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Parental use and acceptance of an accessible, commercially available intraoral camera for teledentistry in their children. 家长使用和接受商用口内照相机为子女进行远程牙科治疗的情况。
IF 2.2 Q1 Dentistry Pub Date : 2024-04-01 Epub Date: 2024-04-21 DOI: 10.1007/s40368-024-00878-7
W K Tan, D R Chua

Purpose: The potential of combining teledentistry and engaging parents as underutilised resources to monitor paediatric dental health was emphasised during the COVID-19 pandemic and remains underexplored. This study aims to assess parental acceptance and use of a commercially available intraoral camera (IOC) for effective remote monitoring.

Methods: 47 child-parent dyads, where the parent was the main caregiver and the child was treated under general anaesthesia for early childhood caries, were recruited. Caregivers were trained to image their child's teeth on a commercially available IOC. Subsequently, submitted images were reviewed asynchronously by dentists for image quality, presence of dislodged fillings, abscesses, cavitation, and oral hygiene. Post-surgery monitoring was performed using teledentistry at 1 and 2 months and in-person at 4 months. A modified Telehealth Usability Questionnaire (TUQ) was used to record caregiver acceptance for study procedures.

Results: A mean TUQ of 6.09 out of 7 was scored by caregivers. Caregiver-reported issues were limited to problems with technique and child uncooperativeness. The number of clear images during the second teledentistry review was improved compared to the first (p = 0.007). 68% of children liked having images of their teeth taken.

Conclusion: This study supports the feasibility of using an IOC as a clinically appropriate avenue for teledentistry with a high level of caregiver-child acceptance.

目的:在 COVID-19 大流行期间,将远程口腔医学与作为未充分利用资源的家长参与相结合以监测儿童牙科健康的潜力得到了强调,但这一潜力仍未得到充分开发。本研究旨在评估家长对商用口内照相机(IOC)的接受程度和使用情况,以进行有效的远程监测。方法:招募了 47 个儿童-家长二人组,其中家长是主要的护理人员,儿童在全身麻醉下接受早期儿童龋齿治疗。对护理人员进行了培训,让他们在市售的 IOC 上为孩子的牙齿成像。随后,牙科医生对提交的图像进行异步审查,以确定图像质量、是否存在脱落的填充物、脓肿、龋洞以及口腔卫生情况。手术后 1 个月和 2 个月时使用远程医疗进行监测,4 个月时进行面对面监测。经修改的远程医疗可用性问卷(TUQ)用于记录护理人员对研究程序的接受程度:结果:护理人员对 TUQ 的平均评分为 6.09 分(满分 7 分)。护理人员报告的问题仅限于技术问题和儿童不合作问题。第二次远程牙科检查中清晰图像的数量比第一次有所提高(p = 0.007)。68%的儿童喜欢拍摄牙齿图像:这项研究证明了使用 IOC 作为远程牙科检查的临床适当途径的可行性,并且获得了护理人员和儿童的高度认可。
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引用次数: 0
Early childhood caries detection using smartphone artificial intelligence. 利用智能手机人工智能检测儿童早期龋齿。
IF 2.2 Q1 Dentistry Pub Date : 2024-04-01 Epub Date: 2024-02-25 DOI: 10.1007/s40368-024-00871-0
E Veseli, A E Noor, K Veseli, M R Tovani-Palone
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引用次数: 0
Comparative evaluation of cervical pulpotomy and pulpectomy for primary molars with irreversible pulpitis: a multicentre randomised controlled trial. 对患有不可逆牙髓炎的初级磨牙进行颈部牙髓切断术和牙髓切除术的比较评估:一项多中心随机对照试验。
IF 2.2 Q1 Dentistry Pub Date : 2024-04-01 Epub Date: 2024-03-15 DOI: 10.1007/s40368-024-00880-z
S Sabbagh, Z Bahrololoomi, A Sarraf Shirazi, F Zarebidoki, S Salajegheh, F Fotouhi, A Akbarzadeh Baghban, S Asgary

Purpose: The objective of this multicentre randomised controlled trial was to compare the clinical/radiographic outcomes of cervical pulpotomy using calcium-enriched mixture cement (PCEM) and pulpectomy using Metapex (PM) in primary molars with irreversible pulpitis (IP).

