口腔疾病防治 ›› 2022, Vol. 30 ›› Issue (2): 117-122.DOI: 10.12016/j.issn.2096-1456.2022.02.007

• 临床研究 • 上一篇    下一篇

氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋效果观察

柳磊(), 黄丽霞, 狄丽莎, 苏葵   

  1. 中山市人民医院口腔分院儿童口腔科,广东 中山(528400)
  • 收稿日期:2021-07-08 修回日期:2021-09-05 出版日期:2022-02-20 发布日期:2021-11-25
  • 通讯作者: 柳磊
  • 基金资助:
    中山市卫生和计划生育局医学科研基金项目(2017J011)

Effect of fluoride varnish, glass ionomer and resin sealant on the prevention of pit and fissure caries in young children

LIU lei(), HUANG Lixia, DI Lisha, SU Kui   

  1. Department of Pediatric Stomatology, Zhongshan City People’s Hospital, Zhongshan 528400, China
  • Received:2021-07-08 Revised:2021-09-05 Online:2022-02-20 Published:2021-11-25
  • Contact: LIU lei
  • Supported by:
    Medical Research Fund Project of Zhongshan Health and Family Planning Bureau(2017J011)

摘要:

目的 研究氟保护漆、玻璃离子与树脂类窝沟封闭剂预防低龄儿童窝沟龋的效果,探讨在隔湿有限的情况下,减少操作技术敏感性并能有效预防低龄儿童窝沟龋的方法。方法 3~5岁儿童370例,采用自身对照设计,口内8颗乳磨牙分布在4个象限中,4个象限随机选择设置为空白组、氟保护漆多乐氟组、玻璃离子GC Fuji Ⅶ组、树脂类ClinproTM Sealant组,分别于6、12、24、36个月复查,观察乳磨牙窝沟封闭剂的保留率和患龋率。结果 6、12、24个月时,GC FujiⅦ组和ClinproTM Sealant组的材料保留率差异无统计学意义;36个月时,ClinproTM Sealant组封闭剂的保留率高于GC Fuji Ⅶ组(P<0.05)。6个月时,多乐氟组、GC FujiⅦ组、ClinproTM Sealant组患龋率均低于空白组,差异有统计学意义(P<0.001),多乐氟组、GC Fuji Ⅶ组、ClinproTM Sealant组三组患龋率差异无统计学意义,12、24、36个月时,GC Fuji Ⅶ组和ClinproTM Sealant组患龋率均低于多乐氟组和空白组,差异有统计学意义(P<0.001);空白组和多乐氟组患龋率差异、GC Fuji Ⅶ组和ClinproTM Sealant组患龋率差异均无统计学意义。结论 与单纯涂氟化物相比,GC Fuji Ⅶ组和ClinproTM Sealant组均能较为持久有效地预防窝沟龋,但在低龄幼儿配合欠佳、且无法获得良好隔湿的情况下,采用玻璃离子型窝沟封闭剂(GC Fuji Ⅶ)的预防措施更为简便易行。

关键词: 低龄儿童, 窝沟龋, 窝沟封闭, 氟保护漆, 多乐氟, 玻璃离子窝沟封闭剂, 树脂窝沟封闭剂, 患龋率, 保留率

Abstract:

Objective To study the effect of fluoride varnish, glass ionomer and resin sealant on the prevention of pit and fissure caries in young children, and to identify an a method to reduce the sensitivity of operation technique to prevent pit and fissure caries in young children with limited moisture isolation. Methods A self-control design was used to select 370 young children aged 3 to 5. Eight molars in the mouth were distributed in four quadrants, and each quadrant was randomly allocated to the blank group, fluoride varnish Duraphat group, glass ionomer GC FujiⅦ group, and resin ClinproTM Sealant group. The retention rate of pit and fissure sealant and the incidence of primary molar caries were observed in the 6th, 12th, 24th and 36th months respectively. Results In the 6th month, 12th month and 24th month, there were no significant differences in the material retention rate between the GC Fuji Ⅶ group and ClinproTM Sealant group. In the 36th month, the retention rate of the ClinproTM sealant group was better than that of the GC Fuji Ⅶ group (P < 0.05). In the 6th month, the caries incidence in the Duraphat group, GC Fuji Ⅶ group and ClinproTM sealant group was significantly lower than that in the blank group (P < 0.001). There was no significant difference between the Duraphat group, GC Fuji Ⅶ group and ClinproTM sealant group. In the 12th month, 24th month and 36th month, the incidence of caries in the GC Fuji Ⅶ group and ClinproTM sealant group was lower than that in the Duraphat group and blank group (P < 0.001), but there was no significant difference between the blank group and Duraphat group, and there was no significant difference in caries incidence between the GC Fuji Ⅶ group and ClinproTM sealant group. Conclusion The GC Fuji Ⅶ and ClinproTM sealant treatments continuously and effectively prevented pit and fissure caries compared with simple fluoride application. However, in cases of limited cooperation and poor moisture isolation in young children, the preventive measures of glass ionomer pits and fissure sealants (GC Fuji Ⅶ) are simpler and more feasible.

Key words: young children, pit and fissure caries, pit and fissure sealant, fluorides, Duraphat, glass ionomer pit and fissure sealant, resin pit and fissure sealant, incidence of caries, retention rate

中图分类号: