Removing dentine caries in deciduous teeth with Carisolv: a randomised, controlled, prospective study with six-month follow-up, comparing chemomechanical treatment with drilling.

Removing dentine caries in deciduous teeth with Carisolv: a randomised, controlled, prospective study with six-month follow-up, comparing chemomechanical treatment with drilling.
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用 Carisolv 去除乳牙中的牙本质龋齿:一项随机、对照、前瞻性研究,随访六个月,比较化学机械治疗与钻孔。

DOI:
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发表时间:
2005
影响因子:
1.6
通讯作者:
M. Clode
M. Clode
中科院分区:
医学4区
文献类型:
--
作者:
J. Bergmann;J. Leitão;C. Kultje;Dorte Bergmann;M. Clode

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牙齿恐惧通常与牙齿钻引起的疼痛、不愉快的声音和不舒服的振动有关。因此,患者欢迎其他不那么痛苦的挖掘方法,如激光、喷砂机和化学机械系统。本研究的目的是比较化学机械除龋系统(Carisolv)与传统钻孔在患者接受度、时间消耗以及六个月的充填成功率方面的差异。研究包括46名儿童的92颗乳牙。从本研究可以得出以下结论:Carisolv治疗与钻孔治疗相比,患者接受度极佳,65%的患者在下次治疗时会选择Carisolv,没有人钻孔。牙医对Carisolv情况下患者疼痛程度的评价明显低于钻孔情况。Carisolv (6.7 min)比钻孔(3.3 min)的时间消耗明显更高。治疗后6个月,两组的充填物耐久性相同。
Dental fear is often associated with experience of pain, unpleasant sounds and uncomfortable vibrations caused by dental drills. Therefore patients welcome alternative, less painful excavating methods such as lasers, sandblasters and chemomechanical systems. The aim of this study was to compare a chemomechanical caries removal system (Carisolv) to traditional drilling with regard to patient acceptance and time consumption as well as the six-month success rate of fillings. Ninety-two primary teeth in 46 children were included in the study. From this study, the following conclusions can be drawn: patient acceptance of Carisolv-treatment compared to drilling is excellent, since 65% would choose Carisolv and no one drilling when treated next time. The dentists rated patients' degree of pain significantly lower in Carisolv situations than in drill situations. Time consumption is significantly higher when excavating with Carisolv (6.7 min.) than with drill (3.3 min.). The durability of fillings six months after treatment is equal in the two groups.