一个随机的临床试验,用银胺化物治疗来阻止,并有两个术后指令
Ivy Guofang Sun1, Duangporn Duangthip2, Faith Miaomiao Zheng1
1Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region of China.
Journal of dentistry
|August 13, 2024
概括
在银二胺化物 (SDF) 治疗后30分钟不冲洗,与立即冲洗相比,并没有改善停止早期儿童. 这一发现为儿童牙科护理协议提供了指导.
科学领域:
- 儿科牙科 儿科牙科
- 皮肤病学 皮肤病学 皮肤病学
- 牙科公共卫生 牙科公共卫生
背景情况:
- 幼儿 (ECC) 是幼儿口腔健康的一个重大问题.
- 银胺化物 (SDF) 是一种有效的治疗方法,可以阻止牙腐烂.
- 处理后的说明,如冲洗协议,可能会影响SDF的有效性.
研究的目的:
- 评估SDF应用后30分钟不冲洗是否会增强幼儿脏的停止.
- 为了比较立即冲洗的儿童和在SDF治疗后30分钟不冲洗的儿童之间的脏停止率.
主要方法:
- 一项随机临床试验,涉及298名年龄在3-4岁的儿童,患有活跃牙损.
- 儿童接受了38%的SDF治疗,然后随机分为两组:立即冲洗 (A组) 或30分钟不冲洗 (B组).
- 损伤活动在基线和六个月后被评估,以确定损停止率.
主要成果:
- 这项研究包括275名儿童 (1,069个SDF处理的表面) 在六个月的随访.
- 脏停止率在各组之间是可比的:即时冲洗的65% (A组) 和没有冲洗的61% (B组) (p=0.28).
- 基线人口统计,口腔卫生和病状况在两组之间相似.
结论:
- 在SDF治疗后30分钟不冲洗,在阻止幼儿脏方面不胜于立即冲洗.
- 这些发现表明,目前的SDF后冲洗协议可能不会显著影响脏停止率.
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