Methods: A total of 134 primary molars from 94 children were randomly assigned to two intervention groups: the PCEM group (n = 74) and the PM group (n = 60). Baseline characteristics including age/gender/molar type/tooth type/jaw were recorded. The primary outcome measures were clinical/radiographic success rates assessed at the first and second follow-up appointments. Secondary outcomes included reasons for clinical/radiographic failures. Multiple logistic regression analysis was performed to determine the impact of various factors on the success rates.

Results: The mean age of the participants in both groups was similar (PCEM group: 5.4 years, PM group: 5.5 years). Gender distribution, molar type, tooth type, jaw, and number of practitioners were comparable between the groups. The clinical success rate at the first follow-up was 98.6% in the PCEM group and 96.4% in the PM group. At the second follow-up, the clinical success rate was 97.1% in the PCEM group and 91.1% in the PM group. The radiographic success rates at the first and second follow-up were 98.6% and 96.4% in the PCEM group and 96.4% and 91.1% in the PM group, respectively. Multiple logistic regression analysis did not reveal any significant association between the success rates and age/gender/molar type/jaw, or treatment groups (P > 0.05).

Conclusion: In primary molars with IP, both simple/conservative cervical pulpotomy using calcium-enriched mixture cement and pulpectomy using Metapex demonstrated high clinical/radiographic success rates. No significant differences were observed between the two treatment modalities. These findings suggest that both techniques can be considered effective treatment options for managing primary molars with IP.

Trial registration number: Trial registration number: IRCT20201226049838N1, retrospectively registered on 12 January 2021.

目的:这项多中心随机对照试验的目的是比较在患有不可逆牙髓炎(IP)的初级磨牙中使用富钙混合水门汀(PCEM)进行牙颈部牙髓切断术和使用Metapex(PM)进行牙髓切除术的临床/放射学结果:94名儿童的134颗初级磨牙被随机分配到两个干预组:PCEM组(74人)和PM组(60人)。记录基线特征,包括年龄/性别/臼齿类型/牙齿类型/颌骨。主要结果指标是在第一次和第二次复诊时评估的临床/放射学成功率。次要结果包括临床/放射摄影失败的原因。为确定各种因素对成功率的影响,进行了多元逻辑回归分析:两组参与者的平均年龄相似(PCEM 组:5.4 岁,PM 组:5.5 岁)。两组的性别分布、臼齿类型、牙齿类型、颌骨和医师人数相当。首次随访时,PCEM 组的临床成功率为 98.6%,PM 组为 96.4%。第二次随访时,PCEM 组的临床成功率为 97.1%,PM 组为 91.1%。在第一次和第二次随访中,PCEM 组的放射学成功率分别为 98.6% 和 96.4%,PM 组分别为 96.4% 和 91.1%。多元逻辑回归分析表明,成功率与年龄/性别/臼齿类型/颌骨或治疗组之间没有明显关联(P > 0.05):对于患有IP的初级磨牙,使用富钙混合水门汀进行简单/保守的颈髓切断术和使用Metapex进行脉冲切除术的临床/放射学成功率都很高。两种治疗方法之间没有明显差异。这些研究结果表明,这两种技术都可被视为治疗患有IP的初级磨牙的有效治疗方案:试验注册号:IRCT20201226049838N1,2021年1月12日回顾性注册。
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引用次数: 0
Difficulties experienced by dentists and orthodontists regarding ethical issues when announcing the diagnosis of a rare oral disease: a qualitative study in Marseille, France. 牙科医生和正畸医生在宣布一种罕见口腔疾病的诊断时在伦理问题上遇到的困难:法国马赛的一项定性研究。
IF 2.2 Q1 Dentistry Pub Date : 2024-04-01 Epub Date: 2024-03-08 DOI: 10.1007/s40368-024-00864-z
I Blanchet, F Michel, C Tardieu, A Camoin

Purpose: It is traditionally considered that breaking bad news to patients does not represent a cause for concern for dental professionals. However, there are situations where they will be confronted with this task, as in the case of rare dental diseases. Little information is available regarding the feelings of healthcare professionals on this subject. There are no qualitative studies that explore how a diagnosis of oligodontia is announced to patients by dentists and orthodontists. The aim of our study is to explore the difficulties and ethical issues experienced by dental health professionals when they have to announce a diagnosis of oligodontia to a patient and their family.

