【摘要】 目的:比较和评价Carisolv去龋技术和采用低速牙钻去龋治疗乳牙龋病的效果和患儿接受程度。方法:选择年龄6～10岁,双侧乳牙均患中龋的儿童100名,以自身半口为对照,分别用Carisolv和牙钻去龋,然后用复合体充填,记录去龋时间。采用问卷调查患儿对两种去龋方法的接受程度,1年后复查,观察修复体的情况。结果:Carisolv去龋时间(4.36±1.28)min长于低速牙钻去龋时间(2.60±0.84)min。82%的患儿认为Carisolv去龋疼痛轻于牙钻;多数患儿倾向使用Carisolv去龋。1年后复查表明Carisolv和牙钻去龋的修复体继发龋率、脱落率方面无显著性差异。结论:Carisolv去龋时患儿疼痛程度明显减轻,但去龋时间略长于牙钻去龋,多数患儿倾向于Carisolv去龋。Carisolv修复术后的继发龋率并未增加。更多还原

【Abstract】 AIM:To compare the efficiency of Carisolv removing the caries with that of drilling in deciduous teeth,and if the children accept it.METHODS:One hundred children,aged from 6 to 10 years old,with symmetric coronal medium caries in deciduous teeth,were involved in this clinical study.According to a split-mouth design,in each patient caries tissue was removed by using a bur on one side,and Carisolv on the other side.After the carise was removed(wrote down the consumed time) the teeth were restored with composite resin.Patients were asked to fill in a postoperative questionnaire,including the degrade of patients’ acceptance of the technique preference.The result was cheeked after one year.RESULTS:The time(min)for Carisolv removing caries was more than drilling method were 4.58±1.27and 2.78±0.86,respectively.The patients felt less pain(82%) in the operation by Carisolv than by drilling.The major patients preferred Carisolv to bur.In 1-year follow-up there was no significant difference in the incidence of secondary caries and restoration lost between Carisolv and drilling treatment.CONCLUSION:Carisolv is a time-consuming technique but the majority of patients accept it because of less pain.Carisolv may have no effect on the secondary caries.更多还原