Серебряный диамин фторид: SMART-решение для стоматологии у детей с особыми потребностями

ЦЕЛЬ. Провести сравнительный анализ клинической и антимикробной эффективности фторида серебра диамина (SDF) и модифицированной серебром атравматической реставрационной методики (SMART) при лечении кариозных временных моляров у детей с особыми потребностями.
МАТЕРИАЛЫ И МЕТОДЫ. В исследование включено 66 детей в возрасте от 3 до 9 лет, которые были рандомизированы на две группы: группе I проводилось лечение с использованием SDF, группе II – методом SMART. Образцы налета с вестибулярной и язычной поверхностей кариозных зубов собирались на исходном этапе и через 6 месяцев, инкубировались в агаре Mitis salivarius bacitracin, после чего подсчитывались колониеобразующие единицы Streptococcus mutans. Клиническая оценка проводилась визуально и тактильно, SDF повторно применялся в группе I. Дополнительно была проведена оценка поведения пациентов и принятия лечения с помощью анкеты по шкале Лайкерта.
РЕЗУЛЬТАТЫ. Методика SDF получила положительную оценку со стороны родителей как минимально инвазивный и приемлемый подход. Однако, по данным клинической и микробиологической оценки, эффективность SMART была достоверно выше (p = 0,001).
ВЫВОДЫ. Методика SMART продемонстрировала более высокую клиническую и антимикробную эффективность по сравнению с применением одного лишь фторида серебра диамина, и может рассматриваться как предпочтительный вариант лечения кариеса у детей с особыми потребностями.

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