Methods: This study relied on a qualitative research method using focus groups of dentists and orthodontists and a thematic analysis procedure.

Results: The difficulties experienced could be summarised within five topics: organisational difficulties, difficulties with the management of dental treatment and with the administrative management associated with this anomaly, difficulties with the content of the announcement, and relational difficulties. These could be grouped in two categories: practical difficulties and ethical difficulties.

Conclusion: This survey allowed us to understand the difficulties encountered by dentists and orthodontists when announcing oligodontia. The participants felt uncomfortable with this task and were under stress. They reported difficulties in delivering the medical information and in adapting to the message. It is essential that dental professionals develop skills in medical communication.

目的:传统上认为,向患者透露坏消息并不会引起牙科专业人员的担忧。然而,在某些情况下他们也会面临这样的任务,比如罕见的牙科疾病。关于医护专业人员对这一问题的感受的信息很少。目前还没有定性研究探讨牙医和正畸医生如何向患者宣布少牙症的诊断结果。我们的研究旨在探讨牙科医护人员在必须向患者及其家属宣布少牙症诊断时遇到的困难和伦理问题:本研究采用定性研究方法,对牙科医生和正畸医生进行焦点小组讨论,并进行主题分析:所遇到的困难可归纳为五个主题:组织上的困难、牙科治疗管理上的困难以及与这种异常情况相关的行政管理上的困难、公告内容上的困难以及关系上的困难。这些困难可分为两类:实际困难和道德困难:这项调查让我们了解到牙科医生和正畸医生在宣布少牙症时遇到的困难。参与者对这项任务感到不自在,并承受着压力。他们表示在传递医疗信息和适应信息时遇到了困难。牙科专业人员必须掌握医学沟通技巧。
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引用次数: 0
Effects of endocrine disorders on maxillary and mandibular growth in Colombian children and adolescents: a cross-sectional study. 内分泌失调对哥伦比亚儿童和青少年上颌和下颌骨生长的影响:一项横断面研究。
IF 2.2 Q1 Dentistry Pub Date : 2024-02-01 Epub Date: 2023-11-24 DOI: 10.1007/s40368-023-00850-x
J M Alfaro, R Manrique, A Santamaría, E Álvarez, C Manes, M Jiménez

Objective: To establish the influence of overweight/obesity, medicated hypothyroidism, and medicated non-syndromic hypogrowth on maxillary and mandibular growth.

Materials and methods: The relation between 10 craniofacial anthropometric measurements and hypothyroidism (n = 216), overweight/obesity (n = 108), and non-syndromic hypogrowth (n = 250) were evaluated in patients aged 1-19 years and a control group of healthy patients (n = 587). A subgroup analysis was performed at the peak growth in all groups.

Results: Patients with overweight/obesity and hypothyroidism showed increased craniofacial growth, while hypogrowth patients showed differences in zygomatic width and nasal base growth. Females with hypothyroidism and non-syndromic hypogrowth showed decreased head circumference at peak growth. Several anthropometric measurements were increased in patients with overweight/obesity, including head circumference. When all age groups were analyzed, overweight/obese and hypothyroidism patients showed increased zygomatic width while decreased hypogrowth. Overall, most craniofacial anthropometric measurements in overweight/obese patients were increased. Finally, the peak growth in males with hypothyroidism and subjects with non-syndromic hypogrowth was delayed compared to the control group (p < 0.05).

Conclusions: Children and adolescents with overweight/obesity and endocrine disorders showed alterations in craniofacial growth. Clinicians must be aware that the growth peak in these patients may be delayed when planning maxillary and mandibular orthopedic treatment.

