Mesh : Child Humans Child, Preschool Cariostatic Agents / therapeutic use Dental Atraumatic Restorative Treatment Dental Caries Susceptibility Sodium Fluoride / therapeutic use

来  源:   DOI:10.26355/eurrev_202311_34477

Abstract:
OBJECTIVE: Early childhood caries is a common condition that poses a serious risk to children\'s health because it can progress quickly, resulting in pain, abscesses, and a general decline in health. As a result, invasive therapies are needed, which call for highly skilled personnel. This systematic review of the literature aims to identify the most recent and widely applied early childhood caries (ECC) prevention and treatment approaches. Only substances that act topically and minimally invasive interventions were considered.
METHODS: The database search was restricted to randomized clinical trials completed within the last five years, specifically those that examined the following procedures: sodium fluoride (NaF) varnish, alternative restorative technique (ART), nano-silver fluoride, silver diamine fluoride, and silver modified atraumatic restorative treatment sealants (SMART).
RESULTS: A total of 815 articles were found. After removing duplicates, 584 articles were included, and 567 of them were excluded due to not meeting the predefined inclusion criteria.
CONCLUSIONS: Every method considered has been proven to be successful in halting the progression of ECC and is well-liked by patients, even those who are unwilling to cooperate, as well as by parents. The most common unfavorable effect of SDF is irreversible black discoloration in treated tooth surfaces, but this is typically not a problem. They are all low-cost, minimally invasive techniques that might also be widely used in large communities and low socioeconomic settings.
摘要:
目的:儿童早期龋齿是一种常见病,对儿童的健康构成严重威胁,因为它可以迅速发展,导致疼痛,脓肿,健康状况普遍下降。因此,需要侵入性治疗,这需要高技能的人才。这篇系统的文献综述旨在确定最新和广泛应用的儿童早期龋齿(ECC)预防和治疗方法。仅考虑局部作用和微创干预的物质。
方法:数据库搜索仅限于过去五年内完成的随机临床试验,特别是那些检查以下程序:氟化钠(NaF)清漆,替代修复技术(ART),纳米氟化银,二氟化银,和银改性无创伤修复治疗密封剂(SMART)。
结果:共发现815篇。删除重复项后,包括584篇文章,其中567例因不符合预定义的纳入标准而被排除.
结论:所考虑的每种方法都被证明可以成功阻止ECC的进展,并且受到患者的欢迎。即使是那些不愿意合作的人,以及父母。SDF最常见的不利影响是经过处理的牙齿表面不可逆的黑色变色,但这通常不是问题。它们都是低成本的,微创技术,也可能在大型社区和低社会经济环境中广泛使用。
公众号