非修复性腔腔控制 (NRCC) 方法在处理初级牙牙缺陷方面的有效性:系统性审查
Mahdi M Alwusaybie1, Guna Shekhar Madiraju2, Hussain A Alhasan3
1Endodontics, Hail Dental Center, Ministry of Health, Hail, SAU.
Cureus
|February 2, 2026
概括
非修复性空腔控制 (NRCC) 有效地管理母牙的牙虫,为传统填充提供了最少侵入性的替代方案. 银胺化物 (SDF) 在阻止腐烂方面表现有前途,在儿童和家长中得到很高的接受.
科学领域:
- 儿科牙科 儿科牙科
- 卡里斯管理 卡里斯管理
- 最少侵入性牙科是最少侵入性的牙科.
背景情况:
- 幼儿 (ECC) 是一种广泛的传染病,影响全球数百万人.
- 传统的修复性治疗往往在幼儿中产生低于最佳的结果.
- 正在出现一种转向微创方法的范式转变,例如非修复性腔腔控制 (NRCC).
研究的目的:
- 审查NRCC策略的有效性,以管理母牙的牙虫.
- 将NRCC与传统的恢复性干预措施进行比较.
- 评估NRCC选项的安全性和可接受性.
主要方法:
- 在主要数据库 (Scopus,PubMed,MEDLINE,Web of Science) 中进行了系统的文献搜索.
- 纳入标准侧重于2015-2025年同行评审的随机临床试验 (RCT),涉及12岁以下的儿童,具有特定的ICDAS分数.
- 研究质量和偏差风险使用Cochrane ROB-2工具进行了评估.
主要成果:
- 纳入了9个RCT,其中大多数表明38%的白银二胺化物 (SDF) 有效地阻止牙损伤.
- 在一项研究中,与SDF相比,霍尔技术的生存率更高.
- 在儿科患者及其监护人中,SDF表现出高的接受度和满意度.
结论:
- 目前的证据支持NRCC作为一种优越的替代方案,用于原始牙牙虫的常规修复疗法.
- 尽管有审美考虑,但SDF提供了一个有效,安全和可行的治疗选择.
- NRCC,特别是SDF,是管理儿童早期虫的一个公认的方法.
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