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氟化亚锡对乳牙龋齿治疗的有效性及家长认知

Effectiveness and Parental Perception of Silver Diamine Fluoride toward Treatment of Dental Caries in Primary Teeth.

作者信息

Shrivastava Upasana, Barjatya Khushboo, Ak Bharath B, Vatsal Ankur, Shrivastava Rahul, Manker Abhilasha, Chand Binti R, Juneja Preene

机构信息

Department of Pediatric and Preventive Dentistry, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India.

Department of Public Health Dentistry, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India.

出版信息

Int J Clin Pediatr Dent. 2021 Nov-Dec;14(6):790-794. doi: 10.5005/jp-journals-10005-1810.

Abstract

AIM

Silver diamine fluoride (SDF) is taken into account as one among the effective measures for caries arrest and prevention in youngsters, due to the fact it proffers marginally invasive but cost-effective alternative to time-commemorated restorative caries control. The study was carried out to appraise the effectiveness of SDF (38%) in arresting active carious lesions and to gauge parental perception toward the treatment of cavities with SDF in the primary teeth.

MATERIALS AND METHODS

A total of 36 children in the age range 2-10 years, having active caries lésions, based on ICDAS criteria, in primary teeth were selected following the baseline examination. After four dropouts and refusal by two patients, 30 patients were treated with 1-2 topical applications of SDF (38%). Lesions were reassessed at 1 week and 3 months taking into account to assess the color and amend inconsistency (soft/hard). Parents have been mentioned regarding features of pain or infection and have been surveyed with regard to subjective feelings regarding SDF.

RESULTS

Quantitative variables have been subjected to the Chi-square test. All the 30 participants within the present study at baseline were reported to possess active caries lesion. About 80% of carious lesions were found to be arrested at first recall and 93.3% after 3 months. No occurrence of pain or infection was documented. Parental perception for simple application, taste, and esthetics became statistically significant. Study outcomes endorse SDF to be effective in preventing active carious lesions in deciduous dentition in youngsters, and treatment outcomes were affirmative by the parents.

CLINICAL SIGNIFICANCE

SDF has been a possible management option for a noninvasive remedy to inhibit active carious lesions in deciduous dentition without causing any psychological trauma to children.

HOW TO CITE THIS ARTICLE

Shrivastava U, Barjatya K, AK BB, Effectiveness and Parental Perception of Silver Diamine Fluoride toward Treatment of Dental Caries in Primary Teeth. Int J Clin Pediatr Dent 2021;14(6):790-794.

摘要

目的

由于氟化亚锡(SDF)为龋病的控制提供了微创且具成本效益的替代方案,它被视为儿童龋齿预防与控制的有效措施之一。本研究旨在评估38%的SDF对活动性龋损的控制效果,并了解家长对乳牙龋病使用SDF治疗的看法。

材料与方法

根据ICDAS标准,在基线检查后,选取36名年龄在2至10岁、乳牙患有活动性龋损的儿童。4名儿童退出研究,2名拒绝参与,最终30名患者接受了1至2次38%的SDF局部涂抹治疗。在1周和3个月时重新评估病损情况,评估颜色并记录硬度(软/硬)变化。向家长询问疼痛或感染情况,并调查他们对SDF治疗的主观感受。

结果

对定量变量进行卡方检验。本研究中所有30名参与者在基线时均被报告患有活动性龋损。约80%的龋损在首次复诊时得到控制,3个月后为93.3%。未记录到疼痛或感染情况。家长对治疗操作简便性、味道和美观性的看法具有统计学意义。研究结果支持SDF对预防儿童乳牙活动性龋损有效,且家长对治疗结果表示肯定。

临床意义

SDF是一种可行的管理选择,可用于无创治疗乳牙活动性龋损,且不会给儿童造成任何心理创伤。

如何引用本文

Shrivastava U, Barjatya K, AK BB, 氟化亚锡对乳牙龋齿治疗的有效性及家长认知。《国际临床儿科牙科学杂志》2021年;14(6):790 - 794。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d53/8783213/c4bc4579ce2f/ijcpd-14-790-g001.jpg

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