针对性分布式牙膏和牙刷程序的一个集群随机对照试验
Michaela Goodwin1, Laura MacKay1, Tanya Walsh1
1Division of Dentistry, Faculty of Biology, Medicine and Health, The University of Manchester, M15 6SE, Manchester, UK.
Caries research
|May 23, 2024
概括
一个有针对性的牙刷和牙膏计划并没有显著减少牙科全科医疗麻醉 (DGA) 下的牙提取转诊的高风险儿童. 与这些家庭的通常护理相比,这种牙科干预没有显示出临床上有意义的差异.
科学领域:
- 公共卫生 牙科 公共卫生 牙科
- 儿科口腔健康 儿科口腔健康
- 卫生干预研究 研究 研究 干预
背景情况:
- 牙腐烂的高率需要对有风险的儿童进行干预.
- 牙科全身麻醉 (DGA) 用于拔牙是儿科护理的一个重要问题.
- 有针对性的口腔卫生计划旨在减少对侵袭性牙科手术的需求.
研究的目的:
- 评估分布式,有针对性的牙刷和牙膏程序的有效性.
- 评估牙科全科医疗麻醉 (DGA) 下拔牙推的影响.
- 将干预与高风险家庭的常规护理进行比较.
主要方法:
- 一个盲目的,集群的并行随机受控试验 (RCT),涉及3-10岁儿童的家庭.
- 参与者来自英格兰西北部的医院.
- 衡量的主要结局是随机化后6-24个月的DGA转诊.
主要成果:
- 961个家庭 (1671名儿童) 被随机分配;1662名儿童被纳入最终分析.
- 干预组的9.2%和对照组的6.8%在2年内被转介给DGA.
- 在干预和常规护理组之间没有发现DGA转诊的临床意义上的差异 (RR 1.36,95% CI:0.98-1.89).
结论:
- 干预的重点是对患有DGA的儿童的家庭是适当的.
- 该研究强调,决策者需要了解重复发生的DGA事件.
- 可能需要进一步的干预来解决高风险儿科群体中经常出现的牙科问题.
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