非創傷性治療與常規充填治療比較治療兒童齲病效果的系統評價_《中國循證醫學雜志》

作者：

1. 新疆醫科大學第一附屬醫院牙體牙髓科（烏魯木齊?830054）；2. 四川大學華西醫院中國循證醫學中心（成都?610041）;

關鍵詞：

齲病非創傷性充填治療常規充填治療系統評價隨機對照試驗

DOI：

10.7507/1672-2531.20110072

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目的　評價非創傷性充填治療兒童乳牙和恒牙齲的效果。
方法　計算機檢索Cochrane圖書館臨床對照試驗資料庫（CENTRAL）、MEDLINE、EMbase、中國生物醫學文獻數據庫、中國期刊全文數據庫和維普科技期刊全文數據庫，同時檢索中國臨床試驗注冊中心等，檢索時間均從建庫至2010年4月。搜集非創傷性充填（ART）和常規充填（CRT）比較治療兒童齲病的隨機對照試驗（RCT）。由兩位研究者獨立進行資料提取和質量評價后，采用RevMan 5.0.2軟件進行Meta分析。
結果　共納入7個RCT。因各研究采用不同的充填材料，受試牙的種類、測量指標及隨訪年限不一樣，故僅進行描述性分析。結果顯示：多數研究顯示ART組各類洞形的充填體保存率與傳統去腐組相當，僅個別研究顯示CRT組優于ART組；治療過程中接受ART治療的兒童較CRT組兒童感覺舒適；2個研究比較了兩組的工作時間，但結果相反。
結論　由于納入研究臨床異質性較大，無法進行合并分析，故對ART與CRT比較治療兒童齲病的療效尚不能得出確切結論，尚需更多高質量的研究加以驗證。

引用本文： 瑪麗亞木古麗,帕塔爾,趙今,吳泰相,努爾比亞,買買提依明,劉振華. 非創傷性治療與常規充填治療比較治療兒童齲病效果的系統評價. 中國循證醫學雜志, 2011, 11(4): 413-418. doi: 10.7507/1672-2531.20110072 復制

1.	2 Petersen DE, Bourgeois D, Ogawa. The global burden of oral diseases and risks to oral health. Bullitin of the World Health Organization , 2005, 83(9): 661-669.
2.	樊明文, 主編. 牙體牙髓病學. 第3版. 北京: 人民衛生出版社, 2008: 3-49.
3.	齊小秋. 第三次全國口腔健康流行病學調查報告. 北京: 人民衛生出版社, 2008.
4.	劉良, 陳桂紅. 兒童齲病與飲食習慣的研究概述. 中國現代藥物應用, 2008, 2(3): 109-111.
5.	石四緘, 主編. 兒童口腔醫學. 第2版. 北京: 人民衛生出版社, 2003: 71-76.
6.	王信, 劉保勝. 郯城縣城區小學學生齲病流行動態分析. 現代預防學, 2009, 36(10): 1831-1832.
7.	White JM, Eakle WS. Rationale and treatment approach in minimally invasive dentistry. J Am Dent Assoc , 2000, 131(Suppl): 13S-19S.
8.	Holmgren CJ, Pilot T. Discussion from the symposium ‘Minimal intervention techniques for caries’. J Public Health Dent , 1996, 56: 161-163.
9.	Ismail AI. Reaction paper: Minimal intervention techniques for dental caries. J Public Health Dent , 1996, 56: 155-160.
10.	Frencken JE, Holmgren CJ. How effective is ART in the management of dental caries? Community Dent Oral Epidemiol , 1999, 27: 423-430.
11.	Frencken J, Makoni F. A treatment technique for tooth decay in deprived communities. World Health , 1994, 47(1): 15-17.
12.	Mallow PK, Durward CS, Klaipo M. Restoration of permanent teeth in young rural children in Cambodia using the atraumatic restorative treatment (ART) technique and Fuji II glass-ionomer cement. Int J Paediatr Dent , 1998, 8(1): 35-40.
13.	Honkala E, Behbehani J, Ibricevic H, et al . The atraumatic restorative treatment (ART) approach to restoring primary teeth in a standard dental clinic. Int J Paediatr Dent , 2003, 13(3): 172-179.
14.	Lo EC, Luo Y, Fan MW, et al . Clinical investigation of two glass-ionomer restoratives used with the atraumatic restorative treatment approach in China: two-years results. Caries Res , 2001, 35(6): 458-463.
15.	Taifour D, Frencken JE, Beiruti N, et al . Effectiveness of glass -ionomer (ART) and amalgam restorations in the deciduous dentition: results after 3 years. Caries Res, 2002, 36(6): 437-444.
16.	Frencken JE, Holmgren CJ. Atraumatic Restorative Treatments (ART) for Dental Caries. Nijmegen, The Netherlands: STI Books, 1999.
17.	Higgins JPT, Altman DG (editors). Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008). The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
18.	吳泰相, 劉關鍵. 隱蔽分組(分配隱藏)和盲法的概念、實施與報告. 中國循證醫學雜志, 2007, 7(3): 203-207.
19.	de Menezes Abreu DM, Leal SC, Frencken JE. Self-report of pain in children treated according to the atraumatic restorative treatment and the conventional restorative treatment--a pilot study. J Clin Pediatr Dent , 2010, 34(2): 151-155.
20.	Eden E, Topaloglu-Ak A, Frencken JE, et al . Survival of self-etch adhesive Class II composite restorations using ART and conventional cavity preparations in primary molars. Am J Dent , 2006, 19(6): 359-363.
21.	Frencken JE, Taifour D, van't Hof MA. Survival of ART and amalgam restorations in permanent teeth of children after 6.3 years. J Dent Res , 2006, 85(7): 622-626.
22.	Rahimtoola S, van Amerongen E, Maher R, et al . Pain related to different ways of minimal intervention in the treatment of small caries lesions. ASDC J Dent Child , 2000, 67(2): 123-127, 183.
23.	Schriks MC, van Amerongen WE. Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments. Community Dent Oral Epidemiol , 2003, 31(1): 15-20.
24.	Van de Hoef N, Van Amerongen E. Influence of local anaesthesia on the quality of class II glass ionomer restorations. Int J Paediatr Dent , 2007, 17(4): 239-247.

