دورية أكاديمية
The effectiveness of medical nurses in treating children with silver diamine fluoride in a school-based caries prevention program.
العنوان: | The effectiveness of medical nurses in treating children with silver diamine fluoride in a school-based caries prevention program. |
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المؤلفون: | Ruff RR; Department of Epidemiology & Health Promotion, New York University College of Dentistry, New York, New York City, USA., Godín TB; Department of Epidemiology & Health Promotion, New York University College of Dentistry, New York, New York City, USA., Niederman R; Department of Epidemiology & Health Promotion, New York University College of Dentistry, New York, New York City, USA. |
المصدر: | Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2024 Aug; Vol. 52 (4), pp. 398-405. Date of Electronic Publication: 2023 Oct 24. |
نوع المنشور: | Journal Article; Randomized Controlled Trial |
اللغة: | English |
بيانات الدورية: | Publisher: Munksgaard International Publishers Country of Publication: Denmark NLM ID: 0410263 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0528 (Electronic) Linking ISSN: 03015661 NLM ISO Abbreviation: Community Dent Oral Epidemiol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Copenhagen : Munksgaard International Publishers Original Publication: Copenhagen, Munksgaard. |
مواضيع طبية MeSH: | Silver Compounds*/therapeutic use , Fluorides, Topical*/therapeutic use , Dental Caries*/prevention & control , Quaternary Ammonium Compounds*/therapeutic use , Cariostatic Agents*/therapeutic use, Humans ; Child ; Female ; Male ; School Dentistry ; Dental Hygienists/education ; Pit and Fissure Sealants/therapeutic use ; Nurses ; School Health Services |
مستخلص: | Background: The sustainability of school-based oral health programs depends on the utilization of effective, efficient treatments and the availability of a trained clinical workforce. The objective of this study was to determine whether registered nurses are comparable to dental hygienists in the application and effectiveness of silver diamine fluoride (SDF) and fluoride varnish (FV) for the prevention of dental caries. Methods: CariedAway was a school-based study of SDF and FV versus dental sealants and atraumatic restorations. Within the SDF + FV arm, participants were treated by either a licensed dental hygienist or a registered nurse, both under the supervision of a paediatric dentist. Although initial treatment assignment in CariedAway was randomized, assignment to provider was not. The proportion of children who remained caries free after 2 years was assessed for non-inferiority using two-group proportion tests, adjusting for the clustering effect of schools. Results: A total of 417 children with no untreated caries at baseline were analysed including 298 treated by hygienists and 119 by nurses. The proportion of children who remained caries free after 2 years was 0.81 and 0.80 for those treated by hygienists and nurses, respectively, for a difference of 0.01 (95% CI = -0.07, 0.098) and within the pre-determined non-inferiority margin. Conclusions: Nurses may be effective in treating children with silver diamine fluoride and other fluoride varnishes in school-based oral health programs. (© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.) |
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معلومات مُعتمدة: | United States PCORI Patient-Centered Outcomes Research Institute |
فهرسة مساهمة: | Keywords: child; dental caries; nurses; silver diamine fluoride |
المشرفين على المادة: | DDU19UEV1Y (silver diamine fluoride) 0 (Silver Compounds) 0 (Fluorides, Topical) 0 (Quaternary Ammonium Compounds) 0 (Cariostatic Agents) 0 (Pit and Fissure Sealants) |
تواريخ الأحداث: | Date Created: 20231024 Date Completed: 20240702 Latest Revision: 20240702 |
رمز التحديث: | 20240703 |
DOI: | 10.1111/cdoe.12925 |
PMID: | 37873685 |
قاعدة البيانات: | MEDLINE |
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