首页|玻璃离子水门汀在后牙邻面龋齿治疗中的应用价值及对患者咀嚼功能的影响

玻璃离子水门汀在后牙邻面龋齿治疗中的应用价值及对患者咀嚼功能的影响

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目的 探讨玻璃离子水门汀在后牙邻面龋齿治疗中的应用价值。方法 选取2022年1月至2023年9月赣州市妇幼保健院收治的76例后牙邻面龋齿患者作为研究对象,按照密闭信封法将其分为对照组(n=38)与研究组(n=38)。对照组使用银汞合金填充龋洞,研究组使用玻璃离子水门汀填充龋洞。比较两组的修复效果,比较两组治疗前后的牙龈指数(GI)、龈沟出血指数(SBI)、菌斑指数(PLI)、附着丧失水平(CAL)及改良曼恩咀嚼协调评估量表(MASA)评分,并比较两组的不良反应发生率。结果 研究组的修复有效率高于对照组,差异有统计学意义(P<0。05)。治疗前,两组的各项牙周状况评分的比较,差异无统计学意义(P>0。05)。治疗后,两组患者的SBI、PLI及CAL评分均高于本组治疗前,但研究组的SBI、PLI及CAL评分均低于对照组,差异有统计学意义(P<0。05);两组患者治疗前后的GI评分比较,差异无统计学意义(P>0。05)。治疗前,两组患者的MASA评分比较,差异无统计学意义(P>0。05)。治疗后,两组患者的MASA评分均低于本组治疗前,且研究组评分低于对照组,差异有统计学意义(P<0。05)。两组患者的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 在后牙邻面龋齿治疗中,玻璃离子水门汀应用价值显著,能够提高修复有效率,改善牙周指标,并提高咀嚼功能,且不会增加不良反应风险。
Application value of glass ionomer cement in the treatment of interproxi-mal caries of posterior teeth and its effect on masticatory function
Objective To investigate the application value of glass ionomer cement in the treatment of interproximal caries of posterior teeth.Methods A total of 76 patients with interproximal caries of posterior teeth admitted to Ganzhou Maternal and Child Health Hospital from January 2022 to September 2023 were selected as the study objects,and they were divided into control group(n=38)and study group(n=38)according to sealed envelope method.The control group was filled with silver amalgam,and the study group was filled with glass ionomer cement.The repair effects of the two groups were compared,and the gingival index(GI),sulcus bleeding index(SBI),plaque index(PLI),clinical attachment level(CAL)and modified Mann assessment of swallowing ability(MASA)scores before and after treatment were compared between the two groups.And the incidence of adverse reactions was compared between the two groups.Results The effective rate of repair in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of periodontal status between the two groups(P>0.05).After treatment,the SBI,PLI and CAL scores of the two groups were higher than those before treatment,but the SBI,PLI and CAL scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in GI score between the two groups before and after treatment(P>0.05).Before treatment,there was no statistically significant difference in MASA score between the two groups(P>0.05).After treatment,the MASA scores of the two groups were lower than those before treatment,and the MASA score of the study group was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion In the treatment of posterior dental caries,glass ionomer cement has significant application value,which can improve the repair efficiency,improve periodontal indexes,and enhance masticatory function without increasing the risk of adverse reactions.

Glass ionomer cementInterproximal caries of posterior teethChewing functionRepair efficiencyPe-riodontal indicatorAdverse reaction

朱丽丽

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江西省赣州市妇幼保健院口腔科,江西赣州 341000

玻璃离子水门汀 后牙邻面龋齿 咀嚼功能 修复有效率 牙周指标 不良反应

江西省卫生健康委科技计划项目

202212351

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(21)