目的:探讨超重/肥胖、药物性甲状腺功能减退和药物性非综合征性发育迟缓对上颌和下颌骨生长的影响。材料与方法:在1-19岁的患者和对照组健康患者(n = 587)中评估10项颅面人体测量与甲状腺功能减退(n = 216)、超重/肥胖(n = 108)和非综合征性发育不良(n = 250)之间的关系。在所有组的生长高峰进行亚组分析。结果:超重/肥胖和甲状腺功能减退的患者颅面生长增加,而发育不良的患者颧骨宽度和鼻底生长存在差异。甲状腺功能减退和非综合征性发育迟缓的女性在生长高峰时头围减小。超重/肥胖患者的几个人体测量值增加,包括头围。当对所有年龄组进行分析时,超重/肥胖和甲状腺功能减退患者的颧骨宽度增加,而发育不良的患者减少。总体而言,大多数超重/肥胖患者的颅面人体测量值增加。最后,与对照组相比,患有甲状腺功能减退症的男性和非综合征性发育迟缓的受试者的生长峰值延迟(p)。结论:超重/肥胖和内分泌紊乱的儿童和青少年颅面生长发生改变。临床医生必须意识到,在规划上颌和下颌骨矫形治疗时,这些患者的生长高峰可能会延迟。
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引用次数: 0
Does information about MIH on dental homepages in Germany offer high quality? A systematic search and analysis. 德国牙科网页上有关MIH的信息质量高吗?系统搜索与分析。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-02-01 DOI: 10.1007/s40368-023-00857-4
A Geiken, L Banz, M Kock, F Schwendicke, C Graetz

Purpose: The internet is increasingly used to seek health information. A dental condition of increasing concern and public interest is molar incisor hypomineralisation (MIH), why we evaluated the information quality of German dentists 'websites on the topic of MIH.

Methods: A systematic search was performed by two independent investigators using three search engines. The information content of websites on MIH and technical, functional aspects, overall quality, and risk of bias were assessed using validated instruments (LIDA, DISCERN). Practice-related characteristics (practice type, specialization, setting, number and mean age of dentists) were recorded, and associations of these characteristics with websites' overall quality were explored using multivariable linear regression modelling.

Results: 70 sites were included. 52% were multipractices in urban areas (49%). The most common age group was middle-aged individuals (41-50 years). The average number of dentists/practice was 2.5. The majority met more than 50% of the DISCERN and LIDA criteria (90%, 91%). The MIH definition was frequently used (67%), MIH symptoms were described (64%), and 58% mentioned therapies. The prevalence of MIH was mentioned less frequently (48%). MIH example photographs were rarely shown (14%). In multivariable analysis, most practice-related factors were not significant for overall site quality. Only chain practices had slightly higher quality in this regard (2.2; 95% CI of 0.3-4.1).

Conclusions: MIH is mentioned on a large proportion of dentists' websites. Overall technical, functional, and generic quality was high. Risk of bias is limited. While most websites provided a basic definition of MIH and its symptoms, important information for patients was missing.

目的:人们越来越多地通过互联网来寻求健康信息。臼齿切牙低矿化(MIH)是一种日益受到关注和公众关心的牙科疾病,因此我们对德国牙医网站有关MIH主题的信息质量进行了评估:方法:两名独立调查人员使用三个搜索引擎进行了系统搜索。使用经过验证的工具(LIDA、DISCERN)对网站有关MIH的信息内容以及技术、功能方面、整体质量和偏差风险进行了评估。记录了与实践相关的特征(实践类型、专业化、环境、牙医数量和平均年龄),并使用多变量线性回归模型探讨了这些特征与网站整体质量的关系:结果:共纳入 70 个网站。52%为城市地区的多点执业(49%)。最常见的年龄组是中年人(41-50 岁)。每家诊所的平均牙医人数为 2.5 人。大多数牙医符合 50%以上的 DISCERN 和 LIDA 标准(90% 和 91%)。MIH定义被频繁使用(67%),MIH症状被描述(64%),58%提到了治疗方法。提及 MIH 发病率的比例较低(48%)。很少展示 MIH 的实例照片(14%)。在多变量分析中,大多数与诊疗相关的因素对网站的整体质量影响不大。只有连锁诊所在这方面的质量略高(2.2;95% CI 为 0.3-4.1):结论:大部分牙医网站都提到了MIH。总体技术、功能和通用质量较高。偏差风险有限。虽然大多数网站都提供了MIH的基本定义及其症状,但缺少针对患者的重要信息。
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引用次数: 0
The impact of bias of underlying literature in guidelines on its recommendations: assessment of the German fluoride guideline. 指南中基础文献偏倚对其建议的影响:对德国氟化物指南的评估。
IF 2.2 Q1 Dentistry Pub Date : 2024-02-01 Epub Date: 2023-11-26 DOI: 10.1007/s40368-023-00854-7
A Al Masri, U Schiffner, M S Mourad, J Schmoeckel, P Joseph, C H Splieth

