在儿童的流行病条件下,CariesCare International的表现如何? 一个为期一年的多中心,单组,干预性研究
Stefania Martignon1, Edgar O Beltrán2, Gail V A Douglas3
1UNICA, Caries Research Unit, Research Department, Universidad El Bosque, Bogotá, Colombia. martignonstefania@unbosque.edu.co.
British dental journal
|August 5, 2025
概括
国际CariesCare (CCI) 方法有效控制了一年以上儿童的病进展,在家长和牙医中得到了高度接受. 这种以风险为基础,以患者为中心的策略,即使在与流行病相关的适应措施下,也被证明是可行的.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 牙科 公共卫生 牙科
- 卡里斯管理 卡里斯管理
背景情况:
- 国际卡瑞斯护理 (CCI) 是一个基于实践,面向风险的虫病管理系统.
- 由于COVID-19大流行,CCI需要进行调整,转向非气溶生成程序 (非AGP) 协议,减少现场咨询.
- 在流行病背景下测试CCI的有效性需要修改干预研究设计.
研究的目的:
- 评估3至8岁儿童的流行病适应的CCI协议对空进展控制的效果.
- 在12个月的时间内评估单个干预措施的有效性.
- 确定家长和牙医是否接受适应的CCI协议.
主要方法:
- 一项为期12个月的多中心单组干预研究,涉及16个中心和337名儿童.
- 检查人员评估了脏风险,口腔健康行为,脏病变 (国际脏检测和评估系统),牙败血症和牙痛在基线和一年后的随访.
- 实践者提供了一个为期一年的CCI适应的个性化护理计划.
主要成果:
- 牙表面有病变的平均数量从8.4降至6.2 (p <0.05) 的统计学显著下降.
- 75.1%的儿童表现出受控的病进展,86.6%具有高病风险,72.7%表现出不充分的口腔健康行为.
- 父母和牙医报告了CCI协议的高接受率.
结论:
- 经过一年时间的适应CCI协议的实施,证明了有效控制儿童下病的进展.
- 该研究强调了CCI方法的可行性和高接受度,即使有流行病引起的修改.
- CCI代表了一种可行的,以患者为中心的,基于风险的策略,用于管理儿科患者的牙损伤.
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