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银改性非创伤性修复技术:COVID-19大流行期间迈向“智能”儿童牙科的途径。

Silver Modified Atraumatic Restorative Technique: A Way towards "SMART" Pediatric Dentistry during the COVID-19 Pandemic.

作者信息

Natarajan Divya

机构信息

Department of Pedodontics and Preventive Dentistry, Chettinad Dental College and Research Institute, Kancheepuram District, Tamil Nadu, India.

出版信息

Front Dent. 2022 Mar 12;19:12. doi: 10.18502/fid.v19i12.9215. eCollection 2022.

Abstract

As the coronavirus disease-2019 pandemic outbreak continues to be a global public health concern, dentists should seek means to provide oral health care with minimal risk. To meet the recommendations of the Center for Disease Control, alternative non-aerosol generating techniques have been proposed to minimize the risk of disease transmission to patients and dental healthcare personnel. Among recent materials, silver diammine fluoride (SDF) has been shown to be effective in preventing and arresting caries. This along with an atraumatic restorative treatment with glass ionomer cements (GICs) makes it a potentially attractive adjunctive therapy for caries management in pediatric patients. In this technique, SDF is applied over carious tissue and the lesion is restored with auto-polymerizing GIC. This review article aims to provide a practical background and clinical guide for the application of silver-modified atraumatic restorative technique (SMART) as a safe way to provide dental services to children during the pandemic.

摘要

随着2019冠状病毒病疫情持续成为全球公共卫生关注焦点,牙医应寻求以最小风险提供口腔保健的方法。为满足疾病控制中心的建议,已提出替代性非产生气溶胶技术,以尽量减少疾病传播给患者和牙科医护人员的风险。在近期材料中,二氨银氟化物(SDF)已被证明在预防和阻止龋齿方面有效。这与用玻璃离子水门汀(GIC)进行的非创伤性修复治疗一起,使其成为儿科患者龋齿管理中一种潜在有吸引力的辅助治疗方法。在该技术中,将SDF应用于龋损组织,并用自凝GIC修复病变。这篇综述文章旨在为应用银改性非创伤性修复技术(SMART)提供实际背景和临床指南,作为在疫情期间为儿童提供牙科服务的一种安全方式。

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