上海口腔医学 ›› 2017, Vol. 26 ›› Issue (3): 321-323.doi: 10.19439/j.sjos.2017.03.020

• 论著 • 上一篇    下一篇

部分去龋法治疗恒磨牙深龋的疗效观察

张青, 区跃坚, 张玲   

  1. 浙江省湖州市中心医院 口腔科,浙江 湖州 313000
  • 收稿日期:2017-03-13 修回日期:2017-04-20 出版日期:2017-06-25 发布日期:2017-07-05
  • 通讯作者: 张青,E-mail:buliny@163.com
  • 作者简介:张青(1981-),女,学士,主治医师

Curative effects of partial caries removal in permanent molars with deep dental caries

ZHANG Qing, OU Yue-jian, ZHANG Ling   

  1. Department of Stomatology, Huzhou Central Hospital. Huzhou 313000, Zhejiang Province, China
  • Received:2017-03-13 Revised:2017-04-20 Online:2017-06-25 Published:2017-07-05

摘要: 目的探讨部分去龋治疗恒磨牙深龋的临床疗效。方法对102颗恒牙深龋进行部分去龋法结合树脂严密充填,随访6个月以上,评价其牙髓存留率及治疗主观感受。结果随访到的97颗患牙中,90颗充填物完好,牙髓活力正常,治疗成功率为92.8%;79.9%的患者治疗感受为轻度不适或无反应。结论部分去龋法治疗恒牙深龋,可以减少牙髓暴露的风险,减轻患者治疗时的不适,获得较好的充填治疗效果,值得临床推广。

关键词: 深龋, 不完全去龋, 分次去龋, 部分去龋

Abstract: PURPOSE: To evaluate the clinical efficacy of incomplete caries removal in permanent molars with deep dental caries. METHODS: One hundred and two permanent molars with deep dental caries were treated with partial caries removal combined with tight resin restoration. The patients were followed up for more than 6 months, the pulp retention rate and subjective feelings were evaluated. RESULTS: Ninety out of 97 teeth had a good filling and pulp vitality, the success rate was 92.8%, and 79.9% patients had less than mild comfort during the treatment. CONCLUSIONS: Partial caries removal can reduce the risk of pulp exposure in deep dental caries of permanent molars and the discomfort during the treatment. The clinical effect is good, which is worthy of wide clinical application.

Key words: Deep dental caries, Incomplete caries removal, Stepwise excavation, Partial caries removal

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