自酸蚀自粘接流动树脂与新型大块树脂对乳磨牙邻合面龋修复的效果对比

Comparison of the effect of self-etching and self-bonding flow resin and new bulk resin in the repair of adjacent surface caries of deciduous molars

摘要:

目的 比较自酸蚀自粘接流动树脂与新型大块树脂修复乳磨牙邻合面龋的效果。方法 回顾性分析2020年1月—2023年8月康复大学青岛中心医院收治的93例乳磨牙邻合面龋患儿的临床资料，根据填充材料的不同将患儿分为研究组（47例）和对照组（46例）。对照组采用新型大块树脂治疗，研究组采用自酸蚀自粘接流动树脂治疗。比较两组的修复效果、咬合功能、牙周指标［牙龈沟出血指数（SBI）、牙龈指数（GI）、菌斑指数（PLI）］、牙周炎症因子［抗肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）、IL-8］及并发症情况。结果 两组修复效果比较，差异均无统计学意义（P >0.05）。两组治疗前后最大咬合力和咀嚼效率的差值比较，差异均无统计学意义（P >0.05）。两组治疗前后的SBI、GI、PLI差值比较，差异均无统计学意义（P >0.05）。研究组治疗前后TNF-α、IL-6、IL-8水平的差值均大于对照组（P <0.05）。两组并发症总发生率的比较，差异无统计学意义（P >0.05）。结论 自酸蚀自粘接流动树脂与新型大块树脂修复乳磨牙邻合面龋均可获得满意效果，咬合功能良好，牙周指标正常，安全可靠，但自酸蚀自粘接流动树脂在抑制牙周炎症反应方面更具优势。

Abstract:

Objective To compare the effect of self-etching and self-bonding flow resin and new bulk resin in repairing caries on the adjacent surface of deciduous molar teeth.Methods The data of 93 children with caries on the adjacent surface of primary molars admitted to Qingdao Central Hospital of Rehabilitation University from January 2020 ~ August 2023 were reviewed, and the patients were divided into the study group (47 cases) and the control group (46 cases) according to different filling materials, among which the control group was treated with a new bulk resin and the research group was treated with self-etching and self-bonding flow resin. The restoration effect, occlusal function, periodontal indexes, periodontal inflammatory factors and complications were compared between the two groups.Results There was no significant difference in the repair effect between the control group and the study group (P >0.05). There was no significant difference between the control group and the study group in terms of maximum bite force and chewing efficiency before and after treatment (P >0.05). There was no significant difference between the control group and the study group before and after treatment of periodontal indexes SBI, GI and PLI (P >0.05). The difference of periodontal inflammation in the study group was higher than that in the control group (P <0.05) due to TNF-α, IL-6 and IL-8 levels before and after treatment. There was no significant difference in the total complication rate between the control group and the study group (P >0.05).Conclusion Both the self-etching and self-bonding flow resin and the new bulk resin can achieve satisfactory results in the repair of dental caries on the adjacent surface of deciduous molar teeth, and obtain good occluding function and periodontal indexes, which is safe and reliable. However, the self-etching and self-bonding flow resin has more advantages in inhibiting periodontal inflammation.