- 期刊
密集塗氟是否會增加間接覆髓術的成功率：回溯性研究
Does Intensive Fluoride Treatment Improve the Success Rate of Indirect Pulp Treatment ? A Retrospective Study
摘要
目的：台灣孩童的高蛀牙率，讓我們期望用密集塗氟來降低蛀牙的進展，在臨床上我們發覺有施做密集塗氟過的孩童，其牙齒在做治療時，牙齒質地變得較為堅硬。本回顧性研究之目的為分析於2013年至2016年間在彰基兒童牙科全身麻醉下接受全口牙科治療的患者， 有接受密集性塗氟者，其施做間接覆髓術的成功率是否較高。方法： 研究對象為2013年至2016年間在彰基兒童牙科全身麻醉下接受全口牙科治療的患者，年齡限制為2到8歲，施做治療前半年間有接受密集性塗氟者為第一組，沒有接受密集性塗氟者為第二組。共92名患者，716顆牙齒，追蹤最少6個月，回溯病歷分析臨床檢查後的成 功率。結果：結果顯示，兩組的間接覆髓術臨床成功率都很高，有接受密集性塗氟者間接覆髓術成功率高於沒有接受密集性塗氟者，且有接受密集性塗氟者的組別，發生二次蛀牙和產生新蛀牙的機率較低。結論： 兩組的間接覆髓術臨床成功率都很高，有接受密集性塗氟者能增加間接覆髓術的成功率，也能降低病人產生二次蛀牙和新蛀牙的機率，兩組的P值並沒有達到統計學上的顯著差異。
並列摘要
Objectives: Dental caries is a widespread chronic oral diseas in Taiwan children.We expect to use intensive fluoride treatment(IFT) to reduce the progress of caries. We found that who received IFT, their teeth become more rigid texture. The aims of this retrospective study were to analyze patients who underwent full-mouth dental rehabilitation under general anesthesia at CCH pediatric dentistry department between 2013 to 2016,the one who received IFT whether the success rate of Indirect pulp treatment(IPT) is higher. Methods: A total of 92 children (716 teeth; ages 2-8 years) underwent full-mouth dental rehabilitation under general anesthesia at CCH pediatric dentistry department between 2013 to 2016 participated in this investigation. The first group (group 1) of patients received IFT half an year before general anesthesia . The second group (group 2) of patients didn't receive IFT half an year before general anesthesia. At least follow 6 months , we analyze the success rate of IPT of the two groups. Results: The results showed that the clinical success rate of both groups were high. The clinical success rate of group 1 was higher. And the secondary caries rate and new formed caries rate of group 1 was lower. Conclusions: The conclusions were the clinical success rate of both groups were high. The patients received IFT had higher clinical success rate of IPT, lower secondary caries rate and lower new formed caries rate. The p value of two groups has no significant difference.