Purpose: The significance of the underlying literature in clinical guidelines can be weakened by the risk of bias, which could negatively affect the recommendations. Especially in controversial matters, such as fluoride use for caries prevention in children, biased results may be not reliable and lead to incorrect conclusions. This study was performed to detect bias in underlying literature of the German guideline for caries prevention using fluoride in children, where no consensus was reached between paediatricians and paediatric dentists.

Methods: Three tools used for risk of bias assessments of different study designs were RoB 2 for RCTs, ROBINS-I for non-randomized studies, and ROBIS for systematic reviews. For each study cited in the guideline two independent risk of bias assessments were performed. Disagreements were resolved by consensus.

Results: Out of 58 papers, 48.3% (n = 28) showed high risk of bias, with the majority in sections regarding fluoride tablets, fluoridated toothpaste, and paediatricians' recommendations. 9 out of 20 recommendations and statements were based on studies with high risk of bias, all of which were in these three controversial sections. 13 out of 29 RCTs showed high risk of bias (44.8%), as all 13 non-randomized trials did, while only 2 of 16 (12.5%) systematic reviews had high risk of bias.

Conclusion: Considering risk of bias of cited studies in clinical guidelines may result in substantial changes in its recommendations and aid in reaching consensus. Efforts should be made to assess risk of bias of underlying literature in future clinical guidelines.

目的:临床指南中基础文献的重要性可能会被偏倚风险削弱,这可能会对推荐产生负面影响。特别是在有争议的问题上,如使用氟化物预防儿童龋齿,有偏见的结果可能不可靠,并导致不正确的结论。本研究的目的是检测德国儿童氟化物预防龋齿指南基础文献中的偏倚,因为儿科医生和儿科牙医之间没有达成共识。方法:三种工具用于不同研究设计的偏倚风险评估:RoB 2用于随机对照试验,ROBINS-I用于非随机研究,ROBIS用于系统评价。对于指南中引用的每项研究,进行了两次独立的偏倚风险评估。分歧通过协商一致得到解决。结果:在58篇论文中,48.3% (n = 28)显示出高偏倚风险,其中大多数是关于氟化物片、含氟牙膏和儿科医生建议的章节。20条建议和陈述中有9条是基于高偏倚风险的研究,所有这些都在这三个有争议的部分。29项随机对照试验中有13项显示高偏倚风险(44.8%),13项非随机试验均显示高偏倚风险(12.5%),而16项系统评价中只有2项(12.5%)存在高偏倚风险。结论:在临床指南中考虑被引研究的偏倚风险可能导致其建议发生重大变化,有助于达成共识。在未来的临床指南中,应努力评估基础文献的偏倚风险。
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引用次数: 0
Swiss paediatric dentists' preferences and experience on the use of articaine and other local/topical anaesthetics. 瑞士儿科牙医使用阿替卡因和其他局部/局部麻醉剂的偏好和经验。
IF 2.2 Q1 Dentistry Pub Date : 2024-02-01 Epub Date: 2023-11-27 DOI: 10.1007/s40368-023-00852-9
L Baumgartner, S N Papageorgiou, H van Waes, B Hamza

Purpose: This study was conducted to explore the preference and experience of paediatric dentists based in Switzerland regarding the use of articaine and other local and topical anaesthesia.

Methods: An 18-question survey was developed, piloted, and distributed to the members of the Swiss association of paediatric dentistry (n = 460). The following information were collected: most used local anaesthetic in different age groups, time needed to inject a full ampule, frequency of observed local and systemic side effects, application of topical anaesthetic prior to injection, time waited between application and the injection, and perceived effectiveness of topical anaesthetic. The dentists' responses were analysed with logistic regressions reporting odds ratios (OR) and 95% confidence intervals (CI) at 5%.

