树脂渗透对近中龋病变进展的影响：一项随机临床试验。
The Effect of Resin Infiltration on the Progression of Proximal Caries Lesions: A Randomized Clinical Trial.
机构信息
Department of Restorative Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey,
Department of Restorative Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.
出版信息
Med Princ Pract. 2020;29(3):238-243. doi: 10.1159/000503053. Epub 2019 Sep 3.
OBJECTIVE
The aim of this clinical trial was to assess the effect of resin infiltration on the progression of proximal caries lesions.
SUBJECTS AND METHODS
Forty-one patients, aged between 15 and 33 years, with 2 or more non-cavitated proximal caries lesions were included. In 41 of the adolescent and young adults, 45 pairs of proximal lesions with radiological extension into the inner and outer half of the enamel, or into the outer third of the dentin, were randomly allocated to the test groups (resin infiltration application + fluoridated toothpaste and flossing use) or to the control group (fluoridated toothpaste and flossing use). Standardized geometrically aligned digital bitewing radiographs were obtained using individual biting holders. The radiographic progression of the lesions was assessed after 1 year by digital-subtraction radiography. The McNemar test was used for statistical analysis.
RESULTS
In the test group 1/45 of the lesions (2.2%) and in the control group 9/45 of the lesions (20%) showed progression. The caries progression rate of the control group was significantly higher than that of the test group (p < 0.05).
CONCLUSIONS
Resin infiltration of proximal caries lesions is effective in reducing progression of the lesion.
目的
本临床试验旨在评估树脂渗透对近中龋病变进展的影响。
受试者和方法
41 名年龄在 15 至 33 岁之间、有 2 个或更多未发生龋洞的近中龋病变的患者纳入研究。在 41 名青少年和年轻成年人中，将 45 对近中龋病变随机分配到实验组（树脂渗透应用+含氟牙膏和使用牙线）或对照组（含氟牙膏和使用牙线）。使用个体咬合架获取标准化的几何对齐数字咬翼射线照片。通过数字减影射线照相术在 1 年后评估病变的放射学进展。使用 McNemar 检验进行统计学分析。
结果
在实验组中，有 1/45 个病变（2.2%），在对照组中有 9/45 个病变（20%）显示进展。对照组的龋齿进展率明显高于实验组（p<0.05）。
结论
树脂渗透近中龋病变可有效减少病变的进展。
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