系统化护理在儿童口腔科多生牙拔除术中的应用OA

Objective To investigate the effect of systematic nursing in the extraction of supernumerary teeth in pe-diatric dentistry,providing evidence for optimizing pediatric dental care models.Methods This study has been re-viewed and approved by the institutional medical ethics committee and has obtained informed consent from the patients and their guardians.A total of 120 children aged 6-12 years with supernumerary teeth who underwent outpatient extrac-tion in the Department of Pediatric Dentistry,The Affiliated Stomatological Hospital of Nanjing Medical University from January 2023 to December 2024 were selected as the study subjects.A randomized controlled study design was em-ployed,dividing the participants into an observation group(n=60)and a control group(n=60).The control group re-ceived routine care,while the observation group received systematic nursing in addition to routine care,including com-munication based on the CICARE(Connect,Introduce,Communicate,Ask,Respond,Exit)model,personalized behav-ior management guided by modified dental anxiety scale(MDAS)assessment,enhanced oral hygiene instruction,and continuous care via an internet platform.Intraoperative cooperation(Frankl scale),parental satisfaction(self-designed questionnaire),postoperative follow-up rates of patients with conditions such as impacted permanent teeth due to super-numerary teeth requiring follow-up visits at 1 week,3 months,6 months,and Q-H plaque index were compared between the two groups.Results The excellent-good rate of operative cooperation(88.3%vs.75.0%,P<0.05)and the overall parental satisfaction rate(95.0%vs.78.3%,P<0.05)in the observation group were significantly higher than those in the control group.At 3 and 6 months postoperatively,the follow-up rates in the observation group(86.7%vs.30.0%;80.0%vs.21.7%)were significantly higher than those in the control group(both P<0.001).At 1 week and 3 months postopera-tively,the plaque index in the observation group was significantly lower than that in the control group(both P<0.001).Conclusion Systematic nursing can effectively improve the intraoperative cooperation of children undergoing outpa-tient supernumerary teeth extraction and parental satisfaction,enhance long-term follow-up compliance,and help chil-dren develop good oral hygiene habits.