摘要
目的：分析应用牙科全麻技术（DGA）治疗的30例儿童牙病患者的年龄、性别等分布特征以及处置项目情况与随访结果。方法：中国医科大学口腔医学院儿童牙科2006—2007年应用DGA治疗的病例30例，一次性治疗口内所有患牙，处置项目包括龋齿充填术、间接盖髓术、活髓切断术、根管治疗术、拔牙术以及对所有牙的龈上洁治术、光滑面涂布氟保护漆、余留健康前磨牙和乳、恒磨牙窝沟封闭。对患者的自然情况、处置项目以及随访结果进行整理分析，应用SPSS10．0软件包进行Х^2检验，比较不同年龄组DGA治疗病例的男女性别比例分布以及各种处置项目所占的比例在乳、恒牙之间的差别。结果：患者年龄19个月-14岁，均为不合作儿童，其中智力发育障碍者占10％，智力健康者占90％；在各年龄组中，男性患者均多于女性；在各处置项目中，龋齿充填术占18．67％，间接盖髓术占23．26％，活髓切断术占0．77％，根管治疗术占29．16％，拔牙术占2．05％，窝沟封闭术占26．09％；乳牙根管治疗术的比例高于窝沟封闭术，而恒牙则相反，统计学上有高度显著性差异（Х^2=11．630，P=0．001）。复查时，除2例智力发育障碍儿童外，均可配合检查治疗；经过6～12个月的复查，无一例有新龋发生，3例患儿出现充填物脱落，其中前牙3颗，根管治疗后的后牙2颗。结论：龋齿充填术和根管治疗术是儿童DGA治疗的主要项目，采取龋病的综合防治策略，能有效降低儿童的新发龋坏：DGA是对不合作儿童进行治疗的安全有效的行为管理技术。
PURPOSE： To determine the age and sex characteristics of the children and type of dental procedures performed under dental general anesthesia （DGA） and to assess the results after six months to one year＇s follow-up. METHODS： A sample of 30 patients treated under dental general anesthesia （DGA） during 2006-2007 in the Department of Pediatric Dentistry of China Medical University was reviewed. All the teeth were treated one time. The dental procedures performed included caries restoration, indirect pulp capping, pulpotomy, root canal therapy （RCT） and dental extraction. Oral prophylaxis and topical fluoride applications were performed on all teeth. Pit and fissure sealing was performed on all healthy premolars and molars. SPSS10.0 software package was used for statistical analysis. Chi-square test was used to analyze the difference of the sex distribution in different age group and the difference of dental procedures performed between the primary teeth and the permanent teeth. RESULTS： The age of the patients ranged from 19 months to 14 years. The mental retardation patients accounted for 10% and mental healthy patients accounted for 90% of the sample studied. Males were more than females with the ratio about 2 to 1 in each age group. The dental procedures performed were caries restoration （18.67%）, indirect pulp capping （23.26%）, pulpotomy （0.77%）, RCT （29.16%）, dental extractions （2.05%） and fissure sealants （26.09%）. The percentage of RCT was higher than that of caries restoration in the primary teeth, whereas the result was opposite as for the permanent teeth as indicated by Chi-square test（Х^2=11.630, P= 0.001 ）. New dental caries was not found except 2 patients who suffered from dysnoesia and were not cooperative to have regular examination. Fillings were lost in 3 cases, with 3 anterior teeth and 2 posterior teeth after RCT. All the children could cooperate except two mental retardation patients during the follow-up visit. CONCLUSIONS： Caries restoration and RCT are the most frequently performed procedures in pediatric patients using DGA. This indicates the need to design and implement integrate control and prevention programs for special pediatric patients. DGA is a safe and effective behavior management technique to treat uncooperative children.
出处
《上海口腔医学》
CAS
CSCD
2008年第6期591-594,共4页
Shanghai Journal of Stomatology
关键词
儿童牙科
牙科全麻技术
行为管理技术
Pediatric dentistry, Dental general anesthesia
Behavior management technique
