Carisolv伢典微创去腐联合3M复合树脂填充治疗儿童龋齿的效果

The effect of carisolv micro-invasive caries removal combined with 3M composite resin filling in the treatment of dental caries in children

摘要:

目的 探讨Carisolv伢典微创去腐联合3M复合树脂填充治疗儿童龋齿的效果。方法 纳入2021年10月—2023年10月榆林市第一医院收治的106例龋齿患儿，采用摸球法分组，奇数为对照组，偶数为观察组，每组53例。对照组予以传统机械去腐联合3 M复合树脂填充，观察组予以Carisolv伢典微创去腐联合3M复合树脂填充。比较两组修复效果、治疗前后的疼痛程度（儿童疼痛行为量表评分）、牙周指标［牙龈指数（GI）、菌斑指数（PLI）］、依从性（Frankl依从性量表评分）、耐受程度（Houpt行为量表评分）、并发症发生情况。结果 对照组与观察组总有效率比较，差异有统计学意义（P <0.05）。观察组疼痛程度低于对照组（P <0.05）。对照组与观察组治疗前GI和PLI比较，差异均无统计学意义（P >0.05）。对照组与观察组治疗后GI和PLI比较，差异均有统计学意义（P <0.05）；观察组治疗后GI和PLI均小于对照组。观察组治疗前后GI和PLI的差值均大于对照组（P <0.05）。对照组与观察组治疗前Frankl和Houpt评分比较，差异均无统计学意义（P>0.05）。观察组治疗后Frankl和Houpt评分均高于对照组（P <0.05）。观察组治疗前后Frankl和Houpt评分的差值均小于对照组（P <0.05）。观察组并发症发生率低于对照组（P <0.05）。结论 Carisolv伢典微创去腐联合3M复合树脂填充治疗儿童龋齿较传统机械去腐治疗效果更佳，能有效减轻疼痛、提高修复效果、改善牙周指标和依从性，且并发症发生率较低。

Abstract:

Objective To investigate the effect of Carisolv micro-invasive caries removal combined with 3M composite resin filling in the treatment of dental caries in children.Methods A total of 106 children with dental caries admitted to Yulin First Hospital from October 2021 to October 2023 were included in the study. Patients were randomly divided using the odd-even method, with 53 children in the control group and 53 children in the observation group. The control group received traditional mechanical caries removal combined with 3M composite resin filling, while the observation group received Carisolv micro-invasive caries removal combined with 3M composite resin filling. The repair effectiveness, pain level before and after treatment (measured by the FLACC scale), periodontal indicators [gingival index (GI) and plaque index (PLI) ], compliance (measured by the Frankl compliance scale), tolerance (measured by the Houpt behavior scale), and incidence of complications were compared between the two groups.Results The comparison of total effectiveness rates between the control group and the observation group showed a statistically significant difference (P < 0.05). The comparison of pain levels between the two groups using the rank-sum test also revealed a statistically significant difference (Z = 28.610, P = 0.000), with the observation group reporting lower pain levels than the control group. There were no statistically significant differences in gingival index (GI) and plaque index (PLI) between the two groups before treatment (P > 0.05). However, after treatment, both GI and PLI were significantly lower in the observation group compared to the control group (P < 0.05), and the changes in GI and PLI from pre- to post-treatment were also significantly greater in the observation group (P < 0.05). There were no statistically significant differences in Frankl and Houpt scores between the groups before treatment (P > 0.05), but after treatment, the observation group had significantly higher Frankl and Houpt scores than the control group (P < 0.05). The differences in Frankl and Houpt scores before and after treatment were significantly greater in the observation group than in the control group (P < 0.05). The incidence of complications was significantly lower in the observation group compared to the control group (P < 0.05).Conclusion Carisolv micro-invasive caries removal combined with 3M composite resin filling is more effective than traditional mechanical caries removal in the treatment of pediatric dental caries. It effectively reduces pain, improves repair outcomes, enhances periodontal health, increases patient compliance, and reduces the incidence of complications.