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Helioseal F,窝沟封闭剂在6~12岁儿童第一恒磨牙早期窝沟中的临床应用(1)
http://www.100md.com 2011年7月1日 雷志红,任辉
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     [摘要]目的:评价Helioseal F,窝沟封闭剂在6~12岁儿童第一恒磨牙早期牙合面窝沟龋中的临床应用。方法:收集临床初诊6~12岁替牙期儿童第一恒磨牙病例 252例,采用自身双侧对照。实验组126例应用Helioseal F,窝沟封闭剂结合预防树脂充填术治疗;对照组126例仅用复合树脂简单充填,随防1~3年,对两组继发龋病发生率进行对比分析。结果:经过3年随防,实验组继发龋病发生率显著低于对照组(P<0.05);Helioseal F,窝沟封闭剂3年完全保留率、部分保留率、全部脱落率、分别为77.23%、12.20%、10.57%;封闭剂保留率与龋病发生率成负相关。结论:Helioseal F,窝沟封闭剂结合预防性树脂充填术可有效防治6~12岁儿童第一恒磨牙早期牙合面窝沟龋。

    [关键词]Helioseal F,窝沟封闭剂;6~12岁儿童;窝沟龋

    [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2011)07-1152-02

    Clinical applications of Helioseal F pit and fissure sealant on permanent first Molar's Pit-and-fissure Caries of6-12-year-old Children

    LEI Zhi-hong,REN Hui

    (Department of Stomatology,The Second Affiliated Hospital,Hebei North University,Xuanhua 075100,Hebei,China)

    Abstract:ObjectiveTo evaluate the clinical applications of Helioseal F pit and fissure sealant on permanent first Molar's early occlusal surface Pit - and-fissure Caries of 6-12-year-old children.MethodsTwo hundred and fifty-two permanent first molars of 6-12-year-old children of mixed dentition in first clinical consultation were enrolled into the study and divided into two groups equally and randomly.The experimental group was treated by filling with Helioseal F pit and fissure sealant combined with preventive resin restoration,while the matched group was just filled with composite resin. After they were followed up for 1~3 years,compare and analyze the incidence rate of secondary caries between them. Results After 3 years,the incidence rate of secondary caries in the experimental group is obviously lower than that in the matched group(P>0.05).The complete retention rate、partial retention rate and the losing rate of Helioseal F pit and fissure sealant in 3 years are respectively:77.23% 12.20%、and10.57%.The retention rate of sealant showed negative correlation with the incidence rateof caries.Conclusion Helioseal F pit and fissure sealant combined with preventive resin restoration can effectively prevent and cure permanent first Molar's early occlusal surface Pit-and-fissure Caries of 6~12 year-old children ......

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