Thomas Michelle L, Magher Kelly, Mugayar Leda, Dávila Maria, Tomar Scott L
Dr. Thomas is a pediatric dentist in Jacksonville, Fla., USA.
Dr. Magher is a clinical assistant professor, Department of Pediatric Dentistry, NCEF Pediatric Dental Center, University of Florida College of Dentistry, Naples, Fla., USA.
Pediatr Dent. 2020 May 15;42(3):217-220.
Early childhood caries remains a worldwide disease and often requires treatment under sedation or general anesthesia, with long waitlists. Silver diamine fluoride has been shown to arrest caries lesions. The purpose of this study was to determine whether silver diamine fluoride (SDF) application reduces emergency visits by waitlisted patients with early childhood caries (ECC). Waitlisted patients aged zero to 71 months with ECC who were treated with SDF were enrolled at the University of Florida's NCEF Pediatric Dental Center; their cumulative incidence of dental emergencies were compared with children who were waitlisted during the 16 months preceding the introduction of SDF. Data from patient records on demographics, dental visits, SDF placement, and caries arrest were abstracted. Bivariate analyses and multiple logistic regression modeling were performed. Participants included 97 patients treated with SDF and 216 not treated with SDF. The cumulative incidence of dental emergencies was approximately 80 percent lower in the SDF group than in the comparison group (4.1 percent versus 17.6 percent; adjusted odds ratio equals 0.18; 95 percent confidence interval equals 0.06 to 0.54); 81 percent of SDF-treated surfaces were arrested at a follow-up visit. Silver diamine fluoride helps reduce emergency visits for children with early childhood caries while on treatment waitlists and confirms the effectiveness of SDF for caries arrest in primary teeth.
幼儿龋齿仍是一种全球性疾病，通常需要在镇静或全身麻醉下进行治疗，候诊名单很长。已证明氟化亚锡能阻止龋齿病变。本研究的目的是确定应用氟化亚锡（SDF）是否能减少列入候诊名单的幼儿龋齿（ECC）患者的急诊就诊次数。在佛罗里达大学的NCEF儿童牙科中心招募了年龄在0至71个月、患有ECC且接受SDF治疗的候诊患者；将他们的牙科急诊累积发病率与在引入SDF前16个月内列入候诊名单的儿童进行比较。从患者记录中提取了关于人口统计学、牙科就诊、SDF应用和龋齿阻止情况的数据。进行了双变量分析和多元逻辑回归建模。参与者包括97名接受SDF治疗的患者和216名未接受SDF治疗的患者。SDF组的牙科急诊累积发病率比对照组低约80%（4.1%对17.6%；调整后的优势比等于0.18；95%置信区间等于0.06至0.54）；在随访就诊时，81%接受SDF治疗的牙面龋齿得到阻止。氟化亚锡有助于减少列入治疗候诊名单的幼儿龋齿患者的急诊就诊次数，并证实了SDF对乳牙龋齿阻止的有效性。
