三种治疗方法的比较,以治疗一次性牙的牙损伤:一个为期两年的随机临床试验
Julija Narbutaite1, Ruth M Santamaría2, Nicola Innes3
1Clinic of Preventive and Paediatric Dentistry, Faculty of Odontology, Lithuanian University of Health Sciences, Luksos-Daumanto 6, LT, 50106, Kaunas, Lithuania.
Journal of dentistry
|October 7, 2024
概括
霍尔技术 (HT) 显示,与传统修复 (CR) 和非修复性治疗 (NRCT) 相比,儿童管理的临床成功率更高. 所有方法都被很好地容忍,HT在儿童牙损伤管理方面表现最好.
科学领域:
- 儿科牙科 儿科牙科
- 卡里斯管理 卡里斯管理
- 临床试验 临床试验
背景情况:
- 牙损是儿童中普遍存在的问题,需要有效的管理策略.
- 对比不同的空管理技术对于优化治疗结果至关重要.
- 霍尔技术 (HT),非修复性空治疗 (NRCT) 和常规修复 (CR) 代表了不同的方法.
研究的目的:
- 为了比较HT,NRCT和CR在3-8岁儿童的两年临床成功率.
- 评估患者和提供者的观点,包括疼痛感知,行为和治疗可接受性.
- 为儿童空管理提供基于证据的建议.
主要方法:
- 一项为期2年的并行组随机对照试验,涉及122名儿童 (年龄为3-8岁).
- 使用Nyvad标准进行虫评估,以确定临床成功/失败率.
- 评估疼痛 (面部视觉模拟量表),行为 (弗兰克尔量表) 和治疗意见 (利克尔特量表).
主要成果:
- 霍尔技术 (HT) 的成功率为93.8%,明显高于常规修复 (CR) 的60.8%和非修复性空治疗 (NRCT) 的42.5% (p < 0.001).
- 与CR和NRCT相比,HT的故障率明显较低.
- 虽然所有技术都被很好地容忍,但NRCT被认为是最容易执行的,CR是最耗时的.
结论:
- 霍尔技术 (HT) 是一种非常成功的方法,用于治疗初级牙的.
- 像HT这样的最小干预策略是有效的.
- 通过适当的辅助护理,NRCT可以帮助控制,但对于严重的腐烂,修复性程序仍然是必不可少的.
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