Results: The response rate was 37% (n = 168) out of the 460 questionnaires sent, with the responders being predominantly female (67%) and 47-year-old on average. More than 80% of the dentists used articaine in all age groups. 45% of responders took longer than 60 s to inject a full ampule. Local and systemic side-effects were observed by 82% and 28% of respondents respectively, although the nature and the significance of those were not detailed due to the anonymous nature of the questionnaire. Significantly less local adverse effects were seen for older children (p = 0.04) and among dentists with more years of experience (p = 0.01). Most responders applied topical anaesthetic and half of them waited longer than 60 s before injection.

Conclusions: Articaine is a widely used local anaesthetic by the studied group of Swiss paediatric dentists regardless of patient's age. The use of topical anaesthetic before injection is a common practice with good perceived effectiveness.

目的:本研究旨在探讨瑞士儿科牙医在使用阿替卡因和其他局部和局部麻醉方面的偏好和经验。方法:制定了一项包含18个问题的调查,试点并分发给瑞士儿科牙科协会的成员(n = 460)。收集以下信息:不同年龄组使用最多的局麻药,注射一整安瓿所需的时间,观察到的局部和全身副作用的频率,注射前应用局部麻药,应用和注射之间等待的时间,以及感知局部麻药的有效性。对牙医的回答进行逻辑回归分析,报告优势比(OR)和95%可信区间(CI)为5%。结果:共发放460份问卷,回复率为37% (n = 168),应答者以女性为主(67%),平均年龄为47岁。在所有年龄组中,超过80%的牙医使用阿替卡因。45%的应答者花了超过60秒的时间来注射一个完整的安瓿。82%和28%的受访者分别观察到局部和全身副作用,尽管由于问卷的匿名性,这些副作用的性质和意义没有详细说明。年龄较大的儿童(p = 0.04)和经验较丰富的牙医(p = 0.01)的局部不良反应明显较少。大多数应答者使用局部麻醉,半数患者在注射前等待时间超过60 s。结论:阿替卡因是瑞士儿科牙医广泛使用的局部麻醉剂,无论患者年龄如何。注射前使用局部麻醉是一种常见的做法,具有良好的效果。
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引用次数: 0
Parents' acceptance of minimal intervention procedures for dental caries management in children: a scoping review. 家长对儿童龋齿管理最低干预程序的接受程度:范围综述。
IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-02-01 Epub Date: 2023-08-31 DOI: 10.1007/s40368-023-00833-y
H da Silva Ribeiro Júnior, B A de Brito, P Corrêa-Faria

Purpose: In recent years, minimal intervention procedures (MIPs) for treating dental caries in children have stood out as an innovative method. Nevertheless, the treatment decision should be based on scientific evidence, professional expertise, and parents' preference/acceptance. Evaluating the acceptance of MIPs by parents is an essential factor, but little information is available on what guides this preference.

Methods: This scoping review aims to synthesize the evidence on parents'/caregivers' acceptance of MIP for managing cavitated caries lesions in children. A search was performed in the PubMed, Cochrane Library, Lilacs and Google Scholar databases with no restriction on date or language.

Results: A total of 19 articles were selected (6 clinical trials, 1 longitudinal and 12 cross-sectional studies). The application of silver diamino fluoride (SDF) was the most commonly evaluated procedure (n = 17), followed by the atraumatic restorative technique (ART) and the Hall Technique (HT). The acceptance of MIPs ranged from 1.4% to 100%, and the application of SDF was better accepted in posterior teeth and in uncooperative children. ART had better aesthetic acceptance than HT.

Conclusion: Application of SDF, Hall Technique and ART was well accepted by parents/caregivers. However, a gap remains in the literature regarding the acceptance of other procedures. Therefore, further studies in this area will contribute toward a better understanding of the opinion of parents/caregivers, and thus improve caries lesion management in children.

