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氟化物漆对有龋洞和无龋洞的学龄前儿童口腔细菌的影响:随机临床试验。

Effect of fluoride varnishes on oral bacteria of preschool children with cavitated and non-cavitated carious lesions: randomized clinical trial.

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R, People's Republic of China.

University of Oklahoma College of Dentistry, Oklahoma, USA.

出版信息

Sci Rep. 2023 Oct 29;13(1):18543. doi: 10.1038/s41598-023-45636-9.

DOI:10.1038/s41598-023-45636-9
PMID:37899469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10613626/
Abstract

We compare the effect of calcium and phosphate-containing sodium fluoride (NaF) varnishes to conventional NaF varnish on S. mutans and L. fermentum counts. 3-4 years old children were grouped according to their caries status (n = 45 each): caries-free, with non-cavitated and with cavitated lesions. Each group was randomly subdivided (n = 15 each) into: Group 1- 5% NaF, Group 2- 5% NaF with tricalcium phosphate, Group 3- 5% NaF with casein phosphopeptide- amorphous calcium phosphate. Biofilm and saliva were collected to quantify microorganisms at baseline (T1) and 24-months (T2). Differences between groups were compared using Kruskal-Wallis test, followed by Dunn-Bonferroni post-test, at 0.0167 α-level. Significant difference was found for percentage of children with detectable biofilm L. fermentum (p = 0.013) at T1 and salivary S. mutans (p = 0.011) at T2. Percentage of children increased from T1 to T2 in Group 2 with salivary S. mutans (p = 0.007), salivary L. fermentum (p = 0.035), and biofilm L. fermentum (p = 0.019) and in Group 3 with salivary L. fermentum (p = 0.035). Bacterial change was not significant in both samples of intervention groups, except increase in salivary S. mutans (p = 0.038) in Group 3. Both calcium- and phosphate-containing NaF varnishes demonstrated similar antibacterial effect on S. mutans and L. fermentum compared to conventional NaF varnish.

摘要

我们比较了含钙和磷酸盐的氟化物(NaF)涂料与常规 NaF 涂料对变形链球菌和发酵乳杆菌计数的影响。根据龋齿状况将 3-4 岁儿童分组(每组 45 人):无龋、无龋窝沟和有龋窝沟。每组再随机分为(每组 15 人):第 1 组-5%NaF、第 2 组-5%NaF 加磷酸三钙、第 3 组-5%NaF 加酪蛋白磷酸肽-无定形磷酸钙。基线(T1)和 24 个月(T2)时采集生物膜和唾液以定量微生物。使用 Kruskal-Wallis 检验比较组间差异,然后使用 Dunn-Bonferroni 事后检验,α 值为 0.0167。在 T1 时可检测到生物膜发酵乳杆菌的儿童百分比(p=0.013)和 T2 时唾液变形链球菌(p=0.011)存在显著差异。T2 时第 2 组唾液变形链球菌(p=0.007)、唾液发酵乳杆菌(p=0.035)和生物膜发酵乳杆菌(p=0.019)和第 3 组唾液发酵乳杆菌(p=0.035)儿童百分比增加。除第 3 组唾液变形链球菌(p=0.038)外,干预组两种样本的细菌变化均不显著。含钙和磷酸盐的 NaF 涂料与常规 NaF 涂料相比,对变形链球菌和发酵乳杆菌均具有相似的抗菌作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/65e550218b42/41598_2023_45636_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/9e5f40a2b915/41598_2023_45636_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/9d21c0b9e82b/41598_2023_45636_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/ea48b0230b9e/41598_2023_45636_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/65e550218b42/41598_2023_45636_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/9e5f40a2b915/41598_2023_45636_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/9d21c0b9e82b/41598_2023_45636_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/ea48b0230b9e/41598_2023_45636_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d4d/10613626/65e550218b42/41598_2023_45636_Fig4_HTML.jpg

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本文引用的文献

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Arch Oral Biol. 2023 Feb;146:105607. doi: 10.1016/j.archoralbio.2022.105607. Epub 2022 Dec 14.
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Antimicrobial effectiveness of Nano Silver Fluoride Varnish in reducing in saliva and plaque biofilm when compared with Chlorhexidine and Sodium Fluoride Varnishes.与氯己定和氟化钠涂剂相比,纳米银氟化物涂剂在减少唾液和牙菌斑生物膜方面的抗菌效果。
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