氟化亚锡在预防和阻止老年人龋齿方面有效吗？一项系统评价。
Is Silver Diamine Fluoride Effective in Preventing and Arresting Caries in Elderly Adults? A Systematic Review.
作者信息
Subbiah Gireesh Kumar, Gopinathan Nithin Manchery
机构信息
Former Post Graduate Student, Centre for Public Health, Queen's University, Belfast, United Kingdom.
Phd Student, School of Dentistry, University of Queensland, Queensland, Australia.
出版信息
J Int Soc Prev Community Dent. 2018 May-Jun;8(3):191-199. doi: 10.4103/jispcd.JISPCD_99_18. Epub 2018 May 17.
AIM
Silver diamine fluoride (SDF) has invoked interest in recent times due to its remineralization capacity and non-invasive application procedure. The aim of this systematic review was to report the findings concerning the effectiveness of SDF in managing caries in the elderly adults.
MATERIALS AND METHODS
A systematic search of publications was conducted using four databases: PubMed, MEDLINE, Embase, and CENTRAL. The key MeSH term combinations used were (silver diamine fluoride) AND (caries) AND (elderly).
RESULTS
The review found only three well-conducted randomized controlled trials evaluating the effectiveness of SDF on root caries in community-dwelling elders. None of the studies addressed coronal caries. The effectiveness improved when combined with structured oral health education.
CONCLUSION
The available limited evidence on SDF shows that it is effective in arresting and preventing root caries in the elderly. More high-quality studies need to be done to verify the effectiveness on coronal caries and long-term effects of SDF in the elderly with varying levels of dependency.
目的
近年来，由于氟化亚锡（SDF）具有再矿化能力且应用过程无创，它引起了人们的关注。本系统评价的目的是报告有关SDF治疗老年人龋齿有效性的研究结果。
材料与方法
使用四个数据库进行系统的文献检索：PubMed、MEDLINE、Embase和CENTRAL。使用的关键医学主题词组合为（氟化亚锡）与（龋齿）与（老年人）。
结果
该评价仅发现三项实施良好的随机对照试验，评估了SDF对社区居住老年人根面龋的有效性。没有一项研究涉及冠龋。与结构化口腔健康教育相结合时，有效性有所提高。
结论
关于SDF的现有有限证据表明，它在阻止和预防老年人根面龋方面是有效的。需要开展更多高质量研究，以验证SDF对冠龋的有效性以及对不同依赖程度老年人的长期影响。
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