目的:这项工作的目的是回顾使用二氟化银(SDF)来阻止龋齿的方案,特别是申请时间。
方法:两名研究人员搜索了制造商的说明,YouTube视频,和5个数据库(Embase,Medline,PubMed,Scopus,和WebofScience)。制造商说明,来自国家牙科组织的视频,选择了同行评审的期刊文章,这些文章以英文发表了用于防龋的SDF应用协议。
结果:审查包括来自4家制造商的15种出版物的14种方案,3牙科协会,和7个作者团队(一个团队有2篇文章)。美国牙科协会和英国儿科牙科学会在YouTube上提供了他们的SDF应用协议。美国儿科牙科学会和7个作者团队在期刊文章中发表了他们的协议。七篇出版物建议SDF应用时间为60秒。七篇出版物提出了10秒至240秒的时间范围。两份出版物建议进行龋齿挖掘,但是有4种出版物建议在应用SDF之前没有龋齿挖掘。至少有5种出版物的程序涉及用凡士林保护牙龈,用棉卷隔离龋齿,用3合1注射器干燥龋齿,用微刷涂抹SDF溶液60秒,用纱布去除多余的SDF溶液,并对SDF处理的病变涂上氟化物清漆。
结论:尽管SDF应用协议简单明了,公布的协议可能不同。大多数出版物建议SDF应用时间为60秒,可能很长,特别是对于幼儿和老年人。
OBJECTIVE: The aim of this work was to review the protocol of the use of silver diamine fluoride (SDF) for arresting caries, specifically the application time.
METHODS: Two researchers searched manufacturers\' instructions, YouTube videos, and 5 databases (Embase, Medline, PubMed, Scopus, and Web of Science). Manufacturers\' instructions, videos from national dental organisations, and peer-reviewed journal articles that published the SDF application protocol in English for arresting caries were selected.
RESULTS: The review included 14 protocols from 15 publications from 4 manufacturers, 3 dental associations, and 7 author teams (one team had 2 articles). The American Dental Association and the British Society of Paediatric Dentistry provided their SDF application protocols on YouTube. The American Academy of Paediatric Dentistry and 7 author teams published their protocols in journal articles. Seven publications suggested an SDF application time of 60 seconds. Seven publications suggested a time range of 10 seconds to 240 seconds. Two publications suggested caries excavation, but 4 publications suggested no caries excavation before SDF application. The procedures from at least 5 publications involved protecting the gingiva with petroleum jelly, isolating the carious tooth with cotton rolls, drying the carious lesion with a 3-in-1 syringe, applying SDF solution with a micro brush for 60 seconds, removing excess SDF solution with gauze, and applying fluoride varnish to the SDF-treated lesion.
CONCLUSIONS: Although the SDF application protocol is simple and straightforward, the published protocols could be different. Most publications suggested an SDF application time of 60 seconds, which can be long, particularly for young children and older adults.