Efficacy of resin infiltration combined with Carisolv caries removal technique in children with caries

摘要:

目的 分析渗透树脂填充联碘微创凝胶去龋技术治疗小儿龋齿的疗效。方法 选取2020年2月—2022年3月因龋齿在海南省妇女儿童医学中心就诊的102例患儿，根据患儿家属选择的填充材料不同分为研究组53例（渗透树脂填充）、对照组49例（复合树脂填充），两组治疗后随访6个月。比较两组治疗前后牙周指标、牙周炎症因子、咀嚼功能的变化及临床疗效，统计随访期间并发症发生情况。结果 两组治疗前后牙龈沟出血指数、牙龈指数、菌斑指数的差值比较，差异均无统计学意义（P >0.05）。研究组治疗前后抗肿瘤坏死因子-α、白细胞介素-6白细胞介素-8的差值均高于对照组（P <0.05）。两组治疗前后静息时和最大力咬合时咬肌、颞肌肌电活动的差值比较，差异均无统计学意义（P >0.05）。研究组总有效率高于对照组（P<0.05）。两组总并发症发生率比较，差异无统计学意义（P >0.05）。结论 渗透树脂填充联碘微创凝胶去龋技术治疗小儿龋齿可改善近期疗效，减轻牙周炎症反应，安全性良好。牙合牙合

Abstract:

Objective To analyze the clinical efficacy of resin infiltration combined with Carisolv caries removal technique in children with caries.Methods A total of 102 children who visited Hainan Women and Children's Medical Center from February 2020 to March 2022 for caries were divided into the study group (53 cases treated with resin infiltration) and the control group (49 cases treated with composite resin) according to the preference of their families. Both groups were followed up for 6 months after the treatment. The changes in periodontal clinical parameters, inflammatory mediators and masticatory function before and after the treatment and clinical efficacy were compared between the two groups, and the incidence of complications during follow-up was analyzed.Results The differences of sulcus bleeding index (SBI), gingival index (GI) and plaque index (PLI) before and after the treatment were not different between the two groups (P > 0.05). The differences of the levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and interleukin-8 (IL-8) before and after the treatment in the study group were higher than those in the control group (P < 0.05). The differences of the EMG activity of masseter and temporalis at rest and during the maximum bite force before and after the treatment were not different between the two groups (P > 0.05). The overall effective rate of the study group was higher than that of the control group (P < 0.05). There was no significant difference in the overall incidence of complications between the two groups (P > 0.05).Conclusions For treating caries in children, resin infiltration combined with Carisolv caries removal technique enhances the short-term efficacy and reduces periodontal inflammation with good safety.