1. 2 Petersen DE, Bourgeois D, Ogawa. The global burden of oral diseases and risks to oral health. Bullitin of the World Health Organization , 2005, 83(9): 661-669.
2. 樊明文, 主編. 牙體牙髓病學. 第3版. 北京: 人民衛生出版社, 2008: 3-49.
3. 齊小秋. 第三次全國口腔健康流行病學調查報告. 北京: 人民衛生出版社, 2008.
4. 劉良, 陳桂紅. 兒童齲病與飲食習慣的研究概述. 中國現代藥物應用, 2008, 2(3): 109-111.
5. 石四緘, 主編. 兒童口腔醫學. 第2版. 北京: 人民衛生出版社, 2003: 71-76.
6. 王信, 劉保勝. 郯城縣城區小學學生齲病流行動態分析. 現代預防學, 2009, 36(10): 1831-1832.
7. White JM, Eakle WS. Rationale and treatment approach in minimally invasive dentistry. J Am Dent Assoc , 2000, 131(Suppl): 13S-19S.
8. Holmgren CJ, Pilot T. Discussion from the symposium ‘Minimal intervention techniques for caries’. J Public Health Dent , 1996, 56: 161-163.
9. Ismail AI. Reaction paper: Minimal intervention techniques for dental caries. J Public Health Dent , 1996, 56: 155-160.
10. Frencken JE, Holmgren CJ. How effective is ART in the management of dental caries? Community Dent Oral Epidemiol , 1999, 27: 423-430.
11. Frencken J, Makoni F. A treatment technique for tooth decay in deprived communities. World Health , 1994, 47(1): 15-17.
12. Mallow PK, Durward CS, Klaipo M. Restoration of permanent teeth in young rural children in Cambodia using the atraumatic restorative treatment (ART) technique and Fuji II glass-ionomer cement. Int J Paediatr Dent , 1998, 8(1): 35-40.
13. Honkala E, Behbehani J, Ibricevic H, et al . The atraumatic restorative treatment (ART) approach to restoring primary teeth in a standard dental clinic. Int J Paediatr Dent , 2003, 13(3): 172-179.
14. Lo EC, Luo Y, Fan MW, et al . Clinical investigation of two glass-ionomer restoratives used with the atraumatic restorative treatment approach in China: two-years results. Caries Res , 2001, 35(6): 458-463.
15. Taifour D, Frencken JE, Beiruti N, et al . Effectiveness of glass -ionomer (ART) and amalgam restorations in the deciduous dentition: results after 3 years. Caries Res, 2002, 36(6): 437-444.
16. Frencken JE, Holmgren CJ. Atraumatic Restorative Treatments (ART) for Dental Caries. Nijmegen, The Netherlands: STI Books, 1999.
17. Higgins JPT, Altman DG (editors). Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.0 (updated February 2008). The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
18. 吳泰相, 劉關鍵. 隱蔽分組(分配隱藏)和盲法的概念、實施與報告. 中國循證醫學雜志, 2007, 7(3): 203-207.
19. de Menezes Abreu DM, Leal SC, Frencken JE. Self-report of pain in children treated according to the atraumatic restorative treatment and the conventional restorative treatment--a pilot study. J Clin Pediatr Dent , 2010, 34(2): 151-155.
20. Eden E, Topaloglu-Ak A, Frencken JE, et al . Survival of self-etch adhesive Class II composite restorations using ART and conventional cavity preparations in primary molars. Am J Dent , 2006, 19(6): 359-363.
21. Frencken JE, Taifour D, van't Hof MA. Survival of ART and amalgam restorations in permanent teeth of children after 6.3 years. J Dent Res , 2006, 85(7): 622-626.
22. Rahimtoola S, van Amerongen E, Maher R, et al . Pain related to different ways of minimal intervention in the treatment of small caries lesions. ASDC J Dent Child , 2000, 67(2): 123-127, 183.
23. Schriks MC, van Amerongen WE. Atraumatic perspectives of ART: psychological and physiological aspects of treatment with and without rotary instruments. Community Dent Oral Epidemiol , 2003, 31(1): 15-20.
24. Van de Hoef N, Van Amerongen E. Influence of local anaesthesia on the quality of class II glass ionomer restorations. Int J Paediatr Dent , 2007, 17(4): 239-247.

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非創傷性治療與常規充填治療比較治療兒童齲病效果的系統評價

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《中國循證醫學雜志》

非創傷性治療與常規充填治療比較治療兒童齲病效果的系統評價

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