Thakur Seema, Sojan Meera, Singhal Parul, Chauhan Deepak
Department of Paedodontics, H.P. Government Dental College & Hospital, Shimla, Himachal Pradesh, India.
Int J Clin Pediatr Dent. 2022;15(Suppl 2):S147-S150. doi: 10.5005/jp-journals-10005-2326.
Ideally every child must have access to preventive and restorative care of greater quality. However, in rural areas, resources and dental care services are limited. Silver diamine fluoride (SDF) has been identified as an efficient topical cariostatic and preventive medicament for managing ECC in children who cannot be treated conventionally. Since SDF is an emerging alternative for caries prevention and arrest, AAPD recommends more practice-based research to evaluate its efficacy. The aim of this study was to evaluate the effectiveness of silver diamine fluoride at different time durations of application in treatment of carious primary teeth in children with least access to dental care.
This was a prospective, randomized, field trial that included patients with primary tooth. Primary tooth presenting carious lesion in ICDAS 3-6 category were randomly assigned to one of the three groups.
At 3-week mean rank of lesions arrested in Group 1 and Group 2 were 73.3 and 72.29, whereas it was 86.9 in case of Group 3. At 6 months it was 79.15, 77.29, and 75.96 in Group 1, 2, and 3, respectively (p > 0.05).
SDF is effective in controlling caries progression in both cavitated and non-cavitated lesion with minimal time duration of application (30 seconds). This approach may be of great utility as an alternative to other expensive preventive and therapeutic methods in communities with limited resources. Nonetheless obtaining caregiver consent is mandatory.
Thakur S, Sojan M, Singhal P, A Comparative Study to Evaluate the Effectiveness of Silver Diamine Fluoride at Different Time Durations of Application in Treating Carious Primary Teeth: A Randomized Trial. Int J Clin Pediatr Dent 2022;15(S-2):S147-S150.
理想情况下，每个儿童都必须获得质量更高的预防和修复性护理。然而，在农村地区，资源和牙科护理服务有限。氟化亚锡（SDF）已被确定为一种有效的局部防龋和预防药物，用于治疗无法接受传统治疗的儿童的早期儿童龋（ECC）。由于SDF是一种新兴的预防和阻止龋齿的替代方法，美国儿科学会牙科学会（AAPD）建议开展更多基于实践的研究来评估其疗效。本研究的目的是评估在获得牙科护理机会最少的儿童中，不同应用时长的氟化亚锡治疗乳牙龋齿的有效性。
这是一项前瞻性、随机、现场试验，纳入了患有乳牙的患者。国际龋病检测和评估系统（ICDAS）3-6类出现龋损的乳牙被随机分配到三组中的一组。
在3周时，第1组和第2组中病变停止进展的平均秩分别为73.3和72.29，而第3组为86.9。在6个月时，第1组、第2组和第3组分别为79.15、77.29和75.96（p>0.05）。
SDF在应用最短时间（30秒）时，对控制已出现龋洞和未出现龋洞的病变的龋齿进展均有效。在资源有限的社区中，这种方法作为其他昂贵的预防和治疗方法的替代方法可能非常有用。尽管如此，获得照顾者的同意是强制性的。
Thakur S, Sojan M, Singhal P, 一项比较研究：评估不同应用时长的氟化亚锡治疗乳牙龋齿的有效性：一项随机试验。《国际临床儿科牙科学杂志》2022；15（S-2）：S147-S150。
