化学机械和常规除方法在6至12岁儿童中的比较:随机临床试验
Abdulrahman Bala Malami1,2, Yewande Isabella Adeyemo1,2, Aliyu Aminu3,4
1Department of Child Dental Health, Bayero University, Kano, Kano State, Nigeria.
PloS one
|January 16, 2026
概括
化学机械除为儿童提供了一种舒适的替代方案,尽管传统的钻孔更节省时间,并更有效地减少细菌. 这两种方法都显著降低了细菌负载,但化学机械治疗改善了患者的行为.
科学领域:
- 儿科牙科 儿科牙科
- 最少侵入性牙科是最少侵入性的牙科.
- 牙科公共卫生 牙科公共卫生
背景情况:
- 传统的钻孔用于小儿空的去除会引起不适.
- 化学机械除 (CMCR) 是一种微创的替代方案.
- 这项研究将CMCR与儿童常规钻探进行比较.
研究的目的:
- 为了比较CMCR与传统钻井在6-12岁儿童中的有效性.
- 为了评估患者在两种空去除程序中的行为.
主要方法:
- 一个分裂口腔随机临床试验,涉及66个牙.
- 通过殖民地形成单位 (CFU) 评估的有效性包括治疗前和治疗后.
- 评估了腔室准备时间和手术期间的患者行为 (弗兰克尔行为评分表).
主要成果:
- 这两种方法都显著减少了细菌的数量.
- 传统的钻井实现了比CMCR (68.6%) 更大的细菌负载减少 (82.9%).
- 与传统钻井 (266.9秒) 相比,CMCR花费了更长的时间 (692.4秒),但导致了更积极的患者行为 (57.6%).
结论:
- 传统的钻井是节省时间和有效的细菌减少.
- 对于儿科患者来说,CMCR是一种有价值的替代方案,增强了舒适性和合作性.
- CMCR有效地减少了牙科焦虑,并在治疗期间改善了患者的行为.
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