关键词: caries arrest cariostatic agents dental caries pediatric dentistry prevention silver diamine fluoride

来  源:   DOI:10.3390/children11040499   PDF(Pubmed)

Abstract:
BACKGROUND: Tooth decay is considered a global scourge by the World Health Organization (WHO) starting at an early age. In recent years, silver diamine fluoride (SDF) has regained interest, particularly in pediatric dentistry, used to prevent the development of carious lesions or arrest their progression.
OBJECTIVE: The aim of this study was to assess, through a systematic review of the literature, the effectiveness of SDF, used in pedodontics, in temporary teeth, in preventing or arresting dental caries.
METHODS: An electronic search was conducted on PubMed, Web of Science and Scopus. The effect of SDF on both temporary and permanent teeth has been considered.
RESULTS: The inclusion criteria identified 16 randomized controlled trials involving patients aged 18 months to 13 years and followed over a period of 12-30 months.
CONCLUSIONS: SDF is a practical, accessible and effective non-invasive way to prevent and arrest caries in temporary and permanent teeth. Its application requires regular monitoring. The resulting black spot is diminished by immediate application of potassium iodide but this may affect its effectiveness.
摘要:
背景:世界卫生组织(WHO)认为蛀牙是一种全球性的祸害,始于早期。近年来,氟化银二胺(SDF)重新获得了兴趣,特别是在儿科牙科,用于防止龋齿病变的发展或阻止其进展。
目的:本研究的目的是评估,通过对文献的系统回顾,SDF的有效性,用于儿科,在临时牙齿上,预防或阻止龋齿。
方法:在PubMed上进行了电子搜索,WebofScience和Scopus已经考虑了SDF对暂时性牙齿和永久性牙齿的影响。
结果:纳入标准确定了16项随机对照试验,涉及年龄为18个月至13岁的患者,随访时间为12-30个月。
结论:SDF是一种实用的,可获得的和有效的非侵入性的方法来预防和阻止龋齿在临时和恒牙。它的应用需要定期监测。所产生的黑点通过立即施用碘化钾而减少,但这可能影响其有效性。
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