摘要
Abstract
Objective:To compare the clinical efficacy of full pulpot omy(FP)versus root canal therapy(RCT),both combined with psychological intervention,for treating deep carious pulp-exposed primary molars in children with moderate dental fear(DF).Methods:A total of 68 children(aged 4～8 years)with 103 deep carious pulp-exposed primary molars,who were recruited between January 2021 and June 2023,were included.All children were diagnosed with moderate DF using the children's fear survey schedule-dental subscale(CFSS-DS).They were randomly allocated to either the FP group or the RCT group using random number table method.All children received psychological intervention and behavior guidance prior to treatment.Heart rate was measured and recorded preoperatively,intraoperatively and postoperatively.Intraoperative coopera-tion was assessed using the Venham clinical anxiety and cooperative behavior scale.Postoperative pain was evaluated using visual analog scale(VAS)at 1,3,and 7 days.Treatment success rates were assessed at 1,6,12,and 24 months postoperative-ly.Results:Significant differences were observed between the FP and RCT groups in both intraoperative heart rate and the change in heart rate from pre-to intra-operative measurements(P＜0.05).According to the Venham scale,the rate of level 2 or better cooperation intraoperatively was 88.2％in the FP group and 64.7％in the RCT group,with the FP group showing better cooperation(P＜0.05).The FP group also exhibited significantly lower VAS scores at 1 and 3 days postoperatively(P＜0.05),by day 7 postoperatively,pain had subsided to similar levels in both groups(P＞0.05).The success rates of the FP group at 1 month and 6 months were higher than in the RCT group,but the differences were not statistically significant(P＞0.05).At 12 months and 24 months after the operation,the success rates of the FP group were 100％and 98％,respectively,significantly higher than the 92.3％and 86.5％in the RCT group(P＜0.05).Conclusion:For managing deep carious pulp-exposed primary molars in children with moderate DF,FP combined with psychological intervention is superior to RCT.It not only better alleviates intraoperative anxiety and improves cooperation but also results in less postoperative pain and signifi-cantly higher long-term success rates and parental satisfaction.关键词
牙科畏惧症/冠髓切断术/根管治疗术/心理干预/龋病Key words
Dental fear/Full pulpotomy/Root canal therapy/Psychological intervention/Dental caries分类
医药卫生
