摘要
目的 观察氨硝酸银治疗早期龋齿的效果.方法 选取2015年4月～2016年12月本院口腔科收治的100例早期龋齿的患儿进行研究分析.采用双盲、随机的方法将所有患儿分为对照组和观察组,每组50例.对照组采用龋坏磨除方法进行治疗,观察组采用龋坏磨除联合氨硝酸银进行治疗.治疗后,对2组患儿牙髓组织中的TNF-a、IL-8浓度、复发率、填充物脱落率、患牙髓炎率、疼痛程度情况进行对比分析.结果 治疗后,观察组患儿的TNF-α、IL-8浓度均低于对照组(t=21.961;t=23.836),差异有统计学意义(P＜0.05);观察组患儿复发率、患牙髓炎率明显低于对照组,差异有统计学意义(P＜0.05);观察组患儿治疗后无痛和剧烈疼痛比例明显低于对照组,差异有统计学意义(P＜0.05).结论 氨硝酸银治疗早期龋齿疗效确切,能有效缓解患儿疼痛和不适,是一种安全且有效的治疗方法,应在临床中进行推广和使用.
Abstract
Objective To observe the effect of ammonia silver nitrate on early caries.Methods 100 cases of children with early caries treated in our hospital from April 2015 to December 2016 were admitted to conduct research and analysis.The children were divided into the control group and the observation group by double blind,and random method 50 cases in each group.The control group was treated with caries removal,the observation group was treated with carious worn out joint ammonia silver nitrate.After treatment, the two groups of children suffering from dental pulp tissue TNF-a, IL-8 concentration, the recurrence rate, filling rate falling, the rate of suffering from pulpitis, pain conditions were analyzed.Results After treatment, the observation group with TNF-α, IL-8 concentrations were lower than the control group(t=21.961,t=23.836), the difference was statistically significant (P<0.05);The recurrence rate, suffering from pulpitis rate was significantly lower than the control group, and the difference was statistically significant (P<0.05);the observation group after treatment in children with severe pain and painless was significantly lower than the control group, and the difference was statistically significant (P<0.05).Conclusion Ammonia silver nitrate is an effective and safe treatment for early caries, which can relieve the pain and discomfort in children, it is a safe and effective method of treatment and should be promoted and used in the clinic practice.
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