2.25%次氯酸钠凝胶与Brix 3000在乳牙除龋中的临床及影像学评价。

Ahmed Elwazeer, A. Abdallah, A. Abbas
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摘要

目的:评价2.25%次氯酸钠凝胶与Brix 3000在乳牙除龋中的疗效。研究对象和方法:36颗初生磨牙(1类),龋深不超过牙本质厚度的冠状三分之二。4 ~ 7岁儿童按除龋方法随机分为3组。用秒表计算每颗牙的除龋时间,得到各方法的平均时间。通过使用Wong-Baker FACES分析量表,要求孩子们选择表达他们感觉的脸来评估身体疼痛。患儿在1个月和6个月后被召回进行临床和影像学评估。结果:常规方法除龋时间最短(2.82±0.477 min),其次为Brix 3000(5.47±1.35min)和2.25%次氯酸钠凝胶(7.24±1.45 min)。关于痛觉的;常规方法的疼痛感觉等级最高,与其他两种化学力学方法差异显著。结果表明,2.25%次氯酸钠凝胶与Brix 3000无显著差异。临床和影像学评价显示,1个月和6个月后各组间无显著差异。各组间成功率比较,各组间成功率差异无统计学意义。结论:2.25%次氯酸钠凝胶和Brix 3000是有效的化学机械除龋剂。
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Clinical and Radiographic Evaluation of 2.25% Sodium hypochlorite gel and Brix 3000 in caries removing of deciduous teeth.
Objective: Evaluation the efficacy of 2.25% sodium hypochlorite gel and Brix 3000 in caries removal of deciduous teeth. Subjects and methods: Thirty-six primary molars (class 1) with depth of caries not more than the coronal two thirds of dentine thickness. The children were aged 4-7 years and randomly divided into three equal groups based on the method of caries removal. The time of caries removal in each tooth was calculated using a stopwatch and the mean time of each method was obtained. The physical pain was also assessed by asking the children to choose the face that express their feeling using the Wong-Baker FACES analysis scale. The children were recalled for clinical and radiographic evaluation after 1and 6 months. Results: The conventional method showed the shortest time (2.82±0.477 min.) of caries removal followed by Brix 3000 (5.47±1.35min.) and 2.25% sodium hypochlorite gel (7.24±1.45 min.). Concerning pain sensation; the conventional method showed the highest grade of pain sensation with high significant differences from the two other chemomechanical methods. The results showed no significant difference between 2.25% sodium hypochlorite gel and Brix 3000. The clinical and radiographic evaluation showed that there was no significant difference after 1 and 6 months between all groups. The success rate among these groups showed that there was no significant difference between the success rates in all groups. Conclusion: 2.25% sodium hypochlorite gel and Brix 3000 are effective chemomechanical caries removing agents.
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