Phyo Win Myat, Detsomboonrat Palinee
International Graduate Program in Dental Public Health, Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant rd., Wangmai, Pathumwan, Bangkok, 10330, Bangkok, Thailand.
BMC Oral Health. 2024 Dec 31;24(1):1578. doi: 10.1186/s12903-024-05359-3.
According to anecdotal reports, SDF's ability to arrest caries can be enhanced by light-curing in a clinical setting. The purpose of the present study was to explore the dental professionals' perceptions of using SDF and to understand the barriers and enabling factors to using SDF with and without light-curing.
A qualitative study was conducted with dental professionals who had experience with using SDF with and without light-curing. A purposive heterogeneous and convenience sampling approach was applied to ensure the inclusion of participants with different employment and experience levels. Eighteen participants (dental students (undergraduate and postgraduate), dental personnel (practicing dentists and dental hygienists), and academics) with ages ranging from 22 to 53 years old participated in the study. The data were collected through a semi-structured open-ended questionnaire. Manual line-by-line coding and content analysis methods were used for data analysis.
Most participants indicated a preference for light-curing, citing perceived benefits, such as quicker treatment, convenience, better visibility, prevention of saliva contamination, and ensuring thorough SDF coverage. However, some participants voiced concerns, based either on existing practice guidelines or due to insufficient evidence regarding the efficacy of light-curing. Additionally, one participant proposed a hybrid approach based on tooth location, suggesting avoiding using light-curing on anterior teeth, while utilizing it on posterior teeth.
The participants' responses indicated that the use of SDF with and without light-curing each has its merits. Using SDF with light-curing emerged as the preferred method due to perceived benefits. e.g., quicker treatment, better moisture control. However, concerns regarding existing guidelines and the lack of robust evidence for its efficacy were also identified. This study highlights the need for additional research to address the knowledge gaps and provide stronger evidence to support the use of light-curing after SDF application.
根据传闻报道，在临床环境中，光固化可增强含氟亚锡（SDF）的防龋能力。本研究的目的是探讨牙科专业人员对使用SDF的看法，并了解在有或无光固化情况下使用SDF的障碍和促成因素。
对有使用含或无光固化SDF经验的牙科专业人员进行了一项定性研究。采用目的异质性和便利抽样方法，以确保纳入不同就业和经验水平的参与者。18名年龄在22至53岁之间的参与者（牙科学生（本科和研究生）、牙科人员（执业牙医和口腔卫生员）以及学者）参与了该研究。通过半结构化开放式问卷收集数据。采用逐行手动编码和内容分析方法进行数据分析。
大多数参与者表示倾向于光固化，列举了诸如治疗更快、方便、可视性更好、防止唾液污染以及确保SDF完全覆盖等感知到的益处。然而，一些参与者基于现有实践指南或由于光固化疗效的证据不足而表达了担忧。此外，一名参与者提出了一种基于牙齿位置的混合方法，建议在前牙避免使用光固化，而后牙使用光固化。
参与者的回答表明，有或无光固化使用SDF各有其优点。由于感知到的益处，如有更快的治疗、更好的湿度控制，有光固化使用SDF成为首选方法。然而，也发现了对现有指南的担忧以及缺乏其疗效的确凿证据。本研究强调需要进行更多研究以填补知识空白，并提供更有力的证据来支持在应用SDF后使用光固化。
