Autio-Gold Jaana
Department of Operative Dentistry, University of Florida, USA.
Dent Today. 2008 Jan;27(1):64-7; quiz 67, 58.
Available data suggest that fluoride varnish can be a safe and effective method for caries management. The application of varnish can be beneficial for those at risk for caries and for patients with special needs, and for those with no access to daily fluoride or other preventive methods. Even a small amount of varnish can be applied to active noncavitated lesions, assuring that a high concentration of the agent is available at the site where needed and that the total amount of active agent administered to the patient may be markedly reduced. Considering that varnish treatment is painless and can be easily performed by auxiliary dental personnel, it is a caries preventive method that can be easily applied and recommended for any age group, even young children. For high-risk caries patients with a significant cariogenic challenge, topical applications of fluoride might be insufficient and thus could be supplemented with other anticariogenic methods, such as xylitol chewing gum.
现有数据表明，氟化物清漆可能是一种安全有效的龋齿管理方法。涂抹清漆对有龋齿风险的人群、有特殊需求的患者以及无法获得每日氟化物或其他预防方法的人群有益。即使是少量的清漆也可应用于活动性非龋损病变，确保在需要的部位有高浓度的药剂，并且可显著减少给予患者的活性剂总量。鉴于清漆治疗无痛且可由牙科辅助人员轻松进行，它是一种易于应用且可推荐给任何年龄组（甚至幼儿）的龋齿预防方法。对于面临重大致龋挑战的高危龋齿患者，局部应用氟化物可能不足，因此可辅以其他防龋方法，如木糖醇口香糖。