目的:近年来,治疗儿童龋齿的最小干预程序(MIPs)作为一种创新方法脱颖而出。然而,治疗决定应基于科学证据、专业知识和家长的偏好/接受程度。评估家长对 MIPs 的接受程度是一个重要因素,但关于如何引导这种偏好的信息却很少:本范围综述旨在综合有关家长/护理人员接受 MIP 治疗儿童龋洞的证据。我们在 PubMed、Cochrane Library、Lilacs 和 Google Scholar 数据库中进行了检索,日期和语言不限:结果:共选取了 19 篇文章(6 项临床试验、1 项纵向研究和 12 项横向研究)。应用二氨基氟化银(SDF)是最常见的评估方法(n = 17),其次是无创伤修复技术(ART)和霍尔技术(HT)。MIPs的接受度从1.4%到100%不等,后牙和不合作儿童对SDF的接受度更高。ART比HT的美学接受度更高:结论:SDF、霍尔技术和 ART 的应用得到了家长/监护人的广泛认可。结论:SDF、Hall 技术和 ART 的应用得到了家长/护理人员的广泛认可,但关于其他程序的接受程度,文献中仍存在空白。因此,这方面的进一步研究将有助于更好地了解家长/护理人员的意见,从而改善儿童的龋病管理。
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引用次数: 0
Management of permanent incisors affected by Molar-Incisor-Hypomineralisation (MIH) using resin infiltration: a pilot study. 使用树脂浸润法治疗受臼齿-切牙-低矿化(MIH)影响的恒切牙:一项试点研究。
IF 2.2 Q1 Dentistry Pub Date : 2024-02-01 Epub Date: 2024-01-29 DOI: 10.1007/s40368-024-00861-2
S Alghawe, N Raslan

Purpose: To compare the aesthetic improvement of Molar-Incisor-Hypomineralisation (MIH) opacities treated by applying Icon-Etch for three cycles with the opacities treated by Icon-Etch for once, in the course of resin infiltration technique.

Methods: Thirty incisors were sorted based on the colour of the opacities and then distributed according to the number of Icon-Etch cycles using a randomisation table into the groups: (1) White/Creamy one cycle, (2) White/Creamy three cycles, (3) Yellow/Brown one cycle, (4) Yellow/Brown three cycles. The primary outcomes of applying the resin infiltration to the opacities were compared amongst groups according to the parents' satisfaction, the amount of coverage, and the colour matching with the surrounding sound enamel. The stability of the results after 3 months was evaluated using a spectrophotometer.

Results: The colour of the opacity pre-treatment affected the outcomes significantly (p < 0.05), compared according to the method of application (p > 0.05) in terms of parents' satisfaction. Whilst the multiple applications for Icon-Etch cycles showed more coverage amount in White/Creamy opacities than the application ones (p < 0.05); in colour matching, there was no statistically significant difference between the two methods (p > 0.05). For yellow/brown opacities, some negative results occurred with the single Icon-Etch cycle.

Conclusion: In MIH opacities, it is possible to rely on the resin infiltration as a minimally invasive method to achieve acceptable results, especially with multiple Icon-Etch cycles applications in the white/creamy opacities. The colour stability has not been affected by either the colour of the opacity or the number of cycles.

目的:比较使用Icon-Etch技术治疗三个周期的磨牙-切牙-高矿化(MIH)不透明与使用Icon-Etch技术治疗一个周期的树脂渗透不透明的美学改善效果:将 30 颗门牙根据翳的颜色进行分类,然后根据 Icon-Etch 循环的次数用随机表法分为以下几组:(1) 白色/乳白色一个循环,(2) 白色/乳白色三个循环,(3) 黄色/棕色一个循环,(4) 黄色/棕色三个循环。根据家长的满意度、覆盖量以及与周围健全釉质的颜色匹配程度,比较各组间在遮盖物上应用树脂浸润的主要结果。使用分光光度计对3个月后的效果稳定性进行了评估:结果:就家长的满意度而言,治疗前不透明的颜色对治疗效果的影响很大(P 0.05)。而多次涂抹 Icon-Etch 周期后,白色/乳白色遮瑕膏的覆盖量高于涂抹型遮瑕膏(P 0.05)。对于黄/棕色遮瑕膏,单次使用 Icon-Etch 周期会出现一些负面结果:对于 MIH 遮瑕膏,可以依靠树脂浸润这种微创方法来获得可接受的效果,尤其是在白色/乳白色遮瑕膏中使用多个 Icon-Etch 周期。颜色稳定性既不受不透明度颜色的影响,也不受循环次数的影响。
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European Archives of Paediatric Dentistry
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