کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3145036 1585485 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A randomized clinical trial on arresting dentine caries in preschool children by topical fluorides—18 month results
ترجمه فارسی عنوان
یک کارآزمایی بالینی تصادفی در مورد توقف پوسیدگی دندان در کودکان پیش دبستانی با استفاده از فلوئورید موضعی نتایج 18 ماهه
کلمات کلیدی
پوسیدگی دندان، دندانهای اولیه، کودکان پیش دبستانی، فلوراید، کارازمایی بالینی، بازداشت پوسیدگی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

ObjectivesThis study aimed to compare the effectiveness of three topical fluoride application protocols in arresting dentine caries in primary teeth of preschool children in a fluoridated area.MethodsChildren aged 3–4 years who had at least one active dentine caries lesion were randomly allocated into three intervention groups: Group 1—application of 30% silver diammine fluoride (SDF) solution every 12 months; Group 2—three applications of 30% SDF solution at weekly interval at baseline; and Group 3—three applications of 5% sodium fluoride (NaF) varnish at weekly interval at baseline. A masked examiner carried out follow-up examinations every 6 months to assess whether the treated lesions had become arrested.ResultsA total of 304 children with 1670 tooth surfaces with dentine caries received treatment at baseline. After 18 months, 275 children (91%) remained in the study. The caries arrest rates at tooth surface level were 40%, 35% and 27% for Groups 1, 2 and 3, respectively (p < 0.001). Result of the multi-level survival analysis showed that the two SDF application protocols could shorten the time to arrest of dentine caries compared with the NaF application protocol. Presence of plaque on lesion surface, tooth type and tooth surface all had significant effects on caries arrest rates.ConclusionsAnnual or three consecutive weekly applications of SDF solution is more effective in arresting dentine caries in primary teeth than three consecutive weekly applications of NaF varnish.Clinical significanceIn a water fluoridated area, application of SDF solution, either three weekly applications at baseline or annually, can arrest active dentine caries lesions in primary teeth faster than three weekly applications of NaF varnish at baseline.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Dentistry - Volume 44, January 2016, Pages 57–63
نویسندگان
, , ,