通过幼儿的最小干预程序进行牙管理的临床干预:一个更新的基于证据的审查
Arturo Garrocho-Rangel1, Paola Navarro-Padilla1, Daniela Guzmán-Uribe1
1Pediatric Dentistry Postgraduate Program, Faculty of Dentistry, San Luis Potosí University, 78290 San Luis Potosí, SLP, Mexico.
The Journal of clinical pediatric dentistry
|November 24, 2023
概括
最小干预牙科 (MID) 提供有效的预防和恢复策略,用于管理儿童牙腐烂. 这种方法优先考虑早期诊断和不太侵入性治疗,以改善儿童的长期口腔健康.
科学领域:
- 儿科牙科 儿科牙科
- 皮肤病学 皮肤病学 皮肤病学
- 基于证据的牙科.
背景情况:
- 牙损是初级牙科中普遍存在的问题.
- 传统的空治疗对幼儿来说可能是侵入性的,并会引起焦虑.
- 需要基于证据的,最少侵入性的方法.
研究的目的:
- 审查和总结预防性,非恢复性和恢复性最小干预牙科 (MID) 策略的最高质量的证据.
- 专注于牙管理,特别是在初级牙形成阶段.
- 将发现整理成关键的虫病管理策略.
主要方法:
- 从2007年到2022年,对主要数据库 (PubMed,Embase,Cochrane,Google Scholar) 进行全面的文献搜索.
- 包括高级别的证据:随机对照试验,系统审查,元分析和实践指南.
- 从153个初始参考资料中选择了63项相关研究.
主要成果:
- 有证据支持三种主要的MID策略:诊断/风险评估,预防性/非化病变管理和化病变管理.
- MID的干预包括预防性,非侵入性,最小侵入性和保守的恢复性措施.
- 经过审查的证据证实了MID在治疗母牙虫方面的有效性.
结论:
- 最小干预牙科 (MID) 提供了一个有吸引力的,基于证据的替代方案,用于管理初级牙科的牙损伤.
- MID促进预防,并使用少入侵的技术,导致更好的长期口腔健康结果.
- 与传统的牙科治疗相比,这种儿童友好的方法可以减少焦虑.
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