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金属预冠修复第一乳磨牙对第二乳磨牙复合树脂充填的临床研究。

Clinical study of the effect of the metal precrown restoration in the first deciduous molar on the composite resin filling in the second deciduous molar.

机构信息

Heping Avenue Clinic, Stomatological Hospital of Wuhan University, Wuhan 430000, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Dec 1;42(6):773-777. doi: 10.7518/hxkq.2024.2024189.

Abstract

OBJECTIVES

The effect of metal precrown restoration of distal proximal maxillofacial caries in the first deciduous molar on the composite resin filling of mesio-adjacent maxillofacial caries in the second deciduous molar was investigated.

METHODS

A total of 80 children aged 4-8 who visited our clinic were selected, and 120 teeth were examined. Two consecutive deciduous molars in one jaw were considered a single case when the distal proximal maxillary surface of the first deciduous molar and the mesial proximal maxillary surface of the second deciduous molar simultaneously had caries. The teeth were randomly divided into two groups: group A (68 cases), in which the first and second molars were repaired with composite resin, and group B (52 cases), in which the first deciduous molar was repaired with metal precrown after composite resin filling and the second deciduous molar was filled with composite resin. The two groups were compared in terms of the success rate of composite resin filling in the second deciduous molar.

RESULTS

At 3 months, no significant difference (>0.05) was found between groups A (92.65%) and B (96.15%). At 6 months, no significant difference (>0.05) was observed between groups A (89.71%) and B (94.23%). At 12 months, statistically significant difference (<0.05) was found between groups A (73.53%) and B (88.46%); At 24 months, statistically significant difference (<0.05) was found between groups A (66.18%) and B (86.54%).

CONCLUSIONS

Compared with composite resin filling of the first deciduous molar, the metal precrown restoration of the first deciduous molar can improve the success rate of composite resin filling of the second deciduous molar.

摘要

目的

研究第一乳磨牙远中-近中颌面龋金属预冠修复对第二乳磨牙近中颌面龋复合树脂充填的影响。

方法

选择来我院就诊的 4-8 岁儿童 80 例,共 120 颗牙。当第一乳磨牙远中颌面和第二乳磨牙近中颌面同时发生龋病时,同一颌的连续两个乳磨牙被视为单个病例。将牙齿随机分为两组:A 组(68 例),第一、二磨牙均用复合树脂修复;B 组(52 例),复合树脂充填后用金属预冠修复第一乳磨牙,第二乳磨牙用复合树脂充填。比较两组第二乳磨牙复合树脂充填成功率。

结果

3 个月时,A 组(92.65%)和 B 组(96.15%)之间无显著差异(>0.05)。6 个月时,A 组(89.71%)和 B 组(94.23%)之间无显著差异(>0.05)。12 个月时,A 组(73.53%)与 B 组(88.46%)之间存在统计学差异(<0.05);24 个月时,A 组(66.18%)与 B 组(86.54%)之间存在统计学差异(<0.05)。

结论

与第一乳磨牙复合树脂充填相比,第一乳磨牙金属预冠修复可提高第二乳磨牙复合树脂充填成功率。

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