非手术方法在活跃质病变中的有效性:一项追溯纵向研究
Andressa da Silva Arduim1, Debora Plotnik Gonçalves1, Maitê Munhoz Scherer1
1Universidade Federal do Rio Grande do Sul - UFRS, Dental Graduate Program, Porto Alegre, RS, Brazil.
Brazilian oral research
|May 31, 2023
概括
非侵入性和微侵入性牙科治疗有效控制高风险儿童的活跃牙损伤. 大多数病变变得不活跃,并没有进展,在年龄较大的儿童和具有良好生物膜控制的儿童中,结果更好.
科学领域:
- 儿科牙科 儿科牙科
- 皮肤病学 皮肤病学 皮肤病学
- 预防性牙科 预防性牙科
背景情况:
- 活跃的膜病变在高脏风险儿童中构成了重大挑战.
- 有效的管理策略对于防止病变进展和牙损失至关重要.
研究的目的:
- 评估高脏病风险儿童活跃膜病变的非侵入性和微侵入性治疗方法的有效性.
- 为了确定与成功的空控制相关的因素.
主要方法:
- 从牙科学校设置的临床记录的回顾性选.
- 包括用局部化物治疗的活跃膜病变,口腔卫生指导,饮食指导或密封剂.
- 使用Nyvad (无活化) 和ICDAS (国际空检测和评估系统) (非进展) 标准评估损伤控制.
主要成果:
- 这项研究包括105名患有高病风险的儿童 (平均年龄8.3岁) 和365名活跃的膜病变.
- 72.6%的病变失活,92.1%的病变在平均6.5个月的随访期间没有进展.
- 在6岁以上的儿童和具有更好的生物膜控制的儿童中,观察到受控病变的更高患病率.
结论:
- 非手术方法在控制儿童活跃质病变方面有效.
- 大多数接受治疗的活跃膜病变表现为不活跃,没有进展.
- 高龄和改善的生物膜控制与这一群体的虫的成功管理有关.
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