Carisolv伢典微创去腐联合树脂充填对儿童龋齿牙周指标及疼痛程度的影响

Effects of Carisolv minimally invasive caries removal combined with resin filling on periodontal indices and pain levels in children with dental caries

摘要:

目的 探究Carisolv伢典微创去腐联合树脂充填对儿童龋齿牙周指标及疼痛程度的影响。方法 选取2024年8月—2025年1月中国人民解放军北部战区总医院就诊的198例龋齿患儿作为研究对象，按信封抽签法随机分为传统组（患牙数123）和Carisolv组（患牙数126），均99例。传统组给予传统机械去腐联合树脂充填治疗，Carisolv组给予Carisolv伢典微创去腐联合树脂充填治疗，比较两组临床疗效、围手术期指标、牙周指标、视觉模拟评分量法（VAS）评分及并发症。结果 Carisolv组总有效率高于传统组（P <0.05）。两组患儿去腐时间、充填时间和总治疗时间比较，差异均无统计学意义（P >0.05）。Carisolv组治疗前后牙龈指数、龈沟出血指数及菌斑指数的差值均大于传统组（P <0.05）。两组患儿治疗前、治疗1周后、治疗1个月后的VAS评分比较，结果 ①不同时间点VAS评分比较，差异有统计学意义（F =4 515.442，P <0.05）；②两组患儿VAS评分比较，差异有统计学意义（F =90.287，P <0.05），Carisolv组治疗后VAS评分较低，相对镇痛效果较好；③两组患儿VAS评分变化趋势比较，差异有统计学意义（F =17.109，P <0.05）。两组患儿并发症总发生率比较，差异无统计学意义（P >0.05）。结论 Carisolv伢典微创去腐联合树脂充填对儿童龋齿牙周指标及疼痛程度的影响较为显著。

Abstract:

Objective To investigate the effects of Carisolv minimally invasive caries removal combined with resin filling on periodontal indices and pain levels in children with dental caries.Methods A total of 198 pediatric patients with dental caries admitted to our hospital from August 2024 to January 2025 were enrolled. They were randomly divided into a traditional group (n = 99, teeth = 123) and a Carisolv group (n = 99, teeth = 126) using the envelope method. The traditional group received conventional mechanical caries removal combined with resin filling, while the Carisolv group received Carisolv minimally invasive caries removal combined with resin filling. The clinical efficacy, perioperative indicators, periodontal indices, Visual Analog Scale (VAS) scores, and complications were compared between the two groups.Results The overall effective rate in the Carisolv group was higher than that in the traditional group (P < 0.05). There was no significant difference in caries removal time, filling time, or total treatment time between the Carisolv group and the traditional group (P > 0.05). The differences in gingival index (GI), sulcus bleeding index (SBI), and plaque index (PLI) before and after treatment in the Carisolv group were significantly higher than those in the traditional group (P < 0.05). Comparison of VAS scores before treatment and 1 week and 1 month after treatment in the Carisolv group and the traditional group demonstrated that they were different among the time points (F = 4 515.442, P < 0.05) and between the groups (F = 90.287, P <0.05), with lower VAS scores in the Carisolv group after treatment, indicating a relatively better analgesic effect. The change trend of VAS scores was also different between the groups (F =17.109, P <0.05). There was no significant difference in the overall incidence of complications between the two groups (P > 0.05).Conclusions Carisolv minimally invasive caries removal combined with resin filling has a significant effect on periodontal indices and pain levels in children with dental caries.