摘要
目的：评价非创伤性治疗（ＡＲＴ）技术充填和窝沟封闭的效果及其可接受性，探索适合我国学校和农村开展龋病防治的方法。方法：采用德国ＥＰＳＥ公司生产的Ｋｅｔａｃ－Ｍｏｌａｒ玻璃离子材料完成４８６颗受试牙的充填和窝沟封闭，治疗后１年、２年复查，记录ＡＲＴ充填体、封闭物及继发龋坏情况。结果：对２９５颗恒牙进行ＡＲＴ充填治疗，１年和２年成功率分别达９５．７％及９１．１％；１９１颗牙进行了窝沟封闭，３月、１年、２年成功率分别为９５．２％、８９．１％、７８．８％；ＡＲＴ充填和窝沟封闭后２年继发龋发生率分别为２．１％和０．６％。ＡＲＴ治疗为９１．１％的学生所接受。结论：ＡＲＴ技术操作简单方便，易学，成功率高，继发龋低，患者易于接受，可以培训中初级口腔卫生人员开展此项工作，适合于大规模地推广应用。
Objective:To study the feasibility of providing Atraumatic Restorative
Treatment (ART) in schools and in rural areas in China, and to evaluate the acceptance and
effectiveness of the treatment. Methods: The study was conducted among 272
grade one students chosen from four different secondary schools in Deyang of Sichuan
Province, China. The mean age of the subjects was 12 5 years. 107 boys and 165 girls were
found at the baseline examination to have teeth that were suitable for receiving ART fillings or
sealants. The treatments were performed within a month using the glass ionomer Ketac Molar
manufactured by ESPE. Evaluation was carried out at 3 months, one year and two years after
treatment. [WTHZ]Results:[WTBZ] ART fillings were placed in 295 permanent teeth,and the 1
year and 2 year success rates were 95 7% and 91 1% respectively. ART sealants were placed
in another 191 permanent teeth,and the 3 month, 1 year and 2 year success rates were 95
2%, 89 1% and 78 8% respectively. The incidence of recurrent caries was very low after two
years, which were 2 1% and 0 6% for the fillings and sealants respectively. ART was accepted
by the majority of the students. Conclusion:ART is a simple, acceptable technique ,and is
suitable for widespread adoption in China. \;
出处
《华西口腔医学杂志》
CAS
CSCD
北大核心
1999年第1期42-45,共4页
West China Journal of Stomatology
关键词
年轻恒牙
龋齿
非创伤性充填
窝沟封闭
preventive dentistry\ \ filling\ \ fissure
sealant\ \ atraumatic restorative treatment\ \ glass ionomer
