非手术入路治疗活动性牙釉质龋齿的有效性:一项回顾性纵向研究。

IF 2.5 4区 医学 Q2 Dentistry
Andressa da Silva Arduim, Debora Plotnik Gonçalves, Maitê Munhoz Scherer, Fernando Borba de Araújo, Tathiane Larissa Lenzi, Luciano Casagrande
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引用次数: 0

摘要

本研究的目的是探讨无创和微创治疗在高龋风险儿童牙釉质龋病变中的有效性。对在牙科学校接受治疗的儿童的临床记录进行回顾性筛选,检查有无活动性牙釉质龋齿病变,采用非侵入性治疗(局部氟化物应用、口腔卫生指导或饮食指导)或微侵入性治疗(使用密封剂)。根据Nyvad标准和ICDAS标准,将病变失活和不进展相结合,确定活动性龋病的控制为主要结局。通过泊松回归分析与结果相关的个体和临床因素。样本包括105名平均年龄8.3(±2.4)岁的高龋风险儿童。365例活动性牙釉质龋齿中,大部分(84.1%)为活动性非空化牙釉质龋齿(ICDAS评分为1分和2分),仅15.9%表现为局部牙釉质破裂(ICDAS评分为3分)。其中,灭活72.6%,无进展92.1%(平均时间为6.5±4.1个月)。6岁以上儿童的可控龋齿患病率较高(PR:1.43;95%置信区间:1.00—-2.03;p = 0.04)和生物膜控制较好的组(PR:0.99;95%置信区间:0.98—-0.99;P = 0.03)。非手术入路是控制活动性牙釉质龋齿的有效方法。大多数活动性牙釉质龋齿病变在治疗后变得不活跃,没有进展。龋齿控制与年龄较大的儿童和较好的生物膜控制有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of non-operative approaches in active enamel carious lesions: a retrospective longitudinal study.

The aim of the study was to investigate the effectiveness of non-invasive and micro-invasive treatments in active enamel carious lesions in high-caries-risk children. Clinical records of children treated in a dental school setting were retrospectively screened for active enamel carious lesions treated non-invasively (topical fluoride applications, oral hygiene instruction, or dietary guidance) or micro-invasively (sealant). The control of active carious lesions was set as the main outcome established by the combination of inactivation and non-progression of the lesions based on Nyvad and ICDAS criteria, respectively. Individual and clinical factors associated with the outcome were analyzed by Poisson regression. The sample consisted of 105 high-caries-risk children with a mean age of 8.3 (± 2.4) years. From a total of 365 active enamel carious lesions, most lesions (84.1%) were active non-cavitated carious lesions (ICDAS scores 1 and 2) and only 15.9% presented localized enamel breakdown (ICDAS score 3). Of these, 72.6% were inactivated and 92.1% did not progress (mean time of 6.5 ± 4.1 months). The prevalence of controlled carious lesions was higher among children older than 6 years (PR:1.43; 95%CI:1.00-2.03; p = 0.04) and in those with better biofilm control (PR:0.99; 95%CI: 0.98-0.99; p = 0.03). Non-operative approaches are effective for controlling active enamel carious lesions. The majority of active enamel carious lesions became inactive and did not progress after treatment. Caries control was associated with older children and better biofilm control.

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来源期刊
Brazilian Oral Research
Brazilian Oral Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.70
自引率
4.00%
发文量
107
审稿时长
12 weeks
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