首页|窝沟封闭术在儿童龋齿中的预防效果及对咀嚼效率的影响研究

窝沟封闭术在儿童龋齿中的预防效果及对咀嚼效率的影响研究

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目的 分析窝沟封闭术在儿童龋齿中的预防效果及对咀嚼效率的影响。方法 94 例接受牙齿检查的儿童,采用随机抽签法分为对照组和观察组,各 47 例。对照组给予常规口腔干预措施,观察组在对照组基础上实施窝沟封闭术治疗。比较两组龋齿及邻面龋发生率、龋均值、咀嚼效率、咀嚼功能、营养状况。结果 干预后 6 个月、1 年、2 年,观察组龋齿发生率分别为 0、2。13%、4。26%,邻面龋发生率分别为 0、0、2。13%;对照组龋齿发生率分别为 12。77%、17。02%、21。28%,邻面龋发生率分别为12。77%、14。89%、19。15%。观察组龋齿发生率、邻面龋发生率均低于对照组(P<0。05)。干预后,观察组龋均值(1。02±0。21)个相对对照组的(1。48±0。25)个低(P<0。05)。干预后,观察组咀嚼效率(1。84±0。33)相对对照组的(1。67±0。34)高(P<0。05)。干预后,观察组软食、豆干、植物纤维类、炖熟肉类、脆性水果、脆性蔬菜、坚果类咀嚼功能评分分别为(9。44±0。86)、(8。97±0。55)、(8。63±0。71)、(8。66±0。68)、(8。97±0。94)、(8。74±0。66)、(9。04±0。66)分,高于对照组的(9。06±0。74)、(7。12±0。66)、(7。22±0。35)、(7。89±0。74)、(8。10±0。88)、(8。10±0。71)、(8。43±0。77)分(P<0。05)。干预后,观察组血清白蛋白(ALB)(39。97±4。30)g/L、甘油三酯(TG)(1。62±0。33)mmol/L、总胆固醇(TC)(4。94±0。64)mmol/L、三头肌皮褶厚度(TSF)(17。45±1。61)mm较对照组的(36。88±4。22)g/L、(1。45±0。26)mmol/L、(4。42±0。71)mmol/L、(15。77±1。20)mm高(P<0。05)。结论 窝沟封闭术在儿童龋齿预防中效果显著,能降低龋齿的发生风险,改善咀嚼效率与营养状况,具有较为理想的临床效果。
Study on the preventive effect of pit and fissure sealant on dental caries in children and its influence on masticatory efficiency
Objective To analyze the preventive effect of pit and fissure sealant on dental caries in children and its influence on masticatory efficiency.Methods 94 children receiving dental examination were randomly divided into a control group and an observation group,with 47 cases in each group.The control group was given conventional oral intervention measures,and the observation group was treated with pit and fissure sealant based on the control group.The incidence of dental caries and proximal caries,mean number of caries,masticatory efficiency,masticatory function and nutritional status of the two groups were compared.Results At 6 months,1 year and 2 years after intervention,the incidence of dental caries in the observation group were 0,2.13%and 4.26%,and the incidence of proximal caries were 0,0 and 2.13%,respectively;the incidence of dental caries in the control group were 12.77%,17.02%,21.28%,and the incidence of proximal caries were 12.77%,14.89%,19.15%,respectively.The incidence of dental caries and proximal caries in the observation group were lower than those in the control group(P<0.05).After intervention,the mean number of caries in the observation group was(1.02±0.21),which was lower than(1.48±0.25)in the control group(P<0.05).After intervention,the masticatory efficiency of(1.84±0.33)in the observation group was higher than(1.67±0.34)in the control group(P<0.05).After intervention,the masticatory function scores for soft food,dried beans,plant fiber,stewed meat,brittle fruits,brittle vegetables and nuts in the observation group were(9.44±0.86),(8.97±0.55),(8.63±0.71),(8.66±0.68),(8.97±0.94),(8.74±0.66)and(9.04±0.66)points,which were higher than(9.06±0.74),(7.12±0.66),(7.22±0.35),(7.89±0.74),(8.10±0.88),(8.10±0.71)and(8.43±0.77)points in the control group(P<0.05).After intervention,the observation group had serum albumin(ALB)of(39.97±4.30)g/L,triglyceride(TG)of(1.62±0.33)mmol/L,total cholesterol(TC)of(4.94±0.64)mmol/L,and triceps skin fold thickness(TSF)of(17.45±1.61)mm,which were higher than(36.88±4.22)g/L,(1.45±0.26)mmol/L,(4.42±0.71)mmol/L,and(15.77±1.20)mm in the control group(P<0.05).Conclusion Pit and fissure sealant is effective in preventing dental caries in children.It can reduce the risk of dental caries,improve masticatory efficiency and nutritional status,and has a relatively ideal clinical effect.

Pit and fissure sealantChildrenDental cariesPreventionMasticatory efficiencyMasticatory function

李亚楠、邢海凤

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277500 枣庄市皮肤病性病防治院

窝沟封闭术 儿童 龋齿 预防 咀嚼效率 咀嚼功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(6)
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