Evaluation of the efficacy of sodium fluoride dental protective agent combined with pit and fissure sealant in prevention of dental caries in preschool children

Zhang Ai-hua, L. Jing
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Abstract

PURPOSE: To explore the effect of sodium fluoride tooth protector combined with pit and fissure sealing to prevent caries in preschool children. METHODS: Two hundred preschool children who were treated with pit and fissure closure from January 2014 to September 2014 were selected as subjects. According to random number table method, 100 cases were divided into the combined group and the control group. Children in the control group were treated with pit and fissure sealant for prevention of caries, while children in the combined group were treated with sodium fluoride tooth protector combined with pit and fissure sealant for caries prevention. The incidence of dental caries, proximal caries, mean DMFT, and expulsion rate of the sealants were compared between the two groups at 1 year and 2 years. Data analysis was performed using SPSS 16.0 software package for data analysis. RESULTS: At 1 year of follow-up, there was no significant difference in the incidence of dental caries, proximal caries, and mean DMFT between the two groups (P>0.05). The incidence of caries and mean DMFT in the combined group were significantly lower than those in the control group at 2 years of follow-up (P 0.05). The retension rate of the pit and fissure sealant in the combined group was significantly higher than that in the control group (P 0.05). CONCLUSIONS: Sodium fluoride tooth protector combined with pit and fissure sealing has better anti-caries effect than the use of pit and fissure sealant alone in preschool children.
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氟化钠护牙剂联合窝沟密封剂预防学龄前儿童龋病的疗效评价
目的:探讨氟化钠护牙剂联合牙窝、牙缝封闭预防学龄前儿童龋病的效果。方法:选取2014年1月~ 2014年9月接受窝裂闭合治疗的200例学龄前儿童为研究对象。按随机数字表法将100例患者分为联合组和对照组。对照组患儿采用窝沟封闭剂预防龋病,联合组患儿采用氟化钠护牙剂联合窝沟封闭剂预防龋病。比较两组患者1年和2年的龋病发生率、近端龋病发生率、平均DMFT和密封剂排出率。数据分析采用SPSS 16.0软件包进行数据分析。结果:随访1年时,两组患者龋齿发生率、近端龋齿发生率及平均DMFT比较,差异均无统计学意义(P>0.05)。随访2年时,联合组龋齿发生率和平均DMFT均显著低于对照组(P < 0.05)。联合组牙槽沟封闭剂固位率显著高于对照组(P < 0.05)。结论:学龄前儿童氟化钠护牙剂联合牙槽沟密封的防龋效果优于单独使用牙槽沟密封剂。
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