Anant Nishi, Rai Niharika, Nr Sowmya, Amaltas Pramila, Kalambe Mrunal, Emmanuel Ashwarya
Department of Pedodontics and Preventive Dentistry, Triveni Institute of Dental Sciences Hospital and Research Centre, Bilaspur, IND.
Department of Pedodontics and Preventive Dentistry, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, IND.
Cureus. 2024 Mar 8;16(3):e55767. doi: 10.7759/cureus.55767. eCollection 2024 Mar.
Early childhood caries (ECC) is a widespread dental problem that impacts children below the age of six years. Traditional restorative treatments like fillings are often challenging and invasive for young children. Silver diamine fluoride (SDF) offers a minimally invasive and cost-effective alternative for managing ECC. However, the effects, acceptance, and understanding of this treatment by parents remain crucial for its successful implementation.
To evaluate the impact and level of acceptance of SDF treatment in ECC.
Thirty-two children from an Anganwadi center aged between two to five years suffering from ECC were selected. A 38% SDF was applied for 3 minutes on the identified carious lesion, and the arrest percentage was checked after a recall period of three weeks and three months. The Likert scale was used for the questionnaire regarding parental feedback about the ease of application procedure, tooth discoloration, possible pain associated with the procedure, and the taste of SDF.
In the present study, a total of 75 surfaces were subjected to the application of SDF. After a period of three weeks, it was observed that 64 of these surfaces had successfully undergone the process of caries arrest. This finding was deemed to be statistically significant, with a P value of 0.021. Furthermore, the remaining surfaces that had not achieved caries arrest were subsequently treated at three months. The results of this subsequent treatment were also found to be statistically significant, with a P value of 0.027. These findings highlight the efficacy of both caries treatment and caries arrest in relation to the utilization of SDF.
SDF was found to be minimally invasive, easy to administer, inexpensive, highly efficient, and effective treatment in arresting caries in the primary dentition of young children, particularly in patients lacking cooperation.
幼儿龋齿（ECC）是一个普遍存在的牙科问题，影响六岁以下儿童。传统的修复治疗方法，如补牙，对幼儿来说往往具有挑战性且具有侵入性。氟化银胺（SDF）为管理ECC提供了一种微创且经济高效的替代方法。然而，父母对这种治疗的效果、接受度和理解对于其成功实施仍然至关重要。
评估SDF治疗在ECC中的影响和接受程度。
从一个安格瓦迪中心选取32名年龄在2至5岁之间患有ECC的儿童。将38%的SDF应用于已确定的龋损部位3分钟，并在三周和三个月的回访期后检查龋病静止率。采用李克特量表进行问卷调查，内容涉及父母对应用程序的简便性、牙齿变色、与该程序相关的可能疼痛以及SDF味道的反馈。
在本研究中，共有75个表面接受了SDF治疗。三周后观察到，其中64个表面成功实现了龋病静止。这一发现被认为具有统计学意义，P值为0.021。此外，其余未实现龋病静止的表面在三个月时接受了后续治疗。后续治疗的结果也具有统计学意义，P值为0.027。这些发现突出了SDF在龋病治疗和龋病静止方面的疗效。
发现SDF在幼儿乳牙列龋病静止方面是一种微创、易于施用、廉价、高效且有效的治疗方法，特别是对于缺乏合作的患者。
