银二胺化物对口腔细菌体和真菌体的影响:一项随机临床试验
Mayura Manerkar1,2, Vivianne Cruz de Jesus1,2, Betty-Anne Mittermuller1,2
1Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
BMC oral health
|October 22, 2025
概括
银二胺化物 (SDF) 有效地阻止了儿童早期 (ECC) 的成功率很高. 虽然没有改变口腔微生物群的整体多样性,但SDF治疗改变了特定细菌和真菌的丰富性.
科学领域:
- 牙科 牙科是指牙科的专业.
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 幼儿 (ECC) 是一个普遍的口腔健康问题.
- 银二胺化物 (SDF) 是对ECC的一种微创治疗方法.
- SDF对ECC儿童口腔微生物群的影响需要进一步研究.
研究的目的:
- 研究SDF治疗后患有ECC的儿童口腔微生物组的变化.
- 为了比较SDF和化 (NaF) 漆在不同应用频率的有效性.
- 评估与不同SDF治疗方案相关的脏停止率.
主要方法:
- 一个开放的,随机的临床试验,涉及45名患有ECC的儿童.
- 测试了三种不同的SDF和NaF漆的频率方案.
- 使用V4-16SrRNA和ITS1rRNA基因测序分析了上斑块样本.
主要成果:
- SDF治疗没有显著改变口腔微生物群的整体多样性.
- 观察到特定细菌 (例如,乳酸菌,双菌) 和真菌 (例如,坎迪达菌) 丰富度的显著变化.
- 达到了高止率 (75.9%在第二次检查时,92.8%在第三次检查时),两个应用间隔一到四个月的最佳结果.
结论:
- 结合NaF漆的SDF是一种有效的治疗方法,可以阻止ECC.
- 两个SDF应用程序比一个更有效.
- SDF处理改变了特定的微生物种群,但没有减少口腔微生物群的整体多样性.
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