Fukuyama Tatsuro, Oda Shinya, Yamashita Haruto, Sekiguchi Hiroshi, Yakushiji Masashi
Department of Pediatric Dentistry, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba, Japan.
Bull Tokyo Dent Coll. 2008 Feb;49(1):41-50. doi: 10.2209/tdcpublication.49.41.
This study was conducted in 533 children with 1,634 treated teeth who visited the Pediatric Dentistry Department at the Chiba Hospital of Tokyo Dental College between January and December, 2003. Restorations on deciduous tooth were categorized by age of patient and tooth type. The following observations were made: Children aged 4 (17.9%) visited the clinic most frequently and this group had the highest number of deciduous restorations (21.3%). Among the 1,634 deciduous teeth restored, metal inlays were provided in 29.4% of total teeth restored, composite resin restorations in 27.2%, stainless-steel crowns in 25.7%, composite resin full crowns in 7.7%, glass-ionomer cement restorations in 6.6%, and amalgam restorations in 3.4%. By age, composite resin was most frequently used in children aged 1 to 3. In children aged 5 to 9, metal inlay was most frequently used. Those aged 4 received mostly stainless-steel crowns. Composite resin restorations were used mostly in anterior deciduous teeth, and metal inlays mostly in deciduous molars. Previous research indicated an increasing trend towards composite resin restorations and composite resin full crowns. The present study also confirmed such a trend. While the use of metal inlays and stainless-steel crowns tended to increase until 1987, the present study indicated a trend to decrease.
本研究对2003年1月至12月期间前往东京齿科大学千叶医院儿童牙科就诊的533名儿童的1634颗治疗牙齿进行了调查。乳牙修复情况根据患者年龄和牙齿类型进行分类。观察结果如下:4岁儿童(占17.9%)就诊最为频繁,该组乳牙修复数量最多(占21.3%)。在1634颗修复的乳牙中,金属嵌体占修复牙齿总数的29.4%,复合树脂修复占27.2%,不锈钢冠占25.7%,复合树脂全冠占7.7%,玻璃离子水门汀修复占6.6%,汞合金修复占3.4%。按年龄划分,复合树脂在1至3岁儿童中使用最为频繁。在5至9岁儿童中,金属嵌体使用最为频繁。4岁儿童大多接受不锈钢冠修复。复合树脂修复主要用于乳前牙,金属嵌体主要用于乳磨牙。先前的研究表明复合树脂修复和复合树脂全冠的使用呈增加趋势。本研究也证实了这一趋势。虽然金属嵌体和不锈钢冠的使用在1987年之前呈增加趋势,但本研究表明其呈下降趋势。