí)別評(píng)定量表結(jié)果顯示:Carisolv去齲組與渦輪機(jī)去齲組相比,患兒不合作率降低(p0.05),差異具有統(tǒng)計(jì)學(xué)意義。(3) USPHS改良修復(fù)體臨床評(píng)價(jià)標(biāo)準(zhǔn)結(jié)果對(duì)比顯示:Carisolv去齲組與渦輪機(jī)去齲組相比,6個(gè)月后修復(fù)體滿意率無明顯差異(p0.05)。[結(jié)論]Carisolv去齲既能緩解兒童牙科恐懼,又能達(dá)到良好去齲、短期充填效果,可推薦應(yīng)用于臨床。
[Abstract]:[objective] to compare the effects of two caries removal methods on the relief of dental fear and dental caries short-term filling in children, and to find a method for the clinical treatment of deciduous dental caries, which can not only alleviate the dental fear of children, but also achieve a good effect of caries removal and filling. [methods] Thirty caries aged 5-8 years were selected and 110 caries teeth with the same ICDAS index of 5 were randomly divided into two groups according to the self-control pairing design method. The experimental group was treated with Carisolv chemical-mechanical caries removal. The control group was treated with turbine caries removal and conventional resin filling after caries removal. (1) the Chinese version of MCDASf modified dental anxiety facial expression scale was used to evaluate the fear degree of the children. (2) the anxiety degree of children was evaluated by Venham scale of clinical anxiety and cooperative behavior grade, and (3) short-term satisfaction was evaluated by USPHS modified prosthesis clinical evaluation criteria. Mann-Whitney rank sum test and 蠂 2 test were used to analyze the experimental data between the two groups. [results] (1) the Chinese version of MCDASf modified Children's Dental anxiety facial expression scale showed that the fear rate of Carisolv caries removal group was lower than that of turbine caries removal group (p0.05). The difference was statistically significant. (2) the results of Venham Clinical anxiety and Cooperative behavior rating scale showed that the uncooperative rate of Carisolv caries removal group was lower than that of turbine caries removal group (p0.05). The difference was statistically significant. (3) the results of clinical evaluation of modified USPHS prosthesis showed that there was no significant difference in the satisfaction rate of the restoration after 6 months between the Carisolv caries removal group and the turbine caries removal group (p0.05). [conclusion] Carisolv caries removal can not only relieve dental fear in children, but also achieve good effect of dental caries removal. It can be recommended for clinical use.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R788

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本文編號(hào)：2368135