银胺化物可以减少使用全身麻醉的侵入性治疗吗?
Jean Marie Star1, Pardis Lipkin1, Kristin S Hoeft1
1Department of Orofacical Sciences, University of California San Francisco, San Francisco, CA 94143, USA.
The Journal of clinical pediatric dentistry
|September 14, 2024
概括
在全身麻醉 (GA) 治疗儿科牙治疗之前,预先应用银二胺化物 (SDF) 显著减少了纸治疗和提取的需要. 在GA期间,SDF可能会减少侵入性手术.
科学领域:
- 儿科牙科 儿科牙科
- 牙科公共卫生 牙科公共卫生
背景情况:
- 幼儿牙通常需要在全身麻醉 (GA) 下进行广泛的治疗.
- 银二胺化物 (SDF) 是一种最小的侵入性选择来阻止,但它对随后的GA治疗的影响需要进一步评估.
研究的目的:
- 追溯评估GA前SDF应用与GA期间进行的牙科治疗类型之间的关联.
- 为了比较在GA之前接受SDF的儿童与没有接受SDF的儿童的治疗结果.
主要方法:
- 在UCSF (2015-2019) 对1559名儿科患者 (≤6岁) 接受GA治疗的虫病的回顾性审查.
- 患者被分为SDF (N=335) 和对比 (N=1224) 组.
- 多变量回归分析比较了染的牙科治疗,控制了人口和临床因素.
主要成果:
- 与非SDF组相比,SDF组在完成的纸治疗和提取方面显著下降 (p <0.05).
- 没有发现SDF和所需的皇冠总数之间有显著的关联.
- 增加的脉治疗和提取与患者的年龄和更长的GA等待时间相关.
结论:
- 术前的SDF应用与GA期间的脉治疗和提取完成负相关.
- 在牙科GA之前的SDF应用可能会减少所需的侵入性手术的程度.
- SDF代表了一种潜在的有价值的工具,用于管理儿科牙损伤和优化GA治疗计划.
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