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巴西有特殊医疗需求儿童的家长对使用氟化银的接受度。

Acceptance of the use of silver fluoride among Brazilian parents of children with special health care needs.

作者信息

Potgieter N, Pereira V, Elias R, Charone S, Groisman S

机构信息

Department of Paediatric Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa.

Dental Special Needs, Brazilian Dental Association of Duke de Caxias - Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Front Oral Health. 2024 May 30;5:1377949. doi: 10.3389/froh.2024.1377949. eCollection 2024.

Abstract

BACKGROUND

Children with special health care needs including Down Syndrome, Autism Spectrum Disorder and Down Syndrome experience difficulties in receiving dental treatment. Silver Diamine Fluoride (SDF) and Silver Fluoride (SF) are a minimally invasive treatments options to arrest dental caries without sedation; local or general anaesthesia (GA).

AIM

Evaluation of Brazilian's parents' acceptance of the use of SF in CSHCN.

METHODS

After receiving education on SF, 100 Parents of CSHCN completed a questionnaire concerning their acceptance of SF, in different dental situation.

RESULT

Majority of parents (74,5%) agreed to the use of SF for their children. SF was more acceptable on posterior teeth (74,5%) when compared to its use on anterior teeth (43,1%). Parents accepted to use SF in order: to reduce infection and pain (82,4%); to avoid dental injection (72,5%) and treatment under GA (84,3%). The Majority of parents accepted the properties of SF (82,4%) and Silver (80,4%).

CONCLUSION

Silver Fluoride was accepted as a treatment option for caries, by Brazilian parents of CSHCN. SF should be considered as a treatment option for caries limited to dentine for CSHCN, taking into consideration the individual needs and opinions with regard to aesthetics and exposure to fluoride and silver.

摘要

背景

患有特殊医疗需求的儿童,包括唐氏综合征、自闭症谱系障碍等,在接受牙科治疗时会遇到困难。氟化亚银(SDF)和氟化银(SF)是无需镇静、局部或全身麻醉即可阻止龋齿发展的微创治疗选择。

目的

评估巴西家长对在有特殊医疗需求儿童中使用SF的接受程度。

方法

在接受关于SF的教育后,100名有特殊医疗需求儿童的家长完成了一份关于他们在不同牙科情况下对SF接受程度的问卷。

结果

大多数家长(74.5%)同意为他们的孩子使用SF。与在前牙使用(43.1%)相比,SF在后牙使用时更易被接受(74.5%)。家长接受使用SF的顺序依次为:减少感染和疼痛(82.4%);避免牙科注射(72.5%)和全身麻醉下的治疗(84.3%)。大多数家长接受SF的特性(82.4%)和银的特性(80.4%)。

结论

巴西有特殊医疗需求儿童的家长接受氟化银作为龋齿的一种治疗选择。考虑到个体在美学以及氟化物和银暴露方面的需求和意见,SF应被视为有特殊医疗需求儿童仅限于牙本质龋齿的一种治疗选择。

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